wk 5- operating theatre protocols Flashcards
types of errors in surgical procedures
- errors of ignorance- you dont know
- errors of ineptitude- you know but you dont make the correct use of knowledge
purpose of protocols
maintaining a sterile field/environment
ensure correct patient, procedure and site
World Health Organisation has what for surgery procedures
a checklist that most pods follow or adapt their checklst from
10 objectives in WHO checklist
are brooms and dusters allowed to be used in surgical room
no, causes air disturbances
how long should a tornique be on for a digit
max 20 mins if used
important first step to surgery (patient verification)
-confirm name
-DOB
-procedure
(should match consent and procedure forms)
done in pre operative waiting room
should you mark patient of procedure site
yes
time out during pre operative checks involves
- checking correct patient
- confirmed procedure
- site is marked
- allergies checked
- required equipment available
when do u inject LA
ONLY AFTER final time out has been performed
skin antiseptics you can use for a surgical scrub
7.5% povidone iodine
4% chlorhexidine gluconate
which surgical scrub is better
chorhexidine is more effective
-lower infection rates
-lasts longer (up to 6 hours)
-more protective in superficial and deep infections
what is scrubbing procedure
5 minute scrub completed in the 1st scrub of the day
3 min scrubs for subsequent cases
preparing our bodies
-no jewllery below elbows
-closed in shoes, rubber boots/clogs
-hair tied back and completely covered
-sleeves above elbows
-nails short, free of nail polish/false nails
-theatre attire to be worn
Hand scrubbing technique
scrub all sides of fingers, hands and forearms 10 times back and forth
wash off in one movement so that the hands dont get contaminated, turn tap off with elbow and keep hands up
closed gloving technique
fingers stay within gown cuffs
first glove touch on the outside - so you dont touch ur skin with sterile hands
second glove touch on the inside
