Complete the worksheet and submit via the drop box the following day. 1. List th

Question

Complete the worksheet and submit via the drop box the following day. 1. List three safety precautions used to identify a pati ent having surgery. be other safety measures used during transportation and while in surgery the 3. Explain the application of the principles of aseptic technique by observing following in OR: a. scrubbing b. gowning and gloving c. handling of sterile instruments List an observation you made during the operation that describes the "trauma process" of the surgical patient. What looked traumatic to the patient's body? Discuss the need for ethics regarding informa room area. tion seen and heard in the operating be the role of each of the following members of the surgical team: Descri a. surgeon b. c. OR Clinical Director d. scrub nurse e. circulating nurse f. surgical technician anesthesiologist/ anesthetist List one reason why a sponge count is necessary for the patient's safety. What type of surgery did you observe? to visualize and identify? What anatomical structures were you able Would you like to work in the OR?

Explanation / Answer

LIST THREE SAFETY PRECAUTION USED TO IDENTIFY A PATIENT HAVING SURGERY?

ANS #: IDENTIFICATION OF CORRECT PATIENT AND PROCEDURE VERIFICATION THAT IS SCHEDULED TO PERFORM BY CONFIRMING THE FOLLOWING ( NAME, IDENTIFICATION NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER, ADDRESS PHOTOGRAPH)

# THE SITE THE PROCEDURE GOING TO BE PERFORMED SHOULD BE MARKED BEFORE THE PATIENT IS TAKEN TO THE OR ROOM.

# PRIOR TO THE START OF ANY SURGIACL PROCEDURE THE SURGICAL TEAM WILL PERFORM 'TIME OUT' TO CONFIRM

* WHAT KIND OF PATIENT

* THE PROCEDURE TO BE PERFORMED

* THE SIDE AND THE SITE OF THE PROCEDURE TO BE PERFORMED.

QUESTION 2: DESCRIBE OTHER SAFETY MEASURES USED DURING TRANSPORTATION AND WHILE IN SURGERY?

ANS: BEFORE TRANSPORTING THE PATIENT CONFIRM THE CORRECT PATIENT TO BE SHIFTED TO OR ROOM

RELEASE THE SIDE RAILS AND CHECK THAT THE WHEELS ON THE BED IS LOCKED.

COVER THE PATIENT WITH THE COVER SHEET AND PLACE YOUR ARMS UNDER THE PATIENT SHOULDER AND THIGH AND ASSIST HIM ON MOVING ON TO THE LITTER MAKE SURE THE PATIENT LIE ON HIS BACK AND ARMS ON HIS SIDE.

IF A PATIENT CANNOT BE HELP HIMSELF HE/ SHE MUST BE LIFTED ON TO THE LITTER. A TEAM OF ATLEAST THREE PEOPLE SHIOULD ASSIST WHILE TRANSFFERING ADULT PATIENT FROM BED TO LITTER.

FASTEN THE SAFETY STRAPS OVER THE PATIENT THIGH AND THE CHEST AND THE PATIENT AND THE SPECIALIST SHOULD ASSURE THAT THE PATIENT WILL NOT FALL. DONOT FASTEN THE STAPS TOO TIGHTLY. COVER THE PATIENT COMPLETELY WITH THE COVER SHEET.

IF THE PATIENT IS CONNECTED TO ANY AND KIND OF APPARATUS THE SPECIALIST SHOULD CARRY OUT ADDITIONAL SAFETY MEASURES EXAMPLE: IF THE PATIENT HAS A RUNNING IV BOTTLE IT SHOULD BE SUSPENDED ON THE LITTER STAND.

IF THE PATIENT HAS CHEST DRAINAGE THE TUBING SHOULD BE DOUBLE CLAMPED AND ASSISTANCE SHOULD CARRY THE DRAIN ABOVE THE PATINT CHEST LEVEL.

UPON ARRIVAL TO OR ROOM THE NURSE SHOULD REPORT TO ANAESTHESIA AND THE OR SUPERVISOR.

AND BEFORE STARTING THE PROCEDURE EXPLAIN THE PATIENT ABOUT THE PROCEDURE AND THE ANAESTHESIA PROCEDURE AND THE POTENTIAL OUTCOME OF SURGEY TO REDUCE ANXIETY OF THE PATIENT.

THROUGHOUT THE PROCEDURE PATIENT VITALS SHOULD BE CHECKED TO PREVENT ANY COMPLICATION.

ONCE THE SURGERY IS PERFORMED THE INSTRUMENT COUNT SHOULD BE DONE TO PREVENT FROM ANY INSTRUMENT RETAINED IN PATIENT BODY WHILE PERFORMING PROCEDURE.

QUESTION :3   PRINCIPLES OF ASEPTIC TECHNIQUE: TO

SCRUBBING : REMOVE ALL JEWELLEY, WASH HANDS AND ARMS WITH ANTIMICROBIAL SOLUTION FOR TWO MINUTES, CLEAN SUBUNGAL ARA WITH THE NAILE FILE, SCRUB EACH SIDE OF THE FINGER BETWEEN THE FINGERS AND THE BACK AND THE FRONT OF THE HANDS, PROCEED TO SCRUB THE ARM AND KEEPING THE HAND HIGHER THAN THE ARM AT ALL TIMES. WASH EACH SIDE OF THE ARM TO THREE INCHES ABOVE THE ELBOW FOR 1 MINUTE. IF THE HAND TOUCHES ANYTHING EXCEPT THE BRUSH THE SCRUB MUST BE LENGHTHENED BY ONE MINUTE TO CLAN THE CONTAMINATED AREA. ONCE IN THE OPERATING ROOM SUITE THE HANDS AND THE ARMS SHOULD BE DRIED USING A STERILE TOWEL AND ASEPTIC TECHNIQUE.

GOWNING AND GLOVING: PICK GOWN FROM STERILE LINEN PACK AND LET THE GOWN HOLD INFORNT OF YOU AND HOLD THE GOWN AT THE SHOULDER LEVEL WITH GOWN SLEEVES FACING YOU, THE CIRCULATOR WILL TIE THE GOWN BE CAREFUL NOT TO TOUCH ANYTHING BUT THE STERILE GOWN.

PICK UP THE RIGHT GLOVE WITH THE THUMB OF THE GLOVE FACING SURGEON , PLACE YOUR FINGERS AND THUMBS OF BOTH HANDS IN THE CUFF OF GLOVE AND STRECH IT OUTWARDS MAKING A CIRCLE OF THE CUFF. OFFER THE GLOVE TO THE SURGEON AND BECAREFUL THAT THE SURGEON BARE HANDS DOES NOT TOUCH YOUR GLOVED HANDS. REPEAT THE PROCEDURE FOR THE OTHER SIDE OF THE GLOVE.

HANDLING OF STERILE INSTRUMENTS:

* THE INTEGRITY OF STERILE PACKAGES ARE MAINTAINED.

* THE STERILE INSTRUMENTS SHOULD TOUCH ONLY THE STERILE PART OR THE STERILE AREA.

*MAKE SURE THEY ARE PROPERLY OPENED AND INTRODUCED INTO THE STERILE FIELD BEFORE USE.

* INSTRUMENT THAT ARE ACCIDENTLY FALL ON THE FLOOR  SHOULD NOT BE USED AND IT SHOULD BE STERILISED BEFORE USE.

*PLACE REUSABLE SHARP AND DELICATE INSTRUMENT SEPERATELY

*REMOVE DEFECTIVE INSTRUMENT FROM THE STERILE FIELD DECONTAMINATE THEM AND LABEL THEM FOR REPAIR.

*FOLLOWING ANY SURGICAL PROCEDURES THE INSTRUMENTS OPENED FOR THE CASE ARE CONSIDERED CONTAMINATED AND IT SHOULD BE PROPERLY CONTAINED AND DISPOSED OR STERILISED BEFORE USE.

QUESTION 4: OBSERVATION DURING AN OPERATION THAT DESCRIBES "TRAUMA PROCESS"

* EXCESSIVE BLEEEDING FROM THE SURGICAL SITE

* PATIENT WILL GO FOR SHOCK.

*ACCIDENTAL PUNCTURE OF ARTERY OR VEIN.

*DIATHERMY BURN

* CARDIOPULMONARY ARREST

QUESTION : WHY SPONGE COUNT IS NECESSARY FOR THE PATIENTS SAFETY?

TO PREVENT FROM SURGICAL ITEMS BEING LEFT INSIDE PATIENTS BODY

TO PREVENT FROM FURTHER SURGICAL COMPLICATION

TO REDUCE THE INCIDENCE OF RETAINED FOREIGN BODY

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