Institute of Surgical Research Surgical Techniques A1 Practical Modul
description
Transcript of Institute of Surgical Research Surgical Techniques A1 Practical Modul
![Page 1: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/1.jpg)
Institute of Surgical Research
Surgical Techniques
A1 Practical Modul
![Page 2: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/2.jpg)
Asepsis and the surgeon
1. Dressing
2. Cap, mask
3. Scrubbing
4. Gowning
5. Gloving
![Page 3: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/3.jpg)
It is forbidden to wear:
-bracelets-rings-wrist-
watch-nail-polish
1. DressingChange to scrub suit, shoes/clogs worn exclusively in the operating suite or wear shoe covers
![Page 4: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/4.jpg)
2. Cap and maskPositioning the mask
right wrong
![Page 5: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/5.jpg)
Correct position of the mask
![Page 6: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/6.jpg)
Participation in a surgical intervention requires the implementation of the complete protocol of scrubbing and disinfection.
Scrubbing has to be made according to the accepted and generally applied rules of the local surgical suite.
Simple scrubbing with soapis not a disinfection!
3. Scrubbing
![Page 7: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/7.jpg)
The goal of scrubbing
To reduce the number of bacteria of the transient and resident flora and to inhibit their activity.
![Page 8: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/8.jpg)
Scrubbing and disinfectionMechanical cleansing (3 min)1. Cut nails and clean subungual areas.2. Adjust water flow and temperature.3. Wash hands and forearms to the elbows with soap. 4. Rinse hands (from fingers to the elbow).5. Clean nails with a sterile brush and soap. It is forbidden to brush other parts of the
hand! 6. Rinse hands (from fingers to the elbow).Chemical disinfection (5 x 1 min)
![Page 9: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/9.jpg)
Scrubbing 1.Hand-wash with soap
![Page 10: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/10.jpg)
Scrubbing 2.Hand- and arm-wash with soap
![Page 11: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/11.jpg)
Scrubbing 3.Steps of rinsing the hands
![Page 12: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/12.jpg)
Taking out the brush
![Page 13: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/13.jpg)
Scrubbing 4.
Cleansing the nails with brush
![Page 14: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/14.jpg)
Scrubbing 5.Steps of rinsing the hands
![Page 15: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/15.jpg)
Do not touch the basin!
![Page 16: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/16.jpg)
Disinfection 1.
right wrong
![Page 17: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/17.jpg)
Steps of chemical disinfection 2.
![Page 18: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/18.jpg)
4. Gowning
![Page 19: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/19.jpg)
Effective „sterile” area
Certain parts of the gown can not be considered sterile:
a. the back and the axillaries
b. lateral from the axillaries
c. under the waistline
d. the sleeves from the shoulders to 10 cm distance over the elbows.
![Page 20: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/20.jpg)
Taking out the sterile gown right wrong
![Page 21: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/21.jpg)
Gowning 2.Grasping the neck of the sterile
gown
![Page 22: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/22.jpg)
Gowning 3.Unfolding the sterile gown
![Page 23: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/23.jpg)
This is forbidden!
![Page 24: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/24.jpg)
Gowning 4.Opening the sterile gown
![Page 25: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/25.jpg)
Gowning 5. Position of the arms
right wrong
![Page 26: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/26.jpg)
Gowning 6. Steps of pulling the gown
over the shoulders
![Page 27: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/27.jpg)
Pulling the gownright wrong
![Page 28: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/28.jpg)
Fixing the sterile gown
![Page 29: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/29.jpg)
Fixing the sterile gown 2.
right wrong
![Page 30: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/30.jpg)
Fixing the sterile gown 3.
![Page 31: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/31.jpg)
This is (again) forbidden!
![Page 32: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/32.jpg)
Gloving of the left hand 1.
from inside!
![Page 33: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/33.jpg)
Glowing of the right hand 2.
from outside!
![Page 34: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/34.jpg)
The gloved hands
![Page 35: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/35.jpg)
Removing the gloves
![Page 36: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/36.jpg)
The operating field before the isolation of the patient
![Page 37: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/37.jpg)
The operating field after the isolation of the patient
![Page 38: Institute of Surgical Research Surgical Techniques A1 Practical Modul](https://reader036.fdocuments.net/reader036/viewer/2022062521/56815583550346895dc3557a/html5/thumbnails/38.jpg)
SURGEON2ndASSISTANT
1stASSISTANT
ANESTHESIA
SCRUB NURSE
The position of the surgical team