ST230Concorde Career College

Objectives: Describe the technique utilized when

removing the gown and gloves postoperatively and explain the rationale.

List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.

Objectives (continued): Define the term homeostasis and describe

the methods utilized in the surgical environment to monitor and maintain homeostasis.

List emergency situations that may arise in the surgical environment and describe the appropriate response to each situation.

Objectives (continued):

Define the term specimen, identify methods for obtaining the specimen, describe methods of specimen processing, and outline the duties related to specimen handling.

Objectives (continued):

List the types of documentation related to the surgical environment, describe the importance of each, apply recommended practices, and understand the legal implications of proper documentation.

Drape Removal

Remove drapes after dressing application

Roll drape to contain biohazardous material

Dispose Clean patient Secure dressing

Operating Room Cycle

Preoperative Phase

Intraoperative Phase

Postoperative Phase

Homeostasis

How is homeostasis monitored in the OR?

How is homeostasis maintained in the OR?

Emergency Situations Respiratory arrest Cardiac arrest Malignant hyperthermia Seizure Anaphylaxis Transfusion reaction Pseudocholinesterase

deficiency syndrome Shock

Surgical Specimens

What is a surgical specimen?

How are specimens obtained?

Specimen Care

Name/location Labeling Type of exam Requisition FixativeNote: Most specimens

are not replaceable

Documentation

Operative RecordAnesthesia RecordSpecimen Handling Incident Report Implant LogOperative ReportPACU Record

ST230Concorde Career College, Portland

Objectives: Describe the elements involved in planning

for the patient’s discharge from the facility. List the components of physical, mental,

emotional, and spiritual health and describe the methods through which health is achieved.

List the equipment and supplies needed in the postanesthesia care unit (PACU) and describe the function and importance of each.

Objectives: Outline the postoperative patient care

typically provided in the PACU and beyond. List and describe common postoperative

complications including signs and symptoms, diagnosis, and available treatment options.

List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.

Objectives: List the three phases of the instrument

cycle, identify the tasks performed during each phase, and describe the rationale for each.

Describe the technique utilized when assembling an instrument set and explain the rationale.

Define the term decontamination. Describe the decontamination process, list

the types of disinfectants, and explain the usage for each type.

Objectives: Define the term sterilization. Describe the sterilization process, list the

types of sterilants, and explain the usage for each type.

Identify sterilization process monitoring concepts, list and describe the monitoring methods, and explain the rationale for each.

List and describe the types of microbial barriers and state the advantages and disadvantages of each type.

Objectives: List the sealing methods utilized with the various

microbial barriers and describe the usage of each type.

Identify methods utilized for identification of sterile items.

Describe the methods utilized when applying microbial barriers and describe the application procedure for each type.

Describe the principles for storage of sterile items and outline the technique for storing, handling, and distributing sterile supplies.

Discharge Planning – Consider the following: Where will the patient go? How will he or she get there? Who will be there to care for the patient, if

necessary? Medications? Dressings? Future appointments?

Homeostasis

List the components of physical, mental, emotional, and spiritual health and describe

the methods through which health is achieved.

PACUEquipment and

supplies

Equipment and Supplies Oxygen Suction Monitoring Devices Wound Care Emergency

(resuscitation) Equipment

Personnel Diagnostic Equipment

(available)

Common Surgical Complications

Hemorrhage Hematoma formation Infection Damage to nearby structures Nuerovascular compromise Wound dehiscence Death Complications related to anesthesia administration Specific complications according to procedure

performed Organ perforation

Operating Room Cycle

1. Preoperative2. Intraoperative3. Postoperative

Instrument Cycle

Preoperative Phase

Intraoperative Phase

Postoperative Phase