Preoperative Case Management Topics Phases of Surgery Preoperative

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Pre-operative Case Management

Pre-operative Case Management

Topics • Phases of Surgery – Preoperative – Intraoperative – Postoperative • Pre-operative Case

Topics • Phases of Surgery – Preoperative – Intraoperative – Postoperative • Pre-operative Case Management • Preference Card Utilization • Equipment Selection

Phases of Surgery • Pre-operative – Prior to initiation of surgical procedure – Begins

Phases of Surgery • Pre-operative – Prior to initiation of surgical procedure – Begins with the skin incision or endoscope insertion • Intra-operative – Time frame between skin incision or endoscope insertion and ends when the surgical dressing has been applied or the endoscope has been removed • Post-operative – From application of surgical dressing or removal of the endoscope until the patient has been discharged from PACU

Pre-operative Phase of Surgery • Donning OR attire and PPE • Preparing OR •

Pre-operative Phase of Surgery • Donning OR attire and PPE • Preparing OR • Gathering supplies, instrumentation, equipment • Opening of sterile field supplies and items • Surgical hand scrub • Toweling, gowning and gloving • Preparation of sterile field • Initial pre-operative count • VS monitoring • Transfer of patient to OR bed • Positioning patient • Assisting other sterile team members • Prepping the patient • Draping the patient • Pulling up to the field and passing off cords, tubing, light handles

Principles of Asepsis • “A sterile field is created for each surgical procedure” •

Principles of Asepsis • “A sterile field is created for each surgical procedure” • “Sterile team members must be attired appropriately before entering the sterile field” • “Movement in and around the sterile field must not compromise that sterile field” (Price. ST for the ST, 2 nd ed. , p. 319. )

Principles of Asepsis • The principles of asepsis have concepts or rules for each

Principles of Asepsis • The principles of asepsis have concepts or rules for each of the three of them that must be observed at all times • These rules are the key to the practice of sterile technique • The application of these principles and each of their rules is referred to as Principles of Asepsis • Adhering to the principles is governed by the surgical technologist’s surgical conscience which entails a moral integrity to provide safe care to the patient at all times • “Aeger Primo” Patient First

Principles of Asepsis • Text ST for the ST pp. 138 -141 the Principles

Principles of Asepsis • Text ST for the ST pp. 138 -141 the Principles of Asepsis are reviewed and explained there • You are responsible for knowing and practicing these at all times as a surgical technologist

Textbook Reading Assignment • You are responsible for reading the following for this section

Textbook Reading Assignment • You are responsible for reading the following for this section Pre-operative Case Management pp. 318 -353 • Skills assessments will be done for the skills discussed in this chapter in lab • You are responsible for understanding why we are doing the skills the way we are doing them will explain this in lab

Concepts to Review/Read/Know • Irreducible minimum • Violating the sterile field – Options •

Concepts to Review/Read/Know • Irreducible minimum • Violating the sterile field – Options • Standard precautions • Critical thinking – APOS • Anticipation • Communication and Teamwork in the OR

Pre-operative Case Management Chapter Sections • • • OR attire Preparing the operating room

Pre-operative Case Management Chapter Sections • • • OR attire Preparing the operating room Organizing back table Organizing the mayo stand Assisting other sterile team members Draping the surgical patient

REVIEW • • • Test Tuesday: Terms Concepts/Principles Skills Text pp. 318 -353 and

REVIEW • • • Test Tuesday: Terms Concepts/Principles Skills Text pp. 318 -353 and Thursday lecture material

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