Chapter 12: Potential Hazard, Passing Technique, Skin Prep (Matching Exercise 12)

Gown/glove separate setup

Main instrument table contamination

Fiberoptic placement when on

Nonionizing radiation fire when activated on drapes

Labeling medications and solutions

Medication error prevention

Double glove

Primary glove deterioration and possible contamination

Passing without touching surgeon

Prevents distraction of surgeon from procedure

Lead apron; thyroid shield

Radiation hazard exposure

ESU active electrode in holder

Accidental patient burn due to activation

Laser goggles

Retinal or corneal damage

Counting

Foreign body retention

Separation of clean and dirty

Prevention technique for bowel or cancer tissue

Goggles/eyewear

Eye splash with blood or body fluids

Neutral Zone

Prevention of sharps injury

General rule for passing all instruments

Do not obstruct surgeon's view of operative site

Scalpel passed in neutral zone

Either surgeon or surgical technologist hand is in the area, not both; observe cautiously

Needle holder

Pass; needle tip up and same side as surgeon's thumb

As passed to surgeon, counted

Moist laps or sponges used for packing inside patient

Curved instruments

Aligned with the curve of the surgeon's hand/fingers

Scalpel passed to surgeon's hand

Pencil style; be sure to remove from danger area up and away from the blade

Laparoscopic/endoscopic instruments

Guide tip into port after passage of handle

Ray-Tec/lap sponges

Pass unfolded or lay open on field for surgeon use

Ringed instruments

Held by box lock; passed into palm to elicit grasp reflex

Suture passing, control of strand

Draped behind hand to prevent surgeon grasping strand

Duraprep

combination of povidone iodine and alcohol

Povidone-iodine

Two-step prep with scrub and then "paint"

Chloraprep

Combination of alcohol and chlorahexidine

Alcohol

Flammable antiseptic that enhances effectiveness when combined with other solutions

Tape remover

Used for ECG lead removal to ensure antiseptic skin contact

Skin degreaser

Used to remove skin oils

Chlorhexidine gluconate 2%

Has a longer residual effect of 5-6 hours

Tape Remover

Remove umbilical detritus