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ST230Concorde Career College
Objectives: Describe the technique utilized when
removing the gown and gloves postoperatively and explain the rationale.
List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.
Objectives (continued): Define the term homeostasis and describe
the methods utilized in the surgical environment to monitor and maintain homeostasis.
List emergency situations that may arise in the surgical environment and describe the appropriate response to each situation.
Objectives (continued):
Define the term specimen, identify methods for obtaining the specimen, describe methods of specimen processing, and outline the duties related to specimen handling.
Objectives (continued):
List the types of documentation related to the surgical environment, describe the importance of each, apply recommended practices, and understand the legal implications of proper documentation.
Drape Removal
Remove drapes after dressing application
Roll drape to contain biohazardous material
Dispose Clean patient Secure dressing
Operating Room Cycle
Preoperative Phase
Intraoperative Phase
Postoperative Phase
Homeostasis
How is homeostasis monitored in the OR?
How is homeostasis maintained in the OR?
Emergency Situations Respiratory arrest Cardiac arrest Malignant hyperthermia Seizure Anaphylaxis Transfusion reaction Pseudocholinesterase
deficiency syndrome Shock
Surgical Specimens
What is a surgical specimen?
How are specimens obtained?
Specimen Care
Name/location Labeling Type of exam Requisition FixativeNote: Most specimens
are not replaceable
Documentation
Operative RecordAnesthesia RecordSpecimen Handling Incident Report Implant LogOperative ReportPACU Record
ST230Concorde Career College, Portland
Objectives: Describe the elements involved in planning
for the patient’s discharge from the facility. List the components of physical, mental,
emotional, and spiritual health and describe the methods through which health is achieved.
List the equipment and supplies needed in the postanesthesia care unit (PACU) and describe the function and importance of each.
Objectives: Outline the postoperative patient care
typically provided in the PACU and beyond. List and describe common postoperative
complications including signs and symptoms, diagnosis, and available treatment options.
List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.
Objectives: List the three phases of the instrument
cycle, identify the tasks performed during each phase, and describe the rationale for each.
Describe the technique utilized when assembling an instrument set and explain the rationale.
Define the term decontamination. Describe the decontamination process, list
the types of disinfectants, and explain the usage for each type.
Objectives: Define the term sterilization. Describe the sterilization process, list the
types of sterilants, and explain the usage for each type.
Identify sterilization process monitoring concepts, list and describe the monitoring methods, and explain the rationale for each.
List and describe the types of microbial barriers and state the advantages and disadvantages of each type.
Objectives: List the sealing methods utilized with the various
microbial barriers and describe the usage of each type.
Identify methods utilized for identification of sterile items.
Describe the methods utilized when applying microbial barriers and describe the application procedure for each type.
Describe the principles for storage of sterile items and outline the technique for storing, handling, and distributing sterile supplies.
Discharge Planning – Consider the following: Where will the patient go? How will he or she get there? Who will be there to care for the patient, if
necessary? Medications? Dressings? Future appointments?
Homeostasis
List the components of physical, mental, emotional, and spiritual health and describe
the methods through which health is achieved.
PACUEquipment and
supplies
Equipment and Supplies Oxygen Suction Monitoring Devices Wound Care Emergency
(resuscitation) Equipment
Personnel Diagnostic Equipment
(available)
Common Surgical Complications
Hemorrhage Hematoma formation Infection Damage to nearby structures Nuerovascular compromise Wound dehiscence Death Complications related to anesthesia administration Specific complications according to procedure
performed Organ perforation
Operating Room Cycle
1. Preoperative2. Intraoperative3. Postoperative
Instrument Cycle
Preoperative Phase
Intraoperative Phase
Postoperative Phase