Mastering Operating Room Etiquette: A Guide for Newcomers

Operating rooms have their own unique culture and set of expectations, with etiquette that every team member should know, especially newcomers. Respecting this environment isn’t just about following protocols—it’s about contributing to a safe and efficient space for everyone.

First, recognize the roles of the circulating nurse and surgical tech. These are the people who keep the OR running smoothly. Introduce yourself, communicate your needs, and respect their expertise. A smooth procedure depends on these essential team players, and building rapport goes a long way in ensuring seamless collaboration. Next, be mindful of the sterile field: if you’re not scrubbed in, avoid touching anything covered in blue. If you are scrubbed in, let the surgical tech know your skill level—don’t assume they’ll just know; transparency avoids misunderstandings and keeps everyone on the same page.

Another critical aspect of OR etiquette is handling sharps. Only the lead tech or surgeon should be managing sharps without specific instruction. Passing sharps carelessly or without clear communication raises the risk of injury and infection from blood-borne pathogens. Avoid unnecessary handling to protect both yourself and your colleagues.

Finally, remember that as a “guest” in the OR, you may not be held responsible if something goes wrong, but this doesn’t mean you’re exempt from the rules. Respect your surroundings and the people within them. Observing these principles of OR etiquette will help you fit seamlessly into this professional and high-stakes environment.