INTRAOPERATIVE Flashcards
Surgical environment (3)
Unrestricted Area
Semi-restricted Area
Restricted Area
provides an entrance and exit from the
surgical suite for personnel, equipment
and patient street clothes are permitted
in this area,
- and the area provides access to
communication with personnel within
the suite and with personnel and
patient’s families outside the suit
Unrestricted area
provides access to the procedure
rooms and peripheral support areas
within the surgical suite. personnel
entering this area must be in proper
operating room attire and traffic control
must be designed to prevent violation
of this area by unauthorized persons
- peripheral support areas consists of:
storage areas for clean and sterile
supplies, sterilization equipment and
corridors leading to procedure room
Semi restricted
includes the procedure room where
surgery is performed and adjacent
substerile areas where the scrub sinks
and autoclaves are located personnel
working in this area must be in proper
operating room attire
Restricted Area
The size of the procedure room
Usually
rectangular or square in shape
- 20 x 20 x 10 with a minimum floor
space of 360 square feet
Temperature and humidity control. The temperature in the procedure room
should maintained between
68 F -75 F
( 20-24 degrees C) Humidity level
between 50 - 55 % at all times
Air exchange in each procedure room, should be atleast
25 air exchanges
every hour, and five of that should be
fresh air. A high filtration particulate filter,
working at 95% efficiency is
recommended.
THE SURGICAL TEAM
Surgeon
Assistant surgeon
Scrub nurse
Circulating nurse
Anesthesiologist
The primary decision maker regarding
surgical technique to use during the
procedure.
SURGEON
Primary responsible for the
preoperative medical history and
physical assessment
SURGEON
Performance of the operative
procedure according to the needs of
the patients.
SURGEON
May assist with positioning and
prepping the patient or may delegate
this task to other members of the team
SURGEON
May be a resident, intern, physician’s
assistant or a perioperative nurse.
ASSISTANT SURGEON
Assists with retracting, hemostasis,
suturing and any other tasks requested
by the surgeon to facilitate speed while
maintaining quality during the
procedure.
ASSISTANT SURGEON
Selects the anesthesia, administers it,
intubates the client if necessary,
manages technical problems related to
the administration of anesthetic agents,
and supervises the client’s condition
throughout the surgical procedure
ANESTHESIOLOGIST
A physician who specializes in the
administration and monitoring of
anesthesia while maintaining the
overall well-being of the patient.
ANESTHESIOLOGIST
May be either a nurse or a surgical
technician.
SCRUB NURSE
Reviews anatomy, physiology and the
surgical procedures.
SCRUB NURSE
Assists with the preparation of the
room. Scrubs, gowns and gloves and
other members of the surgical team
SCRUB NURSE
Prepares the instrument table and
organizes sterile equipment for
functional use.
SCRUB NURSE
Assists with the draping procedure.
Passes instruments to the surgeon and
assistants by anticipating their needs.
SCRUB NURSE
Counts sponges, needles and
instruments. Monitor practices of
aseptic technique in self and others.
SCRUB NURSE
Keeps track of irrigations used for
calculations of blood loss
SCRUB NURSE
CIRCULATING NURSE
