SRG 120 SRG 120 Fundamentals ofFundamentals ofSurgical Technology ISurgical Technology I

Lecture 120-2Lecture 120-2

The Surgical TeamThe Surgical Team

Leo TolstoyLeo Tolstoy

““And all people live, not by And all people live, not by reason of any care they have for reason of any care they have for themselves, but by the love for themselves, but by the love for them that is in other people”them that is in other people”

TextText

Surgical Technology Principles Surgical Technology Principles and Practices -and Practices -Chapter 1Chapter 1

ObjectiveObjective

Identify members of the surgical Identify members of the surgical team and their rolesteam and their roles

Sterile Team MembersSterile Team Members

SurgeonSurgeon Surgical assistant(s)Surgical assistant(s) Surgical technologistSurgical technologist

Nonsterile Team Nonsterile Team MembersMembers Anesthesia ProviderAnesthesia Provider CirculatorCirculator Anesthesia AssistantAnesthesia Assistant Surgical aide Surgical aide HousekeepingHousekeeping

The Surgical TeamThe Surgical Team

The SurgeonThe Surgeon

- “Captain of the Ship”- “Captain of the Ship”

- The Surgical Technologist - The Surgical Technologist worksworks

under the direct medical under the direct medical supervisionsupervision

of the surgeonof the surgeon

Surgeon’s DutiesSurgeon’s Duties

Pre-op: Greets patient (identify); orients Pre-op: Greets patient (identify); orients patient and family; ensures permits are patient and family; ensures permits are signed and witnessed; has patient mark signed and witnessed; has patient mark surgical sitesurgical site

Intra-op: Assist with positioning/draping; Intra-op: Assist with positioning/draping; performs the surgery; directs everyone performs the surgery; directs everyone in emergency; may assist in transfer in emergency; may assist in transfer

Post-op: Notifies family of patient’s Post-op: Notifies family of patient’s condition; dictates operative reportcondition; dictates operative report

SurgeonSurgeon

Medical Doctor (MD)Medical Doctor (MD) Doctor of osteopathy (DO)Doctor of osteopathy (DO) Doctor of dental science (DDS)Doctor of dental science (DDS) Doctor of dental medicine (DDM)Doctor of dental medicine (DDM) Podiatrist (DPM)Podiatrist (DPM)

AnesthesiaAnesthesia

AnesthesiologistAnesthesiologist Certified Registered Nurse Certified Registered Nurse

Anesthetist Anesthetist Anesthesia AssistantAnesthesia Assistant

Anesthesia’s DutiesAnesthesia’s Duties

Pre-op: Interviews patient, Pre-op: Interviews patient, discusses options; does physical discusses options; does physical assessment; orders pre-op assessment; orders pre-op medicationsmedications

Intra-op: Administers anesthesia Intra-op: Administers anesthesia and monitors patientand monitors patient

Post-op: Terminates anesthesia, Post-op: Terminates anesthesia, removes patient to PACU and give removes patient to PACU and give report report

CirculatorCirculator

Registered NurseRegistered Nurse Practical Nurse (LPN)Practical Nurse (LPN) Surgical TechnologistSurgical Technologist

Circulator’s DutiesCirculator’s Duties

Pre-op: Interview patient, assessment, Pre-op: Interview patient, assessment, checks permits, prepares OR, transports checks permits, prepares OR, transports patient patient

Intra-op: Assist sterile team members; Intra-op: Assist sterile team members; gowning, gloving, positioning, prepping gowning, gloving, positioning, prepping and draping; procures supplies, care of and draping; procures supplies, care of specimens, countsspecimens, counts

Post-op: Dressing Application; clean-up of Post-op: Dressing Application; clean-up of patient, transport to PACU and give patient, transport to PACU and give reportreport

Surgical AssistantSurgical Assistant

Physician assistant (PA)Physician assistant (PA) Certified Registered nurse first Certified Registered nurse first

assistant (RNFA)assistant (RNFA) Certified first assistant (CFA) or Certified first assistant (CFA) or

surgical assistant certified (SAC)surgical assistant certified (SAC) Surgical technologist (CST or ST)Surgical technologist (CST or ST) Residents, interns, medical students, Residents, interns, medical students,

registered nurses, and studentsregistered nurses, and students

Surgical TechnologySurgical Technology

Certified First Assistant (CFA)Certified First Assistant (CFA) Surgical Assistant Certified (SAC)Surgical Assistant Certified (SAC) Certified Surgical Technologist Certified Surgical Technologist

(CST)(CST) Surgical Technologist (ST)Surgical Technologist (ST) Surgical Aide (SA)Surgical Aide (SA)