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Surgical Technologist Responsibilities

Surgical Technologist Responsibilities. Preoperative Intraoperative Postoperative. Preoperative Case Management. Prepare the OR Pull necessary supplies Don PPE Prepare and maintain the sterile field Scrub, gown, and glove Count Drape. Intraoperative Case Management.

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Surgical Technologist Responsibilities

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  1. Surgical Technologist Responsibilities • Preoperative • Intraoperative • Postoperative

  2. Preoperative Case Management • Prepare the OR • Pull necessary supplies • Don PPE • Prepare and maintain the sterile field • Scrub, gown, and glove • Count • Drape

  3. Intraoperative Case Management • Maintain the sterile field • Anticipate • Pass instruments, supplies as needed • Prepare and handle medications • Specimen care • Dressings

  4. Postoperative Case Management • Maintain sterile field until patient is transported • Transport used instruments and equipment to decontamination area • Prepare OR for next patient • Dispose of sharps

  5. Five Steps to Critical Thinking • Identifying the goal or problem • Gathering and evaluating information • Use A POSitive CARE Approach • Generating one or more responses • Implementing the best response • Assessing the results

  6. CARE Caring Attitude Application Role Environmental concern A POSitive Anatomy Pathology Operative procedure Specific variations A POSitive CARE Approach

  7. OR Attire • Semirestricted areas • Restricted areas • Scrub suit • Hair cover • Shoe covers may be required • Jewelry, cosmetics, artificial nails may be restricted

  8. OR Attire • Apply hair cover prior to scrub suit • Don scrub suit • Apply ID badge and X-ray monitor device • Change into appropriate OR shoes • Apply shoe covers • Apply mask and protective eyewear

  9. Protective Attire • PPE (Personal Protective Equipment) • Scrub suit • Mask • Hair cover • Shoe cover • Gloves • Protective eyewear • Radiation protection

  10. Sterile Attire • Worn by the sterile surgical team • Donned after surgical scrub • Sterile gown • Disposable • Reusable • Lint-free woven or nonwoven • Sterile gloves

  11. Sterile Gowns • Gowns are sterile from waist level to mid-chest level • In front • Sleeves circumferentially to two inches above the elbows • Cuffs of the gown are considered nonsterile

  12. Sterile Gloves • Worn by all sterile team members • Applied immediately after the sterile gown • Available in a variety of styles and sizes • Latex-free • Lead gloves

  13. Preparing the OR

  14. Preparing the OR • Check schedule board for daily room assignments • Pull surgeon’s preference card • Check case cart • Pull case supplies • Verify all necessary furniture and equipment is present • Damp dust all flat surfaces

  15. OR Setup • Position back table, Mayo stand and ring stand furthest from the door. • Position the OR table and lights • Check that all equipment is working properly

  16. OR Setup • Position instruments and supplies: • Basic pack on the back table • Basin set in the ring stand • Instruments on flat surface close to the back table

  17. OR Setup

  18. Establishing the Sterile Field • Apply mask • Medical handwash • OR doors must be closed • Verify exposure to sterilization process • Examine integrity of the package

  19. Establishing the Sterile Field • Open back table first followed by basin and instruments • Smaller items are opened • ST’s gown and gloves should be opened onto a separate surface

  20. Opening Sterile Supplies

  21. Beginning Technique • Check packaging for integrity • Unfold • First flap away from you • Second flap toward you • Reposition and open third flap • Move to opposite side to open fourth flap

  22. Surgical Scrub • Personal protective equipment • Remove jewelry, watch, etc. • Inspect integrity of hands and arms • Handwash, clean nails • Begin counted brush stroke or timed method

  23. Disposable scrub brushes impregnated with antiseptic Plain brush used with antiseptic solution provided by the facility (foot pump) Waterless scrub: Dispenser Rubs in No drying Surgical Scrub

  24. Counted method Requires a measured number of brush strokes for each anatomical area scrubbed Dictated by the facility policy Surgical Scrub

  25. Timed Hands and arms are scrubbed for a prescribed length of time Most commonly the first scrub of the day is 10 minutes Subsequent scrubs are 5 minutes Surgical Scrub

  26. Surgical Scrub • Inspect hands and arms • Inspect nails and cuticles

  27. Surgical Scrub • Open brush package • Apply water

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