Presentation on theme: "Scrub nurse scrub nurse is a specially trained nurse who works with surgeons and the medical team in the operating room. Scrub nurses are extremely valuable."— Presentation transcript:
1scrub nursescrub nurse is a specially trained nurse who works with surgeons and the medical team in the operating room. Scrub nurses are extremely valuable members of the surgical team, providing support in the operating room and patient care outside of it as well. This career can be very demanding, but also quite rewarding, and careers in nursing are constantly expanding due to the rising need for these crucial health care professionals. Some scrub nurses even become highly sought after members of surgical teams, especially experienced scrub nurses who are familiar with a wide range of procedures
2Scrub nurses are more formally known as peroperative nurses Scrub nurses are more formally known as peroperative nurses. Peroperative nursing involves patient care before, during, and after surgery. There are a number of different peroperative nursing positions; the scrub nurse is actually fulled “scrubbed in” for the surgery, meaning that he or she has used special soaps and wears sterile garments so that the nurse can work next to the operative field. A scrub nurse hands instruments to the surgeon and helps to keep an eye on the patient's condition. Scrub nurses are also familiar with the operation of emergency room equipment
3DUTIES OF SCRUB NURSEDuties of a Scrub Nurse. The duties of a scrub nurse may not seem that difficult to individuals looking at surgery from the outside. ... What Are the Duties of the Scrub Nurse During Surgery?
4Before an operationEnsures that the circulating nurse has checked the equipmentEnsures that the theater has been cleaned before the trolley is setPrepares the instruments and equipment needed in the operationUses sterile technique for scrubbing, gowning and glovingReceives sterile equipment via circulating nurse using sterile techniquePerforms initial sponges, instruments and needle count, checks with circulating nurse
5When surgeon arrives after scrubbing Perform assisted gowning and gloving to the surgeon and assistant surgeon as soon as they enter the operation suiteAssemble 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 procedurePlace blade on the knife handle using needle holder, assemble suction tip and suction tubeBring mayo stand and back table near the draped patient after draping is completedSecure suction tube and cautery cord with towel clips or allisPrepares sutures and needles according to use
6During an operation Maintain sterility throughout the procedure . Awareness of the patient’s safety .Adhere to the policy regarding sponge/ instruments count/ surgical needles .Arrange the instrument on the mayo table and on the back table .
7Before the Incision Begins Provide 2 sponges on the operative site prior to incisionPasses the 1st knife for the skin to the surgeon with blade facing downward and a hemostat to the assistant surgeonHand the retractor to the assistant surgeonWatch the field/ procedure and anticipate the surgeon’s needsPass the instrument in a decisive and positive mannerWatch out for hand signals to ask for instruments and keep instrument as clean as possible by wiping instrument with moist spongeAlways remove charred tissue from the cautery tipNotify circulating nurse if you need additional instruments as clear as possibleKeep 2 sponges on the fieldSave and care for tissue specimen according to the hospital policyRemove excess instrument from the sterile fieldAdhere and maintain sterile technique and watch for any breaks
8End of OperationUndertake count of sponges and instruments with circulating nurse .Informs the surgeon of count result .Clears away instrument and equipment .After operation: helps to apply dressing .Removes and siposes of drapes .De-gown .Prepares the patient for recovery room .Completes documentation .Hand patient over to recover room .
9ROLE OF SCRUB NURSEWorks directly with surgeon within the sterile field, passing instruments, sponges and other items needed during the procedure .Members of the surgical team who prepares and preserves a sterile field in which the operation can take place .Responsible for the sponge counts, the blades and needles and instruments check throughout the operation .Has a job requiring anticipation, quick reaction and conscientious observation as well as knowledge of anatomy and of operative procedures .
10circulating nurseA circulating nurse, another type of operating room (OR) nurse, works on the perimeter of the operating room, monitoring patient care, ensuring that the room stays sterile, and keeping track of instruments and sponges. Perioperative nurses also help to prepare patients for surgery, and they provide valuable care and monitoring for patients when their surgeries are over. Surgeons may do the cutting, but a scrub nurse is every bit as important.
11circulating nurse is a type of surgical nurse who circulates in the operating room to monitor the procedure. He or she acts as a patient advocate, ensuring that the conditions in the operating room remain safe and sterile. Circulating nurses also perform a wide variety of other tasks, which range from helping to set up the operating room for surgery to filling out paperwork which pertains to the surgery. This nursing career requires a very fine attention to detail, and a lot of stamina, as circulating nurses must be present and active throughout a surgery.
12DUTIES OF CIRCULATING NURSE Before an operationChecks all equipment for proper functioning such as cautery machine, suction machine, OR light and OR tableMake sure theater is cleanArrange furniture according to usePlace a clean sheet, arm board (arm strap) and a pillow on the OR tableProvide a clean kick bucket and pailCollect necessary stock and equipmentTurn on aircon unitHelp scrub nurse with setting up the theaterAssist with counts and records
13During the Induction of Anesthesia Turn on OR lightAssist the anesthesiologist in positioning the patientAssist the patient in assuming the position for anesthesiaAnticipate the anesthesiologist’s needsIf spinal anesthesia is contemplated
14After the patient is anesthetized Reposition the patient per anesthesiologist’s instructionAttached anesthesia screen and place the patient’s arm on the arm boardsApply restraints on the patientExpose the area for skin preparationCatheterize the patient as indicated by the anesthesiologistPerform skin preparation
15During Operation Remain in theater throughout operation Focus the OR light every now and thenConnect diatherapy, suction, etc.Position kick buckets on the operating sideReplenishes and records sponge/ suturesEnsure the theater door remain closed and patient’ s dignity is upheldWatch out for any break in aseptic technique
16End of Operation 1-Assist with final sponge and instruments count End of Operation 1-Assist with final sponge and instruments count. 2-Signs the theater register. 3-Ensures specimen are properly labeled and signed. After an Operation 1- Hands dressing to the scrub nurse. 2-Helps remove and dispose of drapes. 3- Helps to prepare the patient for the recovery room. 4-Assist the scrub nurse, taking the instrumentations to the service (washroom). 5-Ensures that the theater is ready for the next case.
17ROLE OF CIRCULATING NURSE Responsible for managing the nursing care of the patient within the OR and coordinating the needs of the surgical team with other care provider necessary for completion of surgeryObserves the surgery and surgical team from broad perspective and assists the team to create and maintain a safe and comfortable environment for the patientAsses the patient’s condition before, during and after the operation to ensure an optimal outcome for the patientMust be able to anticipate the scrub nurse’s needs and be able to open sterile packs, operate machinery and keep accurate records
18coordinationIn an operating room, there are two areas: the sterile operating field, and the nonsterile area. During the surgery, the goal is to keep the operating field totally sterile for patient safety. Circulating nurses monitor the sterile field, informing operating room staff when something might compromise the sterility. They also connect the people in the sterile field with the nonsterile area. For example, a circulating nurse can open an autoclaved package so that someone in the operating field can access the sterile tool inside.
19The other type of surgical nurse is a scrub nurse, a nurse who scrubs in so that he or she can work in the surgical field, assisting the surgeon. Scrub nurses also monitor patient safety and the safety of the sterile field while acting as assistants to the surgeon, and they generally work closely with the circulating nurse throughout the procedure. Keeping lines of communication within the surgical team open is critical, so that emergent problems can be quickly and professionally addressed.
20Because the circulating nurse works in the non sterile field, this member of the surgical team does not need to be sterile. For patient safety, however, the circulating nurse and other staffers in the non sterile area usually wear face masks, keep their hair contained under surgical caps, and take other measures to avoid compromising the clean conditions in the operating room.
21Scrub Surgical Technologist The scrub surgical technologist handles the instruments supplies, and equipment necessary during the surgical procedure. He/she has an understanding of the procedure being performed and anticipates the needs of the surgeon. He/she has the necessary knowledge and ability to ensure quality patient care during the operative procedure and is constantly on vigil for maintenance of the sterile field. Duties are as follows:Checks supplies and equipment needed for surgical procedureScrubs, gowns, and glovesSets up sterile table with instruments, supplies, equipment, and medications/solutions needed for procedurePerforms appropriate counts with circulator prior to the operation and before incision is closed
22Gowns and gloves surgeon and assistants Helps in draping sterile fieldPasses instruments, etc., to surgeon during procedureMaintains highest standard of sterile technique during procedurePrepares sterile dressingsCleans and prepares instruments for terminal sterilizationAssists other members of team with terminal cleaning of roomAssists in prepping room for the next patient
23Circulating Surgical Technologist The surgical technologist assisting in circulating obtains additional instruments, supplies, and equipment necessary while the surgical procedure is in progress. He/she monitors conditions in the operating room and constantly assesses the needs of the patient and surgical team. Duties are as follows:Obtains appropriate sterile and unsterile items needed for procedureOpens sterile suppliesChecks patient’s chart, identifies patient, verifies surgery to be performed with consent forms, and brings patient to assigned operating roomTransfers patient to operating room tableAssesses comfort and safety measures and provides verbal and tactile reassurance to the patientAssists anesthesia personnelPositions patient, using appropriate equipment
24Applies electrosurgical grounding pads, tourniquets, monitors, etc Applies electrosurgical grounding pads, tourniquets, monitors, etc., before procedure beginsPrepares the patient’s skin prior to draping by surgical teamPerforms appropriate counts with scrub person prior to the operation and before incision is closedAnticipates additional supplies needed during the procedureKeeps accurate records throughout the procedureProperly cares for specimensSecures dressings after incision closureHelps transport patient to recovery roomAssists in cleaning of room and preparing for next patient
25Preparing by :Samah El-khakdiEman SadaDoaa abu khadaije