Intraoperative Phase
THE PERIOPERATIVE TEAM
-The Circulating Nurse
Manages the OR and protects the safety and health
needs of the client by monitoring the activities of
the members of the surgical team and monitoring
the conditions in the OR
-The Scrub Nurse
Responsible for scrubbing for surgery, including
setting up sterile tables and equipment and
assisting the surgeon and surgical technicians
during the surgical procedure
The PACU Nurse
Responsible for caring for the client until the client
has recovered from the effects of anesthesia, is
oriented, has stable vital signs, and shows no
evidence of hemorrhage
Types of Anesthesia
Anesthesia –An analgesia, relaxation and reflex
loss (severe central nervous system [CNS]
depression produced by pharmacologic agent)
-General Anesthesia
-Regional Anesthesia
-Topical or local anesthesia
-Spinal anesthesia
Positioning the Client:
-Supine: hernia repair, explore lap,
cholecystectomy, mastectomy
-Prone: spine surgery, rectal surgery
-Trendelenburg
-Lithotomy position
-Lateral position: kidney and chest surgery
-Others: for thyroidectomy- head hyperextended
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