Sur 111
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SUR 111. Establishing the Sterile Field. Skill Assessments. Continue with the following skill assessments from Lab #4: 12-1 Surgical Hand Scrub Dry, Gown, Closed Gloving Plan to get checked off on above You should have been practicing and have this down by now New Skill:

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SUR 111

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Sur 111

SUR 111

Establishing the Sterile Field


Skill assessments

Skill Assessments

  • Continue with the following skill assessments from Lab #4:

  • 12-1 Surgical Hand Scrub

  • Dry, Gown, Closed Gloving

  • Plan to get checked off on above

  • You should have been practicing and have this down by now

  • New Skill:

  • Dress the Mayo Stand 12-6


Dressing the mayo stand

Dressing the Mayo Stand

  • Mayo stand properly distanced from sterile back table and set at appropriate height

  • Above should have been done prior to opening sterile packs

  • Sterile field should be established

  • Surgical hand scrub has taken place

  • You are gowned and double gloved

  • Prepare mayo stand cover at back table

  • Get a firm grasp on the inner folds and have your hands inside the cuff to the right and left


Dressing the mayo stand1

Dressing the Mayo Stand

  • Make a pocket

  • Approach the mayo stand maintaining proper distance

  • Avoiding any part of your sterile gown to touch the currently unsterile mayo

  • Only the pocket may go over the front lip of the mayo stand

  • Do not allow the folds to fall


Dressing the mayo stand2

Dressing the Mayo Stand

  • Slip pocket over the lip of the front of the mayo stand

  • Place your dominant foot on the base

  • Work/slide mayo stand cover until it will no longer slide


Dressing the mayo stand3

Dressing the Mayo Stand

  • Work your way to the side of the stand, keeping your dominant hand in the cuff and your nondominant hand holding the folds and work the remaining cover one fold at a time over the stand (wiggle it on using both sides of the cover and both hands)

    or

  • Continue to work mayo stand from the front taking care not to allow folds to come loose and hit your gown above your chest fall below the stand (wiggle on from the sides)


Visual

Visual

  • See textbook page 325 Figure 12-17

  • You will perform step A and B

  • The C step shown here in the book will be modified with the towel lay out prior to towel roll placement

  • Read technique on page 324 and information on the dressing mayo stand page 324


Dressing the mayo stand4

Dressing the Mayo Stand

  • Do not reach below mayo stand surface

  • You may ask for circulator assistance if it will not unfold naturally over the base

  • Tuck excess material under the stand tray

  • Move the mayo close to your back table (it is now an extension of your sterile field)

  • This prevents walking back and forth therefore conserving movements

  • Cover with three towels (if a large stand one towel for each half and then a third down the middle)

  • Make a towel roll for you instruments and place it at the non-base end of the mayo stand

  • Continue with set up (back table)


Dressing the mayo stand5

Dressing the Mayo Stand

  • For you lab practical:

  • Drape the mayo stand, towel it out and finish your back table set up

  • You can prepare the towel roll for instrument arrangement after the initial count

  • Remember the initial count ends your timed portion


Final mayo stand preparation one way

Final Mayo Stand PreparationOne Way

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Regarding the mayo stand

Regarding the Mayo Stand

  • Mayo stand set ups vary per individual preferences

  • The key to a functional mayo stand is organization and tidiness

  • This is an on going process throughout the surgical procedure

  • Instruments must be kept clean and replaced each time you use them if you know you will not need them again

  • Do not replace instruments you know will be needed shortly after you have received them

  • Awareness of operative sequence is paramount to knowing instrumentation usages

  • This makes for ease of counting when you know where your instruments are at all times!


Review

Review

  • 12-1 Surgical Hand Scrub

  • Dry, Gown, Closed Gloving

  • 12-6 Dress the Mayo Stand


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