Simulation and educational use only — not authorization for independent patient care.

Choose your role track

Each track teaches the same case from a different seat in the room. Scoring, task ownership and role boundaries change with the track you select. A mentor or administrator can reassign your track at any time.

Medical student

Medical Student

Workflow Observer

Observation-first pathway covering operating-room workflow, sterile behavior, anatomy, equipment recognition and safety judgment.

Authority: Observation and documentation only. No sterile or clinical task authority.

Review chain: Mentor → surgeon evaluator → program administrator

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Registered nurse

OR RN / Circulator

Perioperative Coordination

Verification, room and implant readiness, time-out leadership, medication safety, counts, traceability and PACU handoff.

Authority: Owns verification, room readiness, time-out facilitation, medication and implant traceability, counts and documentation. Surgeon holds final clinical authority.

Review chain: Charge nurse mentor → surgeon evaluator → program administrator

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Surgical technologist

Surgical Technologist

Sterile Workflow

Sterile field construction, Triathlon tray recognition, instrument sequencing, sharps accountability, counts and decontamination.

Authority: Owns the sterile field, instrument readiness and safe passing. Reports every sterility and accountability concern. No clinical decision authority.

Review chain: Lead technologist mentor → surgeon evaluator → program administrator

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Physician assistant / nurse practitioner

First Assist PA/NP

Supervised First Assistance

Exposure, tissue protection, trial-reduction observation, implant read-back and closure under explicit mentor authorization.

Authority: Assists under direct supervision. May not independently select resection, alignment, ligament release, implant constraint, polyethylene thickness or medication, or independently accept an intraoperative complication.

Review chain: Supervising surgeon mentor → surgeon evaluator → program administrator

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Source governance

This independent OwlSagacity simulation references publicly available perioperative learning objectives and manufacturer equipment terminology. It is not sponsored, approved, accredited, or certified by AORN or Stryker. It does not replace AORN education, manufacturer instructions for use, institutional policy, professional credentialing, or direct clinical supervision.