Promoting a Positive Environment in the Operating Department Ivana Stojkovic AP&SN Serbia Perioperative nursing is a nursing specialty that works with patients who are having.

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Transcript Promoting a Positive Environment in the Operating Department Ivana Stojkovic AP&SN Serbia Perioperative nursing is a nursing specialty that works with patients who are having.

Slide 1

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 2

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 3

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 4

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 5

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 6

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 7

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 8

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.


Slide 9

Promoting a Positive Environment
in the Operating Department

Ivana Stojkovic
AP&SN Serbia

Perioperative nursing is a nursing specialty that works
with patients who are having operative or other
invasive procedures. Perioperative nurses work
closely with surgeons, nurse anesthetists, surgical
technologists, and nurse practitioners. They perform
preoperative, intraoperative, and postoperative care
primarily in operating theatres, stress test evaluations,
cardiac monitoring, vascular monitoring, and health
assessments.

Perioperative nursing roles

Perioperative nurses may perform several roles,
including circulator, scrub nurse, pre-op nurse, PACU
nurse, OR Director, Registered Nurse First Assistant
(RNFA), and Patient Educator

Circulator
• A circulator is a perioperative nurse that manages the nursing
care of a patient during surgery. The circulator observes for
breaches in surgical asepsis and coordinating the needs of the
surgical team. The circulator is not scrubbed in the case, but
rather manages the care and environment during surgery.
Scrub nurse
• A scrub nurse is a perioperative nurse that works directly with
the surgeon within the sterile field. The scrub nurse passes
instruments, sponges, and other items needed during the
procedure. The title comes from the requirement to scrub their
hands and arms with special disinfecting solutions.

Today's surgical teams made of professionals of different profiles
play a vital role in achieving successful management of
patients during surgical procedures. Teamwork model is based
fundamentally on preserving the integrity of the patient's life
by all team members. This synergy of teams, each in their own
areas of activity provide a safe environment which is
conducive to restoring the patient in optimal condition and the
absence of symptoms.

CRITICAL THINKING DURING
PERIOPERATIVE PROCEDURES

Model of good communication, assessment,
recommended standards and guidelines,
enforcement procedures, demonstrating
the interactive relationship between the
various members as they carry out their
duties in order to provide the best
services.
Fundamental to the nursing professions is
our ability to honor, respect and value
each other, as well as the inter-personal
and inter-professional relationships.

The existence of the list of orders and collecting data that are specific to each
surgeon
For each member of the team preparation is adequate for certain procedures.
List of orders also may contain a demand for specific materials (mesh
prostheses, orthopedic prostheses, microscopes, various holders ...)
Only in emergencies can happen that the team absolutely does not answer all
the requirements of the list of orders previously given.
Once the patient is introduced into anesthesia is considered to be
unproductive, inappropriate and unprofessional to find that particular item
from the list of orders are missing. Surgical procedure can be stressful for
the surgeon and patient, if there is lacking of good communication,
planning and evaluation, and if the surgical intervention should be
postponed or canceled.
Planning includes the preparation of specific operating room space. During the
start of the daily activities responsibility of the team lies in the fact that all
materials must be checked .This also applies to the specific materials,
where we compare a list of orders with OR shedules in order to determine
all requested requirements are fulfilled.

Developing a relationship of trust and support we can overcome anxiety by
presenting all team members, focusing on patient needs, providing the
patient the benefit of the mental and verbal support. We look at each
patient as a unique individual.
Information regarding the patient's height and weight can also influence the
course of surgical procedures in connection with the type and length of
surgical instruments, sutures, and other necessary materials.
The next step in the successful care of patients is recommended guides of
good practice. Guides cover the written aspect of the methods and
standards of work within the operation ward.
The existence of these standards are intraoperative socially responsible. By
following the principles of good practice it is possible that professionals
carry out their decisions based on research and professional standards. Lack
of information or disagreement on some results must be submitted to the
team before starting the procedure.
The result of good action, collaboration and synergies lead us to safe and
successfull intraoperative environment.