Responsibility and Role of Scrub Nurse

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Responsibility and role 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 surgeon arrives after scrubbing

 Perform assisted gowning and gloving to the surgeon and assistant surgeon as soon as
they enter the operation suite
 Assemble the drapes according to use. Start with towel, towel clips, draw sheet and then
lap sheet. Then, assist in draping the patient aseptically according to routine procedure
 Place blade on the knife handle using needle holder, assemble suction tip and suction
tube
 Bring mayo stand and back table near the draped patient after draping is completed
 Secure suction tube and cautery cord with towel clips or allis
 Prepares sutures and needles according to use

During an operation

 Maintain sterility throughout the procedure


 Awareness of the patient’s safety
 Adhere to the policy regarding sponge/ instruments count/ surgical needles
 Arrange the instrument on the mayo table and on the back table

Before the Incision Begins

 Provide 2 sponges on the operative site prior to incision


 Passes the 1st knife for the skin to the surgeon with blade facing downward and a
hemostat to the assistant surgeon
 Hand the retractor to the assistant surgeon
 Watch the field/ procedure and anticipate the surgeon’s needs
 Gives the instrument to the surgeon
 Watch out for hand signals to ask for instruments and keep instrument as clean as
possible by wiping instrument with moist sponge
 Always remove burned tissue from the cautery tip
 Notify circulating nurse if you need additional instruments as clear as possible
 Keep 2 sponges on the field
 Save and care for tissue specimen according to the hospital policy
 Remove excess instrument from the sterile field
 maintain sterile technique and watch for any breaks

End of Operation

 Undertake count of sponges and instruments with circulating nurse


 Informs the surgeon of count result
 Clears away instrument and equipment
 After operation: helps to apply dressing
 Removes and siposes of drapes
 De-gown
 Prepares the patient for recovery room
 Completes documentation
 Hand patient over to recover room

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