Handling Nurse

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HANDLING/ SCRUB NURSE

Duties and Responsibilities of Handling/ Scrub Nurse

Duties of Handling/Scrub Nurse

Before an operation
Ensures that the circulating nurse has checked the equipment
Ensures that the theater has been cleaned before the trolley is set
Prepares the instruments and equipment needed in the operation
Uses sterile technique for scrubbing, gowning and gloving
Receives sterile equipment via circulating nurse using sterile technique
Performs initial sponges, instruments and needle count, checks with circulating nurse
When surgeon arrives after scrubbing
Perform assisted gowning and gloving to the surgeon and assistant surgeon as soon as they
enter the 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 blade on the knife handle using needle holder, assemble suction tip and suction tube
Bring mayo stand and back table near the draped patient after draping is completed
Secure suction tube and cautery cord with towel clips or Allis
Prepares sutures and needles according to use.

During 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
Before the Incision Begins
Provide 2 sponges on the operative site prior to incision
Passes the 1st knife for the skin to the surgeon with blade facing downward and a hemostat to
the assistant surgeon
Hand the retractor to the assistant surgeon
Watch the field/ procedure and anticipate the surgeon’s needs
Pass the instrument in a decisive and positive manner
Watch out for hand signals to ask for instruments and keep instrument as clean as possible by
wiping instrument with moist sponge
Always remove charred tissue from the cautery tip
Notify circulating nurse if you need additional instruments as clear as possible
Keep 2 sponges on the field
Save and care for tissue specimen according to the hospital policy
Remove excess instrument from the sterile field
Adhere and maintain sterile technique and watch for any breaks

End of Operation
Undertake 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.

Responsibilities of Handling/ Scrub Nurse


Scrub nurse. Scrub nurses do a surgical scrub and go into the surgery with the surgical patient
and doctors. They set up the operating room for the patient, ensure all the tools are sterile and
ready to go, hand tools to the doctor during the surgery, and perform other duties inside the
surgical room.

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