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7 Cards in this Set

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pressure dressings
a type of three layer dressing to which additional material is added to the intermediate layer or one that is tightly secured to cause compression of the surgical wound, eliminating dead space
STENT DRESSING
applies pressure to prevent hematoma formation and stabilizes tissue such as skin grafts, provides form fitting mold over long, strategically placed sutures, crisscrossed over a small dressing and tied securely
Depending on the facility policy, what should you do on entering the restricted area
A basic hand wash is performed, application of the face mask may be necessary at this time. All equipment and horizontal surfaces in the O R are wiped down with disinfectant solution and then another hand wash should be performed after this activity
operating room setup
Whenever possible, the back table, Mayo stand, and ring stands should be position so that the sterile field is established in the area farthest from the door.

All tables that are to be set up in the sterile field should be placed at least 12 inches from the wall.

The o r table is positioned under the operating lights in the orientation required for the procedure.

The anesthesia machine is generally placed at the head of the table.

Lights and other equipment is tested for functionality at this time
Preparing the operating room
When properly attired, the surgical technologist reports to the main o r desk to obtain the necessary information about that Day's assignment. Preparation for the first Surgical case of the day is quite different from the preparation of subsequent cases. Some of the activities need only be performed once each day or are included in the post operative case management activities and do not have to be repeated. At many facilities, ancillary personnel may perform some of the task.

On entering the restricted area, a basic hand washe is performed. Depending on the facility policy, application of the mask maybe necessary at this time. all equipment and horizontal surfaces of the o r are whiped down with disinfectant solution and another hand wash should be performed after this activity.
Operating room setup
Verify that all necessary furniture and equipment is present and the o r and remove any unnecessary items. Furniture and equipment are arranged for ease of use, efficiency, and the best possible sterile technique. Whenever possible, the back table, mayo stand, and ring stand should be positioned so that the sterile field is established in the area farthest from the door. When the o r doors open and close, air movement is at its highest. Therefore, it is advantageous to establish the sterile field as far as possible from the doors and from human traffic into and out of the room. All tables are to be set up as part of the sterile field should be placed at least 12 inches from the wall. All other furniture should be placed side by side and away from the major traffic paths.

The o r table is positioned under the operating lights in the orientation required for the procedure. The anesthesia machine is typically placed at the head of the table. The operating lights are checked at this time for functionality and position close to where they will be focused for the procedure. All other equipment is tested for functionality.

Bags for laundry, clean ways, and bio hazardous waste should be in the hamper frames. These are positioned so that waste can easily be disposed of during initial setup, but at a safe distance from the sterile field. Kick buckets are line within pervious biohazard liners. Suction canister should have new section liners. The suction tubing should be attached to the wall vacuum outlet. Confirm the a second suction apparatus is available and functional for management of the patient's airway.
Gathering instrumentation and supplies
The surgeons preference card is obtained and the necessary instrumentation and supplies are gathered for the surgical procedure and are placed on a case cart. The preference card may be computer generated or handwritten. Additional information concerning the procedure may be obtained from other sources such as the patient, the patient's chart, or other surgical team members. Info for sub please the majority of instrumentation, supplies, and equipment is gather by central sterile supply personnel. The surgical technologist must I only locate the case cart and ensure everything is present. The case cart system is a good example of interdepartmental teamwork. The case car is brought into the or and the items are position for years. The back table pack is placed on the back table, and the basin is set is placed on the ring stand., and the instruments his place on a flat surface near the back table. F instruments or in the sky must be sterilized, they are placed in the sterilizer and process this time. Any items not later than mediately are placed in a location where they will be convenient for the circulator to retrieve and over and when needed