Be prepared for your case. Have everthing that you are going to use layed out prior to bringing the patient in the room. Whatever you may need for prepping have on your prep stand: bovie, prep, forced air blanket, etc. Also, if you are placing a pillow under the knees have it on the bed. You can attach foam pads for heels at the end of the bed. Anything that you may need for positioning, have it within arms reach. I never have to take more than a few steps to get what I need and don't leave the patient's side. Also, if you surgeon wanders, give him a call, "I am taking the patient into the room now." Also, after intubation and prior to prep, give the surgeon another call, "I am going to prep now." Keep the lines of communication open with your scrub tech. Let them know when you will be ready to bring the patient in the room. Have your meds checked and ready to go. I hope this helps! Karen