Surgical Scrub Nurse

To conduct environmental study of Operation Theatres, Intensive Care Units, and other critical areas as per schedule.
- Daily completion of proforma for infected patients in all the ICUs.
- To compile ICUs infection data as per the proforma on a daily basis.
- To periodically monitor the use of disinfectants.
- To regularly monitor Infection Control Practices.
- To investigate outbreaks.
- To carry out any other assignment as assigned by Infection Control Officer.
- To be aware of the O.T. protocols and the layout.
- To supervise carbolizations and ensure it is done regularly and effectively.
- To identify instruments as per the surgery, check cleanliness and proper functioning of instruments, pack and send for autoclaving / gas sterilization.
- To ensure that all the materials needed for the surgeries which are PMR and instrument sets, Linen, Gowns, etc. are available.
- To check the instrument trolley carefully and record items likely to be left inside.
- To check the preparation of the patient for cleanliness, skin shaving for the particular surgery.
- To re-check instrument trolley items as per the record and give clearance to the surgeon for closing.
- To ensure the patient is shifted properly to the recovery room as soon as the anesthetist gives the clearance.
- To settle PMR and to hand over the remaining materials to the OT store.
- To wash, dry, lubricate joints, check the functioning of instruments, pack and dispatch for autoclaving.
- To be aware and implement Infection Control Measures:

- To follow proper hand washing techniques.
- To follow the dress code in and out of the restricted areas.
- To receive the patient in the preoperative area, check for the right patient, correct documents, and for the right surgery and transfer to the Operation Theatre.
- To follow pre-anesthetic medications if any.
- To check for the right patient, I.D. No., site of surgery, type of surgery, and operating surgeon when the anesthetist calls “Time out” inside the operation theatre.
- Scrub nurse prepares for assisting the surgeon.
- Circulating nurse to fill up intraoperative nursing record.
- Transfer the patient to postoperative ward.
- Postoperative nurse to complete the postoperative flow sheet.
- Follow normal procedure, connect ET tube to the ventilator, ECG leads to monitor, CD tubes to chest drainage bottle and in-dwelling urinary catheter to urobag.
- To give antibiotics to the patient as per the standard medication time.
- Suctioning, inhalation, chest physiotherapy and back care to be given as necessitated.
- To pack and get autoclaved/ gas sterilization of dressings, linen, drainage bottles etc.
- To check and record the vital signs of the patient like BP, pulse rates, respiration, and intake-output ratio.
- To feed the patient after ensuring that it is the correct diet by checking diet order for diet tolerances.
- To collect stat specimens or wound culture if necessary and follow up for reports.
- To take responsibility for shifting the patient to the ward after ensuring that the charts, reports, ECG, X-ray and lab results are all checked properly.
- To inform about the shifting of the patient to the charge nurse and attendant. To also intimate the Reception, F& B and charge nurse of the other unit.
- To ensure narcotic protocols are followed if any narcotic or dangerous drug is to be administered on Doctor’s written instruction in detail.
- To fill up the Nursing Assessment Guide within 24 hrs of patient’s admission.
- To ensure that the patient is comfortable and implement safety measures for vulnerable patients as per the policy.
- To perform patient and family education.
- To review the doctor’s notes and the drug chart on admission and implement action as required.
- To raise pharmacy indents, check on receipt, and stock in the patient’s bedside locker.- Administration of oral drugs, intramascular and intrvenous injections as prescribed by the doctors.
- To administer drugs according to ‘Drug Administration Policy.’
- Medications to be administered during standard medication timings unless a stat order is written.
- To administer dangerous medicines counter checked by a second nurse for the ‘six medication rights’ and complete documentation policy.
- Any errors in medication / nursing intervention to be brought immediately to the notice of the In charge nurse or Chief Nursing Officer.
- Taking care of all equipment’s like ventilator, defibrillator, Humidifier, Infusion pump, syringe pump and oxygen flow meter, vacuum suction re functioning properly.
- Administer intravenous fluid and oxygen as advised by doctor.
- Informing the consultants if any changes in the patients and report values immediately and following the instruction given by consultants and documenting in the records.
- Checking the BP apparatus laryngoscope, torch and its working conditions.
- Following the hospital policies and rules.
- Teach and co-ordinate with the new nurses.
- Maintain personal, patients and environmental hygi