1. SCRUBBING & CIRCULATING

2. OBJECTIVES
Discuss utilization of the nursing process for perioperative nursing.
Describe scrubbing and circulating roles of perioperative nurse.
Identify knowledge and skills required to perform scrubbing and circulating roles.
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3. INTRODUCTION Practice setting variation
Patient is the focal point of practice
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4. PERIOPERATIVE NURSING PROCESS
Three phases of perioperative nursing
(preop, intra-op, & postop)
Patient assessment
Care planning
Intervention
Evaluation of patient outcomes
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5. SCRUB ROLE Responsibilities include: Supplies Instruments
Maintaining integrity/sterility of field
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6. SCRUBBING KNOWLEDGE & SKILLS
Apply principles of asepsis.
Identify emergency situations.
Provide safe, efficient environment.
Ensure patient’s rights,
dignity, privacy, and confidentiality.
Maintain organizational skills and
manual dexterity.
Perform as team member and take responsibility for own actions.
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7. CIRCULATING ROLE Responsibilities include:
provide emotional support to patient prior to anesthesia induction
perform ongoing patient assessment
verify accurate and complete preparation of supplies, instruments, and equipment preoperatively
document patient care
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8. CIRCULATING ROLE create and maintain a safe environment
implement and enforce policies & procedures,
prepare specimens
coordinate nursing care from health care team members
communicate information to other members of health care team and family
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9. CIRCULATING KNOWLEDGE AND SKILL
Revised AORN Competency Statements (2001)
Assess health status of patient/family.
Formulate nursing diagnosis.
Develop plan of care.
Implement nursing actions.
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10. CIRCULATING KNOWLEDGE AND SKILL
Create/maintain sterile field.
Use of equipment
Administer drugs/solutions.
Monitor & control environment.
Evaluate patient outcomes.
Continuously reassess
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11. Work Assignments
Main OR Board
MCE OR Board
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12. SUMMARY
Safe and effective care of the surgical patient requires a team effort.
Each member of the team brings unique knowledge and skills that must be coordinated to achieve the desired patient outcomes.
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