This document outlines the procedure for an operation in a hospital operating room. It introduces the surgical team members and their roles. It also describes checking that all necessary counts of instruments, sponges and needles are completed before and after the procedure.
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SCRIPT For The CIRCULATING NURSE
This document outlines the procedure for an operation in a hospital operating room. It introduces the surgical team members and their roles. It also describes checking that all necessary counts of instruments, sponges and needles are completed before and after the procedure.
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OR CIRCU (START OF PROCEDURE begins at the TIME
This will be done once the patient has been OF INCISION) prepared/draped and all OR team members are ready. INITIAL COUNTING (Before closure of the 1st layer of the skin) Good morning/afternoon/evening (OR team/everyone): Circulating nurse: Dr. (Surgeon), Dr. (Asst), Dr. (Anesthesiologist) W.H.O. Surgical safety checklist: and the rest of the team, INITIAL COUNTING of instruments, sponges and needles done and Our patient is (name of patient), (age). complete. In for (name of procedure/operation) under (type of anesthesia). FINAL COUNTING With (state specific if any/NO known) allergies. (Before the closure of the 3rd layer of the skin) Pre-op medications given (name the drug, dosage) Circulating nurse: at (time) Dr. (Surgeon), Dr. (Asst), Dr. (Anes) and the rest of the team, FINAL COUNTING of instruments, May I ask the Surgical team members to sponges and needles done and complete. kindly introduce themselves and their roles?
a. Dr. Name (Surgeon)
b. Dr. Name (Asst. Surgeon/Assist) c. Dr. Name (Anesthesiologist) d. Name (Scrub Nurse) e. Name (Student Scrub Nurse) f. Name (Circulating Nurse) g. Name (Student Circulating Nurse)
May I ask the Surgeon for any patient
specific concerns? May I ask the Anesthesiologist for any patient-specific concerns?
BASELINE COUNT for instruments, sponges
and needles done. (Baseline counting is usually done before WHO checklist but if looking for ideal, may be done at this time)
Let us now pray: (+)
God, the greatest Master of healing arts. Bless us and guide us and make us your instruments in alleviating the pains of your ailing servants. Make our eyes alert, our hands skillful and sensitive and fill our mental faculties with keenness to make righteous judgment so that others may live. Amen. (+)