SCRUB CIRCULATING

Opening of sterile package Pre-operative check in

* Assessment
* Check IV patency
* History taking
* Health Teaching
Surgical Hand washing Moving patient to Operating room and
placing attachments (Allow the patient to
feel the narrow bed)
* IV
* Nasal Cannula
* Arm and Leg straps
* Cardiac monitor
* Pulse Oximeter
* NIBP
* Manual BP
* Place the grounding pad on
patient’s thigh
Donning of Sterile Gown and Catch the towel used to dry arms
Sterile Gloves Assist in Gowning
Setting the Mayo table Sign In
Mention to Anesthesiologist (Miss
Ronquillo) the Anesthesia time
If Foley catheter is needed insert
Sponge Count
Offer Sterile Towel, Gown and Open Gloving and Skin prepping
Gloves to Surgeon
Draping the patient with surgeon Assist in draping using clean technique
Set up OR (Move back table and mayo
table near the Operating table)
Time Out
Prayer
Offer First Knife Mention to Surgeon (Miss Ronquillo) the
Cutting time
Assist in Handing instruments Only if with Foley catheter
Note Output in the Foley catheter and
inform the Anesthesiologist (make sure to
record)
Final Sponge count
Closing of Surgical Site Note Closing time ( Mention to miss
ronquillo)
Moving tables back to the side Sign Out
Repack the sterile kit
Clean the client and transfer them to the
PACU stretcher
Change Patient’s gown and put on Diaper
Bring the patient to the PACU
Place attachments
* Cardiac monitor
* O2
* Pulse oximeter
* NIBP
Secure the Drains
Final Assessment of patient
Endorsement
Accomplish the paper works
 Pre-Op Check In
Introduce Self
Identify Client
Ask client of Operation awareness
Ask about consent
Ask if there are any questions
regarding the procedure
Loosen the Gown and Check IV
patency
Ask about Last food and water intake
Ask about Allergies
Ask about accessories
Ask about nail polish
Ask about metal implants
Ask about underwear
Assess for comorbidities
Ask about feelings towards the
Operation
Health Teachings
Inform about the cold environment in
the OR
Assess History of present illness
Inform about narrow bed, attachments
to be placed
Teach that hands should be placed on
the chest when going to the OR
Let patient continue deep breathing
exercise and tell them to pray
State name and role in operation, State
that there will be another nurse who’ll
take care of him/her
Ask Complete Name and Birthday
Name of Operation, Site of procedure,
Doctor
Who signed it, When it was signed
Cover both arms with drape
When and What time
Food, Drug or other allergens
Eye glasses, jewelries, contact lenses,
hearing aids, denture or loose tooth
For capillary checking
Ask for any piercing
To avoid getting burned when
cauterizing machine is used
must be remove for easy access when
placing Foley catheter
HPN, DM, Asthma, Cancer
If first timer
Ask if nervous about the procedure
Teach deep breathing and splinting
exercise
Tell the patient to inform you or the
other nurses if in need of additional
insulators
When it started and how the patient
figured out, How the illness started, if it
is present in the family linage
Mention the straps, cardiac monitor,
Pulse oximeter, Oxygen cannula,
To avoid accidents or further injuries