Nursing problems in the operating room

Nursing problems in the operating room. Scrubbing and field preparation procedures are short cut because of time constraints. interest group. The operating room (OR) is considered “one of the most complex work environments in health care” 98 (p. 2. Reducing Fear and Anxiety. Postoperative Phase. Its absence can quickly lead to misunderstandings, failed directives, and disruptions in workflow that negatively impact team function and, as a result Jan 14, 2022 · The inclusion criteria were having an associate degree or bachelor’s degree in surgical nursing, nursing, or anesthesiology for the operating room personnel and at least a Doctor of Medicine degree for the physicians, willingness to participate in the study, and having at least 3 months’ experience of work in operating rooms. Playing Music in the Operating Room. During the perioperative process of care, clinicians from several different disciplines care for patients in a simultaneous, real-time fashion. The intraoperative phase extends from the time the client is admitted to the operating room, to the time of anesthesia administration, performance of the surgical procedure and until the client is transported to the recovery room or postanesthesia care unit (PACU). May 3, 2021 · This demonstrates that nursing intervention in the operating room can help to reduce the infection rate at the patient's incision site, increase the level of surgical indicators, promote healing of the incision site as quickly as possible, and significantly improve the safety of clinical treatment. Surgery is a complex, high-risk medical field requiring precise coordination and execution from the surgical team. May 10, 2024 · Intraoperative Phase. As the number of office-based procedures in the plastic surgeon's practice increases, understanding and implementation of patient safety guidelines by the plastic surgeon is of increasing importance. Standards of nursing practice: operating room AORN J. The sample selection was based on purposeful sampling among surgical team members to the same surgical area in Spain. Effective teamwork in high-risk environments such as the OR relies on clear, concise, and comprehensible communication among members of the clinical care team. 58% of nurses have felt unsafe at work in the past year. Feb 1, 2019 · During these attempts, members of the nursing team recognised the gravity of the situation and even realised that a tracheostomy was needed but were unable speak up effectively, despite bringing the required equipment into the room. May 29, 2023 · Prevention of surgical errors aims to minimize mistakes and adverse events that may happen during the perioperative period. Accountable items – includes but are not limited to: Absorbent items including sponges, raytec swabs, patties, peanuts, strolls, cotton wool balls, prep Communication*. 8. Mar 30, 2023 · ABSTRACT. However, there is a lack of explorative research addressing what makes things go well and Nursing process provides the operating room nurse with a systematic method of giving both routine and individualized nursing care to pa tients experiencing surgical intervention. As more hospitals resume elective surgeries, operating room nurses play a critical role in ensuring patients receive stellar care. Why did you choose to be an operating room nurse? I chose to be a nurse because I wanted to work in healthcare and my aunt was a nurse who encouraged me to pursue the same path. among active patterns. Hospitals and specialty clinics are continuously seeking Sep 7, 2022 · Unfortunately, the reality of the operating room (OR) is that it is full of distractions, which can be broadly grouped into those arising from auditory sources, visual sources, or equipment failure/issues [ 1 ]. . A fundamental priority for health-care systems worldwide is to improve the health of the population and, in this regard, they are responsible for the distribution of health in the population (health equity) and they should be responsive to the needs of the population and deliver services efficiently. eliminating body wastes, •. Literature search. Methods This is a descriptive qualitative study. The Operating Room (OR) may be one of the most emotionally charged hospital environments, and is one requiring excellent team communications. Planning for surgeries to ensure staff have the tools for the planned procedure. Since the concept of excellence is complex and there are limited published Jul 21, 2023 · Definition. Communication in the health care setting is highly To determine the opinions of operating room nurses towards the Surgical Safety Checklist TR (SSC TR) and to determine applications for using SSC TR in operating rooms. The competency of the operating room (OR) nurse has a substantial impact on the effectiveness and quality of the surgical team’s treatment, still there is limited knowledge about OR nurse competencies in mobile surgical teams led to shortages of nurses, focused training of operating room personnel took place not only in hospitals but also on the battlefields. Important characteristics for successful management of complexity include adaptations and adaptive coordination when managing expected and unexpected events. This makes it difficult to evaluate the proposed optimization strategies. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. Clearly, the quality of surgical teamwork is not just a Nov 12, 2021 · Operating room nursing intervention (ORNI) is a novel nursing model that prevents stress reactions during the recovery period of general anesthesia. Recent studies point to distraction in the OR as one of the most important contributing factors in up to 50% of hospital errors [ 2 ]. You may improve your dependability and learn to rely on and trust your fellow nurses and medical staff, creating a great bond with your colleagues. 1%), while the lowest two were N95 masks (6. The nursing staff in the operating room at the lo View the full answer. Perioperative nursing encompasses a broad range of nursing duties related to the surgical management of patients. increase in surgical site infections (SSIs) according to Bedard et al. 4. virtual team. Feb 4, 2023 · Common Operating Room Nurse interview questions, how to answer them, and sample answers from a certified career coach. c. It is one of the areas that need nursing care the most since patients are dependent on their nurses to meet May 12, 2022 · Some studies reported that the PDCA circulation method was applied in the operating room, which could gradually find and solve the problems in the process of nursing management in the operating room through the four steps including planning, implementation, inspection, and treatment, so as to make the management of the operating room proceed Context, Scope, and Consequences to Problem . , 2015. 8 handoffs per case, with a range of one to seven Sep 29, 2021 · Operating room (OR) nurses participate in surgery teams with healthcare professionals such as surgeons, residents, anesthesiologists, anesthesia nurses, and radiologists. Setting and Sample. Urban areas pay OR nurses higher salaries, with academic medical centers paying more than community hospitals. Department of Education. [ 1, 2, 3 Pre-op procedures create issues that go unobserved before the surgery such as nicks and scratches in an area that had been shaved. May 26, 2023 · Positioning the patient is an important perioperative task; the recently updated AORN “Guideline for positioning the patient” provides perioperative personnel with background information and evidence-based best practices for perioperative patient positioning and focuses on maintaining patient and staff member safety. Jan 4, 2023 · Practice Essentials. May 23, 2022 · This study found that the top two self-protective behaviors for surgical smoke among operating room nurses were surgical masks (91. Evaluating patients during pre-surgery screenings and administering tests. Crew Resource Management originated from the observation of interactions between pilots in the cockpit. This continued until 1965 when the roles reversed and registered nurses assumed . The objective of the operating room nursing service is to provide highquality care for patients undergoing surgery, and to coordinate the functions of the nursing, surgical and anesthesia staffs. However, the exposure of the surgical team to a high level of stress may result in unethical behavior and undermine their pursuit of excellence. The required data Apr 25, 2020 · Below, we explore five completely avoidable issues that you may be experiencing in your operating rooms, and how hospitals across the world have chosen to address them. Through this problem-solv ing approach, nursing care needs can be identified, care can be planned and implemented, and outcomes of care can be evaluated. The numbers don’t lie. 1016/s0001-2092(07)63775-2. Apr 22, 2021 · Background Effective teamwork is critical for safe, high-quality care in the operating room (OR); however, teamwork interventions have not consistently resulted in the expected gains for patient safety or surgical culture. 3. d. Feb 27, 2023 · 1. 13 In recent years, although more intervention studies of operat-ing room refined nursing care have been carried out for patients undergoing lung cancer surgery, the effect on surgical-site infection at the surgical site of lung cancer is Oct 23, 2020 · The operating room (OR) is an area of special practical work for the surgical nursing course. Despite multiple suggested strategies for the optimization of workflow on the OR, its patients and (medical) staff, no uniform description of ‘optimization’ has been adopted. May 26, 2021 · Nurses are one of the most endeavored members of healthcare services. These activities include. Nursing staff average 2. 58% of nurses have felt frustrated with their patients. Overcome challenging tasks. Sep 24, 2023 · 2. Through this problem-solving approach, nursing care needs can be identified, care can be planned and implemented, and outcomes of care can be evaluated. Dec 2, 2019 · The Lean model has been used more to improve the quality of medical equipment in the operating room, and Six Sigma model always has been used to reduce the variance in the operating room processes through a set of process criteria and statistical analyses, in order to improve the efficiency and quality. Ideal and effective communication consists of a clear, audible, and focused message from a transmitter that is delivered to an attentive, undistracted receiver, and consists of both verbal and nonverbal types. It is a place of essential importance in the education of nursing students, and features a dynamic and high-risk working environment that requires effective teamwork for safe patient care. In an operating room, informatics nurses are the people making sure the right procedure matches the right staff member at the right time for the right patient. ”. One example of surgery on the incorrect site is operating on the wrong level of the spine, a surprisingly common issue for neurosurgeons. Traditionally, nursing and anesthesia staff have managed patient positioning and most safety issues in the operating room. Feb 3, 2023 · Becoming an operating room nurse can create the opportunity to create and maintain strong professional relationships. Jan 27, 2019 · As healthcare reform remains a hot topic, the public eye remains trained on patient safety and privacy issues and healthcare costs in and out of the OR. A computerised search of the Cochrane Library, PubMed, EMBASE, China National Knowledge Infrastructure (CNKI), VIP and Wanfang databases was conducted to identify studies on refined nursing interventions in the operating room for patients undergoing lung cancer surgery, from the inception of each database until July 2023. •. This includes the preoperative, intraoperative, and postoperative periods. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. 1 The worldwide growth in the prevalence of chronic diseases 2 places an Mar 6, 2015 · Patient Safety Awareness Week, being celebrated March 8-14, 2015, is an excellent time to review current practice and identify weaknesses that need to be addressed. In order to optimize OR teamwork in a targeted and evidence-based manner, it is first necessary to conduct a comprehensive, theory-informed assessment of barriers and May 10, 2024 · Transporting Patient to Operating Room. However, it is unclear how actively research is being conducted in this regard. Foucault could have been an operating room nurse. ”Perioperative nursing is truly one of the most rewarding professions in all of health care,” said Erin Kyle, DNP, RN, CNOR, NEA-BC, editor-in-chief of Operaring room traffic has been associated with a potential. Method. ABSTRACT: Ensuring patient safety in the operating room begins before the patient enters the operative suite and includes attention to all applicable types of preventable medical errors (including, for example, medication errors), but surgical errors are unique to this environment. Operating Rooms / standards*. Nowhere is this more important than in the operating room (OR), where perioperative professionals and infection preventionists can collaborate to determine knowledge gaps and ways to mitigate and eliminate risk of infection and Sep 13, 2022 · Nurses might be the closest thing we have to angels on earth; particularly an OR nurse, or an operating room nurse, who specializes in perioperative care for patients going into, receiving, and recovering from surgery. Surgical lists are tightly scheduled, so you will be expected to have all your equipment ready beforehand. February 17, 2021. Palliative surgeries aim to alleviate symptoms without necessarily curing the disease. Join us as we learn what it’s really like for nurses in the OR, from their typical job duties to the Feb 4, 2023 · Abstract. As for the factors that limit or hinder assistance in the operating room during anesthesia, nurses mainly highlighted the performance of simultaneous activities (72%), insufficient staff (57%) for the surgical demand, and lack of protocols (40%) of guidance for professional practice. One of the easiest steps to improve operating room utilization is to remind surgeons and their schedulers to release blocks they don’t plan on using. Playing music in the operating room has been a common practice for nearly 100 years. New technologies and devices are often introduced haphazardly into an already technologically complex environment. Training in healthcare team communication has largely focused on strategies to improve information transfer with less focus on interpersonal dynamics and emotional aspects of communication. Jul 8, 2022 · The average annual salary for OR nurses is $76,220, according to PayScale. Feb 4, 2022 · São Paulo-SP, Brazil, 2019. Operating room nursing is an under-researched area of nursing practice. Jul 21, 2020 · Finally, perioperative nursing journals (Journal of PeriAnesthesia Nursing; Journal of Perioperative Practice: AORN Journal; Journal of Perioperative Nursing in Australia; Perioperative Care and Operating Room Management) were screened for additional randomized controlled trials across the date range. In order to solve the problems of large trauma, many postoperative complications, and complex operation of artificial hip arthroplasty, a method to analyze the application effect of operating room nursing intervention in artificial hip arthroplasty was proposed. Oct 1, 1975 · Nursing process provides the operating room nurse with a systematic method of giving both routine and individualized nursing care to patients experiencing surgical intervention. In a ward such as the operating room (OR), many trauma, emergency, and even elective patients may be diagnosed with, suspected of, or asymptomatic to COVID-19. Here’s the best way to solve it. Standards of nursing practice: operating room. May 22, 2024 · To Relieve Symptoms or Pain. The present study aimed to investigate the experiences of operating room health care professionals' regarding the COVID-19 pandemic challenges in southern Iran. After Completing the chart and addressing all issues the Perioperative Nurse will the patient's autonomous decision about whether to undergo a surgical procedure; voluntary and written informed consent from the patient is necessary before nonemergent surgery can be performed to protect the patient from unsanctioned surgery; voluntary, adequate disclosure, in writing, before any psychoactive pre-meds Jun 21, 2022 · Abstract. There were three. Jun 5, 2015 · Step 3: Before the patient leaves the operating room - the nurse, anesthesiologist, and surgeon will verbally confirm the name of the procedure, availability of adequate instrumentation, sponge and needle counts, specimen labelling (if applicable), issues with equipment, and key concerns for recovery and management of this patient. Communication errors in perioperative services have been Mar 21, 2019 · Surgical Count: the process of counting any item that may however remote be retained in a patient during a surgical procedure. Jul 15, 2022 · Objective: Operating room nursing is conducive to the smooth operation and the improvement of surgical outcomes. doi: 10. task group. Apr 15, 2021 · The operating room is a complex environment in which distractions, interruptions and disruptions (DIDs) are frequent. The operating theatre nurses' experience of patient-related, intraoperative nursing care was described as procedures to create a continuous, confidence-based relationship and situation-related well-being; procedures to guarantee patient safety and well- being by keeping a watchful eye; and procedures to creating a secure environment that promotes wound healing, recovery and well -being. Apr 4, 2023 · Practice Essentials. problem - solving team. Humans. Learn what makes a good operating room nurse and the five must-have skills to transition into surgical Successful conflict resolution requires mutual respect among surgeons and anesthesiologists, careful listening, adherence to issues, recognition of differences and acknowledgment of the emotional aspects of the disagreement. 1% of RN nonfatal workplace injuries and illnesses, with the majority of these injuries being work-related musculoskeletal injuries/disorders (MSD), which is nursing in the operating room can reduce the incidence of nosocomial infection and improve nursing satisfaction. Method: This scoping review is based on the Jul 13, 2023 · The intraoperative period starts when the patient arrives at the operating room (OR) and ends when the patient gets transferred to the postoperative ward (Salazar Maya, 2022). 77% feel unsupported at work. Jobs for RNs in general are projected to grow faster than average, increasing 7% between 2019 Jan 31, 2023 · In a perioperative setting, capturing data must be completed efficiently, in a uniform way. While all areas of an organization require successful communication, the operating room is globally recognized as an area where communication failures can result in severe consequences (Espin et al. While only 61% of registered nurses (RNs) work in hospital settings, these nurses experience 74. I found that my compassion for taking care of others combined with my ability to multi-task was a great fit for Operating Room record if the paper form is used during computer downtime. S. It presents a formula for the successful application of LSS methodology to this problem and has proven a template for other service streams in the operating room. Just like other nursing specialties, working in the OR comes with pros and cons. An operating room nurse must have the same knowledge and skills as other registered nurses, but certain skills are even more invaluable during surgical procedures. PubMed. Jul 10, 2021 · Operating room nurses, as essential members of health care teams, often face ethical challenges in the operating room. A nurse gives an injection and bounces the needle resulting in a “double stick. May 19, 2020 · Background Clinical work in the operating room (OR) is considered challenging as it is complex, dynamic, and often time- and resource-constrained. Feb 1, 2008 · This study draws on Reason's definitions of active and latent errors to conceptualize the complex issues that affect patient safety in the operating room. 5. 159), with a reported mean of 4. Remind surgeons to request and release blocks in advance. Dec 1, 2023 · The nursing students were found to have low stress levels in operating room practice and to use the self-confident approach. Throughout the surgical experience the nurse functions as the Oct 14, 2021 · 2. Jan 23, 2008 · Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Wrong-site surgery may involve operating on the wrong side, as in the case of a patient who had the right side of her vulva removed when the cancerous lesion was on the left, or the incorrect body site. The Perioperative nurse will appropriately document the Care Plan 35. e. The inclusion criteria were surgical nurses, surgeons, and anaesthesiologists working in a perioperative setting having worked in the area for at least one year; voluntary participation in the study, and speaking Spanish. Anaphylactic reactions in the operating room (OR) present unique diagnostic concerns. necessary traffic and to reduce the SSI rates for the main operating room. Stated simply, the purpose of the OR is to provide patients with a suitable and safe environment for the performance of operative procedures. The Perioperative nurse will document the assessment of the Post-op Skin Condition 34. Operating rooms contain various risk factors related to applications, infrastructure and humans. Jul 18, 2018 · We have analysed the literature in a systematic manner and organised the identified papers into two groups: the papers that were published by scientific researchers and developed optimisation techniques and the papers that were published by practitioners and reported their observations of the current issues in the operating room. functional group. A single patient might be treated by five or more nurses, two or The operating room (OR) is an area in which surgical procedures are performed. Featured Image Credit: PennMedicine Princeton Health. The study reported here is part of an action research project at a university hospital in Iceland. breathing normally, •. However, whether ORNI can improve the psychological condition and reduce the incidence of emergence agitation in the recovery period of general anesthesia remains controversial. The profession of nursing is known to face workplace hazards and has high ergonomic demands resulting in occupational injury. Key points in the management of shock in the operating room (OR) include the following: Shock results from poor tissue perfusion and inadequate oxygenation. Send the completed chart with patient to operating room; attach surgical consent form and all laboratory reports and nurses’ records, noting any unusual last minute observations that may have a bearing on the anesthesia or surgery at the front of the chart in a prominent place. “A compassionate, caring personality is a big bonus for Theatre Nursing. Similarly, surgical procedures must be applied uniformly, with matching applicable coding. The provision of care according to the code of ethics is of the highest priority in operating rooms (OR). At first, registered nurses assumed the scrub role while operating room technicians performed in the circulating role. Methods: This descriptive and cross-sectional study was conducted with 102 nurses working in the operating rooms of a state hospital and a university hospital in the The OR nurse is also known as a surgical nurse or perioperative nurse who cares for a patient before, during, and after surgery, and they can circulate or scrub. February 23, 2022. 1. operating room (OR) environment are subject to infrequent but high-intensity visits. Operating rooms, on the other hand, require special caution and contain various hazards for healthcare professionals. The care in the OR involves high use of technology and is different than the care provided in other settings of the hospital. Fear and anxiety among perioperative clients is a common concern and can stem from the unknown nature of surgery, fear of pain, fear of anesthesia and its potential side effects, and worry about the outcome of the procedure. Sep 19, 2022 · Operating room nursing is a specialized field in which nurses provide quality care to patients before, during and after surgery. Subtypes of distributive shock include septic shock, neurogenic shock, and Nov 12, 2021 · Objectives: to analyze the work of the nursing team in the operating room and the physical, psychological, and social damage related to occupational health. Introduction. Apr 30, 2024 · Enhances learning and continuation of activity postoperatively. Dec 25, 2021 · Background The operating room nurses have encountered several challenges during the current COVID-19 Pandemic, which subsequently impact their clinical performance. Practice Guidelines as Topic*. eating and drinking adequately, •. Jul 29, 2019 · An ethnographic study focusing on operating room nursing underlines the significance of the operating room nurses´ skills to strike the right balance between technical skills and care skills, which requires the dual presence of technical flair and seeing patients as human beings . May 4, 2020 · Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U. The registered nurse in the operating room is responsible for providing nursing care to surgical patients. b. AREA #4 Closing Section 33. In the circulator and scrub role the assignment is obtained, the OR prepared, and the sterile field maintained. Feb 17, 2020 · Introduction. 1976 Oct;24(4):798-808. Jan 26, 2023 · Responsibilities for an operating room nurse include: Meeting with members of the medical staff to discuss patients and procedures. The postoperative phase of the surgical experience extends from the time the client is transferred to the recovery room or postanesthesia care unit (PACU) to the moment he or she is transported back to the surgical unit, discharged from the hospital until the follow-up care. It involves the care provided to patients before, during, and after surgery. Clinically, evidence-based nursing (EBN) has gradually replaced routine nursing as it is tailored to meet the nursing needs of patients. ORMIS : Operating Room Management System – computerised log. This quality improvement project aimed to reduce the amount of OR traffic to just. There is no study evaluating the stress levels and stress coping patterns of the nursing students in their first operating room experience. However, errors can occur at various stages of the surgical process, including during preoperative planning Aug 1, 1996 · Henderson listed 14 activities in her nursing theory that nurses could use to aid patients, and several of these nursing activities apply specifically to perioperative nursing practice. , 2020). Oct 10, 2022 · 83% feel their mental health has suffered. Explaining surgeries to patients or their families and Dec 14, 2007 · This study draws on Reason’s definitions of active and latent errors to conceptualize the complex issues that affect patient safety in the operating room. Dec 15, 2021 · In addition, nurses in the CCU, ICU, and emergency wards have been shown to experience more job stress and psychiatric problems during the COVID-19 period. Methods: quantitative study conducted Present-day operating rooms (ORs) are inefficient and overcrowded, and the turnover between cases is often lengthy and variable. Literature proposes numerous initiatives for optimization of the Operating Room (OR). The lowest rate in wearing N95 masks for operating room nurses might be because of the difficulty in Oct 7, 2018 · 5 Operating Room Nurse Interview Questions & Answers. By using the ethical experiences of operating room nurses, a better understanding of ethics in the operating room can be achieved, which can lead to better nursing decisions in the face of these challenges. In the circulating role the nurse reviews the patient, bring to OR, and May 27, 2020 · Introduction. Riley, Robin; Manias, Elizabeth. 60% have felt uncomfortable having to work outside of their comfort zone in the past year. In 2019, the highest paid 10% of RNs earned more than $111,200. Steps to prevent wrong-site, wrong-person, wrong-procedure Surgical ethics may provide an ethical alternative in a specific operating room context. It’s a high-energy discipline that requires both a strong understanding of interpersonal skills and technical skills. 0%) and laser masks (13. Mar 31, 2022 · However, there are three simple things to implement right now that will improve operating efficiency continuously. 8 handoffs per case. In this setting, signs and symptoms that alert the provider to a potential problem and that are apparent under other circumstances are often missing, as a consequence of the absence of an alert and communicative patient. May 16, 2021 · May 16, 2021 By admin Legal Issues, Life in the operating room, Perioperative Documentation, Perioperative Education, Perioperative Nursing Patient Advocacy Every healthcare provider, from the blue color worker whose primary responsibility is the maintenance of operating room suite furnishings, to the cardiac surgeon performing high risk The nursing staff in the operating room at the local hospital are an example of a ( n) a. 1%) and wall-mounted suction systems (67. Sep 9, 2021 · Perioperative Nursing: 2021 Practice Updates & Trends. It also might have special camera and lighting equipment for certain procedures. 2002-08-01. There are four types of shock: distributive, cardiogenic, hypovolemic, and obstructive. Aim: This study determines the direction of future research by identifying ethical issues experienced in the operating room. Perioperative nurses can expect to be key players in transforming both the perioperative environment and the healthcare system. Whenever a conflict arises in the operating room, following steps may be followed to resolve it. 61% feel unappreciated. Patient data and images are not well integrated or displayed in a timely fashion. 1. It typically contains an operating table, plenty of surgical supplies, sterile instruments, and special equipment. Several special handoff situations occur in certain hospital settings. The revised guideline Operating room and postanesthesia. 8%). Our aim was to synthesize research on the relationships between DIDs and (i) operative duration, (ii) team performance, (iii) individual performance and (iv) patient safety outcomes in order to better understand how Aug 2, 2023 · Background With the frequent occurrence of public health emergencies, conflicts and natural disasters around the world, mobile surgical teams are becoming more crucial. OR nurses must acquire knowledge related to surgical procedures, anesthesia, and patient’s medical conditions; adapt to the introduction of expensive high-tech equipment and Nov 18, 2021 · This results in more efficient use of nursing time to focus on clinical duties resulting in more OR nurse time to focus on the patient experience. Perioperative is used as an encompassing term to incorporate the three phases of the surgical patient’s experience. In this case, clear communication in the operating room (OR) prevented serious harm. The OR is designed to be a negative pressure room (air is pumped out). Firstly, 120 patients who underwent hip arthroplasty in our hospital from Jun 21, 2021 · Here are some examples of what to say: “A great Theatre Nurse should have excellent organisation and time management skills. yb sp pz gm ik yp ov cr mt lf