OT Scrub Nurse - GNM/Bsc nursing

Role & responsibilities

- Accountable to the In-charge OT for the delivery of standardized nursing care to patients.

- Assists in ensuring OT functions without disruption.

- Ensures surgical, medication and patient safety.

- Ensures prompt safe empathic and effective care of surgical patients.

- Interacts empathically with family; contributes to Service Vision.

- Ensure medication and patient safety; adheres to infection control protocols.

- Complies with NABH and NE standards

Preferred candidate profile

Adherence to Nursing Clinical standards:

- Understands the OT routine, equipment and patients.

- Aware of the O.T. protocols and the layout.

- Checks the surgery schedule and prepares for the cases: medication, consumables, instruments and equipment are available for the surgery.

- Checks all equipment are functional; conducts random checks of surgical and laparoscopic instruments ensuring they are functional.

- Identifies instruments as per the surgery, checks cleanliness and proper functioning of instruments, pack and send for autoclaving / gas sterilization.

- Strictly follows aseptic technique.

- Is aware of and implements all protocols - hand washing, infection control, medication, narcotic policy, personal valuables, follows the dress code in and out of the restricted areas.

- Assists in surgical procedures.

- Receives the patient in the preoperative area, checks for: right patient, correct documents, right surgery and transfers to the Operation Theatre.

- Checks the preparation of the patient for cleanliness, skin shaving for the particular surgery.

- Follows pre-anesthetic medications if any.

- To check and record vital signs legibly and promptly.

- Ensures that all investigations are carried out as advised by the doctor, reports available on time for doctors perusal and further advice.

- To ensure that all the materials needed for the surgeries as per Procurement Monitoring Report sheet and instrument sets, Linen, Gowns, etc., are available.

- Procures all blood and blood products for transfusion. Any reactions must be reported to

treating consultant, IC & NS immediately.

- Strictly follows WHO surgical safety process in OT count of instruments, consumables - to check the instrument trolley carefully and record items likely to be left inside.

- Checks 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.

- Rechecks instrument trolley items as per record and gives clearance to the surgeon for closing.

- Any errors in medication / nursing intervention to be brought immediately to the notice of OT In-Charge.

- Monitors Histopathology sample dispatch as per standards.

- Handles waste segregation and disposal as per the policy.

Assists with the smooth functioning of OT

Ä Adherence to Nursing Clinical standards:

- Understands the OT routine, equipment and patients.

- Aware of the O.T. protocols and the layout.

- Checks the surgery schedule and prepares for the cases: medication, consumables, instruments and equipment are available for the surgery.

- Checks all equipment are functional; conducts random checks of surgical and laparoscopic instruments ensuring they are functional.

- Identifies instruments as per the surgery, checks cleanliness and proper functioning of instruments, pack and send for autoclaving / gas sterilization.

- Strictly follows aseptic technique.

- Is aware of and implements all protocols - hand washing, infection control, medication, narcotic policy, personal valuables, follows the dress code in and out of the restricted areas.

- Assists in surgical procedures.

- Receives the patient in the preoperative area, checks for: right patient, correct documents, right surgery and transfers to the Operation Theatre.

- Checks the preparation of the patient for cleanliness, skin shaving for the particular surgery.

- Follows pre-anesthetic medications if any.

- To check and record vital signs legibly and promptly.

- Ensures that all investigations are carried out as advised by the doctor, reports available on time for doctors perusal and further advice.

- To ensure that all the materials needed for the surgeries as per Procurement Monitoring Report sheet and instrument sets, Linen, Gowns, etc., are available.

- Procures all blood and blood products for transfusion. Any reactions must be reported to

treating consultant, IC & NS immediately.

- Strictly follows WHO surgical safety process in OT – count of instruments, consumables - to check the instrument trolley carefully and record items likely to be left inside.

- Checks 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.

- Rechecks instrument trolley items as per record and gives clearance to the surgeon for closing.

- Any errors in medication / nursing intervention to be brought immediately to the notice of OT In-Charge.

- Monitors Histopathology sample dispatch as per standards.

- Handles waste segregation and disposal as per the policy.

- Wash, dry, lubricate joints, check the functioning of instruments, pack and dispatch for autoclaving.

- Cleans the patient after applying the dressing and place in a comfortable position.

- Strictly follows surgical safety measures involved in patient care and self-protection.

- Ensures documentation for all completed surgeries is updated and accurate.

- Ensures the patient is shifted properly to the recovery room as soon as the anesthetist gives the clearance.

- Ensures that postoperative patients are handled carefully in the recovery room and transferred according to the protocol.

- Scrub nurse to fill up intra operative nursing record.

- Transfer the patient to postoperative ward.

- Postoperative nurse to complete the postoperative flow sheet.

- Posted in recovery & day care: To co-ordinate with IP coordinator / Billing assistants regarding admissions, discharges and billing activities of the patients.

- To settle PMR and to hand over the remaining materials to the OT store.

- Ensures patient rights are protected and medication safety is practiced.

- Maintains confidentiality of patient information: medical and personal; avoids any violation by ensuring no discussion of patient identifiable information in non-secure areas.

- Builds and maintains cordial relationship with surgeons and anesthetists.

- Co-ordinates with OT technician, biomedical team and housekeeping staff.

- Aware of and practices narcotic management – storage & documentation of usage.

- Aware of NABH & Nursing excellence standards and ensures implementation.

- To conduct carbonizations & thorough environmental study of Operation Theatres as per schedule; To supervise and ensure it is done regularly and effectively.

- To periodically monitor the use of disinfectants.

- To raise requisitions on the computer for drugs.

- Maintain personal, patients and environmental hygiene.

Ä Fulfilling the Service Vision & Inter-department Coordination:

- Is well-groomed as per standard; maintains discipline and decorum.

- Responsible for the implementation of the Service Vision – ensures personalized care while delivering service.

- Coordinates with support departments to ensure patient and attendants are comfortable and services are as per standard.

- Maintains a cordial interpersonal relationship with all colleagues.

- Coordinates and works closely with LDR, OT, Wards Pharmacy & Lab.

Ä OT Management:

- Ensures no misuse or wastage of material, contributes to cost control.

- Assists with material management – documentation, Indenting, receiving stock, storage and usage.

Ensures no wastage and misuse.

- Takes over and hands over accurately at change of shifts.

- Maintains the medical and nursing records of patients as per the institutional requirements.

- Collects data accurately as per protocol; collects data for Nursing Quality Indicators.

- Coordinates and works closely with LDR, NICU & Ward.

- Willingly accepts additional tasks, deployment based on operational requirement.

Ä Personal Development:

- Attend in-service programs and trainings to enhance knowledge.

- Ensures is up to date with latest protocols and practices.

Perks and benefits

Process adherence; audit compliance; medication safety; documentation; NABH & NE certification compliance; Standardized Nursing Operations.

Training attended – functional & behavioural. Scores above average where applicable.

Clinical Skills, Knowledge of handling clinical & biomedical instrument,

Documentation skills, NABH & NE.