Surgeon Role: Roles

ROLES:
SURGEON ROLE
 A surgeon serves as the director of an operating theater
 The surgeon is responsible for the preoperative diagnosis of the patient, for performing
the operation, and for providing the patient with postoperative surgical care and
treatment.
 The surgeon is also looked upon as the leader of the surgical team.
 A surgeon is a doctor who specializes in evaluating and treating conditions that may require
surgery, or physically changing the human body. Surgeries can be done to diagnose or treat
disease or injury.
 In the operating room, surgeons lead a team of other doctors and nurses to make sure that a
procedure goes smoothly.
ASSIST ROLE
 A surgical first assistant works closely with the surgeon in the operating room during the
surgical procedure.
 Aid and assist surgeon in performing a safe and efficient operation such as selecting
equipment, holding open incisions, stopping bleeding, closing the incision, among other
technical tasks. -Should be familiar with different techniques of achieving
pneumoperitoneum.
 Monitor and understand flow rate and intra abdominal pressure during insufflation if
ever. -Recognize pitfalls and react quickly: adhesions and visceral injury.
 Requires detailed knowledge of laparoscopic instruments: retraction, cutting,
suction/irrigation, and suturing. For example for an open appendectomy, the surgeon’s
assistant retracts the wound edges with a Richardson or similar retractor.
ANESTHESIOLOGIST ROLE
 Assesses the patient before surgery
 Selects and administers anesthesia
 Intubates the patient if necessary
 Manages any technical problems related to the administration of anesthetic agent
 Supervises the patient condition throughout the surgical procedure
 Monitors BP, pulse, respirations, ECG, blood O2 saturation level.
 is a physician specifically trained in the art and science of anesthesiology
SCRUB NURSE ROLE
Before surgery
 Ensures the operating room is clean and ready to be set up, then prepares the
instruments and equipment needed for the surgery
 Counts all sponges, instruments, needles and other tools and preserves the sterile
environment by “scrubbing in,” which requires washing his hands with special soaps
and putting on sterile garments, including a gown, gloves and face mask.
 When the surgeon arrives, the nurse helps her with her gown and gloves before
preparing the patient for surgery.
During surgery
 Selecting and passing instruments to the surgeon
 Supporting the surgeon while also maintaining patient safety
 The nurse must know which instruments are used for specific procedures and when
they are needed, so she can quickly hand them to the surgeon
 Watch for hand signals to know when the surgeon is ready for the next tool or when he
is done using a tool and is ready to hand it back to the scrub nurse, who cleans the tools
after use and places each tool back in its place on the table.
 Monitors the surgery to ensure everything remains sterile.
CIRCULATING NURSE ROLE
As a patient advocate, the circulating nurse interacts with the patient before surgery and serves as
a patient protector during surgery.
• Asses patient`s conditon before, during, and after operation to ensure an optimal outcome for
the patient • Management of personnel, equipment, supplies, and environment during the surgical
procedure
• Manages flow of information and supplies to and from the surgical team members scrubbed at
the field. • Observes the surgery and monitors the sterile team`s adherence to aseptic technique
• Must be able to anticipate the scrub nurse`s needs and be able to open sterile packs, operate
machinery, and keep accurate documentation
• Deal with the management of unsterile activities in the operating area
• Document the nursing care of the patient (assessments and interventions)
• Movement of unsterile items out of the surgical suite (labeling and transporting specimens)
ORDERLY ROLE
Before surgery
• review the patient charts and surgery schedule for the day
• help transfer the patient to a different bed, and wheel him or her into the operating room. When
the rest of the medical staff arrives
• help keep a sterile environment by assisting with gloves and masks, sterilizing supplies, and
setting up equipment During surgery
• might wipe the Surgeon ‘s brow, put on his or her favorite music, or restock the gauze and
other surgical supplies. After surgery
• assist in cleaning up the operating room, and help the patient settle back into his or her room.

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