Job Description Department: Nursing Title: OR Staff Nurse
Reports to:
OR Charge Nurse, OR Head Nurse
Accountable to:
OR Head Nurse, OR Supervisor, ACNO, CNO.
Responsibilities and duties:
Scrub Nurse:
·
The scrub & circulating
nurse duties are being done before, during and after the operation as following.
Before the operation:
·
determine the type of the surgery
and issue a check list for all the required instruments and equipment's as per the
surgeon instructions
·
Test the surgery instruments
and sterile it.
·
Receive the sterile instruments
from the CSSD dept.
·
Receive the required covers
for the surgeon
·
Check the consumed instruments
and prepare it.
·
(Note: in case of preparing
the critical instruments we should provide 2 instruments at least to be available
(Spare) in case of pollution or damage to avoid any delay or stop in the surgery
During the operation:
·
Prepare all the consumes and
instruments related to the surgery type from the OR store.
·
Provide the OR with the dressing,
abdomen Towel and drainage.
·
Good sterile to the Operation
location
·
Open the instruments by both
of the sterile nurse and circulating nurse starts to open the instruments and injections
and put it on the operation table related to the sterile nurse.
·
The scrub nurse starts to sterile
her hands then wear the gown and gloves then put these instruments in an organized
and proper way on the operation table according to the operation type then counting
the dressing, instruments, towels, injections with the circulating nurse and OR
technician then write the numbers down on the OR count sheet.
·
Then the patient being entered
to the operation room and the circulating nurse starts to time out by doing the
following *(write down the patient name, medical record number, define the operation
type, the procedure site and side, surgeon name, anesthetist name, patient history
or note …etc. allergies and any anesthesia specific concern.
The circulator nurse duties:
Before the operation:
The circulator nurse should be aware of all the consumed
instruments and its location and utilization method and she is responsible of all
the staff inside the operation room during the surgery:
a)
Recheck the Validity and of
all the instruments inside the operation room
b)
Responsible for the operation
room cleaning and to keep it on a well organizing level
c)
Clean the equipment’s and its
carriers, tables with the specific material of sterile “micro back”
d)
Issuing the time out and receive
the patient papers to write down the needed information as above mentioned in the
timeout part.
e)
Helping the surgeon in issuing
the catheter if needed.
f)
Helping the patient by transferring
him with the scrub nurse and technician from the trolley to the operation table.
g)
Uncover the area of patient
that the surgery will be in.
During the operation:
a)
Helping all the staff inside
the operation room.
b)
Give the sterile nurse (abdomen
dressing, abdomen towels, separate instruments, solutions.
c)
singe out must be done (Count
the instruments during opening it with loud voice with the sterile nurse and write
it down in the attached papers and make sure not to close the patient injury before
counting it again not to forget anything in the patient body.
d)
Maintain the doors closed during
the procedure
e)
Control the room temperature
not less than 18 and not more 20
f)
Responsible for the number of
staff inside the operation room for maintain the microbes
After the operation:
a)
Clean the patient from the secretions
and blood and change the gown with the scrub nurse if needed then transfer the patient
from the table to the trolley with the OR technician and sterile nurse
b)
Prepare the patient samples
and it’s required reports after the procedure
c)
Helping in removing the instruments
and equipment’s and re-prepare it for the next procedure
d)
Supervising the room cleaning
and well sterilization
Authority of incumbent:
Works under direct supervision
Supervising subordinates
Objectives:
Timeout &sign out
Turnaround time
Working conditions:
Environment:
·
Ensure safety for patients
·
Report mishaps, accidents and
complaints immediately in accordance With Hospital policies
·
Limited noise level conducive
for OR
·
Safe environments.
·
Compliance of Infection controlled
measure
·
Clean environments.
·
Sterility for the
equipment’s and environments
Equipment’s/
Machines / Work Aids are used:
All OR
equipment’s and instruments.
|
Contacted Person Job title |
Frequency of communication |
Purpose of contact |
Communication way |
|
Internal Parties |
|||
|
HN |
Daily |
For receiving work instructions and reporting |
Face to face |
|
Surgeons |
Daily |
For insuring the matching between the used instruments and procedure
type , receive work instructions |
Face to face |
|
OR store keeper |
Daily |
To receive the required instruments and provide the OR room with it |
Face to face |
|
Nurse Aid |
Daily |
To give him/her the
patients samples and record it in the record with the patient data to be delivered
to the lab |
Face to face |
|
HK |
Daily |
To supervise the deep
cleaning process after every procedure |
Face to face |
|
External Parties |
|
|
|
|
Company representatives |
Occasionally |
To provide or rent the OR needed machines |
Phone or face to face |
Competencies:
Specific Competencies:
·
Scrub nurse competences.
·
Circulating nurse competences
Education:
· BSN or Intermediate degree in nursing
Experience:
· From 2
to 5 years’ actually experience in
the same position.
Training:
· BLS
· Equipment’s handling (OJT)
· Surgical site disinfectant.
· Position surgical patients.
Skills:
·
Good English language
·
Communication Skills
·
Team Work
·
Working under pressure
·
Time Management
·
Problem Solving
رأيك يهمنا