Organizational Structure : The Team Concept

Functions of the Surgical Team

• Performance of the operative procedure according to the needs of the patient.

• The primary decision maker regarding surgical technique to use during the procedure.

• May assist with positioning and prepping the patient or may delegate this task to other members of the team.

The SurgeonThe Surgeon

The First Assistant to the Surgeon• Amy be a resident, intern,

physician’s assistant or a perioperative nurse.

• Assists in retracting, hemostasis, suturing, and any other tasks requested by the surgeon to facilitate speed while maintaining quality during the procedure.

Anesthesiologist

• A physician who specializes in the administration and monitoring of anesthesia while maintaining the overall well-being of the patient.

The Nurse Anesthetist

• An advanced registered nurse practitioner who after additional training and certification in anesthesia may administer and monitor the anesthesia using the anesthesiologist as a consultant if necessary.

The Scrub Assistant

• May either be a nurse or a surgical technician.

• Responsible for assisting the surgeon and assistant with instrumentation, et-ups, suture presentation, sponges, etc, while maintaining the sterility of the surgical field through aseptic practices.

The Circulating Nurse

• Must be a registered nurse, who after additional education and training, is specialized in perioperative nursing practice.

• Responsible and accountable for all activities occurring during a surgical procedure, including but not limited to management of personnel, equipment, supplies, and the environment.

• Patient advocate, teacher, research consumer, leader and role model.

• May be responsible for monitoring the patient during local procedures.

Paraprofessionals

• Sterilization, rpocessing and distribution technicians.

• Orderlies / nursing assistants

• Environmental services personnel

• Clerical personnel

NURSING MANAGEMENT

Effective leadership / management involves an educational process.

• management is about people

Conceptual Overview

• Management or supervision can be described as the process of getting work done with and by others proficiently and within given constraints, such as budget or available human resources.

Role Definitions

WHO COULD BE A LEADER?

The word leadership can refer to:

• The process of leading.

• Those entities that perform one or more acts of leading.

• The ability to affect human behavior so as to accomplish a mission designated by the leader

The process of influencing others to achieve

organizational goals

Leadership

• Informal Leadership

• Formal Leadership