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Discuss the operating room as to its:Discuss the operating room as to its:
A. PERSONNEL Operating Room Team
☻ the sterile team members scrub their hands and arms
☻ wears sterile gown and gloves
☻ enter the sterile field. (To establish sterile field, all
items needed for the procedure are sterilized.)
☻ After the process, the scrubbed and sterile team
member functions within the limited area and the only
sterile items.
1. Surgeon
2. Assistants to the surgeon
3. Scrub person
1. SURGEON1. SURGEON
♣ Must have the knowledge, skills and
judgment required to successfully perform
the intended surgical procedure and any
deviations necessitated by unforeseen
difficulties.
♣ Must be prepared for the unexpected.
♣ Responsibilities include pre-operative
diagnosis & cure, selection & performance
of surgery & post-operative management
of care.
♣ Licensed physician (MD), oral surgeons,
etc.
♣ Appropriate clinical skills & personal
character are important attributes of a
surgeon.
2. ASSISTANTS TO THE2. ASSISTANTS TO THE
SURGEONSURGEON
* Under the direction of the operating
surgeon, one or two assistants help to
maintain visibility of the surgical site,
control bleeding, close wounds, and apply
dressing.
* Handles tissues & uses instruments
* Anticipates blood loss, anesthesia time for
patient, fatigue affecting OR team &
potential complications
 
*1*1STST
ASSISTANT IN SURGERYASSISTANT IN SURGERY
 Qualified surgeon or a resident doctor
 Capable of performing procedures for
primary surgeon
 Post-graduate intern & medical intern
 Surgeon may request assistance of an
associate physician w/ whom the surgical
procedure is shared & to whom part of
patient’s care is delegated
*NON-PHYSICIAN 1ST
ASSISTANT
Required to complete a formal education
program for 1st
assistant according to their
practice discipline
 
*PHYSICIAN’S 1ST
ASSISTANT (PA)
Must have additional surgical training
*SCRUB PERSON
is a patient care staff member of the
sterile team.
Responsible for maintaining the integrity,
safety and efficiency of the sterile
field throughout the surgical procedure.
1. Anesthesia Provider
2. Circulator
3. Others
(The OR team may include biomedical
technicians, radiology technicians, and
others who may be needed to set up and
operate specialized equipment or
monitoring devices during the surgical
procedure)
 The unsterile team members DO NOT
enter the sterile field.
 They handle supplies and equipments that
are not considered sterile.
 
1.ANESTHESIA PROVIDE1.ANESTHESIA PROVIDE
This refers to the person responsible
for the inducing anesthesia,
maintaining anesthesia at the required
levels, and managing untoward
reactions to anesthesia throughout the
surgical procedure.
 Following the principles of
aseptic technique, they keep the
sterile team supplied.
2. CIRCULATOR2. CIRCULATOR
* The circulator plays a role that is vital to
the smooth flow of events before, during,
and after the surgical procedure.
* The circulator’s role as a patient advocate
and protector is critical to the safety and
welfare of the patient and extends
throughout the entire pre-operative
environment.
Operating room team   (24 feb-2013)

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Operating room team (24 feb-2013)

  • 1.
  • 2. Discuss the operating room as to its:Discuss the operating room as to its: A. PERSONNEL Operating Room Team ☻ the sterile team members scrub their hands and arms ☻ wears sterile gown and gloves ☻ enter the sterile field. (To establish sterile field, all items needed for the procedure are sterilized.) ☻ After the process, the scrubbed and sterile team member functions within the limited area and the only sterile items. 1. Surgeon 2. Assistants to the surgeon 3. Scrub person
  • 3. 1. SURGEON1. SURGEON ♣ Must have the knowledge, skills and judgment required to successfully perform the intended surgical procedure and any deviations necessitated by unforeseen difficulties. ♣ Must be prepared for the unexpected. ♣ Responsibilities include pre-operative diagnosis & cure, selection & performance of surgery & post-operative management of care. ♣ Licensed physician (MD), oral surgeons, etc. ♣ Appropriate clinical skills & personal character are important attributes of a surgeon.
  • 4. 2. ASSISTANTS TO THE2. ASSISTANTS TO THE SURGEONSURGEON * Under the direction of the operating surgeon, one or two assistants help to maintain visibility of the surgical site, control bleeding, close wounds, and apply dressing. * Handles tissues & uses instruments * Anticipates blood loss, anesthesia time for patient, fatigue affecting OR team & potential complications  
  • 5. *1*1STST ASSISTANT IN SURGERYASSISTANT IN SURGERY  Qualified surgeon or a resident doctor  Capable of performing procedures for primary surgeon  Post-graduate intern & medical intern  Surgeon may request assistance of an associate physician w/ whom the surgical procedure is shared & to whom part of patient’s care is delegated
  • 6. *NON-PHYSICIAN 1ST ASSISTANT Required to complete a formal education program for 1st assistant according to their practice discipline   *PHYSICIAN’S 1ST ASSISTANT (PA) Must have additional surgical training *SCRUB PERSON is a patient care staff member of the sterile team. Responsible for maintaining the integrity, safety and efficiency of the sterile field throughout the surgical procedure.
  • 7. 1. Anesthesia Provider 2. Circulator 3. Others (The OR team may include biomedical technicians, radiology technicians, and others who may be needed to set up and operate specialized equipment or monitoring devices during the surgical procedure)  The unsterile team members DO NOT enter the sterile field.  They handle supplies and equipments that are not considered sterile.  
  • 8. 1.ANESTHESIA PROVIDE1.ANESTHESIA PROVIDE This refers to the person responsible for the inducing anesthesia, maintaining anesthesia at the required levels, and managing untoward reactions to anesthesia throughout the surgical procedure.  Following the principles of aseptic technique, they keep the sterile team supplied.
  • 9. 2. CIRCULATOR2. CIRCULATOR * The circulator plays a role that is vital to the smooth flow of events before, during, and after the surgical procedure. * The circulator’s role as a patient advocate and protector is critical to the safety and welfare of the patient and extends throughout the entire pre-operative environment.