Intraop 1st PArt

1empadillaRNMN-June 2012

Purpose • Maintain patient safety and comfort during

surgical procedures• Maintaining homeostasis during the

procedure• Maintaining sterile techniques to decrease

the chance of cross-infection• Ensuring that the patient is secure on the

OR table/bed• Taking measure to prevent hematomas

from safety strips or from positioning2empadillaRNMN-June 2012



Operating Room Team Members:1. Surgeon2. Assistant to the Surgeon3. Anesthesiologist and/or Certified Nurse

Anesthetist4. Perioperative staff

a. Holding Area Nurse b. Instrument Nurse/Scrub Nurse c. Suture nursed. Circulating Nursee. Specialty Nurse

6. Pathologist5empadillaRNMN-June 2012

Function of the OR Team Members


The members of this team scrub their hands and arms. They don sterile gowns and gloves and enter into the sterile and handle only sterile items

1. Operating Surgeon2. Assistant/s to the Surgeon3. Scrub Nurse/ Instrument Nurse4. Suture nurse

THE SCRUBBED STERILE TEAM


The members of this team do not enter the sterile field. They function outside and around it.1. Anesthesiologist2. Circulating Nurse3. Pathologist4. Holding Area Nurse

THE UNSCRUBBED/ UNSTERILE TEAM


Duties and Responsibilities


Surgeon

He serves as a “leader of the team” Must be certain that all members

are aware of what is needed during the procedure and the necessary equipments are available

He performs the surgery


Assist the surgeon during the surgery in any way the surgeon request

He holds the retractors in the wound to expose the operative site

He places clamps on blood vesselsHe assists in suturing and ligation of

bleeders

ASSISTANT to the SURGEON


Sets up sterile supplies and instrumentsAssists the surgeon as needed throughout

the surgeryAssists in gowning and gloving the surgical

teamAssists in draping the patient and the field

SCRUB NURSE/ INSTRUMENT NURSE



Hands instruments, sutures, sponges, etc… as needed in efficient manner

Keeps operative field tidy during the caseWipes blood from instrumentsKeeps close watch from needles,

instruments and sponges so that none will be misplaced or lost in the operative field


Supplies sterile dressing materials

Discards soiled linen into the hamper after checking it fir instruments

Cares for all instruments and supplies left after case



Gives and controls the anesthetic for the patient

Must avail the necessary equipments and supplies needed for induction of anesthesia

ANESTHESIOLOGIST



Monitors the patient’s vital signs during the operation and keeps the surgeon aware of pt’s condition

Determine when the patient can be moved to the post-anesthesia recovery stretcher


CERTIFIED NURSE ANESTHETIST

• A registered nurse with additional credentials who delivers anesthetic agents under the supervision of an anesthesiologist, surgeon or dentist.


Functions as overseer of the room during the procedure to maintain sterility

Assists the entire team and the patient

Receives, greets, identifies the patientChecks the chart for completeness

CIRCULATING NURSE



Assists the pt in moving safely to operating room table

Ties scrubbed member’s gownsChecks operating room lights in advance for

good working order, turns lights on at appropriate time and adjusts them when needed.

Prepares the operative sitePerforms catheterization if requiredDoes the sponge count with the scrub nursePositions the patient


Supplies foot stools if needed by the surgical team.

Watch foreheads for perspirationsFills out operative records completely and

legiblyRemains in the room as much as possible

to be constantly available.Watches progress of surgery, anticipates

needs, reacts quickly during emergency24empadillaRNMN-June 2012

Sees that the surgical team is supplied with every necessary item to perform the operation efficiently.

Uses equipment and supplies economically and conservatively.

Directly cleaning of the room and preparation for the next operation.


He is consulted by the surgeon during or after the surgery for a diagnosis by gross or microscopic examination of any tissue removed

He is consulted by the surgeon concerning the treatment of some diseases

PATHOLOGIST



• HOLDING AREA - where the majority of surgical patients and their family members have their first direct contact with perioperative staff members

Holding Area Nurse


• The preoperative holding area nurse's primary responsibility is to provide information and emotional support for patients and their family members, to ensure that all preoperative data have been accumulated, and to maintain patients' baseline hemodynamic statuses.

Holding Area Nurse


MUSTS for an OPERATING ROOM NURSE

• Must work very rapidly but efficiently even under tension

• Must be able to react quickly and make necessary changes for anything unexpected during the operation

• Must anticipates the surgeon’s needs and keep one step ahead of him, must be alert and observant


• Must fit in and work smoothly as a member of closely functioning team

• Must be able to organize his work effectively so that not even a single minute is lost


• Must follow rigidly the rules, and let nothing be take for granted

• Must be patient with those who sometimes become impatient in a tense situation, accepts criticisms and impersonal and constructive keeping in mind that he will profit from it.


• Must gain the patient’s confidence and reassure him

• Must have a quiet and pleasing yet very responsive personality, must have poise and a genuine eagerness to learn and increase his knowledge and efficiency

• Must be able to take his turn willingly on call without complaints


Thank You!


Documents

Intraop 1st PArt