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b. Surgical Site Preparation

• Assist in cleaning and disinfecting the surgical site using antiseptic solutions (e.g., chlorhexidine,
iodine-based solutions).
• Aid in the application of sterile drapes, ensuring a fully isolated field for aseptic conditions.
• Communicate with the surgical team regarding any special considerations for site preparation
(e.g., incisions requiring extended exposure or joint preloading for arthroplasty procedures).

c. Equipment and Instrument Setup

• Ensure that all required orthopaedic implants, plates, screws, and instruments are
present and properly sterilized.
• Arrange power tools (drills, reamers, saws) and verify their functionality before the
procedure.
• Confirm implant compatibility and sizing based on preoperative planning.
• Organize instruments systematically on the surgical tray, following the surgeon’s
preferences for easy access.
• Conduct a final safety check of all required materials, ensuring that backup instruments
and alternative implants are available if needed.
• Patient Preparation:
o Confirm patient identity and surgical procedure.
o Assist with patient positioning on the operating table (e.g., supine, prone, lateral, or beach
chair position for shoulder surgery).
o Apply traction devices or positioning aids as required.
• Surgical Site Preparation:
o Clean and prepare the surgical site using antiseptic solutions.
o Assist in draping the patient to maintain a sterile field.
• Equipment and Instrument Setup:
o Ensure all required instruments and implants are available and sterile.
o Set up the surgical table, ensuring instruments are arranged systematically.
o Check functionality of power tools (e.g., drills, saws, and reamers).
o Confirm correct sizing and compatibility of orthopaedic implants (e.g., plates, screws,
prostheses).

2. Intraoperative Responsibilities

During surgery, orthopaedic technologists work closely with the surgeon and scrub team to
provide precise, efficient, and sterile assistance.

a. Assisting the Surgeon

• Pass instruments efficiently by anticipating the surgeon’s needs and ensuring a smooth
workflow.
• Maintain clear visualization of the surgical site by adjusting lighting, using suction, and
positioning retractors to expose key anatomical structures.
• Assist in tissue manipulation, bone reduction, and fracture stabilization, often applying direct
pressure or traction as needed.