Operation Theatre Incharge (Scrub Nurse)

Responsible for the smooth functioning of OT

Adherence to Nursing clinical standards.

• Ensures professional handover and takeover of shift.
• Understands patient & consultant requirements and plans resource deployment to meet the need.
• Responsible for the OT routine, equipment and patients.
• Reviews the doctors notes and the drug chart and acts as required
• Prepares nursing care plans and renders effective bedside nursing care
• Ensures medication safety and patient safety protocols are practiced.
• Adheres to all safety measures involved in patient care and self-protection.
• Manpower deployment - prepares duty roster; assigns nursing and anesthesia technician as per requirements.
• Ensures efficient staffing, material, and equipment availability.
• Assigns duty ensuring mix of experience and skill, senior and junior, per shift
• Ensures nurses are competent and can handle tasks assigned to them.
• Ensures nurses follow the protocols without exception.
• OT Scheduling: plans following day - checks the booking register a day before surgery, notes and actions special requirements, co-ordinates with the surgeon & anesthetist; plans manpower, equipment and ensures OT is fully prepared for the specific surgery.
• Responsible for ensuring additional requirement of resource, blood procurement, equipment is made available.
• Checks to ensure medications, consumables, instruments and equipments are available for the surgery.
• Ensures all equipment are fully functional; conducts random checks of surgical and

laparoscopic instruments ensuring they are functional.

• Competently handles all equipment used in patient care; ensures team is competent in usage; ensures equipment is serviceable and readily available.
• Tracks re-scheduling when cancellation/ delay.
• Ensures that aseptic technique is maintained strictly in OT.
• Ensures strict Infection control adherence – monitors all activities.
• Provide nursing services to the surgical procedure.
• Strictly follows WHO surgical safety process in OT – count of instruments, consumables.
• Ensures documentation for all completed surgeries is updated and accurate.
• Maintains emergency stock of medications and consumables in OT.
• Co-ordinates with OT technician, biomedical team and housekeeping staff.
• Ensures that the postoperative patients are handled carefully in the recovery room and transferred according to the protocol.
• Monitors Histopathology sample dispatch as per standards.
• Responsible for material management and cost control – documentation, Indenting, receiving stock, storage and usage. Ensures no wastage and misuse.
• Responsible for narcotic management – storage & documentation of usage.
• Aware of NABH & Nursing excellence standards and ensures implementation.
• Build and maintain cordial relationship with surgeons and anesthetists.
• Is the critical communication & coordination channel between OT team, patient & clinician.
• Maintains all records, reports and registers as per organizational standard; ensures data collection accuracy, ensures documentation is complete and correct, maintains record of surgery register, tracks Nursing Quality Indicators and reports accurately.
• Ensures Incidents are immediately escalated to NS.
• Handles emergencies competently & calmly; provides guidance & decisions in a timely manner
• Upholds patient rights and maintains confidentiality of patient information: medical and personal; avoids any violation by ensuring no discussion of patient identifiable information in non-secure areas.
• Coordinates closely with Admissions to plan resource deployment based on occupancy; when expected to be full, to escalate if resources are required.
• Coordinates and works closely with LDR, NICU & Ward.

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