ASWIGUI, ASHRA GIL B. BSN3-C4 COMPARATIVE DIVISION OF DUTIES Scrub Nurse/Technician A. Preoperative 1.

Checks the card file for surgeon's special needs/requests. 2. Opens sterile supplies. 3. Scrubs, gowns, and gloves and sets up sterile field. Obtains instruments from flash autoclave if necessary. Checks for proper functioning of instruments/equipment. 4. Performs counts with circulator. B. Preincisional 1. Completes the final preparation of sterile field. 2. Assists surgeon with gowning/gloving. 3. Assists surgeon with draping and passes off suction/cautery lines.

1. 2. 3. 4. 5.

Transports patient to procedure room. Assists with the positioning of the patient. Assists anesthesia during induction. Performs skin prep. Assists with drapes; connects suction and cautery.

C. During the Procedure 1. 2. 3. 4. 5. 6. Maintains orderly procedure room. Anticipates needs of surgical team. Maintains record of supplies added. Receives specimen and labels it correctly. Maintains charges and O.R. records. Continually monitors aseptic technique and patients needs.

D. Closing Phase 1. 2. 3. 4. 5. Counts with scrub at proper intervals. Finalizes records and charges. Begins clean-up of procedure room. Applies tape. Assists anesthesia in preparing patient for transfer to PACU. 6. Takes patient to PACU with anesthesia and reports significant information to PACU nurse. 7. Disposes of specimen and records. 8. Reports to charge nurse for next assignment. Circulating Nurse The circulating nurse's responsibilities include arranging the operating room, gathering all of the supplies needed for the surgery, ties the gowns for the scrub nurse and the surgeon as well as providing scrub personnel with stools as needed during long procedures. The circulating nurse also serves as the patient advocate during the procedure when they are unable to care for themselves. The circulating nurse will check the patients condition before, during and after the procedure to ensure a successful result. The circulating nurse is also essential in proper management of the operating room. A circulating nurse is a person with an acute attention to detail. Strong stamina is also critical because they are on their feet in the operating room for hours at a time. Scrub Nurse

C. During the Procedure 1. Maintains orderly sterile field. 2. Anticipates the surgeon's needs (supplies/ equipment). 3. Maintains internal count of sponges, needles and instruments. 4. Verifies tissue specimen with surgeon, and passes off to circulator. D. Closing Phase 1. 2. 3. 4. 5. Counts with circulator at proper intervals. Organizes closing suture and dressings. Begins clean-up of used instruments. Applies sterile dressings. Prepares for terminal cleaning of instruments and nondisposable supplies. 6. Reports to charge nurse for next assignment. Circulating Nurse A. Preoperative 1. 2. 3. 4. 5. Assists in assembling needed supplies. Opens sterile supplies. Assists scrub in gowning. Performs and records counts. Admits patient to surgical suite.

B. Preincisional

Scrub nurses are fully sterilized with special soap and sterile garments because they work side by side with the surgical team. A scrub nurse hands the surgical equipment to the surgeon and helps monitor the patients health during procedures. Scrub nurses, especially ones with a broad experience in different procedures, are highly sought-after members of the surgical team. A scrub nurse is a person with the stamina to be able to assist during long surgical procedures. Patient care is an essential role.