41. Assisting with Minor Surgery. Learning Outcomes. 41.1 Define the medical assistant’s role in minor surgical procedures. 41.2 Describe types of wounds and explain how they heal. 41.3 Describe special surgical procedures performed in an office setting.
Assisting with Minor Surgery
41.1 Define the medical assistant’s role in minor surgical procedures.
41.2 Describe types of wounds and explain how they heal.
41.3 Describe special surgical procedures performed in an office setting.
41.4 List the instruments used in minor surgery and describe their functions.
41.5 Describe and contrast the procedures for medical and sterile asepsis in minor surgery.
41.6 Describe the medical assistant’s duties in preparing to assist in minor surgery.
41.7 Describe the medical assistant’s duties in preparing a patient for surgery.Learning Outcomes (cont.)
41.8 Describe the types of local anesthetics for minor surgery and the medical assistant’s role in their administration.
41.9 Describe the duties of the medical assistant as a floater and as a sterile scrub assistant.
41.10 Describe the medical assistant’s duties in the postoperative period.
Minor surgical procedures sterile asepsis in minor surgery.
Ambulatory care settings
Types of procedures
Assisting physician during the procedure
Patient care following the procedureIntroduction
Relative to surgical procedure sterile asepsis in minor surgery.
Prepare surgical room
Assist during procedure
Ensure safety and comfort of the patient
Clean room for next procedureThe Medical Assistant’s Role in Minor Surgery(cont.)
What are the medical assistant’s responsibilities in relation to patient education and minor surgical procedures?Apply Your Knowledge
Mole (nevus) removal relation to patient education and minor surgical procedures?
Small discolored area of the skin
Done if the mole changes shape, size, or colorCommon Surgical Procedures in an Office
Accidental relation to patient education and minor surgical procedures?
Laceration– jagged, open wound
Puncture wound– deep wound caused by a sharp object
Intentional – surgical incision
Cleaning a non-surgical wound
Wash with soap and water
Irrigate with sterile solution
Debridement – removal of debris or dead tissueWound Care
Laser surgery relation to patient education and minor surgical procedures?
Intense beam of light used to cut away tissue
Does less damage to surrounding tissue
Needle, probe, or loop heated by electric current to destroy the target tissue
Requires a grounding plate or pad to prevent an electric shock
Uses extreme cold to destroy unwanted tissue
Patient education – wound careSpecial Procedures
A 65-year-old female has a wound on her left calf that is healing poorly. When reviewing her chart, what conditions would you look for that would indicate the reason for the poor healing?
Syringes and needles relation to patient education and minor surgical procedures?
Inject anesthetic solutions
Obtain needle biopsy specimens
Instrument trays and packs
Laceration repair tray
Incision and drainage tray
Foreign body and growth removal tray
Onychectomy (nail removal) tray
Suture and staple removal traysInstruments (cont.)
Name at least one instrument for each of the following types:
1. Cutting and dissecting
2. Grasping and clamping
3. Retracting, dilating, and probing
scissors, scalpels, curettes
forceps, hemostats, clamps
retractors, dilators, probes
needle holders, needles, packaged sutures
Sharps and biohazardous waste handling and disposal relation to patient education and minor surgical procedures?
Puncture and leak-resistant containers
Biohazard symbolMedical Asepsis
What is the difference between medical and surgical asepsis?
ANSWER: Medical asepsis reduces the number of microorganisms present. It requires good handwashing, the use of personal protective equipment, and proper disposal of sharps and biohazardous waste.
Surgical asepsis is the elimination of microorganisms through sanitizing, disinfection, and sterilization. Requires performing a surgical scrub and donning sterile gloves.
Mr. Smith is having a minor surgical procedure on his forearm. You notice that he has a lot of hair at the site. What should you do?
ANSWER: You should use a scissors or electric trimmer to trim the hair just prior to surgery.
Administering a local anesthetic relation to patient education and minor surgical procedures?
Gels, creams, and sprays
Takes 10 to 15 minutes to be effective
Usually administered by the physician
Check label to verify correct medication
Potential side effects
Dizziness, loss of consciousness, seizures, or cardiac arrest
Use of epinephrine
Prolongs action of local anestheticIntraoperative Procedures
Sterile scrub assistant relation to patient education and minor surgical procedures?
Performs a sterile scrub and wears sterile gloves
Arranges instruments according to use
Needle holders and scissors
Swab fluids from wound
Cut suture materialIntraoperative Procedures(cont.)
What are the duties of a floater? relation to patient education and minor surgical procedures?Apply Your Knowledge
ANSWER: During a procedure, the floater monitors the patient, documents, processes specimens, adds items to sterile field, pours sterile solutions, assists with additional anesthetic, keeps the area clean during the procedure, repositions the patient, and adjusts lighting.
Procedure relation to patient education and minor surgical procedures?
Clean examination gloves
Clean site with povidone-iodine
Antibiotic ointment, if ordered
Secure sterile dressingPostoperative Procedures(cont.)
Postoperative instructions relation to patient education and minor surgical procedures?
Guidelines for pain management
Instruction for wound care
When to call the physician
Have patient repeat to verify understanding
Provide written materials in a postoperative information packet
Transportation arrangementsPostoperative Procedures(cont.)
What is the difference between a dressing and a bandage?
ANSWER: A dressing is a sterile material used to cover the incision, whereas a bandage is a clean strip of gauze or elastic material used to hold the dressing in place.
41.1 The medical assistant’s role in minor surgery includes both administrative and clinical tasks. These include but are not limited to completing insurance forms, obtaining signed patient consent, preparing the surgical room, and assisting during a procedure.
41.2 Wounds are defined as either surgical or accidental and include incisions, lacerations, and puncture wounds. Wounds heal in three phases: inflammatory phase, proliferative phase, and maturation phase.In Summary
41.3 Several special surgical procedures are performed in an office setting. These include laser surgery, cryosurgery, and electrocauterization.
41.4 Various categories of instruments are used in minor surgery. These include instruments for cutting and dissecting, grasping and clamping, retracting, dilating, and probing, suturing, injecting, withdrawing fluids, and obtaining specimens.
41.5 Medical asepsis involves reducing the number of microorganisms to prevent the spread of disease. The goal of surgical asepsis is to eliminate all microorganisms.
41.6 A medical assistant’s preoperative duties include providing preoperative instructions to the patient, ensuring that all necessary paperwork is completed, easing the patient’s fears, and preparing the surgical room.
41.7 The medical assistant’s role in preparing the patient for surgery includes determining whether the patient has followed presurgical instructions, obtaining the patient’s vital signs, checking medication orders, gowning and positioning the patient, and preparing the patient’s skin for surgery.
41.8 Local anesthetics are used during most minor surgical procedures and may be either injected or applied topically. The medical assistant will prepare the anesthetic so that the physician can administer it.
41.9 A medical assistant may serve in one of two capacities during a surgical procedure. One is as an unsterile assistant known as a floater and the other is as a sterile scrub assistant.
41.10 A medical assistant’s postoperative duties include giving immediate patient care, dressing and bandaging the wound, giving postoperative instructions, assisting with patient release, and cleaning the surgical room.
A wise doctor does not mutter incantations over a sore that needs the knife.