staff nurse- OT

Job description

Role of Scrub Nurse   Purpose: - To maintain/ensure a sterile surgical field and cleanliness of environment - The scrub nurse and the circulator work together in co-ordination to accomplish the task necessary to achieve a common goal in OT - To promote safety and welfare of every patient - To assist the surgeon. - To assist the surgical team and scrub nurse  Prior to surgery: - Check surgeons’ preference and collect special equipment, sutures and instruments etc. accordingly - Performs scrubbing, gowning, gloving according to OT policies. - Drapes trolley and bowl stand with sterile pre pack set. - Checks along with the circulator the contents of each instrument set as per the enclosed list - Collects from circulator sutures, needles, blades and necessary sterile equipment - Checks swabs, packs, instruments and needles with circulator - Ensure that the findings are chartered and displayed on the count record sheet - Drapes mayo table and prepare initially required instruments. - Confirms the circulator for identity of correct patient, with ID band, indoor paper and OT list - Ensure that patient is positioned safely - Prepare mayo table with following items; - scalp, dissecting scissor small artery forceps, toothed and non-toothed dissecting forceps, diathermy cord with pencil.  At the commencement of the surgery: - Assists for skin preparation by providing sponges on sponge holder to surgeon - Assists in applying drapes - Passes towel clips to the surgeon - Position the mayo table - Hands over diathermy cord and suction tubing’s to circulator or OT attendant for the attachment and checks diathermy setting with surgeon  During surgery: - Hands over sponges to the surgeon and assistant surgeon - Passes instruments sponge’s sutures as needed, and replace instruments on mayo table from the trolley as operation proceeds. - Keeps accurate count of extra sponges, needles OR instruments collected during the operation. - Anticipates the needs of the surgeon by continuous observation of progress of operation. - Ensure that the noise & movement in the theater is kept to a minimum - Ensure that a sterile field is maintained throughout the surgery. - Before the surgeon closes the cavity, the scrub nurse check sponges, instruments, and needles in accordance with theater policy, informs finding to be surgeon. - Checked with the circulator for availability of appropriate wound dressing. Collects dressing from the circulator & hands it over to surgeon. - Hands over specimen to the circulator if needed. - Removes instrument from mayo trolley. - Removes blade from the handles & disposes of sharp container. - Removes drapes from patient. - Ensure that the area around the dressing is clean & dry & clothes the patient After surgery: - Cover the patient with clean sheet. - Removes scrub nurse gown & gloves. - As & when permitted by the anesthetist, shift patient from OT table to trolley. - Accompanies the patient to recovery room & gives all relevant information to the recovery nurse. - Completes entry in the case register, charge sheet. - Informs the concerned ward nursing staff - Check the instruments & other equipment.