The Surgical Technologist
283 JULY 2007 3 CE CREDITS
ROLES OF THE SURGICAL TEAM MEMBERS
Te circulator role is primarily flled by the eg-istered urse (). ertiication by the om-petency and redentialing Institute (I) as aertifed urse perating oom () is thepreerred credential or those individuals prac-ticing in the capacity o circulator.he ocus o the circulating role is one o patient assessment, saety and advocacy, as wellas the technical skills o operating room manage-ment. In many acilities, the circulator is assistedby the ertifed urgical echnologist in deliver-ing sae patient care outside the sterile feld andin perorming the technical skills o the operat-ing room that all within their scope o practice.Te scrub role is primarily flled by the er-tiied urgical echnologist (). ationalcertiication by the ational Board o urgicalechnology and urgical ssisting (B) asa ertifed urgical echnologist is the preerredcredential or individuals practicing in this role.Te ocus o the scrub role is one o managemento the sterile feld.Te roles o both the circulator and the scrubare complex and involve an interdisciplinary approach toward:
are o the patient and surgical team members
pplication o the principles o asepsis andimplementation o the practice o steriletechnique
wareness o the environment
Knowledge o normal regional anatomy andphysiology
n understanding o the pathophysiology related to the planned surgical intervention
Knowledge o the operative procedure andits variations
Identifcation and management o variationsthat may be specifc to the patient (eg, size orcomorbid conditions) or surgeon
CRITICAL THINKING MODELS IN THEOPERATIVE SETTING
he day-to-day delivery o quality patient care isone o the most important responsibilities andduties o the surgical team members. It is importantthat this patient care be delivered based on a collab-orative utilization o critical thinking models.ne model—the -I model, derived romthe work o Ida Jean rlando—is a nursing-pro-cess model based on the concepts o ssessment,lanning, Intervention, and valuation. second model, utilized by the surgical tech-nologist—the itive model, derivedrom the work o Bob aruthers, CS, P
D, ocus-es on the technical aspects o patient care. heacronym itive represents knowl-edge o natomy, athology, the perative pro-cedure and its peciic variations, while keep-ing in mind the are directed toward the patientand/or team, septic principles and sterile tech-nique, the ole o the team members, and nvi-ronmental awareness and concern. third model, the model, was developedby the authors o this article. he modelembraces the essence o both the -I and -itive models and provides a common path-way or interaction among surgical team members.
THE CARE MODEL OF COLLABORATIVESURGICAL PATIENT CARE
he model is an integrated model o patient care practice that includes active partici-pation and collaboration by all members o thesurgical team. It integrates and shows the prima-ry relationship between the roles o tech and cir-culator in the provision o patient-ocused carethroughout the intraoperative period.
The CARE model involves collaborationby all members o the surgical team indelivering patient-ocused care.