Circu Script

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CIRCULATING NURSE

 Good morning/ afternoon/ evening everyone! FINAL COUNT


 Excuse me Dr. (Surgeon), Dr. (Asst), Dr.
 Our patient is , (Anesthesiologist), and the rest of the team,
Name of PT
Final Counting of instruments, sponges, and
yrs old, , In for needles done and complete.
Age Sex
Final Count Time:
Procedure
under [with/without] Operation Started:
Anesthesia
Operation Ended:
Allergies, NPO from , HBsAG
[reactive/nonreactive]
Time of Induction:
Type of Anesthetic:
 Pre-op medications given (Name of drug,
dosage, and time). VITAL SIGNS MONITORING
• Time T P R SPO2 BP



 May I ask the surgical team members to kindly


introduce themselves and their roles?
a. Surgeon -
b. Assistant Surgeon -
c. Anesthesiologist -
d. Scrub Nurse -
e. Student Scrub Nurse -
f. Circulating Nurse -
g. Student Circulating Nurse -

 May I ask the surgeon for any patient-specific


concerns?
 May I ask the anesthesiologist for any patient-
specific concerns?
BASELINE COUNT
 Baseline Count for instruments, sponges, and
needles done.
Baseline Count Time:
 Let us now pray: (+)
God, the greatest Master of healing arts. Bless us Notes:
and guide us and make us your instruments in
alleviating the pains of your alling servants. Make
our eyes alert, our hands skillful and sensitive and fill
our mental faculties with keenes to make righteous
judgement so that others may live. Amen.

 You may begin.


Time of Incision:

INITIAL COUNT
 Excuse me Dr. (Surgeon), Dr. (Asst), Dr.
(Anesthesiologist), and the rest of the team,
Initial Counting of instruments, sponges, and
needles done and complete.
Initial Count Time:

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