During the presurgical procedures, you will
receive the patient, and prepare the surgical room. To
maintain asepsis in the surgical room, you may need to
take a number of special measures. The members of the
surgical team may wear sterile, disposable gowns over
their regular working uniforms, surgical caps, masks,
and hoods (if bearded). Scrub the patient's face and
drape the patient with sterile drapes. The dentist and
the scrub assistant (or other team member) must
perform a surgical scrub and put on sterile surgical
gloves and gowns before any oral surgery procedures
RECEIVING THE PATIENT
As the circulating assistant, you will receive the
patient once the surgical suite is prepared. Surgery
patients may be nervous or fearful; take special care
when receiving them.
Seat the patient and make them as comfortable as
possible. Direct the patient to loosen any tight clothing,
remove eyeglasses and any removable dentures. If the
patient has dentures, place them in a container of water
and put their eyeglasses in a safe place.
Before starting any surgical procedure, the
circulating assistant will take the patient's pulse and
blood pressure. The patient's vital signs will be
recorded on the EZ603.
The dentist will usually stand when performing
oral surgery. Position the dental chair so that the
patient's head is at the level of the dentist's elbow. If the
surgery is to be performed on the maxillary arch,
position the chair so that the patient's alatragus line is at
a 35° angle to the floor. For surgery on the mandibular
arch, position the chair so that the patient's alatragus
line is parallel with the floor.
PREPARING THE SURGICAL
After the patient has been seated, the circulating
assistant prepares the surgical room for the surgical
procedure. Arrange the instrument stand (Mayo stand)
with the following instruments and materials:
Patient scrub setup.
Surgical drape pack.
Two packs of disposable, sterile gloves.
A simple or complex surgical extraction pack,
plus any additional instruments or materials
requested by the dentist. Place the pack(s) on the
Mayo stand. Position the stand to the rear of the
dental chair so that the instruments are within
easy reach of the dentist and the scrub assistant.
Anesthesia pack (if one is not included in the
NOTE: Do not open any of the packs at this time.
Once the instruments and materials have been set
out, the circulating assistant gets ready to perform the
patient scrubbing procedures.
PATIENT SCRUBBING PROCEDURES
The circulating assistant scrubs the patient's face.
During the scrub procedure, take special care to see
that patients with facial hair, makeup, sores, or skin
infections are thoroughly cleansed. The scrubbing
procedures are as follows:
NOTE: The circulating assistant must wear gloves
when performing the following steps.
Place a hand towel on the patient's chest to keep
the patient's clothes from being stained. Tuck the
top of the towel inside the patient's collar. (Use
another hand towel if you need more coverage.)
Saturate two 4 x 4 sterile gauze sponges with the
surgical soap solution.
Use both sponges to scrub the patient's cheeks,
nose, and chin. Work up a good foaming lather
and be sure to scrub the area beneath the chin.
After 1 minute, discard the two sponges, then
with two new sponges, continue the scrub. The
entire process should take approximately 2
After the scrubbing procedure is completed, blot
the excess lather with a sterile towel.
SURGICAL TEAM SCRUBBING,
GLOVING, AND DRAPING
While the circulating assistant finishes preparing
the patient, the dentist and scrub assistant will prepare
for surgery. The circulating assistant will help the
other team members during the following procedures.
The dentist and the scrub assistant will perform the
same procedures, which requires an antimicrobial