Operating Room Requirements


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Operating Room Requirements

  1. 1. NURSES PRAYER Dear Jesus, Model and Inspiration of the nursing profession, I know that when you ascended into heaven, you left the care of your sick to those of us whom you have blessed with the holy vocation of nursing. Help me to be faithful to that calling, so that I can do always the things you want me to do and in the manner you want me to do them. Grant that my voice may be gentle, that my hands may have the softness and sympathy of your hands that my presence may bring hope and consolation which your presence brought to the sufferer of your days. I want to do all these things, dear Lord, but I know that I am weak and can do little without your aid. Please give me that aid this day and every day of my life, so that I can do always what you want me to be – an angel of the sickroom. AMEN
  2. 2. Mission The College of Nursing commits itself to provide students with sound scientific knowledge and beginning professional skills strengthen by deep Christian insights aimed at producing the Augustinian nurse with a heart flamed and mind ready to complete the temporal and transcendental dimension of man. Vision A loving and nurturing community in the pursuit of academic excellence and the holistic transformation of the person in the delivery of quality health care for the common good.
  3. 3. Roles of of Sterile Technique Principles a Scrub Nurse Before Surgery 1. Only sterile items are used within the sterile field. TheGowns are considered sterile only before the start of the operation. front and thethe 2. scrub nurse’s duties begin far from the waist to shoulder level in He ensures operating room is clean and ready to be set up, then prepares the instruments and sleeves. equipment needed for the surgery. He counts all sponges, instruments, needles and other tools and preserves the sterile environment by “scrubbing in,” which requires 3. Tables are Sterile Only at Table Level. washing his hands with special soaps and putting on sterile garments, including a gown, gloves and face mask. When the surgeon arrives, the nurse helps her with her 4. Persons Who Are Sterile Touch Only Sterile Items or Areas; Persons Who Are Not gown and gloves before preparing the patient for surgery. Sterile Touch Only Unsterile Items or Areas. During Surgery 5. Edges of Anything That Encloses Sterile Contents Are Considered Unsterile. During the operation, one as Close as Possible toprimary duties is selecting and 6. Sterile Field Is Created of the scrub nurse’s Time of Use. passing instruments to the surgeon. University of Colorado Health describes the scrub nurse’s role asContinuously Kept surgeon “while also maintaining patient safety.” 7. Sterile Areas Are supporting the in View. The nurse must know which instruments are used for specific procedures and when 8. Sterile Persons keep can within the Sterile Area. they are needed, so she Well quickly hand them to the surgeon. The scrub nurse must also watch for hand signals to know when the surgeon is ready for the next tool or 9. Sterile done using tool and is Sterile Areas to Minimum. when he isPersons KeepaContact with ready to hand itaback to the scrub nurse, who cleans the tools after use and places each tool back in its place on the table. She also 10. Destruction of Integrity of Microbial Barriers Results in Contamination. monitors the surgery to ensure everything remains sterile.
  4. 4. After Surgery After the operation, the scrub nurse again counts all instruments, sponges and other tools and informs the surgeon of the count. He removes tools and equipment from the operating area, helps apply dressing to the surgical site and transports the patient to the recovery area. He also completes any necessary documentation regarding the surgery or the patient's transfer to recovery. Working Conditions and Challenges Because scrub nurses are so vital to surgical procedures, they may work long hours, even for a single operation, and may be called in at all hours to assist in emergency operations. They must have a thorough knowledge of operating room procedures, including the tools needed for specific surgeries, and must be able to stay calm and clearheaded even under pressure. They must also have excellent communication skills, because one of their primary duties is working with the surgeon and assisting her with anything she needs during the operation.
  5. 5. What Are the Responsibilities of A Circulating Nurse? Prior to Procedures Before a surgical procedure gets under way, the circulating nurse is responsible for ensuring that the OR is set up correctly. This includes checking its inventory of disposables, such as pads and sponges, and freshly-sterilized instruments from the autoclave. The circulating nurse and scrub nurse or surgical assistant set up the surgical area, laying out instruments and supplies according to the surgeon's preferences. The circulating nurse also checks all equipment needed during the procedure to verify that it's functioning normally. When the patient arrives, the circulating nurse verifies the patient's identity and necessary consent forms and then reviews the site and nature of the procedure with the surgeon. During Procedures The circulating nurse and other members of the surgical team position the patient correctly on the operating table. The circulating nurse hooks up any necessary suction and cauterization equipment and assists the anesthetist or anesthesiologist with intubation. During the operation, the circulating nurse provides the surgical team with sterile fluids and medications as needed and also replenishes the surgical team's supplies if they need additional disposables or instruments. Each member of the surgical team has specific personal responsibilities, and maintaining big-picture oversight of the patient's condition is the circulating nurse's responsibility.
  6. 6. Outside of Surgery Perioperative nurses also play a role in patient care before and after procedures. Before surgery, a nurse draws up the patient's plan of care and spends time with him to ensure that any allergies or other health-related issues are fully documented. After surgery, the circulating nurse helps the anesthetist with tube removal, oversees the patient's removal to a post-anesthesia recovery area, updates the post-anesthesia nurse on the patient's condition and helps the scrub nurse and other staff to clean the room and prepare it for the next procedure. Perioperative nurses also might help monitor the patient's recovery over the ensuing days. Career Overview Perioperative nurses begin their careers like any other registered nurse, by earning an associate or bachelor's degree in nursing and then passing the national licensing examination. Nurses who display an aptitude for surgical work can specialize in that area. After a minimum of two years and 2,400 hours' experience, with at least 50 percent in the operating room, nurses can test for certification through the Competency and Credentialing Institute. Certification is optional but can lead to improved income and advancement. A 2011 salary survey by the Association of peri Operative Registered Nurses reported an average salary of $67,800 per year for stafflevel nurses.
  7. 7. Different Operating Room Instruments