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    Circulating Nurse

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    Soheil Limbo
    The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

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    Circulating Nurse

    Uploaded by

    Soheil Limbo
    216 views3 pages
    The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

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    The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    216 views3 pages

    Circulating Nurse

    Uploaded by

    Soheil Limbo
    The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    circulating nurse

    Before an operation
     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 a clean sheet, arm board (arm strap) and a pillow on the OR table
     Provide a clean kick bucket and pail
     Collect necessary stock and equipment
     Turn on aircon unit
     Help scrub nurse with setting up the theater
     Assist with counts and records
    During Operation
     Remain in theater throughout operation
     Focus the OR light every now and then
     Connect diatherapy, suction, etc.
     Position kick buckets on the operating side
     Replenishes and records sponge/ sutures
     Ensure the theater door remain closed and patient’ s dignity is upheld
     Watch out for any break in aseptic technique
    After an Operation
     Hands dressing to the scrub nurse
     Helps remove and dispose of drapes
     Helps to prepare the patient for the recovery room
     Assist the scrub nurse, taking the instrumentations to the service (washroom)
     Ensures that the theater is ready for the next case

    Sponge nurse

    Before an operation

    Apply asceptic/sterile technique

    Thorough handwashing

    Wears gloves, gown, cap and mask applying sterile technique

    Checks all sponges and towels if complete

    Sets up the necessary sheets, towels, drapes in the field

    Readies the tray and works with the surgeon directly in the field
    During operation

    Passes sponges, suctions and other necessary items needed by the surgeon

    Assisting the surgeon in holding equipments in the field when needed

    Assisting the surgeon in using the sponge, suctions, water and other necessary items needed in
    the procedure

    Ensure that there are no missing sponges in the field

    After the operation

    Counts the number of sponges in the field and in the tray

    Removes drapes and dispose necessary items in the field

    Helps to prepare the patient for the recovery room


    Helping the instrument nurse taking the instrumentations to the service (washroom)
    Ensures that the theater is ready for the next case

    Instrument nurse

    Before operation
    Apply asceptic/sterile technique

    Thorough handwashing

    Wears gloves, gown, cap and mask applying sterile technique

    Checks all instruments needed for the operation

    Organizes and prepares the instruments in the tray

    During operation

    Passes the necessary instruments needed by the surgeon

    Ensures the instruments are always complete

    After the operation

    Counts the number of instruments in the field

    Helps the sponge nurse dispose of drapes


    Helps to prepare the patient for the recovery room
    Takes the instruments in the washroom
    Ensures that the theater is ready for the next case

    Principles of asceptic technique

     Only sterile items are used within sterile field.


     Sterile objects become unsterile when touched by unsterile objects.
     Sterile items that are out of vision or below the waist level of the nurse are
    considered unsterile.
     Sterile objects can become unsterile by prolong exposure to airborne
    microorganisms.
     Fluids flow in the direction of gravity.
     Moisture that passes through a sterile object draws microorganism from unsterile
    surfaces above or below to the surface by capillary reaction.
     The edges of a sterile field are considered unsterile.
     The skin cannot be sterilized and is unsterile.
     Conscientiousness, alertness and honesty are essential qualities in maintaining
    surgical asepsis

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