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Chapter 41. Assisting with Minor Surgery. PowerPoint® P\presentation to accompany: Medical Assisting Third Edition Booth, Whicker, Wyman, Pugh, Thompson. Learning Outcomes. 41.1 Define the medical assistant’s role in minor surgical procedures.
Assisting with Minor Surgery
PowerPoint® P\presentation to accompany:
Booth, Whicker, Wyman, Pugh, Thompson
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.
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.
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?
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 tissueSurgery in the Physician’s Office: Common Procedures (cont.)
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 careSurgery in the Physician’s Office: Special 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?
Inject anesthetic solutions
Obtain 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 Used in Minor Surgery (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
Personal protective equipment
Provides a barrier between wearer and infectious or hazardous materials
Gloves, masks, gowns
Sharps and biohazardous waste handling and disposal
Puncture and leak-resistant containers
Biohazard symbolAsepsis: Medical
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 personnel 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.
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
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?
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.
Sterile material used to cover the incision
Keeps wound clean
Absorbs fluid drainage
Reduces discomfort to the patient
Reduces the possibility of scarring
Clean examination gloves
Clean site with povidone iodine
Antibiotic ointment, if ordered
Secure sterile dressingPostoperative Procedures(cont.)
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.
Administrative and legal tasks
Prepare the patient emotionally
Set up surgical room
Surgical scrub assistant
Clean roomIn Summary
At all times you must ensure the safety and comfort of the patient.
End of Chapter 41
A wise doctor does not mutter incantations over a sore that needs the knife.