Laparoscopic chole procedure STUDY!!

What is the first thing to check when opening the lap tray?

Indicators and locks should be intact.

What do you do after opening the lap tray?

Step back and check filters, then pass the lid to the nurse.

What must you remember to do when you open the camera tray?

Open like a towel and step away, do not touch as you are not sterile yet.

What is the proper sequence for draping the mayo stand?

Tuck in the right side first (near you and the patient), then the left.

What should you do when ready to count instruments?

Perform a soft count, only if the procedure is converted to open.

What types of medication do you need to ask the surgeon for during setup?

Local anesthetic medications.

What is the purpose of Insufflation tubing in the procedure?

To inflate the abdominal cavity with carbon dioxide.

What must be labeled when preparing the saline?

Label with black ink NaCl/SALINE.

What equipment is necessary for an intraoperative cholangiogram?

C arm, contrast, lead gown, and thyroid shield.

What should you do before handing local anesthetic to the surgeon?

Say the name of the medication.

What suture is for the Fascia?

0 vycril ur6

What suture is for the skin?

4-0 monocryl PS-2

Basin Set up in Order?

suction irrigator, insufflation tubing(grey cord), Camera cord/light cord, Light handles, Bovie, green cord, Abdominal drape, 4 towels to drape pt, surgeons gown,gloves and towel.

When setting up back table what do you ask your nurse for?

5mm endoclip, endocatch, right angle, 5mm scope

What is another name for saline?

NaCI

When checking saline what dfo you check for?

Name, warmer date, amount, and expiration date.

After circulator pour saline what do you do and ask?

Label with black ink, and ASK IF PATIENT HAS ANY ALLERGIES

What instrument goes on the basin to clamp the bovie?

Edna clamp

What is LAP Chole?

Removal of gallbladder by laparoscopic approach

When is the first closinf count?

When closing the fascia

When is final closing count?

When closing skin

What is IOC?

Interaoperative Choliangiogram

Why is IOC preformed?

To see if there are gall stones in the common bile duct.

What medication is used in IOC (Intraoperative Choliangiogram)

Contrast

What would you need in the surgery went into open surgery?

1. #10 blade

2. Laps

3. Yankuer

4. Bovie

5. suction tubing

What equipment would be needed for an open surgery?

C arm, contrast, lead gown, and thryroid shield

Why is she holding up the kochers?

To not penetrate the bowlor damage surrounding tissues.

Why do we insufflate the hasson trocar?

To create a working space for the laparoscopic instruments by inflating the abdominal cavity with gas, typically carbon dioxide.

CLIP CLIP CLIP

WHITE endoclip

CUT CUT CUT

ENDOSHEAR - BLACK

what is the 4-0 monocryl PS-2 loaded on?

Webster needle holder