PHOEBE JOY SARENO

BSN2-1B

UNIVERSITY OF THE CORDILLERAS ODC Form 1A

College of Nursing ACTUAL DELIVERY
FORM
Governor Pack Road, Baguio City, Philippines 2600
(+6374) 442-3316, 442-2564, 442-8219, 442-8256
E-mail: webmaster@bcf.edu.ph
Website: www.bcf.edu.ph

DUTIES RESPONSIBILITIES OF SCRUB NURSE

DUTIES RESPONSIBILITIES OF CIRCULATING NURSE

College of Nursing

In Partial Fulfillment of the requirements in the Course

NCM109A

Submitted By:
Sareno, Phoebe Joy D.

Mr. Joel Dacquigan

Adviser
PHOEBE JOY SARENO
BSN2-1B

DUTIES RESPONSIBILITIES OF CIRCULATING NURSE

 inspecting surgical equipment, verifying the patient's identity and seeing that the family
has signed the necessary consent forms
 assisting the anesthesiologist with a patient and conferring with the surgeon about special
concerns that could affect the patient's care
 ensuring that surgical asepsis is adhered to during the surgical procedure, keeping track
and conducting an inventory of supplies and equipment used during and after the surgical
procedure, or calling for a time-out
 does the initial assessment of the patient as he is wheeled into the operating room and
makes sure that the patient is comfortable
 hand packages of supplies to the scrub nurse as necessary

 If something is required from outside of the room, or if the surgeon needs a message
passed on to another staff or family member, it falls to a circulating nurse
 counts opened packages and used supplies, to make sure the numbers add up correctly.
This is to ensure that there were no supplies accidentally left inside the patient during the
surgery
 performs all nursing care for patients who will undergo surgery and other invasive
procedures
 They provide nursing care from assessment to outcome evaluation
 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 condition before, during and after the operation to ensure an optimal
outcome for the patient
PHOEBE JOY SARENO
BSN2-1B

 Must be able to anticipate the scrub nurse’s needs and be able to open sterile packs,
operate machinery and keep accurate records
PHOEBE JOY SARENO
BSN2-1B

DUTIES AND RESPONSIBILITIES 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 reaction and conscientious observation as well as
knowledge of anatomy and of operative procedures

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
PHOEBE JOY SARENO
BSN2-1B

 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
 Pass the instrument in a decisive and positive manner
 Watch out for hand signals to ask for instruments and keep instrument as clean as
possible by wiping instrument with moist sponge
 Always remove charred 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
 Adhere and 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