operating room presentation created for NCM 102 lecture from FCC, Roxas

1. OPERATING ROOM NURSING BY: Miss Shenell A. Delfin,RN

2. Surgical Instruments are classified according to their use

4. Blade #12

5. Scalpel Blades

6. #3 Scalpel Handle #4 Scalpel Handle

7. Knife

10. Mayo Scissors

11. Metzenbaum Scissors

13. Suture Scissors

16. Bandage Scissors

19. Thumb Forcep

20. Debakey Tissue Thumb Forceps

22. Tissue Forcep w/ Tooth

25. Allis Forcep

27. Babcock Clamp

29. Ochsner Forceps

31. Single Tooth Tenaculum

32. Uterine Tenaculum

33. Clamping Instruments Clamping and Occluding – instruments that clamp and occlude are used to apply pressure

38. Mosquito Forcep (curved)

39. Mosquito Forcep (straight)

40. Round Nose/Kelly Forcep (curved)

41. Round Nose/Kelly Forcep (straight)

42. Mixter Right Angle Forceps

43. Rochester Carmalt Forcep

44. Rochester Pean Forcep

47. Army-Navy Retractor Senn Retractor

48. Richardson Retractor

49. Sim’s Retractor

50. Vaginal Weight Retractor

53. Weitlaner Retractor

54. Balfour Retractor

55. Temple – Faye Retractor

56. Gelpi Retractor

57. Finochetto Retractor

59. Nasal Speculum

60. Vaginal Speculum (small)

61. Anal Speculum

62. As a Scrub Nurse Performs surgical scrub using the accepted technique. Gowns and gloves himself using the proper technique. Opens sterile packs and set correctly Counts instruments and sponges correctly. Assist in draping the patient. Anticipates the need of the surgeon.

63. Keep sterile field neat, clean and dry. Counts instruments and sponges before the end of operation

64. Hands and serves instruments and sterile supplies adeptly

65. Prepares the dressing properly. Washes and keeps the instruments used.

66. Properly label specimen. Disposes waste material properly

67. Assist in cleaning, re-arranging and preparing the room for the next case. Assist with drying and packing of instruments.

69. The circulating nurse is also responsible for correctly labeling and caring for the surgical specimen. If a frozen section is to be performed, he/she would be responsible for contacting pathology.

70. If a sponge drops on the floor, the circulating nurse removes the sponge using an instrument or gloved hand and wipes the area immediately with a hospital grade disinfectant.

72. Once the desired surgery is accomplished, the surgeon is ready to close the incision. All instruments and sponges are removed from the wound. The surgeon may wish to irrigate with warm saline at this time. The circulating nurse will need to pour additional saline from the warmer. The scrub nurse must test the temperature of the saline to make sure it is not too hot.

73. Prior to suctioning the saline from the wound, the scrub nurse should note the amount of blood in the suction canister and anesthesia personnel should record this blood loss.

74. A sponge, needle, and instrument count is performed at the beginning of closure. The first layer of closure is the peritoneum. If the surgeon chooses to close this layer, he/she may grasp the peritoneum with three to four kelly or pean clamps to lift it and avoid injury to the underlying organs while suturing. Suture for this layer may be 0 or 2-0 absorbable on a tapered needle using a long needle holder. A continuous stitch would be used. Pick up forceps would be long and smooth.

78. Sutures