Patient care in the OR

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Patient care during and operation requires that the surgeon be assisted by two vital aids; the Registered Nurse and the Surgical Technician must work together as a team despite their opposing jobs. They each care for the patient before, during, and after the surgery. Both positions are so crucial that one mistake could result in the death of a patient.

Before the start of the case the RN and ST work together, yet independently at times to get the patient back to the room. The task of getting intra-operative medications from the pharmacy is left for the RN to complete, along with obtaining any wound dressings that may be needed at the end of the case. During the pre-operative phase, the RN greets the patient on arrival to the operating room and assesses their well-being. Usually the right side and site of the procedure is verified by them. They review the chart and establish a care plan that is explained to the patient before being sedated. Before the surgery, the RN communicates with the Surgeon, Surgical Technician and other team members about any irregularities the patient may be experiencing. The RN assists in the safe transfer of the patient to operating table. More physically involved in the surgery are Sufgical Technicans, who assists in the sterile gowning and gloving of the surgeon and assistant. They prevent contamination of the surgical field by the strict paractice of aseptic technique. While maintaining sterility, the ST sets up the back table using sterile instruments needed for the procedure. One of their most important responsibilities is to maintain a sterile surgical field. Like RNs, they are there to care for the patient. They both take in sponge, instrument and sharps counts before the surgery.

During the surgery the needs of the patient are met by the RN and ST. The RN assesses the patient, recieves non-sterile ends of the suction tubing, electro-cautery pencils and other items that must be connected to nonsterile units. While the patient is being anesthetized, the RN ties the gowns of the scrubbed personnel. They must document any irregularities or incidents that occur during surgery. If the ST needs any medications it is the responsibility of the RN to deliver them to the sterile field.

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