Professional Documents
Culture Documents
Anesthesia provider
The surgeon
Scrub Nurse
Circulator/Runner Nurse
necessary.
blood loss.
dons conductive shoes, cap, mask, and greens (pants & shirt).
anticipating & meet the needs of the other team members such as
► the scrub nurse, the anesthesia provider, the surgeon and above all the patient.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Responsibilities of the Circulator Nurse……
assembles & brings all packs, supplies, &
equipment needed for the case into the room;
Ties gowns for "sterile" members,
Sets up unsterile items of equipment;
Performs other unsterile duties.
► verifying consent,
► ensuring cleanliness, proper temp, humidity, lighting, safe function of equipment, and the availability of
supplies and materials
► Communicating relevant info to other team members & to the patient’s family
Providing emotional support and psychological comfort to the patient prior to & during
induction of anesthesia.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Circulator Duties……
Teaching patient and family Serves as the patient’s advocate
Coordinates the care of the patient, throughout the intra-op experience.
Carry out the care plan Performing ongoing patient
Developing and implementing a assessment
plan of care Formulating a diagnosis
Making initial ass’t of the patient and
Documenting patient care
continued monitoring.
Evaluating patient outcomes
Opens sterile supplies before and during the case, replace saline or water in
basins as necessary.
Obtaining appropriate surgical supplies and equipment
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Circulator Duties……
Adjusts, focus the surgical lights over operative area.
Handles all unsterile equipment in the room during surgery, places buckets properly to
receive discarded sponges.
Checks the chart and relates pertinent data
Activities are directed toward assuring patient safety and achieving desired patient
outcomes.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Circulator Duties……
Administering drugs Documents and preserves any specimens
► surgical checklists, “time-out” protocols, ► Preparing labels for the patient specimens
Check package integrity, expiration date, ► Saving all discarded sponges during surgery.
► in securing drapes.
Consists
►Sponge, Sharp, and Instrument Count
► The surgery department relies upon the daily presence of its employees.
► If one person is ill, the workload of other team members is increased because they must
perform the work of the absentee.
► Cases are generally not cancelled because of absenteeism.
► Since the OR is a stressful situation and because stress can contribute to ill health, you
must be careful to guard against illness and injury.
► Of particular importance are prevention of injury to the back and maintenance of
healthy skin and respiratory tract (common areas of illness).
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Qualities ……
Good Humor
►is having a proper perspective on the day’s events and to share in good
spirit.
►It is a senseless waste of energy for a team member to allow one distressing
episode to influence an entire day’s work.
►Team members who are consistently sullen can lower the morale of the
whole department, while those who are cheerful can raise everyone’s spirit.
►In a difficult and demanding env’t such as the OR, it is important to have a proper
perspective on the day’s events and to share in good spirit.
►The patient expects and should receive the undivided attention of all who
care for him/her.
►To accomplish this, you should recognize the importance of not only your
own job, but also those of the other team members.
►You should either put personnel problems aside or bring them to the
attention of the supervisor, who might able to resolve them.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
Co-operation and Economical Use of
Hospital Supplies, Equipment and Time
The team approach to care should be a coordinated effort that is performed with the cooperation
of all caregivers.
Team members should communicate and should have a shared division of duties to perform
specified tasks as a unified body.
The failure of any member to perform her/his role can seriously impact the success of the entire
team.
Performing as a team requires that each member exert an effort to attain the common goals in a
competent and safe manner.
No individual can accomplish the goal without the cooperation of the rest of the team.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
A. Economical use of supplies and hospital
Equipment
Most of the hospital equipment is being imported from abroad and it is costy and, therefore economical and
proper usage is mandatory.
As the cost of supplies and equipment increases, the OR team members should be conscious of ways to
eliminate wasteful practices.
For example, throw away disposable items only.
Adequate instruments and supplies are necessary for patient care, and cost is not always the primary
consideration.
Economy becomes a hazard when exercised beyond the point of safety.
Nevertheless, supplies do not need to be used lavishly, just because they are available.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
A. Economical use of supplies and hospital
Equipment
“Just Enough Is Enough”
The varieties and numbers of instruments and supplies needed for each surgical
procedure can be kept to a minimum.
Materials no longer used can be eliminated.
Items to “have available” are not opened unnecessarily.
The following procedures should be observed:
► Pour just enough antiseptic solution,
► Follow the procedures for draping,
► Do not open another packet of sutures for the last stitch unless absolutely necessary,
► A few leftover pieces are usually long enough to complete the closure,
► Supplies should be opened only as needed, not routinely “just in case” they may be
needed,
► Turnoff lights when they are not needed.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing
B. Time Economy
Time is money; do not waste it.
Know the policies and procedures, and follow them efficiently.
Learn to do things right the first time and continue to do them that way; time is
wasted in correcting errors.
Time is an important element in the OR.
If time is wasted between surgical procedures, the day’s schedule is slowed
down and later procedures are delayed.
The patients and families become anxious during these delays.
By reducing time we can reduce the prolonged administration of anesthetic
agents, and other medication.
The hazards of surgery will also be decreased with reduced time.
Introduction to OR Technique July, 2021 © Haramaya University, CHMS,
By:- Ame Mehadi (BSc, MSc-EMCCN) Department of Emergency and Critical Care Nursing