Ask a Nurse: Do Nurses Perform Surgery?

The scrub nurse will actually perform the surgical scrub and step right up to the table with the surgeon. They pass instruments back and forth, set up the room for surgery, and help maintain a sterile environment.

The circulating nurse, on the other hand, does not perform a surgical scrub. This nurse works in the OR to maintain documentation, handles nonsterile equipment, and updates family members. The circulating nurse also works in the pre-op area: completing paperwork, answering questions, performing assessments, and making sure everything is ready to go.

The RNFA is a highly specialized nurse who works directly with the surgeon during the procedure. This may mean helping to control bleeding, suturing, applying bandages, and whatever other help the surgeon may need. How cool is that?

The PACU nurse takes over after the surgery is complete. They will help patients wake up from the anesthesia, monitor for complications, and ensure adequate pain relief. Once the patient is stabilized, they will discharge them either to home or another unit in the hospital to continue recovery.

A surgical nurse practitioner (NP) is an advanced practice nurse, meaning they have received additional training and education (at least a master’s degree). Surgical NPs work in all areas of the OR: performing pre-surgical assessments, counseling patients, administering medications, assisting patients with recovery, and even working alongside the surgeon in the actual operating room.

A certified registered nurse anesthetist (CRNA) is a highly specialized nurse who has completed additional training in the administration of anesthesia. These advanced practice nurses also have at least a master’s degree so that they can administer anesthesia and ensure a safe recovery afterwards.