Inguinal hernia surgery (copy)

What supplies need to be opened before a procedure?

Towels, sutures, light handles, extra drapes, blades 10 or 15, kittners, scratch pad, stapler, ties.

What information should be confirmed regarding the patient before using Penrose drains?

Ensure the patient is male and has no latex allergy.

What items should be included in the 'As needed pile'?

Bandages, mesh, drains, dressings.

What should be opened on the mayo for the procedure?

Gown and gloves, reinforce backtable, open basin, instruments.

What are the key instruments to set up on the mayo?

Ties below towel, 2 packs of 5 laps, 4 Criles, 1 Kittner on a Kelly, 1 right angle, 1 short Babcock, 2 Army navies, 1 Richardson Kelly, 1 Weitlaner, 1 str mayo, 1 Metz, 2 Adson, 2 Short DeBakey, 1 knife handle with a #10 Blade.

What items are included in the first count?

Laps, raytecs, hypo, blades, sutures, bovie w/tip, scratch patch, kittners, yankeur, asepto, penrose.

What items are included in the basin stack?

Suction yankeur, bovie w scratch pad, Edna, abdominal drape, 4 sticky drapes, 1 towel, surgeon glove, surgeon gown, surgeon towel.

What should be done during the timeout before incision?

Look for doctor's initials on the correct side; should be done in pre-op.

What should you confirm when the nurse brings mesh?

Verify size, name, and expiration date.

What is the proper way to pass a drain with trocar?

Pass trocar like a knife, take off cover first, then pass suture with adson with teeth.

What is the procedure to apply a bandage using the AST method?

Wet + dry lap, take off glove, place bandage, cover with towel and take off drape with hand on the drain.

What are the initial items for the final closing mayo?

Wet + dry lap, local syringe + cup, str mayo, crile or mosquito, 2 adsons with teeth, stapler, towel.

What should be done after passing the adson to surgeons and the stapler to the assistant?

Initiate final soft count.

What conditions should be met for using drains without trocar?

Pass blade, pass drain, feed the end with a tonsil, cut with str mayo, tag the drain.