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Veterinary Clinical Procedures

Veterinary Clinical Procedures. Surgeries. The Surgery Team. Surgery Team consists of a surgeon, an anesthetist (or a few sterile assistants-scrub nurse), and a few non-sterile assistants (called circulators). Scrub Nurse.

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Veterinary Clinical Procedures

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  1. Veterinary Clinical Procedures Surgeries

  2. The Surgery Team Surgery Team consists of a surgeon, an anesthetist (or a few sterile assistants-scrub nurse), and a few non-sterile assistants (called circulators). Scrub Nurse • Assists the surgeon while performing surgery (passing instruments, keeping things sterile, retracts/holds organs, assists in suturing) • Circulators • prepares patient and surgery site • sets out the sterile equipment packs • gathers supplies the surgeon will need

  3. SurgicalLog Book Keeps track of all important surgical notes • Dates • Patient name/number • Client name • Breed/species • Gender • Weight • Procedures performed • Pre-anesthetic medications administered (dosage and route of administration) • Anesthetic administered (dosage and route of administration) • Surgical assessment score • Technician and assistant initials • Veterinary Initials • Approx. length of surgery • Lab specimens taken • Surgical comments

  4. Surgical Suite Maintenance • Ceiling Sanitation • (yes, the ceiling) • Should be spot cleaned daily • Entire ceiling should be mopped once a week • One bucket should be used only for the surgical suite • Debris can collect on the ceiling during surgeries & be unsanitary for the next patient • Wall Sanitation • Should be spot cleaned after every surgery by use of disinfecting cleaner and paper towel • Must be sponge mopped daily

  5. Surgical Suite Maintenance • Shelf/Counter Sanitation • Should be cleaned between surgeries • All surfaces must stay disinfected • Floor Sanitation • Should be mopped on a daily basis, or as necessary • Two bucket system: one with warm soapy water for rinsing, and one containing disinfectant • Empty buckets immediately after use

  6. Pre-anesthetic Patient Care • The choice of blood testing depends on the classification assessment • Patients should be admitted in early morning to complete pre-surgery procedures • Fasting: Dogs & Cats: 12 hours • Ruminants, rodents, and horses do not require fasting • Physical examination is done during this time along with pre-surgical blood work.

  7. Anesthetics Main Parts of Anesthesia Machine: Vaporizer - converts liquid anesthesia to gas form Oxygen tanks – hold compressed forms of liquid to keep patient oxygenated Flow meter – measured in ml/minute, regulates the proper amount of oxygen a patient needs. Most common rate of flow is 30 ml/kg/minute Soda lime – a granular white substance that traps CO2 exhaled from patient that can’t be let back out into the facility. Starts white may turn pink, blue or purple when used. “Y” connector – tubing that connects to the inhalation and exhalation valve to regulate breathing.

  8. Surgical Preparation • Patients should be prepared in a way that makes the surgical area sterile • Incision area is shaved and washed • Surgical Margin: 2-4 inches beyond anticipated incision borders • First wash is soapy warm water to rid excess hair, second is a surgical scrub • (Chlorhexidine is common) • Surgical scrub is used 2-3 times using scrub-soaked gauze

  9. SurgicalTools Surgery Packs: Include everything you will need when performing a surgery. All packs are sanitized prior to surgery. • Include: • Instrument pack (for whatever you are performing surgery on) • ½ surgical drape • ¼ surgical drape • Towel packs • instrument envelopes • bowel packs • gauze sponges • Laparotomy towel • suture material • Surgical blades

  10. SurgicalTools Scalpel Handle/Blade Used to made a surgical incision into an animal Different blades are used for different surgeries/incisions Handles come in a variety of lengths

  11. SurgicalTools Towel Clamps Used to hold surgical drape in place over the patient during surgery • Locking forceps, most common is the Backhaus Towel Clamp • Attached lightly to the skin on the animal and four corners of the drape

  12. SurgicalTools Needle Holders Used to hold the needle in place during surgery. Hinged, locks into place to hold the needle. Have scissor like blades, be cautious to not cut the suture material.

  13. SurgicalTools Tissue Forceps • Toothed • Used for grasping tissue

  14. SurgicalTools Dressing Forceps • Used to grasp tissue • Not toothed • Can have a curved or straight tip

  15. SurgicalTools Adson Forceps • Have several small delicate teeth • Used for handling light tissues, like eyes and mouth

  16. SurgicalTools Allis Tissue Forceps • Used for grasping and holding bowel & intestinal tissues • Lock in place • Have inter-locking teeth

  17. SurgicalTools Babcock Tissue Forceps • Intestinal forceps • Broad, flat, flared ends with smooth tips • Hold intestine/bladder tissue

  18. SurgicalTools Sponge Forceps • Straight or curved tip • Circular tip for even pressure to an area • Used to hold gauze / sponges to clear bleeding areas

  19. SurgicalTools Hemostatic forceps • Designed to hold off blood vessels • Hinged • Locking

  20. SurgicalTools Surgical Scissors • Used to remove tissue during surgery • May have rounded or pointed ends

  21. SurgicalTools Spay Hook • Used to locate the uterus and uterine horns in small female animals

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