Circulating Role

No.	Competency Item	NAC	DEV	COM	DTE	EXC
	Demonstrate knowledge and ability to perform circulating role in the preparation of the operating room theatre:
CM-03-01	prepare the room supplies and equipment for the specific operative procedure (includes special equipment, positioning devices, sutures, case cart, warming supplies, IV solutions, physician cards)
CM-03-02	notify all personnel who may be required for case i.e., pathologist, technicians
CM-03-03	ensure x-rays and diagnostic tests are available if required.
	Demonstrate ability to prepare client for the surgical procedure:
CM-03-04	assess client using pre-operative checklist
CM-03-05	transport client to the operating room
CM-03-06	receive client into the operating room and carry out appropriate checks
CM-03-07	position client safely on the operating room table
CM-03-08	apply safety and positioning devices as required
CM-03-09	reassure client and explain procedures
CM-03-10	apply monitor and equipment as required, i.e., ECG, BP, Pulse Oximetry, anesthetic equipment
CM-03-11	attach client to necessary equipment, i.e., tourniquet, drainage systems
CM-03-12	insert urinary catheter and set up drainage
CM-03-13	prepare irrigation solutions as necessary
CM-03-14	prepare operative site, according to specific surgery guidelines
CM-03-15	assist with draping and connection to suction, power tools, etc.
	Demonstrate ability to provide assistance during the operative procedure:
CM-03-16	prepare medication for administration to the client
CM-03-17	process all specimens by labeling and handling appropriately
CM-03-18	inspect all sterile items for contamination prior to opening
CM-03-19	inspect and open sterile supplies and hand to scrub personnel
CM-03-20	provide appropriate instruments and supplies as needed
CM-03-21	prepare supplies for sterilization
CM-03-22	document client care, specimens, sponge counts, medications used to operative site
CM-03-23	document blood loss, fluid output, and intake
CM-03-24	document any and all unusual incidents with appropriate follow up action
CM-03-25	monitor vital signs as appropriate
CM-03-26	ensure, along with a second individual, that all pre-op and closure counts are correct
CM-03-27	monitor sterile technique and maintain the same throughout the case
CM-03-28	provide continuous, astute observation of the surgical team throughout the operative phase while meeting their needs with minimal time delays
CM-03-29	monitor and evaluate the physical well-being of the client to prevent potential impairment or injury.
	Demonstrate ability to provide and assist with procedures and devices required to complete client care following the surgical procedure:
CM-03-30	observe and provide appropriate response to complications and unexpected events during the surgical procedure i.e., cardiac arrest, hypothermia
CM-03-31	assist in the physical client transfer and post-operative positioning
CM-03-32	affix and observe the dressing post-operatively ensuring that all drains are properly connected and secured
CM-03-33	complete operative record and have scrub personnel review.
	Demonstrate ability to provide support and assistance to ensure safety and efficiency:
CM-03-34	advocate for client
CM-03-35	ensure co-ordination of days list of surgical procedures i.e., sending for patient, surgeons availability, staffing, ensuring necessary equipment available
CM-03-36	apply standard precautions
CM-03-37	clean theatre between cases
CM-03-38	carry out appropriate surgical scrub procedures
CM-03-39	carry out safety checks, such as client identification and allergies
CM-03-40	check case cart and supplies for completeness
CM-03-41	ensure all equipment and instrumentation is in good repair and available
CM-03-42	trouble shoot equipment that malfunctions and seek assistance
CM-03-43	facilitates use of accessory surgical equipment
CM-03-44	recognizes an emergent situation and sends for assistance as required.