Lab Final Practical Steps

• Inspect and open gown

• Inspect and open gloves

• Retrieve towel and dry hands (bent over at waist)

• Grab and don gown

• Retrieve mayo bag and place hands in appropriate spot

• Steady Base, open bag, and slide onto tray

• Place towel onto tray neatly

Skill #1: Gowning and Gloving/Draping Mayo Stand

This skill is worth 8 points

• Set up towel with Basins

• Set up kit and Stringer

Skill #2: Complete Table Setup

This skill is worth 10 points

• Read and Confirm Meds with Instructor

• Present proper receptacle for med and label

• Draw up med with syringe/ Asepto

Skill #3: Accept Medications

Local/ Antibiotic

This skill is worth 10 points

• Initial Count:

• Count instruments: (stringer, Forceps, Retractors, Suction)

• Count Sponges

• Count Sharps- Open any Closed Suture Packets/ Show Hypos, Cautery Tip

• Count Miscellaneous

Skill #4: Counting

This skill is worth 12 points

• Set up for Laparoscopic Case- All items/ Cords

Skill #5: Setting up the Mayo Tray

This skill is worth 10 points

• Hand and Assist with placing four sticky towels

• Place lap sheet down and drape, protecting hands

Skill #6: Draping the Patient

This skill is worth 10 Points

• Cords organized and ready to bring to the field

• Cords placed in proper spot on the field/ Secured properly

• Cord length is appropriate

Skill #7: Passing off the Cords

This skill is worth 10 Points

• Pas the local in safe Zone- Be sure to state medication being passed

• Pass Knife in safe Zone

• Pass Clamps, forceps, cauery, ect. of instructors choice

Skill #8: Passing Knife, Local and Various Instruments

This Skill is worth 10 points

• Load Suture with Correct needle holder

• Load right handed upon request

• load left handed upon request

• Cut suture when asked

Skill #9: Load and Pass Suture

This skill is worth 15 points

• Place dressings on wound and secure

• Roll lap sheet from top down

• dispose of lap sheet/ Towels

• Dispose of sharps and remove gown and gloves

Skill #10: Apply Dressings/ Take Down Drapes

This skill is worth 5 points

• Knife handles

• Scissors

• Needle holders

• Towel clips

• Straights

• Curved

• Allis

• Babcock

• Kocher

• Sponge Sticks

• Right angles

• Retractors

• Forceps

• Clip appliers

• Suctions

• Laps/ 4×8’s/ 4×4’s

• Needles

• Blades

• Bovie tips

• Peanuts

Cute acronym: “Kids Share Nachos Then Steal Cheese And Burgers Keeping Snacks Ready.” (This is for Instuments only)

Insturment Count Order

3 Trocars, 1 hassan and 2 regular

2 S Retractors

2 Kochers, 1-2 Kelly, 1-2 metzenbaum Scissors

2 toothed adsons

Local & loaded knife handle

Instruments For Laparoscopic Case

2 Richardsons,

1 right angle, 1 Metzenbaum, 2 allis

2 Crile, 2 schnidts, 2 kelly, 2 Mosquito

2 toothed Adson, 2 Debakey

Local & loaded Knife handle

Instruments for Open case