Skip to main content

TL;DR

Operating Room Turnover: Cleaning, restocking, and preparing OR between cases.

By Valenke Exam Prep Team·Last updated 2026-06-02

Operating Room Turnover

CST SURGICAL TECH

Definition

Cleaning, restocking, and preparing OR between cases.

Historical Context

Standards for operating room turnover have evolved over decades of clinical research and regulatory development. Current evidence-based guidelines reflect lessons learned from adverse events, clinical trials, and quality improvement initiatives. Staying current with guideline updates is part of professional continuing education requirements.

Documentation

Surgical documentation for operating room turnover includes: operative consent verification, time-out confirmation (correct patient, correct site, correct procedure), specimen labeling and pathology requisition, instrument and sponge count results, and any implant records with lot numbers and serial numbers. All counts must be documented as correct or incorrect with follow-up actions.

Overview

Cleaning, restocking, and preparing OR between cases. Tested on CST exam.

Related instrumentation: Army-Navy retractor (Retraction) for Shallow wound retraction, handheld, double-ended.

Equipment & Tools

Instruments and tools relevant to operating room turnover:

InstrumentCategoryUse
Mosquito clampClampingHemostasis on small vessels, fully serrated, delicate
Senn retractorRetractionSuperficial retraction, double-ended: sharp prongs and flat blade
Army-Navy retractorRetractionShallow wound retraction, handheld, double-ended
Metzenbaum scissorsCutting/dissectingDelicate tissue dissection, curved blades for undermining

Differential Diagnosis

When studying operating room turnover, carefully distinguish it from related but distinct concepts: infection control, sterilization. Exam questions often test your ability to select the most specific and appropriate answer when multiple options seem partially correct. Look for the option that most completely addresses the scenario presented.

Why It Matters

Tested on CST exam.

Related Terms

Practice This Topic

Ready to practice for the CST SURGICAL TECH?

Adaptive practice powered by Item Response Theory targets your weak areas. Start with 3 free sessions.

Start free practice →

Frequently Asked Questions

What is the counting procedure for operating room turnover?
For operating room turnover: Sharps counted on a needle counter/magnet, broken needles: account for all pieces. Incorrect count protocol: notify surgeon then recount then wound search then X-ray if unresolved. All counts are audible, visual, and concurrent (scrub tech and circulator together).
What instruments are used for operating room turnover?
For operating room turnover: Bovie (ESU) (Electrosurgery): Cut (continuous waveform) and coag (interrupted waveform) modes for hemostasis. Needle holder (Suturing): Holds suture needles, tungsten carbide inserts for grip, box lock mechanism. Allis clamp (Grasping): Grasping tissue without crushing (bowel, fascia), traumatic teeth.
What sterilization method is used for equipment related to operating room turnover?
For operating room turnover: Steam (autoclave): Saturated steam under pressure. Parameters: Gravity: 250 F (121 C) x 30 min. Prevacuum: 270 F (132 C) x 4 min. Flash: 270 F x 3 min (unwrapped).