The Surgical Team | Surgeon, Anesthesiologist, First Assist, Scrub Nurse, & More

Does surgery sound sexy to you? Maybe you’ve been watching Grey’s Anatomy, House, or my favorite, Scrubs. Yet surgery isn’t just about the surgeon, but an entire healthcare team that ensures the patient is cared for when they’re under the knife. Let’s dive in on the different parts of the surgical team.
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TIME STAMPS:
00:39 - The Surgeon
03:12 - The Anesthesiologist
04:52 - The First Assist
05:40 - The Scrub Nurse
06:35 - The Circulating Nurse
07:37 - Medical Trainees
08:59 - Outside the Operating Room
LINKS FROM VIDEO:
Surgeon Stereotypes: • Doctor & Surgeon Stere...
#medicalschool #surgery #premed
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[@MedSchoolInsiders]

Thanks for watching! Which surgical team member do you want to be in the future? Let us know with a comment below!

[@naa3672]

Med School Insiders the surgeon!!

[@Shameless_Papist]

I love surgery for some reason. I'm a freshman in High school. I've been around a lot of primary care physicians, but primary care never seems to interest me as a career. When a family member was having surgery, I was more engaged with the clinicians on the service. If I chose to be a surgeon what will that say about me?

[@amenhika9771]

Can you do video about bs md program

[@amenhika9771]

Can you d” so you want to be general surgeon”

[@adhirajw]

ortho surgeon like my dad or plastic like u

[@what-gr1lt]

Cantankerous means bad-tempered, argumentative, and uncooperative. I googled the definition for all of us cuz I know 99.9% of us don’t know

[@empwron1]

His vocab is impressive

[@EmpressLilith222]

I knew because I’ve watched Pollyanna :)

[@ebonybliss6504]

In my country wen we say cantankerous it means the person loves a story or would pick a fight or argument for no reason.

[@notme5128]

Bruh i have a nigeran mom, of course ik what cantankerous means🙄🙄

[@e_nticing]

Hey thanks....it really helped...thanks for your time and effort.....

[@camicece]

Can you do “So you Want to Be An Anesthesiologists”? Please?

[@damir6536]

Bruh I’m in high school and I’m more motivated than I’ve ever been because I have the goal to be an anesthesiologist I’m a junior btw

[@II55555]

Yes plz

[@camicece]

Sansei: Same I’m a junior as well and I have plans to become one all the way to when I get out of residency

[@ryyllie]

yes please do this!

[@damir6536]

Cami Cece awesome we got this fr

[@user-qm1ru8ro3z]

This is so interesting! Greys anatomy doesn’t really give recognition to other positions, and makes surgeons look like they do every single thing. Thanks for the vid!

[@gwillis01]

the surgeon is the quarterback but the quarterback does not play alone.

[@MaxFeinsteinMD]

Anesthesiologists barely make an appearance in Grey's Anatomy haha. Last episode I watched featured a surgeon hanging a bag of blood in the OR, which would literally never happen lol

[@user-qm1ru8ro3z]

Max Feinstein, MD yeah and if they do show the anesthesiologist, all they’re doing is reading a newspaper...

[@armelamazic8751]

Watch Dr.romantic

[@youzawiggamudshark8174]

@@user-qm1ru8ro3z eating sandwiches, sleeping, planning vacation......seen it all😂

[@Froz0nPh0enix]

As a surgical tech I think it’s also important for people to know that the “surgical nurse” isn’t all to common as it’s the certified surgical technologist(CST) who does this. No one really knows who we are but we do so much in co-op with the surgical team

[@chimmy4258]

As a med student m gonna say u guys are the real HEROES

[@rosemarymoreo6943]

Surg techs are usually the one scrubbed in to assist the surgeon. Some hospitals have RNs as the scrub. I have been the scrub nurse and have been the circulating nurse working with techs. They do a great job. They are highly trained and very valuable.

[@ccoop3774]

I'm a RN, but I scrubbed and assisted too. I loved all of it!

[@KyleeErvin]

it’s usually a tech i’ve hardly seen nurses scrub unless a tech isn’t available

[@Froz0nPh0enix]

@@KyleeErvin yeah, I work with a few nurses who scrub when we’re short staffed but CST’s make the OR run smoothly!

[@eugenewong__]

please do a “so you want to be an anesthesiologist” video

[@II55555]

Yes plz

[@A__mzn]

Fax

[@malikaalibdat7079]

Everybody these days wants to be an anaesthesiologist. Including myself lol.

[@heartcomedy5]

Be patient. He can’t make 1,000 videos a week.

[@vandalking8341]

Yes yes YESSSS!

[@camryn9982]

Do so you want to be a anesthesiologists

[@MaxFeinsteinMD]

Agreed!

[@vandalking8341]

Yes yes YESSSS YESSSSSSSS!

[@cruzrosales6308]

Pleaseeeeeeeeeee

[@cherryhyukapuff]

I really need this PLSSSSS

[@gabrielle_sn9200]

He said that'll be coming out soon

[@Object1ve]

Surgery does but from the Anesthesiologist perspective. I love how anesthesia works and what needs to be done to keep the patient sleep, breathing, and when to wake them. Hoping to go to med school one day.

[@cruzrosales6308]

Me too

[@MaxFeinsteinMD]

You can do it!

[@AshriyaJaveed]

Me too!

[@futuredockey3695]

Agreed We Might be peers Or competitors one day.

[@MasterPandaBearChannel]

It's called weed

[@FluoGray]

I never though I could enjoy surgery before doing my surgical intership, now it’s all i can think about. I am obsessed.

[@lenny3577]

Hey could you please tell me some enjoyable things about doing surgery, I'm really interested in becoming a surgeon but I'm not sure if I'd be happy so if you gave me a new perspective I'd really appreciate it

[@VivyDC]

So do you wanna be a Zumba teacher?

[@missymanuel8717]

Lol this is so funny 🤣

[@chenalindelossantos967]

HAHAHAHAHAHA

[@notme5128]

Plot twist he was serious

[@A__mzn]

Please do “so you want to be an anesthesiologist “ video

[@dfballa22]

PA student here. The OR is an intriguing and unique experience that offers a world of nuances that requires adaptation. Once you get the hang of it, it's an extremely rewarding and fun time.

[@siyuliu5236]

I am a pharmacy intern work in the OR pharmacy. I hand medications to CRNA, accept returns of the meds, compound IV medications, and deliver meds to PACU and Pre OP. The pharmacist verifies the order and checks everything I do. Great video!

[@jheeldhruv6191]

Can u do a cardiac surgeon video

[@heartcomedy5]

Check out Dr. Antonio Webb’s video of a cardiothoracic surgeon. Just search up Dr. Antonio Webb Cardiothoracic Surgeon.

[@Ashweee.]

Gotta say, in the operating room where I work, the anesthesiologists are considered the ‘first in command’. The surgeon may have recruited the patient for surgery but it’s the anesthesiologist that gives the final go ahead that the patient is healthy/stable enough to be operated on at this time; at least for elective surgeries. Also for urgent/emergency surgeries, I’ve seen many cases where the patient is a medical trainwreck and way too unstable to be done at a regular mid-sized hospital, so the anesthesiologist makes the call to ship them to a larger centre with better support for critical patients. Just my observations from being a circulating nurse in the O.R. :)

[@parkmochimin891]

And I also know that the Anesthesiologist are the one who decides whether to open the OR or not 😅

[@parkmochimin891]

My first dream is to become a surgeon and now an anesthesiologist ☺️ but I can't so I choose perioperative nurse

[@ccoop3774]

You're correct. If the surgeon is the qb, the the MDA would be the coach.

[@jwill855]

That is correct Ashlee, the physician anesthesiologists (medical doctor/doctor of osteopathic) is first in command and have the final say if the surgery can proceed or surgery need to be cancel. There are two teams: Surgical Team & Anesthesia Team

[@gwillis01]

So the surgeon gets all the glamour like a quarterback on a football team but the surgeon needs the other team members just like the quarterback does.

[@subservientheart2780]

Can you please do a “So you want to be a psychiatrist” episode

[@deepanshu564]

Oh yeas🙏

[@Priya-rv7ji]

If possible, Would you be able to make a video for Anesthesiology with brief description? it would be highly helpful for students like me going for Anesthesiology.

[@cherry_XX]

7:29 I remember very well a case that happened in my country about a surgeon who forgot the scissors inside the patient's stomach

[@thegracklepeck]

Oh gosh. That had to be mortifying! I hope the patient was ok!

[@jegif]

Love these videos. This changed my perspective on anesthesiologists, they're pretty badass!

[@MaxFeinsteinMD]

Yes!!

[@AshriyaJaveed]

And I wanna be one 😃 I have always wanted to be one since I was able to talk...

[@abirkalai5688]

Anesthesiology for the win!!!!! Please Dr Jubbal, can you make an exclusive "so you want to be an anesthesiologist" (second year anesthesia and intensive care resident here)

[@carlarodriguez1350]

I just loved the way you went over it all and explained it all

[@DZ-wx7kw]

This is extremely helpful. I shadowed in thoracic surgery for a few weeks back in February and it would have been helpful to know this beforehand. I didn’t know exactly what the terminology was for much of this but I can recall everyone doing the different tasks now. Thank you so much!

[@Tiaxxxxxooooo]

How did you get to shadow a thoracic surgeon?

[@Rsg2971]

Can you please do a video about dental school vs medical school? It would be highly helpful for me to decide which one is the best for me, and it would helpful towards my friends who need some advice too.

[@podnuh]

Amazin . I show this video to all my new nursing students. It really highlights the importance of every member on the team!

[@tatianazapata5106]

Okay I really needed this, thank you so much

[@tonyf33]

This was a great video! I am even more excited to pursue my goal to become a anesthesiologist!

[@michaelab6070]

Came across this channel as I started rewatching Scrubs...I'm glad some people recognize its brilliance in the medical-themed shows.

[@kailaflemming72]

I love your videos and look forward to them every weekend !

[@henryfreeman6113]

I just looked at your subscriber count... woah! The channel has grown like crazy!!! Future congratulations on 900K!!!!!!!!!!!!!

[@TacoAmigo777]

Absolutely love this video. This was very reminiscent of my first time shadowing :D

[@timshady237]

Great and super informative video. Huge props to your animation team...if it’s one person, then enormous props lol

[@katelawson1406]

I watched this to prepare for my upcoming lung surgery. It’s good to know who will be in the room and what their roles are. Thanks for the info!

[@grahamduff7383]

Hope all went well with your surgery!

[@Marl0n_Ferreira]

Circulating nurse here, from Brazil. Great to see how it's like on other parts of the world 🌎 Amazing, keep on the professionalism!

[@flncs422]

I was just wondering about this the other day and then you make a video about it. Awesome vid

[@Joseph-ss2tx]

Awesome video! Can you do a video on the different types of surgeons (General surgeon, ENT, Orthopedic, Neurosurgeon) and what the training is like for each one?

[@MaxFeinsteinMD]

This is a great idea for a video! I've never seen the training for all the different surgical specialties concisely described

[@mikemavy3774]

It's so helpful knowing who else you'll work with

[@aurorarising1945]

Can you PLEASE do a “so you want to be a radiology” video!!!!? Plsssss there is not too much info on radiology in your channel

[@hinatashoyo3187]

And also about future of radiology...

[@phoniexstorm6218]

Your here too! Are you stalking me???

[@dracon501]

The words you will hear the most during a surgery are x ray/picture/image.

[@levibeam100]

I’d recommend Dr Cellini. He has multiple videos on the day in the life of a radiology residency

[@konnied4307]

yes about how machine learning will affect radiology

[@riz-anne8407]

This is excellent!

[@dpaper7962]

I want to be the Surgical First Assist! I am a Certified Sterile Processing Tech and working on becoming a Certified Surgical Technologist now. After that I will work on becoming a CSA and off to a First Assist! 😊

[@yosrbenmousa7344]

This is soo well done and helpful thank you !!

[@Julian-mr2zg]

When is the cardiothoracic surgeon video going to be released???

[@starlet5350]

Needed this really!!!!! Edit; Do a Cardiothoracist surgeon video please!

[@aididkhan1341]

You inspire me,man like always.Watching you from Bangladesh as a med student

[@Manofthewoods.]

Since i first watched this video ive become a surgical tech, love the videos!

[@MerengyQ]

You forgot about Anesthesia Technologiest “first assistants to the Anesthesiologist” , it’s essential to have him/her in the room for an efficient anesthesia, the physician can’t to it alone , thank you for this video it was amazing, all love from Saudia Arabia.💚

[@malikaalibdat7079]

Almost to 1 million! Congrats in advance 😄

[@lizbee8404]

i have wanted to be in the medical field since i was very little. i love helping others and i get a happiness seeing that i can make others feel better. i feel as if i would be a great doctor. i specifically as of a few years ago pin pointed my specialty as i want to become a cardiothoracic surgeon. i am currently about to turn 17 and i am enrolled in a healthcare science program at a new school this year helping to jumpstart me into the college setting as well as taking college classes to get half of my associates degree done by my senior year. i am currently overcoming a really large life situation right now. i have depression and anxiety but i am trying to make myself better. reminding myself every day that i can do this. i am capable of so much more. i can’t give up now. these videos are making me realize that i am a great fit for the medical field and i have so much passion for what i want to do. all i want to say is thank you. thank you so much for making these videos it has helped me reassure myself that i can do this! the medical field is challenging but i want to do it. i know i can do it and i am ready!

[@DabidRobinson]

This was really informative, I always wanted to work in the OR but I never did it

[@jasmineblack9291]

YES YES YES never been more happierrr thank u so much for uploading

[@joyofdigitalpainting8909]

Can it be any clear! 👏🏻👏🏻👏🏻 thanks for sharing it.

[@rumachaudhuri322]

Feel proud to have my Mom as an Anesthesiologist

[@norahfaqih4800]

Very informative, thank you 😍

[@ma.angellaboyles4806]

Please make "So do you want to be an Anesthesiologist" video. I really need to learn more about this one.

[@user-sj8ng1wy4h]

This is a great idea for a video...thank u

[@RhesusMedicine]

Thankfully, medicine is a team game! 🙏

[@fainanyu8960]

My daughter wants to be a doctor when she grows up she is watching almost everything about doctors

[@vladimyrhilaire3283]

Thank you for doing this video. I went to school to become a Surgical Tech and then became a First Assist. Now I'm pre-med. It's great work. Just not well known.

[@Tiaxxxxxooooo]

How old are you? I was going to do a ST program but I decided not to since I’m already a pre Med

[@ionebae9157]

​@@Tiaxxxxxooooo I would advise considering nursing. Becoming an RN is the same amount of schooling as becoming an ST, but you get higher pay and have a much, much wider scope of practice. If you're passionate about surgery and particularly scrubbing, you can still do that as an RN.

[@Tiaxxxxxooooo]

@@ionebae9157 I’m applying for medical school soon but thank you so much for the advice!

[@rasmuslaine8655]

Hey! Can you do a "So you want to be a cardiothoracic surgeon." Would be nice.

[@starlet5350]

I second this

[@Julian-mr2zg]

Its supposed to be released already, but maybe in the next weeks ¿?

[@barbie.anesthesia]

Great video and very informative to get an idea of the OR team. However a few additional essential members are missing from what I’ve observed personally that should be recognized as well. Just wanted to share since some are great entry level positions to get a feel of the OR as well before grad/med school. The anesthesia tech assisting the Anesthesiologist and CRNA or CAA during anesthesia perioperative care. Depending on the hospital, the CRNA/CAA will remain in place of the Anesthesiologist for majority (90%) of the surgery, while the Anesthesiologist is typically present for intubation/extubation, but again all Hosp vary. The surgical/OR tech actually handles the sterile tools/instruments before/during the operations, and is responsible with counting w/ scrub nurse before and after the procedures. The scrub nurse usually gets the larger assisting instruments if needed, and usually has the medications prepared for surgeons and places catheters in on the OR table after intubation. Also, perfusionist are present in cardiac surgeries. Lastly, I can’t remember the name of title, but there are those responsible for cleaning/restocking/transporting patients/setting up the OR rooms. The OR is a definitely a collective team effort and such an enjoyable experience.

[@Tiaxxxxxooooo]

Yup I am 24 and work the job of the last things you mention get no credit and overworked and kinda looked down on that’s why I only work per diem I’m finishing my pre reqs

[@MarsellaFyngold]

Yes! The people transporting the patients I believe are called porters, the operating room aide helps clean and sterilize the operating room itself and then outside of that there are sterilization technicians. Another one he forgot in this video is the imaging department. X-ray techs (in some places called radiographers) use x-ray via fluorography to image what's going on inside the patient during less invasive procedures. So basically anything short of an open heart surgery, you'd need an x-ray tech. Heck, even for just intubating the patient, depending on the type of tube, they'll call x-ray in for that too because it is possible to put the tube in too far and collapse a lung.

[@mr.morningstar9906]

Could you please do a "So you want to be an oncologist" video. Im dying to get some more info on it

[@JANOELCIRUJANO]

Thanks for this video! Hoy do you do the animations? Can you help me?

[@bdjenemndmndmndk7261]

If possible can you please do a video about internal medicine? It would be really helpful!

[@cookingwithpersianpapi9778]

This video is awesome 👍 ty

[@JennaChance-go6ip]

thank you for the informational video!!!!!!

[@jjwaters4037]

Your videos Are awesome 😎

[@komalivaka5764]

I'm First year medical student got motivated by your videos 😉 thanks

[@henryfreeman6113]

Good luck!! I just graduated high school... how’s the first year?????!! I’m anxious already for normal college....

[@jasminemesidor7629]

You should do a video like this but for the emergency room, great video btw

[@officialname9817]

Why don’t I remember any of this like I didn’t get warning sheets or anything or anyone talking to me just straight up surgery?

[@fatkanhidayatanggriawan4009]

So inspiring!

[@ixie2727]

10 seconds in and I already got chills. Stop it body!

[@Luke-fg2nr]

Just an FYI what you call scrub nurses aren't nurses we're scrub techs or surgical technologists. We don't go to nursing school nor do we study nursing philosophy when it comes to medicine.

[@sherryshurishhenderson6351]

Luke shut up please that’s a term that most doctors and rn calls surgical technologist just like they call them or techs they know we aren’t nurses okay stop being so anal 😂

[@Fictioning]

Thank you, as a person that doesn’t know much on the medical field yet I was confused by the wording lol

[@ccoop3774]

Some RNs scrub. I scrubbed, assisted and circulated. It kept things different.

[@ionebae9157]

Nowadays it is mostly surgical technologists who scrub, but it didn't used to be that way. Nurses used to be trained to circulate and scrub, and surgical technologists were less common. There are still lots of nurses in the OR who can do both, though hospitals seem less inclined to train nurses to scrub nowadays since they can pay surgical technologists less money to do the same job.

[@estercarrera6807]

Hi I was wondering if you could do a video for "So you want to be a Pediatric Surgeon"? You have taught me a lot about the medical world and encourage me to pursue a career in medicine :)

[@MrPianista24]

Hey med school insiders when will you tackle anesthesiology on "so you want to be series"? Thanks hoping to watch it soon :)

[@MaxFeinsteinMD]

I agree!

[@theAmazingParfait11]

3:00 uhh i can barely remember a time when the surgeon stays in the room (let alone by the pt's side) before extubation, lots yeet even before the first stitch lol

[@ccoop3774]

If they have a PA, the surgeon leaves after the muscle/fascia is closed.

[@Tiaxxxxxooooo]

I work in an OR but as the person who sets up the room and cleans it once a case is over but I’m a pre Med student I will become a surgeon 👩🏽‍⚕️ and the personalities in surgery can get to you for sure because people will try to look down on you because of your role but they always need help

[@ma_rty3243]

I would like to see something more about Medcial Tech or Biomedical engineering? Are they also in operating room at some casses? Like implanting mechanical hearth? Thanks a lot!

[@farhiya242]

I love this!!!!

[@sushiltamang2913]

Anesthesiologist don't just make patient go to sleep or make them comfortable.... They give perioperative intensive care...They look into and diagnose other disease the patient may have, accordingly formulate plan for anesthesia, and expect and manage complications during surgery, save patients at times....

[@mariaserrano2953]

I DREAM of being in the OR but honestly I kind of value my life outside of the hospital a lot too

[@Always-intentional]

Sooo you forgot to add the xray tech who does the imaging in the OR. But it's cool.

[@oopsywoopsy]

Great video! Though, I'm still waiting for you to mention the radiologic technologist. )':

[@PaulaKristiana]

For us in Latvia- we have the surgeons, the anesthesiologist, the ansetshetic nurse (gives the medication, do commands that the anesthesiologist gives them), scrub nurse and then nurses assistant(orderly I think) which I do at my hospital (Im also a medical student)- and my job is basically what the Circulating nurse does- open sterile packages, getting instruments that are needed in surgery, open needles, give NaCl , do XRays, attach all the cords( coagulation, laparascopic equipment, Liga Sure, USG etc) I also transport the patient in and out of the OR and I also clean after surgery. But we are not nurses and sometimes I feel our work is not noticed enough :(

[@Smart_Chick_]

kevin: Anesthesiologists are second in command" Me, An anesthesiologist: "And I took that personally...😑 Anyways, great video😄

[@saritamini]

Neat video! My role always gets a "who? what???" from patients when getting consent for surgery that requires me in there. I'm a neuromonitoring tech 🤷 they never know who I am. I understand though my position is always put in the back seat for everything lol I am a "visitor" to every place I go to.

[@Ray-mz4hd]

Sarita Mini omg love our neuromonitoring techs y’all really are so under appreciated

[@ayodejiibuola8457]

Cam you pls do 'so you want to become an anesthesiologist'

[@AnalyseAB]

Great video.

[@stonersiren]

completely unrelated but the redhead patient in the beginning is so cutely drawn, it made me wonder who animates these videos!! couldn't find it in the description, so can anyone help me out?

[@davidkramer984]

I 2nd the idea of an anesthesiologist video All through my high school years I was prepping for a medical career I have had a few medical certifications for positions within my decade after graduating high school All though my luck has had me end up with either a nurse style position or somehow towards healthcare management like my current associates degree I obtained last year. All while never getting any closer to my aspiring anesthesiologist job. I can't seem to find the right healthcare education path that'll lead me into medical school where I can later on begin my residency and internship education portion.

[@erwingarcia3897]

Can you do a video about the path for an IMG in residency?

[@chimmy4258]

Plz do a video on ob/gyn and the pros and cons of it

[@ridgwayrockstars1686]

As a scrub, I kind of think the description of what we do was a bit off. Yes, I’ll pass instruments and set up the case, but often, I’m also assisting, retracting, and a host of other things. In my role as a rep, I spend most of my time with the scrub helping set up and in the basement doing paperwork. Luckily, the surgeon I work with in that capacity has way more knowledge about the product than I do! Every role is important and fills a niche that others are unable to fill. I love the OR. The days are long and can be crazy, but it really is my happy place.

[@panchalsuresh3627]

There are good opportunities to become anesthesiologist in future as if it's the part of surgical room who's probably important for the patient

[@arlenhatake]

In Germany, there are two surgery nurses in the OR, one of them working sterile as the scrub nurse and the other working unsterile and taking care of everything around in the theater thats related to the surgical field. There is also an anesthesia nurse, who works together with the anesthesiologist to put the patient under, monitor the patient, take care of medication, and transfer them to the PACU after surgery, along with the anesthesiologist. Does the Circulating nurse do the job of our unsterile surgery nurse AND the anesthesia nurse? I´m reading a few papers in english language at the moment and wasnt´t sure if I understand this correctly. Can someone help?

[@liz-ik3lg]

i wanna be the anesthesiologist of the team! please do "so you want to be an anesthesiologist"!

[@MaxFeinsteinMD]

Yeah!

[@kscorner237]

Can you make a video on Medical oncology please I haven't seen you mention oncologists a lot and I'm really interested in this area of the medical field. Thank you

[@cherry_XX]

Can you make a video about all the topics that concern a female surgeon? Like the possibility of becoming a surgeon as a female, what it takes to prove yourself etc...

[@foggycraw6758]

Can you be pregnant and a med student/resident/surgeon?

[@cherry_XX]

@@foggycraw6758I think yes, it's all according to the country and the university

[@DorisTheChicken3013]

What about the CRNA? The anesthesiologist typically only there at the beginning & only sometimes at the end.

[@blessyponnachen9528]

Hi What software have you used to create this kind of animated video?

[@ionebae9157]

I work in outpatient surgery, and I can't remember the last time I saw a surgeon wait until extubation to leave - if there is a PA closing, the surgeon is usually out of there before the patient is even sutured up. It will vary from facility to facility, but where I work the anesthesia provider is usually a CRNA and only occasionally an MD. The scrub person is rarely an RN and usually a surgical technologist. Occasionally we have circulating nurses who are also trained to scrub, but I've never met an RN who only scrubs and doesn't circulate. Regarding the work of the circulating nurse, you missed a lot of the tasks that circulators do - the real work starts long before the patient enters the room. Getting the room ready, equipment set up, helping scrub tech open pans and supplies, looking over the patient's chart, doing baseline counts with scrub tech, making sure anesthesia has seen the patient, and pulling medications and supplies and dispensing them to the sterile field. Then you go meet the patient in pre-op, verify the consent, laterality where applicable, surgical site marking, allergies, NPO status, belongings, etc., before transporting the patient back to the OR. Circulating nurse is also primarily responsible for patient positioning, although it is usually a team effort especially for cases requiring more complicated positioning like prone or lateral, or if it is a high BMI patient. Sometimes an anesthesia tech or a second anesthesia provider will be in the room assisting with induction, but if not, it is the circulating nurse's job to assist for general or regional anesthesia cases. Once the case starts, in addition to documentation and running for supplies, we also receive specimens from the field, label and document them, and send them off to pathology. At the end of the case, we transport the patient to PACU with anesthesia and give handoff report to the PACU nurse. It can be exhausting and at times stressful, but when you have a good team, barring major complications, everything runs like clockwork and there is lots of fun to be had. A lot of surgeons, first assists, and scrub techs incorrectly believe that the circulator's primary role is assisting the surgical team, but actually our primary role is ensuring patient safety. Assisting the surgical team is merely a means to that end.

[@jadenscholzen1913]

Here in utah, pharmacy technicians can also be in the oporating room.