Which of the following personnel is a member of the sterile team during a surgical procedure?
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When a patient is about to undergo a surgical procedure direct patient care will be pass on to the operating room personnel. The operating room (OR) team is responsible for the well-being of a patient throughout the operation. This team should not only consider the patient’s privacy but will also promote safety measures for the patient. One way of promoting safety of patients inside the OR is by preventing infection from the surgical incision that will be done. As described, the OR team is similar to that of a symphony orchestra. There are many members in an orchestra but they work together in unison and harmony to create a superb outcome. The operating room (OR) team does the same thing. They coordinate their work with each other to have a successful operation. Classification of OR team There are two types of OR team according to the functions of its members.
Operating Room Team: Sterile Personnel The members of the OR sterile team will do the following things:
Operating Surgeon The surgeon is a licensed physician (MD), osteopath (DO), oral surgeon (DDS or DMD), or podiatrist (DPM). This professional is especially trained and is qualified by knowledge and experience for the performance of a surgical operation. Responsibilities of a surgeon:
Assistants to surgeon During a surgical procedure, the operating surgeon can have one or two assistants to perform specific tasks under his/her (operating surgeon) direction. The responsibilities of a surgeon’s assistant:
Types of Assistants to Surgeon:
Scrub Person A scrub person could be the following:
The responsibility of a scrub person is to maintain the integrity, safety and efficiency of the sterile field throughout the surgical procedure. image from merckmanuals.com Daisy Jane Antipuesto RN MN Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer. What Do You Think? When you have surgery, a
team of medical staff helps the surgeon during the operation. Who is on the team depends on the type of surgery. Most teams include the following professionals. SurgeonA surgeon has finished 4 years of medical school and 4 or more years of special training after medical school. Most surgeons have passed exams for board certification. The American Board of Surgery is the national group that gives this certification for general surgery in the U.S. Some surgeons also have the letters FACS after their name. This means they have approval of the Fellows of the American College of Surgeons (FACS). AnesthesiologistAn anesthesiologist has finished 4 years of medical school and 4 years of special training in anesthesia. Anesthesiologists may get additional training in certain surgery specialties. This might be neurosurgical anesthesia or cardiac anesthesia. The anesthesiologist takes part in all 3 phases of surgery: before, during, and after. Certified registered nurse anesthetist (CRNA)The nurse anesthetist gives you anesthesia care before, during, and after surgery or labor and delivery. The nurse constantly watches every important function of your body. He or she can change the anesthesia medicine to make sure you are safe and comfortable. A nurse anesthetist has a bachelor's degree in nursing and at least one year of experience as a registered nurse in a critical-care setting. He or she also has at least a master's degree from a nurse anesthetist program. Nurse anesthetists must pass a national certification exam to become CRNAs. Operating room nurse or circulating nurseRegistered nurses are registered and licensed by each state to care for patients. Some nurses focus on a certain field such as surgery. The operating room nurse helps the surgeon during surgery. Operating room nurses are certified in various areas of surgery. Nurses must pass an exam to be certified. Surgical techSurgical techs assist with the surgery by setting up a sterile operating room. They get supplies and surgery tools ready. And they hand the surgeon the tools he or she asks for. They must pass an exam to be certified by the National Board of Surgical Assisting (NBSTA). Residents or medical studentsIn many teaching hospitals, resident doctors in training and medical students may be a part of the surgical team. Physician assistantPhysician assistants practice medicine under the supervision of a doctor. They may act as an assistant to the surgeon. Or they may close incisions with stitches (sutures) or staples. Medical device company representativeSometimes surgeons will have a representative from a company that makes medical equipment in the operating room. Such equipment might be artificial joints, spine stabilizers, or pacemakers. The representative can help the surgeon with sizing and function of the equipment. Which two are non sterile members of the surgical team?The nurse anesthetist, anesthesiologist, circulating nurse, radiology technicians, medical device representative, and additional staff are a part of the non-sterile division. The operating room staff roles are coordinated amongst each other during the patient's surgery.
Which of the following are nonsterile surgical team members?Surgical team members function in two capacities - nonsterile and sterile. The nonsterile team members are the circulator and the anesthesia provider.
Which surgical team member performs the role of coordinating all activities in the operating room?A circulator is preferably a registered nurse. However, in some cases a surgical technologist can perform the role of a circulator with the direct supervision from a registered nurse. Responsibilities of a circulator: Monitor and coordinate all activities within the room.
How should the CA typical room configuration is shown in Figure 7. Although exact set up will vary among sites, the c-arm is typically positioned at left side, with bronchoscope cart, EMN cart (if applicable) and anesthesia placed on patient's right side.
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