Who’s On Your Surgical Care Team?

When you schedule a surgery at Bellin Orthopedic Surgery Center (BOSC), there are a lot of people who become involved with your care besides your OSMS physician and the nurses that work with him in the clinic. Some of them you will meet as you prepare for surgery or during your recovery. Others work behind the scenes in the operating room and administrative office. But all of them play an essential role in ensuring you have a positive surgical experience.

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Here are a few of the specific job duties that are vital to our team:

PrePARE Registered Nurses (RNs)

The PrePARE RNs main responsibility is to meet with patients and their families prior to surgery. They become the main contact person for patients prior to the day of surgery and are available to answer any questions. The PrePARE nurses must accomplish several tasks before a surgery can occur, including:

  • Obtaining preoperative testing (EKG, lab work)
  • Reviewing the patient’s health history and home medications
  • Screening the patients and obtaining physician clearance for surgery, if needed
  • Setting up follow up appointments and physical therapy appointments when necessary

As part of the BOSC Outpatient Joint Journey, patients who are having total joint replacements performed at the surgery center will work directly with the Total Joint Coordinator. The Total Joint Coordinator is a PrePARE nurse who helps patients through every step of the joint replacement process, including pre-surgery education and coordination of post-surgical care.

Pre- and Post-Operative RNs

Two types of nurses work with patients and families right before and right after a surgery. These are the pre- and post-operative RNs.

The main responsibilities of the pre-operative nurses include:

  • Preparing patients for surgery, both physically and mentally
  • Answering any questions that patients or their families may have
  • Conducting assessments
  • Taking and monitoring vital signs
  • Placing an IV
  • Preparing the operative site
  • Administering medications

The main responsibilities of the post-operative nurses include:

  • Monitoring patients closely during recovery
  • Frequently taking and monitoring vitals
  • Administering medications as needed
  • Educating the patient and family on discharge instructions

Operating Room (OR) RNs

Operating room nurses are not typically seen by the patient’s family, as these nurses are responsible for transporting the patient safely to and from surgery as well as continually monitoring the patient during surgery. And while the pre-operative nurses help prepare the patient before surgery, the OR nurses prepare the operating room. They are also available in the OR throughout the surgery to help keep things running smoothly.

Surgical Technicians

During surgery, the surgical technician is positioned right next to the surgeon, carefully assisting. Their responsibilities include:

  • Maintaining a sterile environment
  • Handing the needed equipment to the surgeon
  • Managing surgical equipment before and after the procedure

Anesthesiologists and Certified Registered Nurse Anesthesiologists (CRNA)

Anesthesiologists are physicians who specialize in the administration of anesthesia. Prior to surgery, the anesthesiologist is responsible for carefully reviewing the patient’s health history as well as explaining the anesthesia that will be used and answering any questions from the patient. During the operation, the anesthesiologist and the CRNA work together to maintain the patient’s safety using anesthetic agents. They are constantly monitoring the patient and administering medication as needed. Once the surgery is over, the anesthesia team ensures the patient is stable and assists with the transfer of the patient to the recovery room.

Sterile Processing

Sterile processing personnel are working behind the scenes to promote patient safety by cleaning and sterilizing equipment that can be reused as well as ensuring that all equipment is working properly.

If you have any questions about who will be assisting you on your day of surgery, please ask the PrePARE nurse during your pre-surgery meeting.

Business Office and Administration

Our business office and administrative staff are responsible for the day-to-day operations of the facility, including financial and billing duties, handling insurances, and managing patient charts.