Intended for healthcare professionals

Student Education

A guide to “scrubbing in”

BMJ 2010; 341 doi: https://doi.org/10.1136/sbmj.c3274 (Published 20 August 2010) Cite this as: BMJ 2010;341:c3274
  1. David Alexander George, foundation year 1 doctor1,
  2. Moninder Bhabra, consultant cardiothoracic surgeon 2
  1. 1New Cross Hospital, Wolverhampton
  2. 2Heart and Lung Centre, New Cross Hospital, Wolverhampton

In the first of a two part series, these tips will take you from the staff room to gloving up

The first day on the surgical floor can be very intimidating: new strict rules, different clothing, and a maze of corridors can make medical students hesitant about their placement. This first part of a two part guide to “scrubbing in” aims to give you greater insight into the surgical floor and to set the scene in theatre, so you can enjoy and learn from the exciting atmosphere around you.

Members of the surgical team

You need to be aware of many individuals on the surgical floor (fig 1).1 You might initially find it difficult to tell various team members apart by appearance alone because they will all be dressed in identical scrubs.

Fig 1 Members of the surgical team and surgical equipment, and their positioning in theatre. Reproduced with permission from Merck & Co, Inc1

The theatre manager has the overall responsibility for the surgical floor. Introducing yourself to the theatre manager and explaining why you are there will improve your chances of getting involved with theatre activities right from the start.

The members of the surgical theatre staff include the theatre head nurse (also known as the scrub nurse, who is in charge of maintaining the sterile area around the patient), the circulating nurse (who opens the packages of instruments onto the table beside the theatre head nurse so that the contents remain sterile), the consultant surgeon and assisting surgeons (usually specialist registrars or senior house officers), the anaesthetist, and possibly a theatre practitioner or operating department practitioner (who provides surgical assistance). A radiologist or other specialist might be present, depending upon the nature of the surgery.

Removing outdoor clothing

Outdoor clothing carries an infection risk and must be removed before you enter …

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