DUTIES OF CIRCULATING NURSE

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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 the Induction of Anesthesia

• Turn on OR light
• Assist the anesthesiologist in positioning the patient
• Assist the patient in assuming the position for anesthesia
• Anticipate the anesthesiologist’s needs
• If spinal anesthesia is contemplated:

Place the patient in quasi fetal position and provide pillow
Perform lumbar preparation aseptically
Anticipate anesthesiologist’s needs

After the patient is anesthetized

• Reposition the patient per anesthesiologist’s instruction
• Attached anesthesia screen and place the patient’s arm on the arm boards
• Apply restraints on the patient
• Expose the area for skin preparation
• Catheterize the patient as indicated by the anesthesiologist
• Perform skin preparation

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

End of Operation

• Assist with final sponge and instruments count
• Signs the theater register
• Ensures specimen are properly labeled and signed

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

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• DUTIES OF SCRUB NURSE Before an operation Ensures that the circulating nurse has checked the equipment Ensures that the theater has been cleaned before the trolley is set Prepares the instruments and equipment needed in the operation Uses sterile technique for scrubbing, gowning and gloving Receives sterile equipment via circulating nurse using sterile technique Performs initial sponges, instruments and needle count, checks with circulating nurse When
• ROLE OF CIRCULATING NURSE Responsible for managing the nursing care of the patient within the OR and coordinating the needs of the surgical team with other care provider necessary for completion of surgery Observes the surgery and surgical team from broad perspective and assists the team to create and maintain a safe and comfortable environment for the patient Asses the patient’s
• ROLE OF SCRUB NURSE Works directly with surgeon within the sterile field, passing instruments, sponges and other items needed during the procedure Members of the surgical team who prepares and preserves a sterile field in which the operation can take place Responsible for the sponge counts, the blades and needles and instruments check throughout the operation Has a job requiring anticipation, quick
• Peplau’s Roles of the Psychiatric Nurse by : Lhynnelli 1. Creator of therapeutic environment the nurse creates an accepting atmosphere in which the client can relax, feel secure emotionally and physically, and does not feel afraid to share thoughts and feelings. This is achieved when people around the client are honest, sincere, friendly yet firm and non-judgmental. The atmosphere should be
• Three Phases of Nurse-Client Relationship by : Lhynnelli Nurse-Client Relationship – the nurse and the client work together to assist client to grow and solve his problems. This relationship exists for the benefit of the client so that it is important that at every interaction, the nurse uses self therapeutically. This is achieved by maintaining the nurses’ self-awareness to