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Scrub nurse • Removes and siposes of drapes

1. Works directly with surgeon within the sterile field, passing • De-gown
instruments, sponges and other items needed during the • Prepares the patient for recovery room
procedure • Completes documentation
2. Members of the surgical team who prepares and preserves a
sterile field in which the operation can take place • Hand patient over to recover room
3. Responsible for the sponge counts, the blades and needles and Circulating
instruments check throughout the operation 1. Responsible for managing the nursing care of the patient within
4. Has a job requiring anticipation, quick reaction and the OR and coordinating the needs of the surgical team with
conscientious observation as well as knowledge of anatomy and other care provider necessary for completion of surgery
of operative procedures 2. Observes the surgery and surgical team from broad perspective
Before an operation and assists the team to create and maintain a safe and
• Ensures that the circulating nurse has checked the equipment comfortable environment for the patient
3. Asses the patient’s condition before, during and after the
• Ensures that the theater has been cleaned before the trolley is
operation to ensure an optimal outcome for the patient
set
4. Must be able to anticipate the scrub nurse’s needs and be able
• Prepares the instruments and equipment needed in the operation to open sterile packs, operate machinery and keep accurate
• Uses sterile technique for scrubbing, gowning and gloving records
• Receives sterile equipment via circulating nurse using sterile Before an operation
technique • Checks all equipment for proper functioning such as cautery
• Performs initial sponges, instruments and needle count, checks machine, suction machine, OR light and OR table
with circulating nurse • Make sure theater is clean
When surgeon arrives after scrubbing • Arrange furniture according to use
• Perform assisted gowning and gloving to the surgeon and • Place a clean sheet, arm board (arm strap) and a pillow on the
assistant surgeon as soon as they enter the operation suite OR table
• Assemble the drapes according to use. Start with towel, towel • Provide a clean kick bucket and pail
clips, draw sheet and then lap sheet. Then, assist in draping the
patient aseptically according to routine procedure
• Collect necessary stock and equipment
• Place blade on the knife handle using needle holder, assemble • Turn on aircon unit
suction tip and suction tube • Help scrub nurse with setting up the theater
• Bring mayo stand and back table near the draped patient after • Assist with counts and records
draping is completed During the Induction of Anesthesia
• Secure suction tube and cautery cord with towel clips or allis • Turn on OR light
• Prepares sutures and needles according to use • Assist the anesthesiologist in positioning the patient
• Assist the patient in assuming the position for anesthesia
During an operation • Anticipate the anesthesiologist’s needs
• Maintain sterility throughout the procedure • If spinal anesthesia is contemplated:
• Awareness of the patient’s safety After the patient is anesthetized
• Adhere to the policy regarding sponge/ instruments count/ • Reposition the patient per anesthesiologist’s instruction
surgical needles • Attached anesthesia screen and place the patient’s arm on the
• Arrange the instrument on the mayo table and on the back table arm boards
Before the Incision Begins • Apply restraints on the patient
• Provide 2 sponges on the operative site prior to incision • Expose the area for skin preparation
• Passes the 1st knife for the skin to the surgeon with blade • Catheterize the patient as indicated by the anesthesiologist
facing downward and a hemostat to the assistant surgeon • Perform skin preparation
• Hand the retractor to the assistant surgeon During Operation
• Watch the field/ procedure and anticipate the surgeon’s needs • Remain in theater throughout operation
• Pass the instrument in a decisive and positive manner • Focus the OR light every now and then
• Watch out for hand signals to ask for instruments and keep • Connect diatherapy, suction, etc.
instrument as clean as possible by wiping instrument with • Position kick buckets on the operating side
moist sponge
• Replenishes and records sponge/ sutures
• Always remove charred tissue from the cautery tip
• Ensure the theater door remain closed and patient’ s dignity is
• Notify circulating nurse if you need additional instruments as upheld
clear as possible
• Watch out for any break in aseptic technique
• Keep 2 sponges on the field End of Operation
• Save and care for tissue specimen according to the hospital • Assist with final sponge and instruments count
policy
• Signs the theater register
• Remove excess instrument from the sterile field
• Ensures specimen are properly labeled and signed
• Adhere and maintain sterile technique and watch for any breaks After an Operation
• Hands dressing to the scrub nurse
End of Operation
• Helps remove and dispose of drapes
• Undertake count of sponges and instruments with circulating
nurse • Helps to prepare the patient for the recovery room
• Informs the surgeon of count result • Assist the scrub nurse, taking the instrumentations to the
service (washroom)
• Clears away instrument and equipment
• Ensures that the theater is ready for the next case
• After operation: helps to apply dressing

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