Surgical team

Surgical team 150 150 Tony Guo

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

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