Job Description

:
1. Position
Operation Theatre - Staff Nurse
2. Responsibility Band
3. Location/s
Mumbai
4. Reporting to (Functional)
Operation Theatre - Sister In charge
5. Job Purpose

• To ensure effective leadership in nursing care for post-operative patients in the operation theatre recovery room.
• To manage the Operating Theatre recovery room in a professional manner to ensure high standards of client care and safety together with smooth running and efficiency.
• To work with the operation theatre recovery room team in the direct delivery of client care post operatively.
• To implement all statutory regulations and guidelines in the OT recovery room.

• Checks swabs, packs, instruments and needles with circulator
• Ensure that the findings are chartered and displayed on the count record sheet
• Drapes mayo table and prepare initially required instruments.
• Confirms the circulator for identity of correct patient, with ID band, indoor paper and OT list
• Ensure that patient is positioned safely
• Prepare mayo table with following items; - scalp, dissecting scissor small artery forceps, toothed and non-toothed dissecting forceps, diathermy cord with pencil.

At the commencement of the surgery: * Assists for skin preparation by providing sponges on sponge holder to surgeon

• Assists in applying drapes
• Passes towel clips to the surgeon
• Position the mayo table
• Hands over diathermy cord and suction tubing's to circulator or OT attendant for the attachment and checks diathermy setting with surgeon

During surgery: * Hands over sponges to the surgeon and assistant surgeon

• Passes instruments sponge's sutures as needed, and replace instruments on mayo table from the trolley as operation proceeds.
• Keeps accurate count of extra sponges, needles OR instruments collected during the operation.
• Anticipates the needs of the surgeon by continuous observation of progress of operation.
• Ensure that the noise & movement in the theater is kept to a minimum
• Ensure that a sterile field is maintained throughout the surgery.
• Before the surgeon closes the cavity, the scrub nurse check sponges, instruments, and needles in accordance with theater policy, informs finding to be surgeon.
• Checked with the circulator for availability of appropriate wound dressing. Collects dressing from the circulator & hands it over to surgeon.
• Hands over specimen to the circulator if needed.
• Removes instrument from mayo trolley.
• Removes blade from the handles & disposes of sharp container.
• Removes drapes from patient.
• Ensure that the area around the dressing is clean & dry & clothes the patient

After surgery: * Cover the patient with clean sheet.

• Removes scrub nurse gown & gloves.
• As & when permitted by the anesthetist, shift patient from OT table to trolley.
• Accompanies the patient to recovery room & gives all relevant information to the recovery nurse.
• Completes entry in the case register, charge sheet.
• Informs the concerned ward nursing staff
• Check the instruments & other equipments.

Role of Circulatory nurse Prior to surgery: * Checks that the OT is clean. Ensure that suction apparatus, diathermy and operating table for proper working condition.

• Lights are in working condition
• Collects necessary stock and equipments needed for surgery
• Assists in tying gowns and open sterile gloves.
• Open instrument pack and bowl pack and other necessary equipment for the scrub nurse
• Assist with count and record

During surgery:

• 1. Remains in OT throughout procedure
• 2. Connects suction and diathermy leads to machine
• 3. Replenishes and records sponges and packs as requested
• 4. Adheres strictly to theatre policy for disposal of used sponges
• 5. Helps in adjustment of OT lights
• 6. Ensure that all doors remains closed
• 7. Anticipates requirements of the surgical team
• 8. Assists with counts and records as needed
• 9. Prepares dressings for surgical wound s
• 10. Collects the specimen in appropriate container and labels it correctly

On completion of surgery: * Hands over dressing to the scrub nurse

• Helps anesthetic if needed
• Helps with removal of drapes and preparation of patient for return to recovery room
• Help the scrub nurse
• Ensure that OT room is ready for next case

7.General Profile
7.1. Skills and Knowledge

• The staff nurse working in the OT must have sound knowledge and skills in handling patients coming to OT .
• She should possess good communication skill.
• She should be organized and understanding
• She should also have good management skills and motivate her team

Skills Required