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[Music] the surgical team has been working for about 90 minutes they have had some difficulty liberating the distal small bowel from dense adhesions in the floor of the pelvis a segmental small bowel resection was required when they encountered it devitalized loop of ilium at present they are completing their end-to-end enteric anastomosis scrub nurse Cindy Garba has docHubed the end of her shift and must hand off her responsibilities to her colleague Amy Carmack who was giving her permanent relief Cindy will conduct a nesebar handoff with Amy before turning over her scrub nurse responsibilities sbar situation background assessment and recommendation is a logical standardized method of transferring responsibility between scrub nurses during a surgical procedure this is mr. Eldredge who came in last night with intestinal obstruction he had a lot of adhesions with the segments of small bowel trapped in the pelvis they had to remove some small bowel and they are now completing their anasto