Surgery - Scrubbing, Instruments and Tissue Healing Flashcards
Scrubbing, Instruments and Tissue Healing
Surgical Aseptic Technique
- Surgical aseptic technique is the term used to describe the sterilization, storage, and handling of articles to keep them free of pathogenic organisms.
- All personnel assigned to the operating room must practice good personal hygiene. This includes daily bathing and clothing change.
- Those personnel having colds, sore throats, open sores, and other infections should not be permitted in the operating room.
Scrubbing and Tissue Healing
Sterility
- During the operation, the surgeon, surgeon’s assistants, and scrub nurse must wear sterile gowns and gloves and must not touch anything that is not sterile.
- Maintaining sterile technique is a cooperative responsibility of the entire surgical team.
Scrubbing and Tissue Healing
Surgical Gowning Technique
- If the outside of your gown is touched while donning it, the gown is contaminated. If this occurs, discard the gown. You are to touch only the inside of the gown while putting it on.
- Surgical gowns are folded with the inside facing the specialist. This method of folding facilitates picking up and donning the gown without touching the outside surface.
- Scrubbed hands and arms are contaminated if you allows them to fall below waist level or to touch your body. Therefore, keep hands and arms above waist and away from body, and at an angle of about 20 to 30 degrees above the elbows.
Scrubbing, Instruments and Tissue Healing
Surgical Instrumentation
- Cutting instruments
- Grasping or holding instruments
- Haemostatic forceps (diathermy)
- Retractors
- Clamps and distractors
- Accessories and implants
Scrubbing, Instruments and Tissue Healing
Surgical Instrumentation
Kelly Forceps
- Kelly forceps are a type of hemostat usually made of stainless steel. They also feature a locking mechanism to allow them to act as clamps.
Scrubbing, Instruments and Tissue Healing
Surgical Instrumentation
Mosquito
- A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved
Scrubbing, Instruments and Tissue Healing
Surgical Instrumentation
Babcock Tissue Forceps
- A babcock is used to grasp delicate tissue. Available in short and long sizes
Scrubbing, Instruments and Tissue Healing
Surgical Instruments
Adson Forceps
- Adson forceps are used for grasping and holding objects, used to grasp delicate tissue or with teeth: used to grasp the skin
Scrubbing, Instruments and Tissue Healing
Surgical Instrumentation
DeBakey Forceps
- DeBakey Forceps are nontraumatic forceps used to pick up blood vessels; also known as “magics.”
- Non-toothed
Scrubbing, Instruments and Tissue Healing
Surgicsal Instrumentation
Haemostat
- A hemostat is commonly used to control bleeding, especially from a torn blood vessel, until the bleeding can be repaired by sutures or other surgical techniques. The process of halting bleeding is called haemostasis
Jake Clamp
Used for fine dissection
Surgical Retractor
A retractor is a surgical instrument that can either actively separate the edges of a surgical incision or wound, or can hold back underlying organs and tissues, so that body parts under the incision may be accessed.
There are many different types of retractors.
Kocher Forceps
- Kocher Forceps are strong forceps for holding tissues during an operation or for compressing bleeding tissue.
Rongeur/ bone cutter
- A rongeur is a strongly constructed instrument with a sharp-edged, scoop-shaped tip, used for gouging out bone.
Mayo Scissors
- Mayo scissors are surgical scissors with narrowed but blunt pointed blades, which may be straight or curved- cut sutures.
Metzenbaum Scissors
- Metzenbaum scissors are surgical scissors designed for cutting delicate tissue. The scissors come in variable lengths and have a relatively long shank-to-blade ratio
Trocar
- A trocar is a hollow cylinder with a sharply pointed end, often three-sided, that is used to introduce cannulas and other similar implements into blood vessels or body cavities. Trocars are also used as ports in laparoscopic surgery.
Yankauer Suction
- It is a suction tip with a large opening surrounded by a bulbous head and is designed to allow effective suction.
Bovie Electro-Cautery
- A bovie uses electrosurgery which is the application of a high-frequency electric current to biological tissue as a means to cut, coagulate, desiccate, or fulgurate tissue.
- Grounding pads should always have full contact with the skin and be placed on the same side of the body and close to the body part where the procedure is occurring to prevent burns.
