SRG 141 Principles and Practices Lab

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SRG 141Principles and Practices Lab

• Preparation of the Sterile Field

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Objectives

• Demonstrate proper techniques for preparing
  instruments and supplies on a sterile field
• Drape furniture and equipment needed for the
  surgical procedure
• Demonstrate and explain in detail the procedure
  for counting instruments, sponges, needles, and
  other items on the sterile field
• Demonstrate the initial steps for starting a
  procedure
• Demonstrate intraoperative handling of sterile
  equipment and supplies
• Apply the three principles of asepsis to the
  practice of sterile technique

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Procedural Sequence

• Observes the details of anatomy, pathology and
  procedure
• Handles the specific skills of instrument care
  and passing proficiently
• Works to predict actions and needs two to three
  steps in advance
• Pays attention to the entire OR environment
  physical, mental and emotional
• Communicates effectively with all members of the
  surgical team, particularly the surgeon and the
  circulator

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Preparation of Instruments and Supplies

• Arrange basins, drapes, gowns, gloves, and other
  supplies needed
• Arrange instruments, sponges, sutures, and other
  supplies on sterile field
• Apply blades to scalpel handles
• Prepare and load appropriate suture materials
• Prepare and label necessary medications and
  solutions
• Prepare prep table

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Furniture and Equipment

• Arrange instruments and other appropriate items
  to begin the case on the mayo stand
• Prepare electrosurgical pencil and suction
  apparatus

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Time and Motion Economy

• Follow functional organizational patterns
• Work rapidly without compromise of the sterile
  field

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Counts

• Legal responsibility-documentation, incorrect
  counts, omitted counts
• Technique- two-person verification,
  visual/audible counting, joint counting
• Order- field, mayo, back table, off the field
• Timing- initial, closure of organ, closure of
  body cavity, closure or subcutaneous/skin
• Methods- sponge, needles/sharps, instruments,
  accessories

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Preop Case Management

• Positioning of equipment and sterile furniture-
  back table, ring stands, mayo stand, equipment
• Placement/securing of supplies- bovie, light
  handles, glove application, suction, sponges,
  magnetic pads, establishment of neutral zone or
  no pass/safe zone

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Secondary Preparation

• Suture
• Instruments
• Delicate instruments
• Solutions and drugs
• Microscope draping
• Completion of the Setup

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Preparation of the Surgical Field

• Assist team members with gowning and gloving
• Circulator prepares patient by positioning and
  prepping
• Assist team members with draping of the patient
• Bring up your mayo, suction, light handles, bovie
  and two sponges
• Now we move into the intraoperative phase