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Scrub Nurse (Mastectomy)

A mastectomy is a surgical procedure to remove all or part of the breast. The scrub nurse prepares instruments and equipment, maintains sterility during surgery, anticipates the surgeon's needs, and assists. Key responsibilities include ensuring counts of sponges and instruments are correct, preparing the patient for surgery, and handing the patient off to recovery after completing documentation.

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Jeroham R. Co
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286 views6 pages

Scrub Nurse (Mastectomy)

A mastectomy is a surgical procedure to remove all or part of the breast. The scrub nurse prepares instruments and equipment, maintains sterility during surgery, anticipates the surgeon's needs, and assists. Key responsibilities include ensuring counts of sponges and instruments are correct, preparing the patient for surgery, and handing the patient off to recovery after completing documentation.

Uploaded by

Jeroham R. Co
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Scrub Nurse (Mastectomy)

Jeroham R. Co
Mastectomy
Overview
• A mastectomy is a surgical procedure involving removal of all or part
of the breast. The term originates from the Greek word mastos,
meaning woman's breast and the Latin term ectomia which signifies
removal. Mastectomy classifies into partial, simple, modified-radical,
and radical.
Roles of the Scrub Nurse
•Before an operation
 Ensures that the circulating nurse has checked the equipment
 Ensures that the theater has been cleaned before the trolley is set
 Prepares the instruments and equipment needed in the operation
 Uses sterile technique for scrubbing, gowning and gloving
 Receives sterile equipment via circulating nurse using sterile
technique
 Performs initial sponges, instruments and needle count, checks with
circulating nurse
Roles of the Scrub Nurse
•When surgeon arrives after scrubbing
 Perform assisted gowning and gloving to the surgeon and assistant
surgeon as soon as they enter the operation suite
 Assemble the drapes according to use. Start with towel, towel clips,
draw sheet and then lap sheet. Then, assist in draping the patient
aseptically according to routine procedure
 Place blade on the knife handle using needle holder, assemble
suction tip and suction tube
 Bring mayo stand and back table near the draped patient after
draping is completed
 Secure suction tube and cautery cord with towel clips or allis
 Prepares sutures and needles according to use
Roles of the Scrub Nurse
•During an operation
 Maintain sterility throughout the procedure
 Awareness of the patient’s safety
 Adhere to the policy regarding instruments count/ surgical needles
 Arrange the instrument on the mayo table and on the back table
•Before the Incision Begins
 Provide 2 sponges on the operative site prior to incision
 Passes the 1st knife for the skin to the surgeon with blade facing
downward and a hemostat to the assistant surgeon
 Watch the field/ procedure and anticipate the surgeon’s needs
 Notify circulating nurse if you need additional instruments as clear as
possible
 Adhere and maintain sterile technique and watch for any breaks
Roles of the Scrub Nurse
•End of Operation
 Undertake count of sponges and instruments with circulating nurse
 Informs the surgeon of count result
 Clears away instrument and equipment
 After operation: helps to apply dressing
 Removes and disposes of drapes
 De-gown
 Prepares the patient for recovery room
 Completes documentation
 Hand patient over to recover room

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