Scrub Nurse

A SPECIALLY TRAINED NURSE

WHO DIRECTLY ASSISTS A
SURGEON DURING OPERATION.
DUTIES AND
RESPONSIBILITIES OF A SCRUB
NURSE WHEN THE SURGEON
ARRIVES AFTER SCRUBBING
 PERFORM ASSISTED GOWNING AND
GLOVING TO SURGEON AND ASSISTANT
SURGEON AS SOON AS THEY ENTER
OPERATION SUITE
 ASSEMBLE THE DRAPES ACCORDING TO USE.
START WITH TOWEL, TOWEL CLIPS, DRAW
SHEET AND THEN LAP SHEET. THEN ASSIST
IN DRAPING THE PATIENT ASEPTICALLY
ACCORDING TO ROUTINE PROCEDURE.
 PLACE THE BLADE TO THE KNIFE HANDLE
USING NEEDLE HOLDER, ASSEMBLE
SUCTION TIP AND SUCTION TUBE.
 BRING MAYO STAND AND BACK TABLE
NEAR THE DRAPPED PATIENT AFTER
DRAPPING IS COMPLETE.
 SECURE SUCTION TUBE AND CAUTERY CORD
WITH TOWEL CLIPS OR ALLIS.
 PREPARES SUTURE AND NEEDLE
ACOORDING TO USE.
 DURING AN OPERATION
 MAINTAIN THE STERELITY
THROUGHOUT THE PROCEDURE.
 AWARENESS OF THE PATIENT’S
SAFETY.
 ADHERES TO THE POLICY REGARDING
SPONGE/ ISTRUMENTS/NEEDLE COUNT
 ARRANGE THE INSTRUMENTS ON THE
MAYO AND BACK TABLE
 BEFORE THE INCISSION
BEGINS
 PROVIDE 2 SPONGES ON THE OPERATIVE SITE
PRIOR TO INCISION
 PASSES THE FIRST KNIFE FOR THE SKIN TO
THE SURGEON WITH THE BLADE FACING
DOWNWARD AND A HEMOSTATS TO THE
ASSISTANT SURGEON
 HAND THE RETRACTOR TO THE ASSISTANT
SURGEON
 WATCH THE FIELD/ PROCEDURE AND
ANTICIPATE THE SURGEONS NEEDS
 PASS THE INSTRUMENTS IN A DECISIVE AND
POSITIVE MANNER
 WATCH OUT FOR HAND SIGNALS TO ASK FOR
INSTRUMENTS AND KEEP INSTRUMENT AS
CLEAN AS POSSIBLE BY WIPING
INSTRUMENTS WITH A MOISE SPONGE
 ALWAYS REMOVE THE CHARRED TISSUE
FROM THE CAUTERY TIP
 NOTIFY CIRCULATING NURSE IF ADDITIONAL
INSTRUMENTS ARE NEEDED IN ACLEAR
MANNER
 KEEP 2 SPONGES ON THE FIELD
 SAVE AND CARE FOR TISSUE SPECIMEN
ACCORDING TO HOSPITAL POLICY
REMOVE EXCESS INSTRUMENTS
FROSTERILE FIELD
ADHERE AND MAINTAIN
STETECHNIQUES AND WATCH OUT FOR
ANY BREAKS
 END OF OPERATION
 UNDERTAKE COUNT OF SPONGES AND
INSTRUMENTS WITH CIRCULATING NURSE
 INFORM THE SURGEON THE COUNT RESULT
 CLEANS AWAY INSTRUMENTS AND
EQUIPMENTS
 AFTER OPERATION,HELPS TO APPLY
DRESSING
 REMOVE AND DISPOSE THE DRAPES
 DE-GOWNS THE PATIENT
 PREPARE PATIENT FOR RECOVERY
ROOM
 COMPLETES THE DOCUMENTATION
 HAND OVER PATIENT TO RECOVERY
ROOM
 CIRCULATING NURSE
 RESPONSIBLE FOR PATIENT SAFETY
DURING THE SURGICAL
PROCEDURE.THE CIRCULATING NURSE
COORDINATES CARE OF THE PATIENT
WITH THE SURGEON ,SCRUB NURSE
,AND ANESTHESIA PROVIDER .THE
CIRCULATING NURSE ALSO PROVIDES
ASSISTANCE TO THE SURGICAL TEAM
THROUGHOUT THE SURGICAL
PROCEDURE
DUTIES AND RESPONSIBILITIES
OF A CIRCULATING NURSE
 CHECKS ALL EQUIPMENT FOR PROPER
FUNCTIONING SUCH AS CAUTERY
MACHINE,SUCTION MACHINE,OR LIGHT AND
OR TABLE
 MAKE SURE THEATER IS CLEAN
 ARRANGE FURNITURE ACCORDING TO USE
 PLACE CLEAN SHEET ,ARM BOARD(ARM
STRAP) AND A PILLOW ON THE OR TABLE
 PROVIDE A CLEAN PAIL
 COLLECT NECESSARY STOCK AND
EQUIPMENT
 TURN ON AIRCON UNIT
 HELP THE SCRUB NURSE WITH
SETTING UP THE THEATER
 ASSIST WITH COUNTS AND RECORDS
 DURING THE INDUCTION OF
ANESTHESIA
 TURN OR LIGHT
 ASSIST THE ANESTHESIOLOGIST IN
POSITIONING THE PATIENT
 ASSIST THE PATIENT IN ASSUMING THE
POSITION FOR ANESTHESIA
 ANTICIPATES THE ANESTHESIOLOGIST
NEEDS IF THE SPINAL ANESTHESIA IS
COMPLETED
 PLACE THE PATIENT IN A 1QUASI FETAL
POSITION AND
 PROVIDE PILLOW
 PERFORM LUMBAR PREPARATION
ASEPTICALLY
 ANTICIPATES ANESTHESIOLOGIST
NEEDS
 AFTER THE PATIENT IS
ANESTHETIZED
 REPOSITION THE PATIENT PER
ANESTHESIOLOGIST INSTRUCTION
 ATTACHED ANESTHESIA SCREEN AND PLACE
THE PATIENTS ARM ON THE ARM BOARD
 APPLY RESTRAINT ON THE PATIENT

 EXPOSED THE AREA OF THE SKIN PREP

ARATION CATHETERIZED THE PATIENT AS

INDICATED BY THE
ANESTHESIOLOGISTPERFORM SKIN
PREPARATION
 DURING OPERATION
 REMAIN IN THEATER THROUGOUT
OPERATION
 FOCUS THE OR LIGHT EVERY NOW AND
THEN
 CONNECT SUCTION,ETC
 REPLENISHES AND RECORDS
SPONGES/SUTURES
 ENSURE THE THEATER DOOR REMAIN
CLOSED
 WATCH OUT FOR ANY BRAK IN ASEPTIC
TECHNIQUE
 END OF OPERATION
 ASSIST WITH FINAL SPONGES AND
INSTRUMENT COUNT
 ENSURES THAT THE SPECIMEN IS
PROPERLY LABELED AND SIGNED
 AFTER AN OPERATION
 HANDS DRESSING TO THE SCRUB
NURSE
 HELPS REMOVE AND DISPOSE DRAPES
 HELPS TO PREPARE THE PATIENT FOR
THE RECOVERY ROOM
 ENSURES THAT THE THEATER IS
READY FOR THE NEXT CASE