SRG 141 Principles and Practices Lab

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SRG 141Principles and Practices Lab

• Perioperative Case Management

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Objectives

• Demonstrate the process to perform sponge,
  needle/sharps, instrument and accessory counts
  correctly
• Demonstrate neutral zone (no pass/safe) technique
• Demonstrate passing instruments so they are
  properly oriented for use
• Demonstrate methods to care for specimens
  correctly
• Demonstrate methods of wound irrigation
• Demonstrate methods to achieve hemostasis during
  surgery
• Demonstrate the selection and preparation of
  suture, wound drains and dressings
• Demonstrate safe techniques for handling tissues

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Maintaining the Sterile Field

• Keeping an orderly sterile field
• Maintaining adequate lighting
• Keeping a mental running tally of counts
• Keeping track of all instruments and their
  location
• Maintenance of sponges

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Passing and Handling Instruments

• All passed in the locked position
• Oriented spatially
• Passed firmly except delicate instruments
• Hand signals
• Microscopic instruments
• Sharps

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Specimen Care

• Tissue
• Fluid
• Stones
• Foreign bodies
• Permanent, fresh or frozen section
• Amputations
• Culture/sensitivity

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Care and Handling of Tissue

• Rough or excessive handling of tissue
• Tissue dehydration
• Dissection- sharp or blunt
• Retraction
• Hemostasis- coagulation, fulguration, ligation
  and occlusion, pneumatic tourniquet, chemical

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Wound Drains

• Passive
• Suction
• Water-sealed drainage system

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Dressings

• Skin closure
• Barrier protection and absorption
• Pressure
• Nonadherent barrier
• Packing
• Support
• Tape and binders