Unit Consciousness, the Unseen Hands of Nursing, and the Environment of Care
One afternoon, in the first few years of my practice in the operating room, a spine surgeon asked me to tidy up the room in the middle of a major case.
Some spine surgeries require two or more stages. In this case, after the implantation of vertebral spacers, the patient would be repositioned from a side-lying position to a prone position so that decompression and posterior hardware implantation could be completed. The transition requires a great deal of work. Drapes come down, dressings are applied, and an anesthetized patient must be carefully moved. Many hands are needed and much care must…
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