1 - The Surgical Team

Abstract

This chapter discusses different aspects of a surgical team. A successful operation depends on the smooth, efficient performance of the surgical team. The team for routine operative procedures varies in number–;usually from five to seven people–;but the number increases when special machines are used requiring doctors and technicians, or when the presence of a cardiologist, pathologist, etc., is indicated. Some teams may include a sponge nurse who assists the suture nurse or scrub assistant. Others will not require the second assistant doctor. The qualities of an effective team are mutual trust, good communication between the members of the team, knowledge of procedures, and skill. The surgeon depends on the nursing team to provide the necessary instruments, equipment, and supplies, and he assumes that they know the way to use them and care for them. In addition, he expects the team to be well-organized and confident.