Are Family Members Allowed in the Operating Room

Operating Room Squad

Operating Room Team

When a patient is well-nigh to undergo a surgical process direct patient care volition be laissez passer on to the operating room personnel. The operating room (OR) team is responsible for the well-existence of a patient throughout the operation. This team should not only consider the patient's privacy but will also promote prophylactic measures for the patient. One way of promoting safety of patients within the OR is by preventing infection from the surgical incision that volition be done.

As described, the OR team is similar to that of a symphony orchestra. In that location are many members in an orchestra but they work together in unison and harmony to create a superb outcome.  The operating room (OR) team does the same thing. They coordinate their piece of work with each other to have a successful operation.

Patients undergoing surgery will exist taken care of the operating room team. Rubber and privacy of patients in the OR is safeguarded by the operating room team members. Personnel inside the OR consist of the operating surgeon, assistants to the surgeon, a scrub person, an anesthesiologist and a circulating nurse. Each fellow member of the OR squad performs specific part in coordination with ane another to create an atmosphere that all-time benefit the patient.

The team is divided into two divisions according to the function of its members.

• Sterile OR team: operating surgeon, assistants to the surgeon and scrub person
• Unsterile OR team: anesthesiologist or nurse anesthetist, circulator and other OR members that might be needed in operating specialized machine or devices.

Nomenclature of OR squad

There are 2 types of OR team according to the functions of its members.

• Sterile team members

1. Surgeon
2. Assistants to the surgeon
3. Scrub person (either a registered nurse or surgical technologist)

• Unsterile team members

1. Anesthesiologist
2. Circulator
3. Biomedical technicians, radiology technicians or other staff that might be needed to set up and operate specialized equipment or devices essential in monitoring the patient during a surgical operation

Sterile Operating Room Squad

The members of the OR sterile team will practise the following things:

1. Perform surgical hand washing (arms are included).
2. Don sterile gowns and gloves.
3. Enter the sterile field.
4. Handles sterile items only.
5. Functions only within a limited surface area (sterile field).
6. Wear mask.

Operating Surgeon

The surgeon is a licensed physician (Medico), osteopath (DO), oral surgeon (DDS or DMD), or podiatrist (DPM). This professional is especially trained and is qualified by knowledge and experience for the performance of a surgical functioning.

Responsibilities of a surgeon:

1. Preoperative diagnosis and care of the patient
2. Performance of the surgical procedure
3. Postoperative management of care

Administration to surgeon

During a surgical procedure, the operating surgeon can have ane or two assistants to perform specific tasks nether his/her (operating surgeon) direction. The responsibilities of a surgeon's assistant:

1. Aid maintain the visibility of the surgical site
2. Command bleeding
3. Close wounds
4. Apply dressings
5. Handles tissues
6. Uses instruments

Types of Administration to Surgeon:

• First Assistants could either be:

1. A qualified surgeon or resident in an accredited surgical educational activity program. The first assistant should be capable of assuming the operating surgeon's responsibility in cases of incapacitation or accidents.
2. Registered Nurse and surgical technologists that accept a written hospital policy permitting the action.

• Second Assistant could be a registered nurse or surgical technologist. These staff should be trained and they mar retract tissues and suction body fluids to help provide exposure of the surgical site.

Scrub Person

A scrub person could be the following:

• Registered Nurse
• Surgical technologist
• Licensed practical/vocational nurse

The responsibility of a scrub person is to maintain the integrity, safety and efficiency of the sterile field throughout the surgical procedure.

Unsterile Operating Room Team

The unsterile operating room members are not allowed to enter the sterile field to forbid contamination. The responsibilities of the members of this team are the following:

• Handle supplies and equipments that are considered unsterile.
• Touches unsterile surfaces just.
• Proceed the sterile team supplied with supplies handled aseptically.
• Give direct patient intendance.
• Help the sterile team fellow member'south need with strict observation of avoiding contact to the sterile field.
• Handles other requirements arising during the surgical procedure.

Anesthesiologist or Anesthetist

Difference betwixt an anesthesiologist and anesthetist

An anesthesiologist is a medical practitioner who is certified past a sure institution while an anesthetist could either be a qualified and licensed nurse, dentist or a physician who administers anesthetics. The anesthetist works under the supervision of an anesthesiologist or a surgeon when administering a drug or gas.

Responsibilities of an anesthesiologist or anesthetist

1. Option and awarding of advisable agents.
2. Choice and application of suitable techniques of assistants.
3. Monitoring of physiologic function.
4. Maintenance of fluid and electrolyte residual.
5. Blood replacement.
6. Helps in minimizing the hazards of shock, fire and electrocution.
7. Employ and interpret correctly a wide diverseness of monitoring devices.
8. Overseeing the positioning and movement of patients.
9. Oversee the postanesthesia care unit (PACU) to provide resuscitative intendance until the patient has regained vital functions.

Circulator

A circulator is preferably a registered nurse. However, in some cases a surgical technologist tin perform the role of a circulator with the direct supervision from a registered nurse.

Responsibilities of a circulator:

1. Monitor and coordinate all activities within the room.
2. Manage the care required for each patient.
3. Provides assistance to any member of the OR team with strict observation to avoid a break in sterility.
4. Creates and maintains a prophylactic and comfy environs for the patient through the implementation of hygienic technique.

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Source: https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/operating-room-team/

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