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Preparing for the Operating Room BEFORE you get to the Operating Room

Preparing for the Operating Room BEFORE you get to the Operating Room. Rajeev Dhupar, MD January 2009. Surgery. Surgery is about Learning Surgery is about Taking Care of Patients Surgery is about being Prepared Surgery is Active Surgery is FUN. What kind of surgeon can you be?.

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Preparing for the Operating Room BEFORE you get to the Operating Room

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  1. Preparing for the Operating Room BEFORE you get to the Operating Room Rajeev Dhupar, MD January 2009

  2. Surgery Surgery is about Learning Surgery is about Taking Care of Patients Surgery is about being Prepared Surgery is Active Surgery is FUN

  3. What kind of surgeon can you be? General Plastic Oncology Vascular Orthopaedic Burn Transplant ENT Colo-rectal Cardiac Neurosurgery Pediatrics Thoracic Urology Gynecology Trauma Opthomology Endocrine Minimally Invasive

  4. How do you get there? Student (4 yrs) Medical School Medicine Psych Surgery Radiology OB/Gyn Anes Resident (5-7) Plastics/ Vascular/CT Ortho ENT Gen Surg Urology NSGY Fellow (1-3) Endocrine Transplant Vascular Plastics CT Trauma/CC JOB!!! Attending

  5. Shadowing a Surgeon • Research – what type, whom • Call Kathy Haupt hauptkg@upmc.edu; 647-5314 • Surgeon • Day, time • Scrubs • Go to the OR!!

  6. Before you go to the OR Read about the operation (anatomy, surgical atlas, Chassin’s, Up to Date) Find out about the attending (What are their interests? Profile online) Find the OR!! Meet the people (Be courteous)

  7. Preparing for the OR on your rotation The day before… The day of… The hour before…

  8. The day before the OR • Find the OR schedule (write it down) • OR • secretary • (Try to) plan what cases you will be involved in; discuss this with the team (everyone); be flexible • Read about the patient (H&P by the attending, indications, radiology)

  9. The day of the OR Find out about timing of the case (ask residents/OR front desk) Make sure the patient is prepared -pre-op: labs,EKG, x-ray, NPO, consent, etc.(index card, check boxes)

  10. The hours before the OR Be early Refresh yourself regarding the patient/case (note card) Check the OR schedule (again) Confirm with the team Meet the patient Use the bathroom, eat/drink

  11. The hours before the OR Meet the anesthesia team Meet the scrub/circulator, ask for help Walk back with the patient Watch how the team gets the patient ready, ask how you can help

  12. Your surgery rotation should be… …a time to participate in patient care …an opportunity to learn about disease processes …a study of anatomy …a time to immerse yourself FUN!

  13. Life in the Operating Room Rebecca Edmonds, MD January 27, 2009

  14. Prior to the start of the case… • Come prepared • Patient information • Anatomy & physiology • Introduce yourself • Pull your gloves

  15. Show up on time

  16. Respect the patient • Patients are scared • Patient may be awake • Ask if you should introduce yourself to patient

  17. The surgical hierarchy

  18. What to say… • Best to speak when prompted • Don’t ask questions during critical portion of case • Limit conversation to case-related talk

  19. …and what not to say!

  20. …and what not to say!

  21. Excuse yourself if your feel sick

  22. Take a break during long cases

  23. Hands off the Mayo!

  24. What am I going to be asked to do?

  25. Your new best friends!

  26. Knot tying

  27. Practice first!

  28. Suture

  29. Drive the camera

  30. And… • Answer questions • Pay attention • Learn • Have fun

  31. Why surgeons have the coolest job in the hospital…

  32. Questions?? edmondsrd@upmc.edu

  33. Introduction to the OR Jennifer B. Ogilvie, MD, FACS Co-Director, Surgical Clerkship University of Pittsburgh Surgery Interest Group January 2009

  34. The Early OR: No Masks Required

  35. Masks and gowns… for some

  36. Masks, Gowns…and a Nun

  37. The Modern OR:Presbyterian Hospital, OR 12

  38. Minimally Invasive Brain SurgeryPresbyterian Hospital

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