Scrub Nurse 1 (Primary Scrub Nurse)
- Surgical Hand Rubbing
- Handling of Instruments
- Positioned closest to the surgeon
- Hands instruments, sutures, and other sterile items directly to the surgeon.
- Maintains an organized and efficient surgical field.
Scrub Nurse 2 (Assistant Scrub Nurse)
- Surgical Hand Rubbing
- Handling of Instruments
- Positioned next to the primary scrub nurse.
- Prepares and arranges additional instruments.
- Assists with suction, retraction, and other intraoperative tasks as needed.
Scrub Nurse 3 (Support Scrub Nurse)
- Surgical Hand Rubbing
- Handling of Instruments
- At the Mayo table for assisting in giving the instruments to the scrub nurse
- Manages additional supplies and ensures sterile field organization.
- Prepares for any potential emergency needs.
Circulating Nurse 1 (Primary Circulator)
- Positioned near the anesthesia team and patient.
- Ensures patient safety, assists with positioning, and manages documentation.
- Communicates between sterile and non-sterile teams.
- Timeout, Confirmation of the name of the patient, procedure and incision
- Confirms if any antibiotic prophylaxis has been given within the last 60 minutes.
- Asks the surgeon if there are any anticipated critical events, critical routine/steps;
duration of the case; any anticipated blood loss.
- Asks the anesthesiologist if there are any anticipated critical events: patient-specific
concerns.
- Asks the scrub nurse if there are any anticipated critical events: sterility confirmed; any
equipment issues.
- Confirms if imaging is displayed.
Circulating Nurse 2 (Equipment & Supply Nurse)
- First one to enter the OR
- Positioned near the storage and sterile processing areas.
- Retrieves and delivers additional instruments and supplies as needed.
- Ensures proper function of OR equipment.
- In charge of the instruments, counting 3 times (before, during, after)
- Picking up of dropped items in the OR
Circulating Nurse 3 (Floater & Runner)
- Moves throughout the OR to assist where needed.
- Handles specimens, documentation, and communication with external teams.
- Supports anesthesia, checks sterility, and monitors OR conditions.
- Assisting in gowning
- Checking of Urine Output
- Checking of Vital Signs
- Checking of Fluids
- Assistant to the first 2 CN