SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

STUDENT NAME: CODE: LEVEL OF

Juan Sebastian Rincon Martinez 01190022014 PRACTICE: III

TEACHER'S NAME: PRACTICE SCENARIO: NOTE:

Yuli Calderon Instituto del Corazón (Fosunab)
SPECIALTY: SURGEON: DATE:
Cardiovascular Surgery Dr. Carlos Ocampo August 24, 2022

PATIENT'S NAME: MEDICAL RECORD NUMBER: PX AGE:

Idali Esperanza Sanabria de Gomez 28236855 77 Years Old
SURGICAL PROCEDURE TO BE PERFORMED:
Off-Pump Myocardial Revascularization

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

It is a surgical intervention that uses veins from the leg, or arteries from another part of the body, to divert blood following
the obstruction of the coronary arteries, which supply oxygenated blood to the heart.

1.2. Anatomy and physiology: (Make graphic and description)

Coronary art eries are small

conduits ducts (with an
average diameter of only 2-3
mm) 2-3 mm in diameter) that,
from the aorta artery, extend
around the heart, penetrate
the heart muscle and divide
into the heart muscle and
divide into multiple branches to
supply it with
oxygenated blood
(known as arterial blood).
 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

1.3. Checklist:
 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

2. ORGANIZATION STAGE:

a. May table arrangements and reservation (make outline)

 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

2.2. Position of the patient (Name and chart):

Supine Decubitus

2.3. Location of the Surgical Team (make graphic):

 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

3. EXECUTION STAGE:

a) Anesthesia (write the type of anesthesia):

General Anesthesia

b) Incision (write the type of approach and the name of the incision):

Incision for sternotomy, minimal internal or medial incisions in left leg for saphenous vein extraction.

c) Surgical Process (Describe the main steps of the medical-surgical technique with the instruments to be used).
 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC
 SURGICAL INSTRUMENTATION PROGRAM

SURGICAL PLANNING
TRAINING PRACTICE Version: 1
IQX-FT-003-BUC

FORMATIVE PRACTICE WEEKLY REPORT FORMAT FORMATO RECORD DE ASISTENCIA A

SURGERY - TRAINING
PRACTICE IQX-FT-024-UDES

STUDENT TEACHER'S SIGNATURE:

SIGNATURE:

CHANGE CONTROL

VERSIÓN DESCRIPTION OF THE CHANGE RESPONSIBLE APPROVAL DATE

00 Trial Version Lizeth Guiza Páez 25/11/2015

Coordinadora de practicas

Removes from the header the date of the

implementation of the format, according to the
disposition of the top management superior Erika Grandas Ardila
council. Coordinadora de practicas

01 10/05/2021
Elimination of footer due to modification in the
Laura Victoria Jaimes Toloza
document control and registration procedure..
Coordinadora de Calidad