Surgical team

• July 16, 2020
• Tony Guo
• no comments

Surgical team

• Perioperative nurse
  • Is a registered nurse (RN)
  • Prepares room with team
  • Serves as patient advocate throughout surgical experience
    • Maintains patient safety, privacy, dignity, confidentiality
    • Communicates with the patient
    • Provides physical care
• Scrub nurse
  • Follows designated surgical hand asepsis procedure
  • Gowned and gloved in sterile attire
  • Remains in sterile field
• Circulating nurse
  • Not scrubbed, gowned, or gloved
  • Remains in unsterile field
  • Documents
• LPN or surgical technician
  • Performs scrubbed or circulating function
  • Passes instruments and implements other technical functions during procedure
  • Supervised by RN
• Surgeon
  • Physician who performs the procedure
  • Is responsible for
    • Preoperative medical history
    • Physical assessment
    • Patient safety
    • Postoperative management
• Surgeon’s assistant can be a physician, RN, or PA who functions in assisting role
  • Holds retractors
  • Assists with homeostasis and suturing
  • May perform portions of procedure under direct supervision
• Registered Nurse First Assistant (RNFA)
  • Must have formal education
  • Works collaboratively with the surgeon, patient, and surgical team
    • Handles tissue
    • Uses instruments
    • Provides exposure to surgical site
    • Assists with homeostasis
    • Performs suturing
• Anesthesia care provider (ACP)
  • Administers anesthesia
  • Anesthesiologist, nurse anesthetist, or anesthesiologist assistant (AA)
  • Maintenance of physiologic homeostasis throughout intraoperative period
  • Provide care during recovery