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Day before Minor Surgery
- Confirm appointment
- Get all necessary surgical intruments
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Patient Prep
- Obtain consent form
- Answer any questions
- Vital signs
- Verify known allergies
- Empty bladder
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Skin Prep
- 1. Wash and glove hands
- 2. Gauze squares in soap solution
- 3. One gauze at a time, soap area to be shaved
- 4. Use scissors to cut long hair first
- 5. Shave area with razor at 30 degrees
- 6. Shave in direction of hair
- 7. Apply antiseptic solution to site with transfer forceps
- 8. Begin in center and work out in circular pattern
- 9. Cover with sterile drape
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Patients Record
- 1. Description of procedure
- 2. Date and time
- 3. Signed consent form
- 4. Vital signs
- 5. Any complications
- 6. Meds ordered
- 7. Findings
- 8. Instructions for home care
- 9. Number of sutures
- 10. Where sutures located
- 11. How long stay in
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Mayo Stand Height
Waist level
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Anesthesia
- General - unconscious
- Local - localized to area, loss of feeling
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Suture Material (Absorbable)
- Made from organic material
- Will be absorbed by body
- Used deep in body
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Suture Material (Non-Absorbable)
- Made from man-made products
- Must be removed from skin
- Used superficially on body
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Suture Sizes
- Larger sizes - number only
- - bigger the number - bigger the suture
- 3, 2, 1, 0
- Smaller size - number -0
- - bigger the number - smaller the suture
- 1-0, 2-0, 3-0
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Minor Surgery Procedures
- 1. Laceration repair
- 2. Sebaceous cyst removal
- 3. Incision and drainage (I&D)
- 4. Biopsy
- 5. Needle biopsy
- 6. Cryosurgery
- 7. Electrosurgery and cautery
- 8. Chemical destruction
- 9. Laser surgery
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Minor Surgery (MA Role)
- 1. Assemble equipment and supplies
- 2. Set up sterile tray and cover
- 3. Instruct patient as needed
- 4. Assist patient positioning
- 5. When ready, remove drape from tray
- 6. Wash hands, sterile gloves, assist
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Initial Surgical Scrub
Six Minutes under hottest water you can handle
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Suture Removal
- Grasp the knot
- Place scissors next to skin under suture and cut
- Pull suture toward incision to prevent re-opening
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Minor Surgery (Clean-Up)
- 1. Remove gloves, wash hands
- 2. Assist patient sitting up and dressing
- 3. Review postop instructions
- 4. Give written instructions
- 5. Clean room / instruments - soak
- 6. Restock exam room
- 7. Dry instruments, package for autoclave
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