Ever thought about being a scrub nurse?

2021 ◽  
Vol 36 (12) ◽  
pp. 71-72
Author(s):  
Jo -Racel Casanova Eviota
Keyword(s):  
Scrub Nurse

scholarly journals Impact of Surgical Table Orientation on Flow Disruptions and Movement Patterns during Pediatric Outpatient Surgeries

2021 ◽  
Vol 18 (15) ◽  
pp. 8114
Author(s):  
Anjali Joseph ◽  
David Neyens ◽  
Sahar Mihandoust ◽  
Kevin Taaffe ◽  
David Allison ◽  
...  
Keyword(s):  
Ambulatory Surgery ◽  
Surgical Team ◽  
Scrub Nurse ◽  
Work Zones ◽  
Convenience Sample ◽  
Operational Strategies ◽  
Team Members ◽  
Video Recordings ◽  
Safety Risks ◽  
Flow Disruptions

(1) Background: The surgical table within a typical ambulatory surgery operating room is frequently rotated and placed in different orientations to facilitate surgery or in response to surgeon preferences. However, different surgical table orientations can impact access to different work zones, areas and equipment in the OR, potentially impacting workflow of surgical team members and creating patient safety risks; (2) Methods: This quantitative observational study used a convenience sample of 38 video recordings of the intraoperative phase of pediatric outpatient surgeries to study the impacts of surgical table orientation on flow disruptions (FDs), number of contacts between team members and distance traveled; (3) Results: This study found that the orientation of the surgical table significantly influenced staff workflow and movement in the OR with an angled surgical table orientation being least disruptive to surgical work. The anesthesia provider, scrub nurse and circulating nurse experienced more FDs compared to the surgeon; (4) Conclusions: The orientation of the surgical table matters, and clinicians and architects must consider different design and operational strategies to support optimal table orientation in the OR.

scholarly journals An eye-tracking based robotic scrub nurse: proof of concept

2021 ◽  
Author(s):  
Ahmed Ezzat ◽  
Alexandros Kogkas ◽  
Josephine Holt ◽  
Rudrik Thakkar ◽  
Ara Darzi ◽  
...  
Keyword(s):  
Eye Tracking ◽  
Technology Acceptance ◽  
Operating Time ◽  
Human Robot Interaction ◽  
Motion Sensors ◽  
Scrub Nurse ◽  
Task Load ◽  
Significant Difference ◽  
Nasa Tlx ◽  
Robotic Devices

Abstract Background Within surgery, assistive robotic devices (ARD) have reported improved patient outcomes. ARD can offer the surgical team a “third hand” to perform wider tasks and more degrees of motion in comparison with conventional laparoscopy. We test an eye-tracking based robotic scrub nurse (RSN) in a simulated operating room based on a novel real-time framework for theatre-wide 3D gaze localization in a mobile fashion. Methods Surgeons performed segmental resection of pig colon and handsewn end-to-end anastomosis while wearing eye-tracking glasses (ETG) assisted by distributed RGB-D motion sensors. To select instruments, surgeons (ST) fixed their gaze on a screen, initiating the RSN to pick up and transfer the item. Comparison was made between the task with the assistance of a human scrub nurse (HSNt) versus the task with the assistance of robotic and human scrub nurse (R&HSNt). Task load (NASA-TLX), technology acceptance (Van der Laan’s), metric data on performance and team communication were measured. Results Overall, 10 ST participated. NASA-TLX feedback for ST on HSNt vs R&HSNt usage revealed no significant difference in mental, physical or temporal demands and no change in task performance. ST reported significantly higher frustration score with R&HSNt. Van der Laan’s scores showed positive usefulness and satisfaction scores in using the RSN. No significant difference in operating time was observed. Conclusions We report initial findings of our eye-tracking based RSN. This enables mobile, unrestricted hands-free human–robot interaction intra-operatively. Importantly, this platform is deemed non-inferior to HSNt and accepted by ST and HSN test users.

High-Definition 3-D Exoscope for Micro-Laryngeal Surgery: A Preliminary Clinical Experience in 41 Patients

2021 ◽  
pp. 000348942110637
Author(s):  
Armando De Virgilio ◽  
Andrea Costantino ◽  
Giuseppe Mercante ◽  
Fabio Ferreli ◽  
Phil Yiu ◽  
...  
Keyword(s):  
Clinical Study ◽  
Ease Of Use ◽  
Prospective Clinical Study ◽  
Operating Microscope ◽  
Scrub Nurse ◽  
High Definition ◽  
Advantages And Disadvantages ◽  
Laryngeal Surgery ◽  
Real Value ◽  
The Individual

Objective: The aim of this prospective clinical study is to evaluate the feasibility of the micro-laryngeal surgery (MLS) using a 3D operating exoscope (OE) in substitution to a conventional operating microscope (OM). Methods: A total of 41 consecutive patients were included (male: 26; median age: 55.0 years; IQR: 46.0-68.0). After each procedure, the surgeon and the scrub nurse were asked to fill out a tailored questionnaire on a 3-point Likert scale (1—not acceptable, 2—acceptable, 3—good) including 12 items. Results: The majority of the procedures were therapeutic (n = 31, 75.6%), while the remaining were diagnostic (n = 10, 24.4%). All surgeries were successfully completed without the support of the OM, and no complications or unwanted delays were detected. The majority of the individual items were judged “good” either by surgeons (n = 399, 81.1%) and scrub nurses (n = 287, 87.5%). The natural posture during the procedure, and the ease of use the joystick and focusing were the best-rated items by the surgeons. Conclusions: This study demonstrates the feasibility of MLS using the OE. Further comparative clinical studies are needed to clarify its real value in substitution to a conventional operating microscope and to better define advantages and disadvantages.

Noise in Endoscopic Sinus and Skull Base Surgery Operating Rooms

2020 ◽  
pp. 194589242097652
Author(s):  
Marc Levin ◽  
Kelvin Zhou ◽  
Ethan C. Sommer ◽  
Hitansh Purohit ◽  
Jeffery Wells ◽  
...  
Keyword(s):  
Skull Base ◽  
Patient Outcomes ◽  
Noise Exposure ◽  
Skull Base Surgery ◽  
Noise Measurement ◽  
Scrub Nurse ◽  
Noise Levels ◽  
Team Members ◽  
Noise Measurements ◽  
Or Team

Background Noise in the operating room (OR) contributes to miscommunication among team members and may negatively impact patient outcomes. Objectives This study aimed to quantify noise levels during endoscopic sinus and skull base surgery. The secondary aim was to understand how OR team members perceive noise during endoscopic sinus and skull base surgery. Methods Noise levels were measured using the validated phone application SoundMeter X 10.0.4 (r1865) (Faber Acoustical, Utah, USA) at the ear-level of the surgeon, scrub nurse, circulating nurse, and anesthesiologist. At the end of each surgery, OR team members were asked to complete a six-question questionnaire about noise during that surgery. Results One thousand four hundred and two noise measurements were recorded across 353 trials. The loudest mean noise measurement was 84.51 dB and maximum noise measurement was 96.21 dB at the ear-level of the surgeon. Noise was significantly higher at the ear-level of the surgeon and scrub nurse in comparison to the circulating nurse (p = .000) and anesthesiologist (p = .000). Forty percent of questionnaire respondents believed noise was a problem and 38% stated that noise caused communication issues during surgery. Conclusion Surgeons and scrub nurses have significantly higher noise exposure in comparison to circulating nurses and anesthesiologists during endoscopic sinus and skull base surgery. For these members of the OR team, noise is also identified as problematic and causing issues with communication. Mechanisms to reduce potential noise may be implemented to improve communication and patient outcomes in endoscopic sinus and skull base surgery.

scholarly journals Implementation of vaginal preparation prior to caesarean section

2020 ◽  
Vol 9 (3) ◽  
pp. e000976
Author(s):  
Adam D Jakes ◽  
Annie Bell ◽  
Lilian Chiwera ◽  
Jilly Lloyd
Keyword(s):  
Caesarean Section ◽  
Bacterial Load ◽  
Cochrane Review ◽  
Surgical Site Infections ◽  
Inclusion Criteria ◽  
Scrub Nurse ◽  
Surgical Site Infection Rate ◽  
Genital Tract Infection ◽  
Key Stakeholders ◽  
Deep Surgical Site Infection

IntroductionSurgical site infections following caesarean section are associated with significant morbidity. Vaginal preparation is the cleansing of the vaginal epithelium with an antibacterial solution to reduce the bacterial load and therefore reduce ascending genital tract infection. It is recommended by the WHO and a Cochrane review in 2018 concluded that vaginal preparation immediately before caesarean section probably reduces the rates of postoperative endometritis.ObjectiveTo implement vaginal preparation prior to caesarean section at Guy’s and St Thomas’ Hospital NHS Foundation Trust and reduce rates of deep surgical site infections.MethodsThe protocol (included within the appendices) for vaginal preparation prior to caesarean section was developed after reviewing the available evidence. Two vaginal preparation champions, a midwife and a scrub nurse, were selected to help promote and assist in the implementation. The first implementation cycle included elective and category II and III caesarean sections. To ensure acceptability, 20 women were asked to complete a questionnaire following vaginal preparation. Once the intervention was being performed in >85% of eligible women, the inclusion criteria was expanded to include category I caesarean sections.ResultsTwelve months following implementation, vaginal preparation was still being performed in 89% of eligible women. The deep surgical site infection rate is now the lowest recorded in the last 6 years. Vaginal preparation prior to caesarean section was acceptable to pregnant women and no adverse effects were reported.ConclusionsVaginal preparation prior to caesarean section has been successfully implemented at Guy’s and St Thomas’ Hospital NHS Foundation Trust. This simple, cheap intervention, performed with readily available materials, is still being performed in a high number of caesarean sections 12 months post-implementation. It has resulted in a reduction in deep surgical site infections. Involvement of key stakeholders and the recruitment of vaginal preparation champions were key to success.

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