Surgery - pt. 2

Following the surgical scrub, the technologist dries his/her hands using a sterile towel, and dons his/her sterile gown and gloves using the closed gloving method. The Surgical Technologist proceeds to set up the surgical case following that hospital's  routine.
The scrub nurse and circulating nurse perform a sponge, needle, and instrument count before the initial incision is made.
The circulating nurse obtains the patient's x-rays if necessary and checks on any blood products that may have been ordered.
The circulating nurse greets the patient who is in the pre-op holding area.  The patient's chart is checked for appropriate information.  The nurse verifies the patient's identity, the operative procedure and site, doctor, pre-op orders and lab work.  An IV may be started at this time by the nurse or a member of the anesthesia team. 
When the surgical team is ready, the patient is brought into the operating room and moved to the OR bed.  The positioning should be performed by at least two persons, with one standing beside the locked stretcher and the other beside the OR bed.  A safety strap is placed 2-3 inches above the patient's knees and the patient's arms are placed on arm boards.  Monitoring devices such as blood pressure cuff, EKG pads, and pulse oxymeter are placed on the patient by the circulating nurse or a member of the anesthesia team..

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