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Mohs are way less involved than most surgeries - typically the setup starts well in advance of the patient arriving, to include scrubbing in (surgical hand wash, sterile gown/glove) at which point you're right: I can touch ONLY my sterile field, so no phone. Unless the phone is set up to use voice commands - my last phone was, but I only ever used it like twice, so I never bothered on my current one.
Mohs procedures use like 4 instruments and only a handful of supplies, so I didn't even start opening anything until the patient is in the room - they do all the preop consent and stuff in the room for Mohs, which takes way longer than my setup - so I have a couple minutes to help with things like taking vitals, which is when I get talking to the patient, and when this one mentioned how extremely anxious he was. Music preference was asked then, and I got it started playing immediately after. Then the gloves went on, at which point the phone is off limits.
That's really interesting! Thanks for explaining. How often do you play music for your patients? I've never had a doctor do this, but I haven't had a lot of procedures
Almost never, cuz by the time I usually see the patient they're a few minutes away from being unconscious, and are being dog-piled by a pit-crew of nurses and anesthesiologists. I'll turn around for a quick hello, then return to setting up my sterile field so everything's ready for the surgeon.
Mohs cases are a totally different world: the case itself is super simple, so I have a lot more autonomy due to not being preoccupied with the setup, which takes all of about 30 seconds. I don't like to just stand there waiting for the doc, so I'll usually just butt into whatever my scope as a tech allows, which usually means taking vitals and making non-clinical interventions like tackling their anxiety by distracting them with stupid jokes or music.
I've only had a couple of opportunities to do something like that in the regular OR.
Badass — thank you for the explanation!