SURGICAL INSTRUMENTATION RETURN DEMONSTRATION

I. GATHER THE MATERIALS

II. PURPOSES OF SURGICAL OPERATION
• DIAGNOSTIC- to confirm
• EXPLORATORY- to determine the extent
• CURATIVE- ABLATIVE- removal of an organ
• CURATIVE- CONSTRUCTIVE- repair of organ
• CURATIVE- RECONSTRUCTIVE- repair of damaged organ
• PALLIATIVE- relieve distressing signs
III. STAGES OF OPERATION
• PRE-OPERATIVE PHASE
• INTRAOPERATIVE PHASE
• POST-OPERATIVE PHASE
IV. FUNCTIONS OF SCRUB NURSE
• Maintain integrity, safety and efficiency of sterile field
• Prepare, arrange instrument supplies
• Assist in operation providing sterile instruments and supplies
V. FUNCTIONS OF CIRCULATING NURSE
• Application of nursing process, coordinating all team members
• Maintenance of a safe and comfortable environment for the patient
• Provision of assistance to any member of the OR team
• Maintenance of communication link between members
VI. PRINCIPLES OF STERILE TECHNIQUE
1. Only sterile items are used within the sterile field.
2. If you are in doubt about the sterility of anything, consider it unsterile.
3. Gowns are considered sterile ONLY from the waist to shoulder level in front and themselves.
4. sterile persons keep hands in sight and at or above waist level.
5. Hands are kept from the face and never held under the axillary’s region.
6. Changing table levels are avoided.
7. Items dropped below waist level are considered unsterile.
8. Tables are considered sterile only at table level.
9. Anything that extends below the table level is considered unsterile.
10. In unfolding sterile drape, the part that drops below the table level is considered unsterile.
11. Sterile persons touch only sterile items or areas, unsterile persons touch only unsterile items or
areas.
12. Unsterile persons should not directly get in contact with the sterile field. Use sterile transfer
forceps.
13. Unsterile persons a void reaching over a sterile field and sterile persons avoid leaning over an
unsterile field.
14. In pouring into a sterile field and sterile persons avoid leaning over the basin to avoid over
reaching.
15. The scrub nurse should set the basin or glasses to be filled at the edge of the sterile table.
16. Surgeons turn away from the sterile field and to have perspiration removed from the brow.
17. Sterile persons keep well within the sterile area.
18. Sterile persons pass each other back to back.
19. Sterile persons turn back to non-sterile person or area when passing.
20. Unsterile persons avoid sterile areas.
21. Unsterile person should maintain at least 1foot distance from any sterile area.
22. Unsterile persons never walk between 2 sterile areas.

VII. CLASSIFICATION OF INSTRUMENTS

• Cutting- knife,scalpel, scissors,
• Clamping and occluding- hemostatic forceps, mixter, Ochsner,
• Grasping and holding- adson forceps (toothted, toothless), thumb forceps, tissue forceps
• Exposing and retracting- self retaining (mastoid, gelpi,) non retaining (army navy,
Richardson)
VIII. IDENTIFICATION OF BLADES
• Blade number 10 11 12 15 is for handle number 3, cut delicate tissues
• Blade number 23 24 25 is for handle number 4, cut tough tissues
IX. PUT THE BLADE IN THE HOLDER
X. IDENTIFICATION OF INSTRUMENTS IN THE STERILE FIELD
XI. DISPOSE THE SHARPS AND WASH THE EQUIPMENT