ADVANCED SCRUB PRACTITIONER

Advanced Scrub Practitioner

Table of Content

1.1 PREPARATION OF THE SURGICAL PATIENT IN THEATRE1

Discuss and demonstrate the preparation of the operative site for surgery1

Dietary Restrictions1

Sterile Skin Preparation1

Explain the purpose of skin assessment prior to surgical skin preparation?1

Special Considerations:2

Demonstrate and discuss safe, effective and timely methods of hair removal from the surgical site by: Shaving, Clipping, Depilatory creams2

Demonstrate and discuss correct draping and skin preparation techniques for surgical procedures4

Draping4

Principles of Draping4

Isolate5

Barrier5

Sterile Field5

Sterile Surface5

Equipment Cover5

Fluid Control6

Examine the rationale and legal implications for marking of the operative site on patients6

REFERENES8

1.2 POSITIONING OF THE SURGICAL PATIENT9

Recognize and discuss the potential problems associated with positioning patients9

REFERENES10

1.3 HANDLING OF SURGICAL INSTRUMENTS11

Determine the appropriate instrument selection and demonstrate the correct use11

Demonstrate and discuss the correct use and handling of instruments including retractors11

REFERENES13

1.4 ASSISTING WITH SURGICAL HAEMOSTASIS14

Demonstrate knowledge and understanding of assisting with surgical haemostasis14

Demonstrate and discuss the safe and correct use of the following methods for surgical Haemostasis15

Swabs15

Suction15

Application of pressure16

Pharmacological agents16

Determine the safe and correct use of Electrosurgery16

REFERENES18

1.5 MALE AND FEMALE CATHETERISATION19

Demonstrate the safe procedure for urinary catheterisation in both male and female patients19

List indications and contra-indications for bladder catheterisation20

REFERENES21

1.6 BASIC MINIMAL ACCESS SURGERY (MAS) - CAMERA OPERATING SKILLS22

Demonstrate effective camera manipulation in basic Minimal Access Surgery22

Light sources and cables22

Telescopes22

Charged couple device cameras23

Image display systems23

Three dimensional video systems23

Demonstrate effective camera manipulation for basic minimal access surgical procedures24

2:1 COMMUNICATION SKILLS25

REFERENES26

2:2 USING A PATIENT CENTRED APPROACH27

REFERENES27

REFERENES28

3:2 PRINCIPLES OF WOUND DRAINAGE29

REFERENES29

3:3 SURGICAL DRESSINGS30

REFERENES30

4:1 PROFESSIONAL AND EMPLOYMENT ISSUES31

REFERENES32

4:2 LEGAL AND ETHICAL ISSUES33

REFERENES33

4:3 PRINCIPLES OF CONSENT34

REFERENES34

4:4 RISK MANAGEMENT, GUIDELINES, PROTOCOLS AND QUALITY35

REFERENES35

5:1 NORMAL FLORA36

REFERENES36

5:2 PREVENTING WOUND CONTAMINATION37

REFERENES37

6:1 BASIC AETIOLOGICAL CLASSIFICATIONS OF DISEASE38

REFERENES38

6:2 DISORDERS OF TISSUE GROWTH39

REFERENES39

6:3 HANDLING OF TISSUE SPECIMENS40

REFERENES40

1.1 PREPARATION OF THE SURGICAL PATIENT IN THEATRE

Discuss and demonstrate the preparation of the operative site for surgery

Dietary Restrictions

Food intake is generally restricted 6-12 hours before anesthesia to avoid intra- or post-operative emesis and aspiration pneumonia. 

Access to water is generally not curtailed.

 

Sterile Skin Preparation

Sterile preparation begins after the animal has been transported and positioned in the surgical suite. 

Gauze sponges are sterilized in a pack along with bowls into which the germicides can be poured. 

Sponges are handled with sterile sponge forceps or a gloved hand using aseptic technique. 

The dominant hand should be used to perform the sterile preparation, while the secondary hand is used to retrieve sponges from the preparation bowl. 

Explain the purpose of skin assessment prior to surgical skin preparation?

Skin preparation is the removal of as many bacteria as possible from the patient's skin through shaving, mechanical washing and chemical disinfection Purpose:

Reduce the number of microorganisms in the field of operation.

Prevent infection.

Special Considerations:

To determine the area to be shaved, know the operation to be done, the organ involved and its location and the proposed incision.

Practice modesty and provide privacy.

Ask the patient's permission in cutting the eyelashes and hair.

Examine the area to be shaved for any signs of irritation or any abnormal conditions. Report this to your head nurse.

Do not cut the patient's skin.

In abdominal operations, pay particular attention to the umbilicus.

Shave the operative site the day or the night ...