Self-Sufficiency in the OR: Why You Should Always Be Ready to Open Your Own Room

Here’s a truth they don’t always tell you in school: you won’t always have someone helping you open your room.

And that’s especially true in high-stakes environments like open heart surgery. I recently opened every supply and every suture for a cardiac case — solo. Scrubbed in. Set it all up. No assistant, no backup. Just me and my preparation. It’s not about ego. It’s about reality.

Operating rooms are often understaffed. Circulators are juggling their own pre-op checklists. And while help is amazing when it’s available, you can’t build your workflow around it — because sometimes, it won’t be. That’s why self-sufficiency isn’t optional. It’s a mindset.

It means learning your setup inside and out. It means anticipating your needs. It means being confident enough to open your room and get ready to scrub in without waiting for someone to do it for you.

Students and new techs — take this to heart:

• Accept help when it’s offered, but don’t expect it as a guarantee.

• Prepare yourself to move independently in any OR.

• And always, always set yourself up for a smooth day by showing up early, staying organized, and taking ownership of your field.

You’re capable. And more importantly — you’re responsible. Own your prep. It’s one of the best ways to earn trust, reduce stress, and step fully into your role as a surgical professional.