Which healthcare professional is primarily responsible for opening and closing the surgical incision?

The registered nurse first assist plays a crucial role in the surgical team, particularly when it comes to ensuring that the procedure runs smoothly and safely. This professional is specially trained to provide assistance to the surgeon during surgery, which includes tasks such as suturing and closing incisions. The emphasis on the first assist’s capabilities aligns with their additional training beyond that of a standard registered nurse.

While the surgeon is ultimately responsible for the procedure, including the opening and closing of the incision, it is the registered nurse first assist who directly engages in these actions under the surgeon’s direction. This collaborative approach allows for greater efficiency and support during surgery, ensuring that the incision is handled proficiently as the primary focus is on maintaining patient safety and expediting the surgical process.

The role of the scrub tech, although vital in preparing and maintaining the sterile field and instruments, does not typically involve directly performing surgical tasks like opening and closing incisions. Registered nurses in the operating room also offer important support but may not perform the incision closure unless functioning as a first assist.