Box 4-4 Physical and psychological attributes of the scrub person’s role
1. Visual acuity with or without correction is critical to threading small needles and reading small print. Protective eyewear is required at all times when at the surgical field. Bright lights or dim lights are commonly used throughout the surgical procedure, and people with photosensitivity or susceptibility to light-mediated eye irritation will find the OR environment problematic. Visual accuracy is imperative.
2. Manual dexterity and accuracy of motion is required for fast action during emergencies. Inability to coordinate body motions could cause injury to the patient, team, or self. Manual dexterity is imperative.
3. Eye-hand coordination and alertness is essential for safe handing if instruments during surgery. Eye-hand coordinate is imperative for the efficiency of the procedure
4. Ability to delay nutritional intake for prolonged periods during long procedures.
5. Ability to stand in a confined space for prolonged periods.
6. Ability to lift instrument trays of at least 20 pounds and assist with moving large incapacitated patient using proper body mechanics.
7. Auditory acuity in both ears with or without amplification is critical for gearing and understanding commands while machinery is running. Voices are kept low during surgery, especially when the patient is awake. Hearing correctly is imperative.
8. Ability to quickly anticipate and discern commands and needs of the team. Must be able to differentiate between instruments and supplies efficiently and to be able to offer appropriate alternative in extraordinary circumstances.
9. The ability to speak, understand, and document clearly using the English language is critical to safe patient care. Appropriate terminology and use of approved standard accepted.
10. The ability to remain calm and function quickly, safely, and precisely during an emergency. Must be able to make decisions and problem solve effectively without loss of emotional control.