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Handling Instruments Checklist - CABUGATAN

The document provides guidelines for efficient instrument handling during surgical procedures. It emphasizes that instrument handling is crucial for a smooth operation. Key responsibilities of the scrub person include knowing each instrument and its use, handling them individually to avoid tangling, and passing instruments to the surgeon firmly and in a position ready for immediate use. Safety is paramount, such as avoiding fingers in instrument rings and placing delicate tools on a flat surface rather than handing directly. After use, instruments should be promptly removed and kept accessible for counting.

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189 views3 pages

Handling Instruments Checklist - CABUGATAN

The document provides guidelines for efficient instrument handling during surgical procedures. It emphasizes that instrument handling is crucial for a smooth operation. Key responsibilities of the scrub person include knowing each instrument and its use, handling them individually to avoid tangling, and passing instruments to the surgeon firmly and in a position ready for immediate use. Safety is paramount, such as avoiding fingers in instrument rings and placing delicate tools on a flat surface rather than handing directly. After use, instruments should be promptly removed and kept accessible for counting.

Uploaded by

Far Ri Na
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name: CABUGATAN, NORONISA D.

Section: Yy2 - F

HANDLING INSTRUMENTS DURING THE SURGICAL PROCEDURE

DEFINITION
Efficient instrument handling throughout the surgical procedure is the hallmark of an efficient scrub
person.

PURPOSE
 To make operation run smoothly
EQUIPMENT
 Surgical Instruments
Considerations before the procedure:
 Know the name and appropriate use of each instrument. Using fine instruments for heavy tissue
damages the instrument.
 Handle instruments individually. Tangled instruments are hard to separate in an emergency.

Things to follow up after the procedure:


Do aftercare on the instruments used

Things that need to be documented:


Document the procedure done

Things to remember to maintain safety:


Extreme caution is necessary to prevent catching the tips of micro instruments on any object that could
bend them.

PERFORMANCE INDICATORS:
C –The step was correctly performed
X- The step was not performed
N- The execution of the step needs improvement
R- The step was correctly performed after remediation

PROCEDURE RATIONALE C X N R
1. Hand surgeon or assistant the correct instrument Handing each instrument in the position
for each particular task. that the surgeon will use it allows him
to grasp it easily

The instrument may inadvertently drop or


snag on drapes, causing an outward
injury to the patient or a team member.
The instrument may fall to the floor, thus
becoming damaged and contaminated.
a) Avoid placing fingers in the instrument rings as
the instrument is passed. An understanding of what is taking place
at the surgical site makes these signals
meaningful.

b) Many surgeons use hand signals to indicate the Experience will facilitate instrument
type of instrument needed. selection according to the surgeon’s
preference and need.

c) Select instruments appropriate to the location of Facilitates smooth flow of the procedure.
the surgery; short instruments are used for
superficial work, and long ones are used for
work deep in a body cavity.

d) Many instruments are used in pairs or in


sequence. When the surgeon clamps and/or
cuts tissue, he will usually request suture. After To prevent possible injury
using suture, the surgeon or assistant will need
scissors to cut or a hemostat to hold the end of
the strand as a tag.

e) Hand instruments around the incision area, not


directly over it.
2. Pass instruments decisively and firmly. When the Allows the surgeon to receive the
surgeon extends his hand, the instrument should instrument in a manner that it is ready for
be slapped or placed firmly into his palm in the immediate use.
proper position for use (Fig. 11)

3. In general, when passing a curved instrument, the Placing sharp and delicate instruments on
curve of the instrument aligns with the direction of flat surface rather than handing it over to
the curve of the surgeon’s hand. The following the surgeon, avoids potential contact with
points should be remembered when passing an items such as cutting blades, sharp
instrument to the surgeon. points, and needles in hand to hand
transfer.
a. If the surgeon is on the opposite side of the
operating bed, pass across right hand to right
hand or with the left hand to a left-handed
surgeon.
b. If the surgeon or assistant is on the same side
of the operating bed and to the right, pass with
your left hand; if the surgeon or assistant is to
your left, pass with your right hand.
c. Sharp and delicate instruments may be placed
on a flat surface for the surgeon to pick up
4. Watch the sterile field for loose instruments. After The weight of instruments can injure the
use, remove them promptly to the Mayo stand or patient or cause postoperative discomfort.
instrument table
Keeping instruments off the field also
decreases the possibility of their falling to
the floor.
5. Keep instruments accessible for final count. To maintain accessibility on the
instruments especially during need.
Ability To Answer Questions:
Date of
Completed YES NO Compilation Signature

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