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Surgical Nurse Protocol Guide

The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

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401 views3 pages

Surgical Nurse Protocol Guide

The document describes the roles and responsibilities of three operating room staff positions: The circulating nurse ensures equipment is functioning, the operating room is clean and prepared before surgery, assists during surgery, and helps clean up after surgery. The sponge nurse applies sterile technique, sets up supplies, passes sponges and assists the surgeon during surgery, counts sponges after surgery, and assists with cleanup. The instrument nurse also applies sterile technique, prepares instruments for surgery, passes instruments during surgery, counts instruments after surgery, and assists with cleanup.

Uploaded by

Soheil Limbo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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circulating nurse

Before an operation
 Checks all equipment for proper functioning such as cautery machine, suction machine,
OR light and OR table
 Make sure theater is clean
 Arrange furniture according to use
 Place a clean sheet, arm board (arm strap) and a pillow on the OR table
 Provide a clean kick bucket and pail
 Collect necessary stock and equipment
 Turn on aircon unit
 Help scrub nurse with setting up the theater
 Assist with counts and records
During Operation
 Remain in theater throughout operation
 Focus the OR light every now and then
 Connect diatherapy, suction, etc.
 Position kick buckets on the operating side
 Replenishes and records sponge/ sutures
 Ensure the theater door remain closed and patient’ s dignity is upheld
 Watch out for any break in aseptic technique
After an Operation
 Hands dressing to the scrub nurse
 Helps remove and dispose of drapes
 Helps to prepare the patient for the recovery room
 Assist the scrub nurse, taking the instrumentations to the service (washroom)
 Ensures that the theater is ready for the next case

Sponge nurse

Before an operation

Apply asceptic/sterile technique

Thorough handwashing

Wears gloves, gown, cap and mask applying sterile technique

Checks all sponges and towels if complete

Sets up the necessary sheets, towels, drapes in the field

Readies the tray and works with the surgeon directly in the field
During operation

Passes sponges, suctions and other necessary items needed by the surgeon

Assisting the surgeon in holding equipments in the field when needed

Assisting the surgeon in using the sponge, suctions, water and other necessary items needed in
the procedure

Ensure that there are no missing sponges in the field

After the operation

Counts the number of sponges in the field and in the tray

Removes drapes and dispose necessary items in the field

Helps to prepare the patient for the recovery room


Helping the instrument nurse taking the instrumentations to the service (washroom)
Ensures that the theater is ready for the next case

Instrument nurse

Before operation
Apply asceptic/sterile technique

Thorough handwashing

Wears gloves, gown, cap and mask applying sterile technique

Checks all instruments needed for the operation

Organizes and prepares the instruments in the tray

During operation

Passes the necessary instruments needed by the surgeon

Ensures the instruments are always complete

After the operation

Counts the number of instruments in the field

Helps the sponge nurse dispose of drapes


Helps to prepare the patient for the recovery room
Takes the instruments in the washroom
Ensures that the theater is ready for the next case

Principles of asceptic technique

 Only sterile items are used within sterile field.


 Sterile objects become unsterile when touched by unsterile objects.
 Sterile items that are out of vision or below the waist level of the nurse are
considered unsterile.
 Sterile objects can become unsterile by prolong exposure to airborne
microorganisms.
 Fluids flow in the direction of gravity.
 Moisture that passes through a sterile object draws microorganism from unsterile
surfaces above or below to the surface by capillary reaction.
 The edges of a sterile field are considered unsterile.
 The skin cannot be sterilized and is unsterile.
 Conscientiousness, alertness and honesty are essential qualities in maintaining
surgical asepsis

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