A client is having robotic surgery. The circulating nurse observes the instruments being inserted, then the surgeon appears to "break scrub" when going to the console and sitting down. What action by the nurse is best?
a. Call a "time-out" to discuss sterile procedure and scrub technique.
b. Document the time the robotic portion of the procedure begins.
c. Inform the surgeon that the scrub preparation has been compromised.
d. Report the surgeon's actions to the charge nurse and unit manager.
ANS: B
During a robotic operative procedure, the surgeon inserts the articulating arms into the client, then "breaks scrub" to sit at the viewing console to perform the operation. The nurse should document the time the robotic portion of the procedure began. There is no need for the other interventions.
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