Surgical Instruments / Sterile Technique Donning / Surgical Gowns and Gloves Flashcards
Towel Clips ?
penetrating
non-penetrating
Sponge stick ?
mostly disposable now
Knife Handles ?
no blade loaded
use hemostat to pick up blade ( never use fingers) - take blade off and throw it out after procedure
long blade - for deep in a cavity
Knife Blades sizes ?
10 and 15 used most
top - abdominal incision
bottom - face incision
Holding the Scalpel ?
The scalpel is held with thumb, middle and ring finger while the index finger is placed on the upper edge to help guide the scalpel.
Long gentle cutting strokes are less traumatic to tissue than short chopping motions.
The scalpel should never be used in a “stabbing” motion.
**index finger on top **
Bovie purpose ?
To cauterize
To cut/dissect
**cauterize
different tips and it is heat and it seals off small bleeders **
Retractor examples ?
Army-Navy
Richardson
Goelet
Deaver abdominal
Senn
Volkman Rake
Balfour abdominal
Bookwalter
Williams
Kocher
Army-Navy ?
two flat ends and used in minor and major surgery to move tissue out of the way (fascia) - common
Richardson ?
handle to it or two ends
Goelet ?
more curve to it, come in pairs for each side of incision
Deaver, abdominal ?
deeper for down in the abdomen
Senn ?
rake on one end and flat on the other, plastic surgery, tiny ones for face
(Volkman) Rake ?
different teeth for better grip
Balfour abdominal ?
hold open abd. cavity ( three sides to it)
Bookwalter ?
biggest type of instrument , but not as common now cause laparoscopic surgery ( makes a nice circle around the edges)
Williams ?
self retaining
Forceps aka ?
Hemostats, “stat”
Clamps
Forcep examples ?
Kelly – straight
Kelly – curved
Crile – straight
Crile - curved
Carmalt
Halstead mosquito
Heaney hysterectomy
Allis
Lahey
Right angle
Babcock
Kelly forceps ?
common, straight or curved -
serrated on distal half of the jaws and smooth on the proximal, grabbing tissue
What is special about the Crile forces ?
it is all serrated throughout
Carmalt ?
ridges are in a different direction ( longitudinal ) -
help blood flow better?
Halstead mosquito ?
fine tipped, S or C,
Mosquitos are tiny and so are these
pinching off bleeders ( bigger ones you cant just Bovie)
Heaney hysterectomy ?
larger than M
Allis ?
curves at distal ends of the tip, forcibly grasp tissues and do some retraction,
space inbetween and they just pinch at the tip, some teeth as well