Team composition and staff roles in a hybrid operating room: A prospective study using video observations.
May Bazzi, Ingegerd Bergbom, Mikael Hellström and 3 others
PMID 31367451WHAT IT FOUND
Video observations of nine EVAR procedures showed registered nurses made up the majority of staff, but roles were rigid.
Radiographers were active during the intervention while OR nurses often stood by, and five people remained in the room when not directly needed.
Key findings
01Registered nurses were the largest staff category, with a mean of approximately five present during the preparation and intervention phases.
02During the main surgical phase, radiographers were actively assisting while OR nurses largely held a standby position.
03Staff presence did not always match active involvement, with assistant nurse anaesthetists present only for short periods and questions raised about the necessity of all staff being in the room throughout.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study only observed nine procedures, which is a very small sample. Camera angles missed a part of the room, so the total number of people might be underestimated. The definition of 'active involvement' was based on wearing a sterile gown, which may not accurately reflect all nursing tasks. The study was conducted in one specific hospital with a consistent team, so the findings may not apply to other settings.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume that the observed staffing patterns represent the optimal or required team composition for all hybrid OR procedures. The study describes what happened in one setting with a small number of cases, not what should happen to ensure safety or efficiency.