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Which staff member is responsible for "opening the case" during a surgical procedure?

Surgeon

Scrub nurse

Nonsterile personnel

The responsibility of "opening the case" during a surgical procedure typically falls to the scrub nurse. This staff member prepares the sterile field and handles the instruments and supplies needed during the surgery. The scrub nurse is responsible for ensuring that all necessary surgical instruments are sterile and ready for use, which is a critical aspect of the initial setup when the case is opened. The surgeon, while integral to the procedure, does not handle the setup or opening of the case—they focus on the surgical aspects. Nonsterile personnel may assist in various ways, but they do not manage the sterile environment required for the operation. The circulating nurse supports the operation by managing tasks outside of the sterile field, such as obtaining supplies or ensuring communication between the team and others in the hospital. Their role is vital but does not include the direct opening of the case.

Circulating nurse

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