Anticipate their needs… know their likes, understand their behavior, not agree with but try to understand it…
I had a surgeon that had a sour reputation and I was soon going to be off of orientation so I asked him if I could attend his next CABG, “Sir I know how to get your patient ready for surgery and I know the technicalities of recovering a CABG, but I want to know what happens during, it will help me understand my patient and their needs and yours”. He agreed and I learned a ton. I understood his stress and frustrations. I also was the recovery nurse for everyone of his late CABGs while employed there, because he knew I cared.
Calling a particular surgeon difficult is a subjective perception if you ask me. He may be difficult for some but not for me. I prefer calling them "eccentrics." :-)
I was on a traveling assignment once and was assigned to scrub on a liver transplant. My only question was: How is Dr. X to work with? I was told "he's fine," which does not really tell me anything. I introduced myself to him. I told him that I have done this case before but not in this particular facility. If he tells me his particularities, I will try my best in helping him. I started and finished the case with no incidents that I know of. At the end of the case, he asked me where I was from. He asked me if I knew Dr. XX and told him I did and that I have scrubbed with him for so many years. He told me to give his regards to him, and that I could scrub for him any time. I saw one of the RNs give me a thumbs up. At the end of the case, I was told that he was one of the "most difficult surgeons to work with."
What I'm saying is, that if you establish ahead of time what the surgeon should expect from you, express interest in the case, pay attention to what the team is doing and anticipate their surgical needs, I think you'll be fine.
I was trained to have the instruments, etc. in the surgeon's hand before they even ask for it. Paying attention is the key.
I make sure I have a notecard saved for that particular surgeon and write down all their unusual preferences from equipment, positioning to what radio station they like. I also remain very attentive to the procedure ie no cell phone, I usually won’t sit during procedure until they like me lol. also know when to stand your ground and advocate for the patient like dr not wanting to mark surgical site because it’s “obvious”, be confident in your nursing ability but not afraid to ask questions.
I specialize in difficult surgeons. Show them you know what you are doing, be efficient, anticipate needs, be quick and don't keep them waiting for something they use in every case.
Show interest, ask questions when the time is right, play their favorite music. Music soothes a lot of savage souls.
Be honest, take responsibility when appropriate, address issues at appropriate times not in middle of surgery. Pay attention, anticipate, be interested, even if it is superficial find something to ask them about. Ie family, if they are also in a band ask about gigs, etc. Be respectful but remember we are all humans.
do my job as required. i do not appreciated vulgar and abusive language from anyone including surgeons. everyone need to be respected.
For starters… you can’t take anything they do personally. This doesn’t excuse their rudeness, rather it helps you grow and develop as a nurse. If we look at our whole team plus patient as our responsibility, then that surgeon becomes our patient. When I look at the situation this way I feel like i am less inclined to take whatever happens personally. They are a difficult surgeon… I am not a difficult person to get along with… mental framing helps deal with those difficult situations and allows for resolution. Hope that helps a little.
Difficult in what way? As long as you have a solid preference card, you’re solid. Are the ones you’re being provided blank or inaccurate?
Talk with them and ask about their expectations and then tell them what your expectations are…on their conduct.. and try to come to an acceptable solution
Do what is expected of you and is allowable by law and your State’s Board of nursing. Focus on the Patient that’s on the table, work hard, make sure you have everything and your equipments are working.If not, follow up and don’t drop the ball. Ensure your case goes smoothly…even the most difficult surgeons do notice it.