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Journal articles on the topic 'Scrub Nurse'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 April 2022

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1

Anderson, Deverick J., Rachel Addison, Yuliya Lokhnygina, et al. "The Antimicrobial Scrub Contamination and Transmission (ASCOT) Trial: A Three-Arm, Blinded, Randomized Controlled Trial With Crossover Design to Determine the Efficacy of Antimicrobial-Impregnated Scrubs in Preventing Healthcare Provider Contamination." Infection Control & Hospital Epidemiology 38, no. 10 (2017): 1147–54. http://dx.doi.org/10.1017/ice.2017.181.

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OBJECTIVETo determine whether antimicrobial-impregnated textiles decrease the acquisition of pathogens by healthcare provider (HCP) clothing.DESIGNWe completed a 3-arm randomized controlled trial to test the efficacy of 2 types of antimicrobial-impregnated clothing compared to standard HCP clothing. Cultures were obtained from each nurse participant, the healthcare environment, and patients during each shift. The primary outcome was the change in total contamination on nurse scrubs, measured as the sum of colony-forming units (CFU) of bacteria.PARTICIPANTS AND SETTINGNurses working in medical and surgical ICUs in a 936-bed tertiary-care hospital.INTERVENTIONNurse subjects wore standard cotton-polyester surgical scrubs (control), scrubs that contained a complex element compound with a silver-alloy embedded in its fibers (Scrub 1), or scrubs impregnated with an organosilane-based quaternary ammonium and a hydrophobic fluoroacrylate copolymer emulsion (Scrub 2). Nurse participants were blinded to scrub type and randomly participated in all 3 arms during 3 consecutive 12-hour shifts in the intensive care unit.RESULTSIn total, 40 nurses were enrolled and completed 3 shifts. Analyses of 2,919 cultures from the environment and 2,185 from HCP clothing showed that scrub type was not associated with a change in HCP clothing contamination (P=.70). Mean difference estimates were 0.118 for the Scrub 1 arm (95% confidence interval [CI], −0.206 to 0.441; P=.48) and 0.009 for the Scrub 2 rm (95% CI, −0.323 to 0.342; P=.96) compared to the control. HCP became newly contaminated with important pathogens during 19 of the 120 shifts (16%).CONCLUSIONSAntimicrobial-impregnated scrubs were not effective at reducing HCP contamination. However, the environment is an important source of HCP clothing contamination.TRIAL REGISTRATIONClinicaltrials.gov Identifier: NCT 02645214Infect Control Hosp Epidemiol 2017;38:1147–1154

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Wood, Janet, and Judith Tanner. "Scrub Nurse Practice An Ethical Viewpoint." British Journal of Perioperative Nursing (United Kingdom) 12, no. 2 (2002): 64–67. http://dx.doi.org/10.1177/175045890201200201.

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There is a growing trend within perioperative practice for nurses to undertake dual roles as both scrubbed nurse and surgeon's first assistant. In this article, Janet Wood suggests that nurses are allowing themselves to be pressured into attempting to carry out both roles simultaneously. She fears that this puts nurses at risk of failing to satisfy both their legal and moral duty of care to their patients, and advises how to deal with this situation.

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Nakano, Akito, and Kouki Nagamune. "A Development of Robotic Scrub Nurse System - Detection for Surgical Instruments Using Faster Region-Based Convolutional Neural Network –." Journal of Advanced Computational Intelligence and Intelligent Informatics 26, no. 1 (2022): 74–82. http://dx.doi.org/10.20965/jaciii.2022.p0074.

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There is presently a shortage of nurses in Japan, with a further shortage of 3,000–130,000 nurses expected. There is also shortage of scrub nurses. Scrub nurses are nurses who work in the operating room. The main job of scrub nurses is to assist surgeons. Scrub nurses are a high turnover rate, because it is a difficult job. Therefore, system for assisting scrub nurses are needed. The purpose of this study was to develop a robotic scrub nurse. As a first step, a detection system for surgical instruments was developed using the “Faster Region-Based Convolutional Neural Network” (Faster R-CNN). In experiments, computer graphics (CG) model images and 3D-printed model images were evaluated, and the system showed high accuracy. Consequently, the Faster R-CNN system can be considered as suitable for detecting surgical instruments.

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Muralidhar, Deutschland, Shiva Sirasala, Venkata Jammalamadaka, et al. "Collaborative Robot as Scrub Nurse." Current Directions in Biomedical Engineering 7, no. 1 (2021): 162–65. http://dx.doi.org/10.1515/cdbme-2021-1035.

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Abstract Under-staffing of nurses is a significant problem in most countries. It is expected to rise in the coming years, making it challenging to perform crucial tasks like assessing a patient's condition, assisting the surgeon in medical procedures, catheterization and Blood Transfusion etc., Automation of some essential tasks would be a viable idea to overcome this shortage of nurses. One such task intended to automate is the role of a 'Scrub Nurse' by using a robotic arm to hand over the surgical instruments. In this project, we propose to use a Collaborative Robotic-arm as a Scrub nurse that can be controlled with voice commands. The robotic arm was programmed to reach the specified position of the instruments placed on the table equipped with a voice recognition module to recognize the requested surgical instrument. When the Surgeon says "Pick Instrument", the arm picks up the instrument from the table and moves it over to the prior defined handover position. The Surgeon can take over the instrument by saying the command "Drop". Safe pathways for automatic movement of arm and handover position will be predefined by the Surgeon manually. This concept was developed considering the convenience of the Surgeon and the patient's safety, tested for collision, noisy environments, positioning failures and accuracy in grasping the instruments. Limitations that need to be considered in future work are the recognition of voice commands which as well as the returning of the instruments by the surgeon in a practical and safe way.

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Ahmad, Z., and RP Cole. "Impressing the scrub nurse." Annals of The Royal College of Surgeons of England 92, no. 4 (2010): 355–56. http://dx.doi.org/10.1308/rcsann.2010.92.4.355.

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Ribakova, Anna, Liana Deklava, Kristaps Circenis, and Inga Millere. "Psychosocial elements of professionally-relevant behaviour in scrub nurses." Global Journal of Psychology Research: New Trends and Issues 6, no. 3 (2016): 123–34. http://dx.doi.org/10.18844/gjpr.v6i3.1450.

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The significance of professionally-relevant behaviour of scrub nurses for teamwork in the operating room is increasing, as proven by the studies carried out over the last decades worldwide. Non-technical skills include both social and cognitive elements. Specific behaviour evaluation system can be used to identify, assess and improve non-technical skills of scrub nurses. Improvement of non-technical skills helps reduce staff errors in the intraoperative period. The objective of the research is to find out whether there are statistically significant differences between scrub nurses’ self-assessment of their non-technical skills, their implementation and surgeons' expectations. Demographic questionnaire, interview and Scrub Practitioners List of Intraoperative Non-technical Skills (SPLINT) were used in this study. Scrub nurses tend to engage in minimal communication and only a half of surgeons show expectations for exchange of thoughts and ideas from scrub nurses. This shows that the exchange of information between physicians and scrub nurses is generally insufficient. Surgical team members pay more attention to signals given by the surgical team and surgical process and rarely report on perception of signals given by medical equipment and a patient. Such data may be indicative of insufficient attention to a patient’s safety during the surgery.  Key words. Non-technical skills, scrub nurse, scrub nurse’s skills

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Adams, W. E., O. J. Baylis, and S. G. Fraser. "Does the scrub nurse matter?" Eye 21, no. 1 (2006): 116–18. http://dx.doi.org/10.1038/sj.eye.6702421.

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Brooks, Vina Isach. "Memories of a scrub nurse." Annals of Thoracic Surgery 62, no. 2 (1996): 600. http://dx.doi.org/10.1016/0003-4975(96)00427-4.

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Radford, Eleanor J., and Theo Fotis. "The lived experiences of operating theatre scrub nurses learning technical scrub skills ‘I’m doing this right, aren’t I? Am I doing this right?’." Journal of Perioperative Practice 28, no. 12 (2018): 355–61. http://dx.doi.org/10.1177/1750458918780159.

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Operating theatre scrub nurses (OTSNs) are not required to have undertaken a secondary or specialist post-registration theatre qualification to work in the operating theatre (OT) setting in the UK. From the systematic review there is only very limited literature or research in how technical scrub skills are acquired. This study explores the lived experiences of OTSNs learning technical scrub skills. The study employed the qualitative methodology of interpretative phenomenological analysis. Data was collected from six participating OTSNs using semi-structured interviews. Four superordinate themes emerged: How technical scrub skills are established, Gatekeepers, How the learner feels whilst learning and, Reflections of the experienced scrub nurse. The study found that the experiences of OTSNs learning technical scrub skills are varied and a variety of teaching and learning methods are utilised. These experiences were influenced by the team, mentor and surgeon within the OT environment. Lived experiences were also influenced by organisational structure and service pressures within the NHS.

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Jacob, Mithun George, Yu-Ting Li, George A. Akingba, and Juan P. Wachs. "Collaboration with a robotic scrub nurse." Communications of the ACM 56, no. 5 (2013): 68–75. http://dx.doi.org/10.1145/2447976.2447993.

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Takashima, Kazuto, Hiromichi Nakashima, Toshiharu Mukai, and Shuji Hayashi. "Scrub Nurse Robot for Laparoscopic Surgery." Advanced Robotics 22, no. 13-14 (2008): 1585–601. http://dx.doi.org/10.1163/156855308x360884.

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Clari, Marco, Giacomo Garzaro, Matteo Di Maso, et al. "Upper Limb Work-Related Musculoskeletal Disorders in Operating Room Nurses: A Multicenter Cross-Sectional Study." International Journal of Environmental Research and Public Health 16, no. 16 (2019): 2844. http://dx.doi.org/10.3390/ijerph16162844.

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This study aimed to evaluate the association between personal and job characteristics and the risk of upper limb work-related musculoskeletal disorders (WMSDs) among operating room nurses (ORNs). To this end, we collected data from 148 ORNs working at 8 Italian hospitals and measured any upper limb disabilities experienced in the previous year using the Italian version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. The associations between personal and job characteristics and risk of upper limb WMSDs were estimated by unconditional logistic regression models. The prevalence of upper limb WMSDs was 45.9%. Multivariate analysis showed the “female gender” and “monthly hours spent working as a scrub nurse” to be directly associated with a higher DASH score (adjusted OR for gender = 5.37, 95% CI: 1.65–17.51, p < 0.01; adjusted OR for monthly hours as scrub nurse = 3.09, 95% CI: 1.33–7.19, p < 0.01). Overall, our findings indicate that a full-time job (>120 h/month) as a scrub nurse significantly increases the risk of developing upper limb WMSDs among female ORNs. Thus, to reduce such risk in this particularly sensitive population, we recommend urgent implementation of ergonomic interventions on surgical equipment alongside job rotation and medical surveillance programs.

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Perin, Benji. "A Med Student Thanks the Scrub Nurse." AJN, American Journal of Nursing 115, no. 7 (2015): 37. http://dx.doi.org/10.1097/01.naj.0000467276.28694.9a.

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-Racel Casanova Eviota, Jo. "Ever thought about being a scrub nurse?" Nursing Standard 36, no. 12 (2021): 71–72. http://dx.doi.org/10.7748/ns.36.12.71.s24.

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Miyawaki, F., K. Masamune, S. Suzuki, K. Yoshimitsu, and J. Vain. "Scrub Nurse Robot System—Intraoperative Motion Analysis of a Scrub Nurse and Timed-Automata-Based Model for Surgery." IEEE Transactions on Industrial Electronics 52, no. 5 (2005): 1227–35. http://dx.doi.org/10.1109/tie.2005.855692.

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Glaser, Bernhard, Tobias Schellenberg, Juliane Neumann, et al. "Measuring and evaluating standardization of scrub nurse instrument table setups: a multi-center study." International Journal of Computer Assisted Radiology and Surgery 17, no. 3 (2022): 479–85. http://dx.doi.org/10.1007/s11548-021-02556-1.

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Abstract Objectives In-depth knowledge about surgical processes is a crucial prerequisite for future systems in operating rooms and the advancement of standards and patient safety in surgery. A holistic approach is required, but research in the field of surgical instrument tables, standardized instrument setups and involved personnel, such as nurses, is sparse in general. The goal of this study is to evaluate whether there is an existing standard within clinics for an instrument table setup. We also evaluate to which extent it is known to the personnel and whether it is accepted. Materials and Methods The study makes use of the Nosco Trainer, a scrub nurse training and simulation system developed to analyze various aspects of the workplace of scrub nurses. The system contains a virtual instrument table, which is used to perform and record instrument table setups. We introduce a metric which delivers a measurable score for the similarity of surgical instrument table setups. The study is complemented with a questionnaire covering related aspects. Results Fifteen scrub nurses of the Otolaryngology departments at three clinics in Germany and Switzerland performed a table setup for a Functional Endoscopic Sinus Surgery intervention and completed the questionnaire. The analysis of the developed metric with a leave one out cross-validation correctly allocated 14 of the 15 participants to their clinic. Discussion In contrast to the identified similarities of table setups within clinics with the collected data, only a third of the participants confirmed in the questionnaire that there is an existing table setup standard for Functional Endoscopic Sinus Surgery interventions in their facility, but almost three quarters would support a written standard and acknowledge its possible benefits for trainees and new entrants in the operating room. Conclusions The structured analysis of the surgical instrument table using a data-driven metric for comparison is a novel approach to gain deeper knowledge about intra-operative processes. The insights can contribute to patient safety by improving the workflow between surgeon and scrub nurse and also open the way for goal-oriented standardization.

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YOSHIMITSU, Kitaro, Fujio MIYAWAKI, Teruyoshi SADAHIRO, Kentarou OHNUMA, Daijo HASHIMOTO, and Ken MASAMUNE. "Development of Scrub Nurse Robot for Laparoscopic Surgery." Transactions of the Society of Instrument and Control Engineers 43, no. 7 (2007): 589–98. http://dx.doi.org/10.9746/ve.sicetr1965.43.589.

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Satkunanantham, Mala, and Sreedharan Sechachalam. "A hands-on microsurgery course for nurses." Archives of Plastic Surgery 48, no. 3 (2021): 305–9. http://dx.doi.org/10.5999/aps.2020.01893.

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Microsurgical procedures are time-consuming and sometimes fatigue-inducing. However, a skilled assistant and scrub nurse can help surgery be performed more smoothly and rapidly. Three microsurgical simulation courses were held for perioperative nurses at our institution. Each course consisted of two lectures and two practice microsurgical sessions, and was evaluated with a post-course survey. The respondents all felt that their knowledge of microsurgical instruments, sutures, microscope set-up, and microsurgical skills had improved following the course. Many felt that their ability to predict what the surgeon would request during a microsurgical case improved, and that they were able to handle instruments and sutures better. The nurses also reported improved confidence in assisting with microsurgical procedures and tolerance of the long operative time in some microsurgical cases. Based on our experience, a basic microsurgery course for nurses can play a significant role in training effective and competent microsurgical scrub nurses.

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Wahyuningsri, Wahyuningsri, GM Sindarti, and Irawan Irawan. "The Performance of Scrub Nurse In Implementing Hernioraphy Herniotomi Operation Management (HTHR) In Central Surgical Instalance RSUD Kanjuruhan Kepanuren." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 4, no. 2 (2017): 174–80. http://dx.doi.org/10.26699/jnk.v4i2.art.p174-180.

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Nurse instrument is professional nursing personnel who is given authority and responsibility in the management of surgical instruments of any type of surgery, has the task of covering before, during, and after surgery action. The absence of SOP (Standart OperationalProcedure) makes every action only based on the experience and habits of each surgical operator. The purpose of this study is to determine the performance of nurses in implementing instrument management tools in a kind of herniotomic herniospheric instrument operation management at central surgical installation of Kanjuruhan Kepanjen Hospital. The research design used is descriptive observative. A population of 30 nurses at a central surgical installation. The number of samples used in this study is 10 nurses of instrument according to the inclusion criteria in charge. In operating room for herniotomic hernioraphy (HTHR) surgery. Sampling technique used is Total Sampling. Taking data by observation with check list. The result of research on the performance of nurse instrument in implementing the management of Herniotomic Herniospheric operation tool before and during the 100% surgical action not yet comply with the SOP (Standart OperationalProcedure), the performance of the instrument nurse after surgery is 100% appropriated. Further research recommendations are expected to continue research on the performance of nurse instruments on others types of operations for all nurses assigned to operating rooms.

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Omojola, Akintayo, Michael Akpochafor, and Samuel Adeneye. "A Simulation Study With Electronic Dosimeter to Estimate Patient and Personnel Dose in Orthopedic Surgery." Journal of Research in Orthopedic Science 7, no. 2 (2020): 61–66. http://dx.doi.org/10.32598/jrosj.7.2.667.1.

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Background: The use of mini C-arm is required in many orthopedic surgeries as an image-guided tool. Studies have shown an unnecessarily high dose to patients if exposures are not properly optimized. Also, scatter radiation to personnel may increase the risk of cancer if an appropriate protective device is not used. Objectives: This study aims to determine the patient’s dose and scatter radiation to the surgeon, anesthetist, and scrub nurse. Also, a comparison will be made with other studies on this topic. Methods: A phantom was designed to simulate a patient on the operating table to produce scatter radiation. In the same vein, a mobile mini C-arm unit was positioned with the x-ray tube beneath the head and the image receptor above the operating table. Measurements were made with a measuring tape from the central axis to the position of the surgeon, anesthetist, and scrub nurse. The Entrance Surface Dose (ESD) was determined by placing the electronic dosimeter at the surface of the phantom to estimate the patient dose. Similarly, each personnel dose/dose rate from the central axis was determined using a similar detector. Results: The total average time for most orthopedic surgeries in the studied facility was 3.3 minutes. The estimated ESD to the patient was 25.03 µSv and the scatter radiation per patient reaching the simulated anesthetist, scrub nurse, and surgeon was, 3.75, 3.59, and 7.72 µSv, respectively. The estimated dose values per year to anesthetist, scrub nurse, and surgeon were 390, 373.36, and 802 µSv, respectively. Conclusion: The personnel recommended limit dose rate was <20000 µSv/y. The technical factor used and total exposure time from this study could have affected the radiation dose. This study showed that personnel was safe even without the use of lead apron. Nevertheless, the use of an appropriate protective device should be encouraged to ensure safety.

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Perez-Vidal, C., E. Carpintero, N. Garcia-Aracil, et al. "Steps in the development of a robotic scrub nurse." Robotics and Autonomous Systems 60, no. 6 (2012): 901–11. http://dx.doi.org/10.1016/j.robot.2012.01.005.

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Yoshimitsu, Kitaro, Takashi Tanaka, Kentarou Ohnuma, Fujio Miyawaki, Daijo Hashimoto, and Ken Masamune. "Prototype development of scrub nurse robot for laparoscopic surgery." International Congress Series 1281 (May 2005): 845–50. http://dx.doi.org/10.1016/j.ics.2005.03.346.

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O'Neale, Mary. "Private scrub nurse credentialing; role of the registered nurse first assistant; needle count omissions." AORN Journal 55, no. 6 (1992): 1575–78. http://dx.doi.org/10.1016/s0001-2092(07)66597-1.

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Gerbrands, A., A. Albayrak, and G. Kazemier. "Ergonomic evaluation of the work area of the scrub nurse." Minimally Invasive Therapy & Allied Technologies 13, no. 3 (2004): 142–46. http://dx.doi.org/10.1080/13645700410033184.

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Srivastava, Shilpi, and Neetu Verma. "Operating room challenges for the scrub nurse during renal transplantation." Indian Journal of Transplantation 10, no. 4 (2016): 107–8. http://dx.doi.org/10.1016/j.ijt.2016.09.068.

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Mitchell, Lucy, and Rhona Flin. "Non-technical skills of the operating theatre scrub nurse: literature review." Journal of Advanced Nursing 63, no. 1 (2008): 15–24. http://dx.doi.org/10.1111/j.1365-2648.2008.04695.x.

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Lee, Heajoo, and Su Kyoung An. "A Comparative Analysis of Thermal Comfort Properties for Nurse Scrub Jackets." AATCC Journal of Research 5, no. 2 (2018): 35–39. http://dx.doi.org/10.14504/ajr.5.2.4.

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Madder, Ryan D., Andrew LaCombe, Stacie VanOosterhout, et al. "Radiation Exposure Among Scrub Technologists and Nurse Circulators During Cardiac Catheterization." JACC: Cardiovascular Interventions 11, no. 2 (2018): 206–12. http://dx.doi.org/10.1016/j.jcin.2017.07.026.

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Espinosa, Carlos Iván, Arantzazu L. Luzuriaga, Marcelino de la Cruz, and Adrián Escudero. "Climate and grazing control nurse effects in an Ecuadorian dry shrubby community." Journal of Tropical Ecology 30, no. 1 (2013): 23–32. http://dx.doi.org/10.1017/s0266467413000692.

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Abstract:Positive plant interactions have strong effects on plant diversity at several spatial scales, expanding species distribution under stressful conditions. We evaluated the joint effect of climate and grazing on the nurse effect of Croton wagneri, by monitoring several community attributes at two spatial scales: microhabitat and plant community. Two very close locations that only differed in grazing intensity were surveyed in an Ecuadorian dry scrub ecosystem. At each location, two 30 × 30-m plots were established at four altitudinal levels (1500, 2630, 1959 and 2100 m asl) and 40 microsites were surveyed in each plot. Croton wagneri acted as community hubs, increasing species richness and plant cover at both scales. Beneath nurses mean richness and cover values were 3.4 and 21.9%, and in open areas 2.3 and 4.5%, respectively. Magnitude of nurse effect was dependent on climate and grazing conditions. In ungrazed locations, cover increased and diversity reduced with altitude, while grazed locations showed the opposite trend. In ungrazed plots the interactions shifted from positive to negative with altitude, in grazed locations interactions remained positive. We conclude that the nurse effect is a key mechanism regulating community properties not only at microsite but also at the entire community scale.

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Bernthal, Liz. "Two Gloves or Not Two Gloves: That is the Question." British Journal of Perioperative Nursing (United Kingdom) 10, no. 2 (2000): 103–7. http://dx.doi.org/10.1177/175045890001000201.

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Surgical gloves were first introduced in 1889, when Halstead wanted to protect his scrub nurse from dermatitis caused by contact with mercuric chloride (Dodds et al 1990). The use of gloves then became more widespread, principally to protect surgical teams whilst operating on infected patients (Dodds et al 1990). Later, focus changed to protecting the wound from microbial contamination (McLoed 1989).

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Kvaternik, Morena, Pavica Stanisic, and Miroslav Krpan. "Transcatheter aortic valve implantation – role of the scrub nurse and radiology technician." Cardiologia Croatica 11, no. 3-4 (2016): 134. http://dx.doi.org/10.15836/ccar2016.134.

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Santanelli di Pompeo, F., M. Sorotos, V. Amorosi, et al. "EURAPS Editorial 2019: “Bisturi, please” said the surgeon to the scrub nurse." Journal of Plastic, Reconstructive & Aesthetic Surgery 72, no. 12 (2019): 1875–79. http://dx.doi.org/10.1016/j.bjps.2019.08.010.

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YOSHIMITSU, Kitaro, Fujio MIYAWAKI, Teruyoshi SADAHIRO, Kentarou OHNUMA, Daijo HASHIMOTO, and Ken MASAMUNE. "2A1-A20 Development of Scrub Nurse Robot for Laparoscopic Surgery : Second report." Proceedings of JSME annual Conference on Robotics and Mechatronics (Robomec) 2006 (2006): _2A1—A20_1—_2A1—A20_2. http://dx.doi.org/10.1299/jsmermd.2006._2a1-a20_1.

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Hara, Kentaro, Tamotsu Kuroki, Masashi Fukuda, et al. "Effects of Simulation-based Scrub Nurse Education for Novice Nurses in the Operating Room: A Longitudinal Study." Clinical Simulation in Nursing 62 (January 2022): 12–19. http://dx.doi.org/10.1016/j.ecns.2021.09.007.

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D'lima, D., M. Sacks, W. Blackman, and J. Benn. "Surgical Swab Counting: A Qualitative Analysis from the Perspective of the Scrub Nurse." Journal of Perioperative Practice 24, no. 5 (2014): 103–11. http://dx.doi.org/10.1177/175045891402400503.

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Unger, Michael, David Black, Nele M. Fischer, Thomas Neumuth, and Bernhard Glaser. "Design and evaluation of an eye tracking support system for the scrub nurse." International Journal of Medical Robotics and Computer Assisted Surgery 15, no. 1 (2018): e1954. http://dx.doi.org/10.1002/rcs.1954.

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INOUE, Yoshiyuki, Hiroshi KAWAHIRA, Yoshihiro SHIMOMURA, Yoshiko TAKAKU, Hisanaga HORIE, and Naohiro SATA. "Acceptability of Wearable Chair Use of Scrub Nurse for Laparoscopic and Open Surgery." Japanese Journal of Ergonomics 56, no. 5 (2020): 165–69. http://dx.doi.org/10.5100/jje.56.165.

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Kim, Jong Bin, Jaehoon Lee, and Kihyuk Park. "Radiation hazards to vascular surgeon and scrub nurse in mobile fluoroscopy equipped hybrid vascular room." Annals of Surgical Treatment and Research 92, no. 3 (2017): 156. http://dx.doi.org/10.4174/astr.2017.92.3.156.

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McNeil, Shelly A., Lisbeth Nordstrom‐Lerner, Preeti N. Malani, Marcus Zervos, and Carol A. Kauffman. "Outbreak of Sternal Surgical Site Infections Due toPseudomonas aeruginosaTraced to a Scrub Nurse with Onychomycosis." Clinical Infectious Diseases 33, no. 3 (2001): 317–23. http://dx.doi.org/10.1086/321890.

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Kaidi, Austin C., Bradley T. Hammoor, Jakub Tatka, Alexander L. Neuwirth, William N. Levine, and Thomas R. Hickernell. "Intraoperative Scrub Nurse Handoffs Are Associated With Increased Operative Times for Total Joint Arthroplasty Patients." Arthroplasty Today 10 (August 2021): 35–40. http://dx.doi.org/10.1016/j.artd.2021.05.009.

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Rechav Ben-Natan, Alma, Nitin Agarwal, Saman Shabani, et al. "Use of an exoscope for enhanced visualization of a Schwab grade 5 osteotomy to correct kyphotic deformity." Neurosurgical Focus: Video 6, no. 1 (2022): V19. http://dx.doi.org/10.3171/2021.10.focvid21190.

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The development of the 3D exoscope has advanced intraoperative visualization by providing access to visual corridors that were previously difficult to obtain or maintain with traditional operating microscopes. Favorable ergonomics, maneuverability, and increased potential for instruction provide utility in a large range of procedures. Here, the authors demonstrate the exoscope system in a patient with progressive thoracolumbar junctional kyphosis with bony retropulsion of a T12–L1 fracture requiring a Schwab grade 5 osteotomy and fusion. The utilization of the exoscope provides visual access to the ventrolateral dura for the entire surgical team (surgeons, learners, and scrub nurse). The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID21190

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Godzik, Jakub, George M. Mastorakos, Gautam Nayar, William D. Hunter, and Luis M. Tumialán. "Surgeon and staff radiation exposure in minimally invasive spinal surgery: prospective series using a personal dosimeter." Journal of Neurosurgery: Spine 32, no. 6 (2020): 817–23. http://dx.doi.org/10.3171/2019.11.spine19448.

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OBJECTIVEThe level of radiation awareness by surgeons and residents in spinal surgery does not match the ubiquity of fluoroscopy in operating rooms in the United States. The present method of monitoring radiation exposure may contribute to the current deficiency in radiation awareness. Current dosimeters involve a considerable lag from the time that the surgical team is exposed to radiation to the time that they are provided with that exposure data. The objective of the current study was to assess the feasibility of monitoring radiation exposure in operating room personnel during lateral transpsoas lumbar interbody fusion (LLIF) and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) procedures by using a wearable personal device with real-time feedback.METHODSOperating room staff participating in minimally invasive surgical procedures under a single surgeon during a 6-month period were prospectively enrolled in this study. All radiation dose exposures were recorded for each member of the surgical team (surgeon, assistant surgeon, scrub nurse, and circulating nurse) using a personal dosimeter (DoseAware). Radiation doses were recorded in microsieverts (μSv). Comparisons between groups were made using ANOVA with the Tukey post hoc test and Student t-test.RESULTSThirty-nine patients underwent interbody fusions: 25 underwent LLIF procedures (14 LLIF alone, 11 LLIF with percutaneous screw placement [PSP]) and 14 underwent MI-TLIF. For each operative scenario per spinal level, the surgeon experienced significantly higher (p < 0.035) average radiation exposure (LLIF: 167.9 μSv, LLIF+PSP: 424.2 μSv, MI-TLIF: 397.9 μSv) than other members of the team, followed by the assistant surgeon (LLIF: 149.7 μSv, LLIF+PSP: 242.3 μSv, MI-TLIF: 274.9 μSv). The scrub nurse (LLIF: 15.4 μSv, LLIF+PSP: 125.7 μSv, MI-TLIF: 183.0 μSv) and circulating nurse (LLIF: 1.2 μSv, LLIF+PSP: 9.2 μSv, MI-TLIF: 102.3 μSv) experienced significantly lower exposures. Radiation exposure was not correlated with the patient’s body mass index (p ≥ 0.233); however, it was positively correlated with increasing patient age (p ≤ 0.004).CONCLUSIONSReal-time monitoring of radiation exposure is currently feasible and shortens the time between exposure and the availability of information regarding that exposure. A shortened feedback loop that offers more reliable and immediate data would conceivably raise the level of concern for radiation exposure in spinal surgeries and could alter patterns of behavior, leading to decreased exposures. Further studies are ongoing to determine the effect of real-time dosimetry in spinal surgery.

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Moss, Rose. "Hair found in sterile packages; scrub attire; nurse staffing levels; OR air pressures; surgical coding tapes." AORN Journal 63, no. 2 (1996): 453–56. http://dx.doi.org/10.1016/s0001-2092(06)63235-3.

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Pertowski, C. A., R. C. Baron, B. A. Lasker, S. B. Werner, and W. R. Jarvis. "Nosocomial Outbreak of Candida albicans Sternal Wound Infections following Cardiac Surgery Traced to a Scrub Nurse." Journal of Infectious Diseases 172, no. 3 (1995): 817–22. http://dx.doi.org/10.1093/infdis/172.3.817.

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Hammoor, Bradley T., Austin C. Kaidi, Connor R. Crutchfield, et al. "Intraoperative Scrub Nurse Handoffs Are Associated with Increased Operative Times for Lower Extremity Orthopaedic Sports Procedures." Arthroscopy, Sports Medicine, and Rehabilitation 3, no. 4 (2021): e1105-e1112. http://dx.doi.org/10.1016/j.asmr.2021.03.016.

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Joseph, Anjali, David Neyens, Sahar Mihandoust, et al. "Impact of Surgical Table Orientation on Flow Disruptions and Movement Patterns during Pediatric Outpatient Surgeries." International Journal of Environmental Research and Public Health 18, no. 15 (2021): 8114. http://dx.doi.org/10.3390/ijerph18158114.

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(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.

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Marquez, Viviane J., and Edith B. Allen. "Ineffectiveness of Two Annual Legumes as Nurse Plants for Establishment of Artemisia californica in Coastal Sage Scrub." Restoration Ecology 4, no. 1 (1996): 42–50. http://dx.doi.org/10.1111/j.1526-100x.1996.tb00106.x.

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Rudnick, Judith R., Consuelo M. Beck-Sague, Roger L. Anderson, Barbara Schable, J. Michael Miller, and William R. Jarvis. "Gram-Negative Bacteremia in Open-Heart–Surgery Patients Traced to Probable Tap-Water Contamination of Pressure-Monitoring Equipment." Infection Control & Hospital Epidemiology 17, no. 5 (1996): 281–85. http://dx.doi.org/10.1086/647296.

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AbstractObjective: To determine the cause(s) of an outbreak of gram-negative bacteremia (GNB) in open-heart–surgery (OHS) patients at hospital A.Design: Case-control and cohort studies and an environmental survey.Results: Nine patients developed GNB with Enterobacter cloacae (6), Pseudomonas aeruginosa (5), Klebsiella pneumoniae (3), Serratia marcescens (2), or Klebsiella oxytoca (1) following OHS; five of nine patients had polymicrobial bacteremia. When the GNB patients were compared with randomly selected OHS patients, having had the first procedure of the day (8 of 9 versus 12 of 27, P=.02), longer cardiopulmonary bypass (median, 122 versus 83 minutes, P=.01) or cross-clamp times (median, 75 versus 42 minutes, P=.008), intraoperative dopamine infusion (9 of 9 versus 15 of 27, P=.01), or exposure to scrub nurse 6 (6 of 9 versus 4 of 27, P=.001) were identified as risk factors. When stratified by length of the procedure, only being the first procedure of the day and exposure to scrub nurse 6 remained significant. First procedures used pressure-monitoring equipment that was assembled before surgery and left open and uncovered overnight in the operating room, whereas other procedures used pressure-monitoring equipment assembled immediately before the procedure. At night, operating rooms were cleaned by maintenance personnel who used a disinfectant-water solution sprayed through a hose connected to an automatic diluting system. Observation of the use of this hose documented that this solution could have contacted and entered uncovered pressure-monitoring equipment left in the operating room. Water samples from the hose revealed no disinfectant, but grew P aeruginosa. The outbreak was terminated by setting up pressure-monitoring equipment immediately before the procedure and discontinuing use of the hose-disinfectant system.Conclusions: This outbreak most likely resulted from contamination of uncovered preassembled pressure-monitoring equipment by water from a malfunctioning spray disinfectant device. Pressure-monitoring equipment should be assembled immediately before use and protected from possible environmental contamination.

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Miyawaki, Fujio, Hiromi Namiki, and Kazuki Kano. "Development of Real-time Acquisition System of Intraoperative Information on Use of Surgical Instruments for Scrub Nurse Robot." IFAC Proceedings Volumes 44, no. 1 (2011): 9458–63. http://dx.doi.org/10.3182/20110828-6-it-1002.02917.

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Miyawaki, Fujio, Miho Suzuki, Aivo Anier, and Jüri Vain. "Integration of ‘Central’ and ‘Peripheral’ Nervous Systems in Scrub Nurse Robot and Comparison Between ‘Voluntary’ and ‘Reflex’ Movements." IFAC-PapersOnLine 52, no. 19 (2019): 229–34. http://dx.doi.org/10.1016/j.ifacol.2019.12.103.

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