SUR 102 unit 4

• diagnosis
• reconstruction
• repair
• removal
• replacement or implantation

information about the nature of a medical problem and the options available for treatment

tissue is remodeled or replaced for functional or aesthetic reasons

• scrub and circulator open the case
• patient arrives from holding area and is transferred to OR bed
• ACP and circulating nurse prepare patient for anesthesia
• patient positioned
• scrub performs hand antisepsis or scrub

• scrub gowns and gloves and sets up sterile supplies
• first count performed
• anesthesia initiated
• patient draped
• supplies secured to operative field
• timeout performed
• surgery is begun
• scrub provides supplies
• counts performed per protocol and specimens obtained
• wound closed
• anesthesia withdrawn
• dressings applied
• drapes removed and dressings secured

• patient transferred to PACU
• supplies sorted and prepared for decontamination
• disposable items are disposed of
• documentation completed
• reusable supplies transported
• specimens transported
• surgical suite cleaned and decontaminated
• equipment/furniture returned to normal locations

to restore function to a structure, organ, or system

implantation of organ or other anatomical structure that has lost function through disease or trauma

graft

assignment board

central supply

• instrument sets and special instruments
• special equipment
• suture preferences
• glove and gown size
• skin prep and draping routine
• intraoperative drugs, including dose and strength
• surgeon's individual techniques
• dressings