• Family/friends may wait with patient
• -- Perioperative nursing assessments
• -- Minor procedures performed
• - IV's, Arterial lines, Cast removal, Shave prep
• -- AOD area designed for early morning admissions and discharges

• Surgical attire required (Scrubs) -
• no masks -
• Corridors leading to restricted area -
• Instrument processing/storage areas

• Surgical attire required, Masks -
• Operating room suites/scrub areas - Autoclave/sterilizer areas

• 1. Temperature in suites 68-75 degrees
• 2. Humidity 50-60%
• 3. Ventilating system separate from hosp.
• 4. OR Suites 20-30 air exchange per hour
• 5. Positive air pressure forces air out of suite
• 6. High-Efficiency Particulate Air Filters (HEPA) provide dust control

THE SURGICAL TEAM

Perioperative Registered Nurse Using the Nursing Process they:

• Actively Assess, Plan, Implement, and Evaluate all Intraoperative Nursing Care
• - Create and maintain a safe environment by implementing principles of asepsis and sterile technique -
•  Perform circulating/non sterile activities

• Maintain communication between team members, other health related Dept. and patient's family/significant others
• - Perform circulating/non-sterile activities

• 1. Scrubs, gowns, gloves, prepares sterile field
• 2. Passes instruments, sterile supplies to Surgeon
• 3. Role supervised by Registered Nurse
• 4. Role can be assumed by perioperative RN

• Completed residency in anesthesia
• - Licensed American Board Anesthesiology
• - Assumes supervisory responsibilities of Certified Registered Nurse Anesthetist (CRNA)

• - RN who has completed a training program in Anesthesia
• - Master's level, National Certification Exam
•  - May work alone or with an Anesthesiologist
• 3. Surgeons/Residents

- Proper use of chemical agents

- Proper placement electrical/thermal devices

- Proper use of instruments, equipment and appliances

• 1. Determine support systems
• 2. Identify areas of concerns and expectations of surgery
• 3. Identify understanding of surgical procedure including restrictions and expected outcomes
•  4. Stand near/touch patient during induction of anesthesia

• 1. Preventing of injuries by adhering to policies and procedures
• 2. Compliance with legal statues and standards of accrediting agencies, professional associations and health care facilities

• 3. Documentation of assessments,

  interventions, and evaluations of

  patient care outcomes

• 4. Maintenance of good communication

  with other team members