Small Animal Patient Preparation

Name patient preparation tasks.

clip fur, pre-surgical scrub, position, sterile scrub

Surgical clips are done after…

induction

Where should the surgical clip be done?

prep area

What blade should be used for a surgical clip?

40

(T/F) You should go with, then against the grain when clipping.

true

What is the exception to surgical clips being done before induction?

c sections

What is used to avoid hot blades and clipper burn?

cool lube

Shave margins depend on the…

surgery

What are the abdominal margins for clipping?

xyphoid to pubis

What are the pre-scrotal margins for clipping?

caudal to prepuce tip, cranial to scrotum

(T/F) Pre-scrotal margins are not adjusted, even for cryptorchid patients.

false

(T/F) Orthopedic clips are done all the way around the limb.

true

What are the orthopedic margins for clipping?

joint above and below bone

Open wounds should be protected with what while shaving?

water based lube

You should always aim for ____ margins.

neat

What should always be done before an abdominal procedure?

bladder expression

What should be used to flush the penis and the prepuce?

diluted antiseptic solution

(T/F) Gloves are not needed for a prepuce flush.

false

What is performed in male dogs before abdominal procedures?

prepuce flush

When is the prepuce flush performed?

before the scrub

After massaging the solution into the prepuce, it should be expelled where?

towel

What antiseptic is used for pre-surgical scrubs?

chlorhexidine or idophor(

(T/F) Antiseptics must be diluted for pre-surgical scrubs.

true

What is commonly used as a rinsing agent for pre-surgical scrubs?

70% alcohol or sterile saline

What is done before the pre-surgical scrub?

dirty scrub

What should never go in wounds or MMs in a pre-surgical scrub?

alcohol or detergents

Line blocks are done after the…

first scrub

What is the dilution of dirty scrub jars?

60:40

What is described as wiping in an outward spiral until reaching the hair?

target pattern

(T/F) A rinsing agent is used after each target pattern.

true

Target patterns should be repeated at least __ times.

2

When moving a patient to the surgical suite, the surgical site is protected by…

sterile huck towel

(T/F) Patients should not be disconnected from fluids or the anesthesia machine when moving.

false

What should not come together when moving a patient?

hind limbs

What secures the limbs to the surgical table?

leashes

Who is responsible for tying limbs to the table?

circulators

What position are patients in for abdominal surgery?

dorsal

What position are patients in for canine neuters?

dorsal or modified dorsal

What position are patients in for feline castrations?

dorsal or lateral

For a feline castration, hind limbs are pulled…

cranially

What position are patients in for orthopedic surgeries?

lateral

Are patients placed on the opposite or affected side when performing an orthopedic surgery?

opposite

What should be done to the limb when doing an amputation?

suspend

For tail/perineal positioning, the tail may be…

pulled cranially or hung

What kind of gloves must be worn for the sterile surgical scrub?

sterile gloves

What kind of water is used to dilute sterile surgical scrub solution?

distilled

What kind of technique is used for a sterile surgical scrub?

clean hand/dirty hand

What hand will touch the inside of the sterile gauze jars?

clean

What hand will be used to scrub the patient?

dirty hand

What should be done to finish patient prep?

spray with diluted iodophorF

For feline orchidectomy, hair should be…

plucked

What rinsing agent is contraindicated in feline orchidectomies?

alcohol

Orthopedic surgeries require the target pattern on both the _____ and _______ aspects.

medial, lateral

(T/F) Surgeries involving the paw should always be shaved.

false

Surgeries involving the paw are soaked in…

antiseptic