Surgical Skills Final Exam


Surgical Attire Per Policy

  • Scrub Cap

Steps         

Notes

  • Net Over Scrub cap to be Safe for those with longer hair

  • Mask

Steps         

Notes

  • ATA Scrubs

Steps         

Notes

  • Badge

Steps         

Notes

  • Proper Shoes

Steps         

Notes

SPREAD THE ROOM

  • Back Table - Laparotomy Pack

  • Basin

  • Mayo stand - gown

  • Gloves in pocket

Creating the Sterile Field

  • Back table

Steps    Open Lap Pack - Check integrity    

Place on Back Table

Open with on hand step to side and away from sterile area.

Walk towards right side move Mayo stand. Walk around and pull right side out and down

Move Mayo stand back. Walk toward Left Keep eyes on sterile field. Push ring stand towards middle. Pull left side. Keep eyes on sterile field while walking towards basin.  

Notes Announce no Holes

  • Basin

Steps         Check for integrity and challenges

Open taped edges. Place one hand on ring stand for stability. Pull tab up and turn to the right. Bring wrapping level and then drop. Turn basin back to first position. Complete for left and right side. Swap stability hand to pull each side with corresponding hand. For last tab place foot on bottom of ring stand and push out while holding wrap, bring level and drop. Adjust by grabbing the edges (within on inch of edge if edge is not possible) bend at the knees do not allow face to get too close to basin. Use foot to push basin right next to back table

Notes do not allow face to hover over

  • Backtable Section 1

Steps         Open Towel packs x4 Keep arms out- unwrap grabbing edges. And toss with one hand

Notes no trex arms

Check integrity of each wrapping


  • Backtable Section 2


Steps         

Open surgeons gown

Open surgeons gloves. Open pack halfway turn and press against forearm. Pull wrapping off and let glove fall onto table pull back in one motion


Notes

  • Backtable Section 3

Steps         announce opening sharps on the right. Open sutures, blades and misc on right side

Notes

  • Designates the side of the table to position the sharps before opening

Steps         

Notes

  • Mayo stand items

Steps         Open gown for personal use

Open gloves

Notes

  • Intruments

Steps      Check for signs of integrity on instruments. Tamper tags, card, lid is on.

Pop integrity tags   Catch them in hands step back and flip lid away. Check integrity of filters. Announce no holes. Place lid underneath. Do not allow face to be close to instruments

Notes

  • Systematic

Steps         

Notes

Surgically Clean Per Policy

  • Surgical Prewash

Steps         

Notes

  • Surgical Scrub

Steps         

Notes

  • Responses to questions demonstrates a strong understanding of the guidelines

We scrub to be surgically clean. To reduce the population of resident and transient flora

Sterility is absolute and means free from all microorganisms including spores

Steps         

Notes

  • Systematic

Open scrub sponge FIRST then pre wash

Steps         

Notes keep your arms at an angle to allow water to drip at the elbow only. Keep fingers spread apart do not allow your pinky to turn down.

Gowning PPE Per Policy

  • Drying

Steps         

Notes give yourself a couple of seconds to air dry before reaching over towel to avoid strike through contamination with dripping water

  • Gowning

Steps    

  • check your surroundings to step backwards

  • look left and right to allow for ample room to open gown

  • Ask for circulator to tie you

Notes

  • Gloving

Steps         

  • orientate gloves upside down

  • pick up first glove

  • Grab second glove and simultaneously walk towards back table make sure there is not enough distance for someone to walk through

  • Gown - ask circulator to spin you, hand card holding white part and hold on to tie do not allow circulator to come too close to sterile field when receiving other end

Notes

  • Systematic

Steps         

Notes

Setting up the Sterile Field before Intruments

  • Mayo Stand

Steps       \Drape Mayo stand with one towel. Turn around. Place sharps and suture bag on to mayo

Notes:

  • Creates stack in reverse order of use

Steps         Lap Drape - Four towels - Gloves - Gown - One Towel

Notes

  • Reinforces Back table

Steps         Lay towels down as you move things on table.

Notes

  • Organizes the items in the basin and sharps to facilitate count

Steps         

Notes

  • stack placed on empty basin before getting instruments

Steps         

Notes

  • Systematic

Steps         

Notes

Instrument Tray Per Policy

  • Retrieves Instrument Tray

Steps         

Notes

  • Organizes the instrument tray to facilitate count


Steps         

Notes

  • Responses to questions demonstrate a strong understanding of guidelines

Steps         

Notes

  • Systematic

Steps         

Notes

Instrument Count Per Policy

  • Soft Goods

Ray Tecs

Laparotomy Sponges


  • Sharps

Open Sutures that are covered and you can not see needles

Blades -


  • Misc Items

Reels - Suture String


  • Instruments

Steps

Start with instruments on stringer

Notes

  • Systematic

Steps         

Notes