Surgical Equipment: PREOP, OR, PACU
Summary
TLDRThis module explores the surgical environment, focusing on the OR layout and the daily workflow of surgical staff. It follows Mary, a surgical technologist, and Tom, a surgical nurse, through their day, detailing their preparation in locker rooms, activities in the lounge, and responsibilities in the OR. The script highlights the importance of maintaining sterility, the setup of equipment, and the flow of patients from pre-op to PACU. It emphasizes the one-way path to prevent contamination and the role of each staff member in ensuring a safe and efficient surgical process.
Takeaways
- π₯ The module focuses on the layout of pre-op, PACU, and the OR, and the daily workflow of surgical staff.
- π Surgical technologists and nurses start their day by changing into hospital-issued scrubs in the locker rooms.
- π½οΈ The OR lounge is a semi-restricted area where staff can eat and take breaks before entering the OR.
- π The control desk is where staff receive their daily assignments and participate in morning huddles.
- πͺ The outer hallway is a high-traffic area where various medical professionals and patients move between different areas.
- π Each OR room is equipped with specific equipment tailored to the procedures performed there.
- π The inner core is where sterile supplies and case carts are stored for quick access during surgeries.
- π©ββοΈ Surgical technologists set up sterile fields and prepare for procedures, while nurses manage patient care.
- π‘οΈ Once a patient enters the OR, all opened instruments and supplies are considered contaminated.
- π§Ό Dirty instruments and supplies must be covered and taken to decontamination, avoiding contact with sterile areas.
- π The process is repeated throughout the day, with strict adherence to a one-way path to maintain sterility.
Q & A
What is the first location Mary and Tom visit in the hospital?
-Mary and Tom start their day in the male and female locker rooms, where they change from their street clothes into surgical hospital-issued clothes.
What items of clothing do Mary and Tom change into after entering the locker rooms?
-After changing, Mary and Tom wear surgical scrubs, hair covers, and shoe covers.
What is the purpose of the OR lounge?
-The OR lounge is a semi-restricted area where staff can eat and take their breaks before entering the operating room.
What is the significance of the outer hallway in the OR suite?
-The outer hallway is where a lot of activity takes place, including the movement of surgeons, anesthesiologists, surgical techs, and other staff, as well as the transportation of patients to their rooms.
Why is wearing a mask required when leaving the OR lounge?
-A mask is required when leaving the OR lounge because it leads to the outer hallway and restricted areas where there is increased potential for microbial exposure.
What is the role of the control desk in the OR suite?
-The control desk is where the schedule for the day is managed, and staff members can see their assignments for the day. It is also a place for morning huddles where managers discuss important issues.
How are the OR rooms equipped for different surgical procedures?
-Different OR rooms are equipped with specific equipment based on the type of procedures scheduled for that day. For example, one room might be dedicated for cystoscopy, while others might be for orthopedic or cardiac surgeries.
What is the inner core and why is it important?
-The inner core is an area filled with prepared case carts for the day's surgeries, as well as shelves of extra sterile supplies for quick access during procedures. It is important to keep the sterile supplies separate from potential contaminants.
What is the role of the surgical technologist and nurse in setting up for a surgical procedure?
-The surgical technologist and nurse are responsible for collecting the necessary equipment, setting up the sterile field, and preparing the case carts with all the supplies needed for the specific procedure.
Why is it crucial to keep the OR doors closed during surgeries?
-The OR doors should be kept closed to minimize the movement of microbes that can be stirred up by the traffic of people in the outer hallway. This helps maintain a sterile environment within the OR.
What happens to the instruments and supplies after a patient enters the OR room?
-Once a patient enters the OR room, all opened instrumentation and supplies are considered contaminated with the patient's microbes. They cannot be taken into areas with sterile supplies and must be covered and taken to the surgical decontamination room.
Outlines
π₯ Overview of the Operating Room Environment
This paragraph introduces Module 4, focusing on the surgical equipment and layout of the pre-op, PACU, and the OR itself. It discusses the roles of CSPD and their responsibilities in the OR, and then transitions to a day in the life of a surgical technologist, Mary, and a surgical nurse, Tom. Their routine starts in the locker rooms, changing into hospital-issued surgical attire before proceeding to the OR lounge, a semi-restricted area for staff breaks. The paragraph also describes the outer hallway as a bustling area for various medical professionals and the process of bringing patients into the OR. It emphasizes the importance of wearing masks once entering the restricted area outside the lounge.
π οΈ OR Setup and Patient Flow
The second paragraph delves into the OR setup, detailing the process of Mary and Tom preparing for surgery. It explains the role of the control desk for scheduling and assignments, and the morning huddle for discussing the day's important issues. The paragraph outlines the OR room setup, including the presence of specific equipment like towers and cameras depending on the type of procedures scheduled. It also describes the process of collecting necessary equipment for surgeries and the importance of the inner core for storing and accessing sterile supplies. The patient flow is also discussed, from pre-op to the OR and then to PACU, with an emphasis on maintaining sterility and cleanliness by treating all opened supplies and instruments as contaminated once the patient enters the OR.
π§Ό Post-Procedure Cleanup and Sterility Maintenance
The final paragraph discusses the post-surgical procedures, including the cleanup of the OR by Mary and the transport of the patient to PACU by Tom. It highlights the importance of not bringing dirty instruments or supplies back into sterile areas to prevent cross-contamination. The paragraph also touches on the cleaning process of the OR by housekeeping, which involves specific methods and new cleaning materials for each room. The narrative concludes with the anticipation of the next module, which will further explore the OR Suite and the intraoperative process.
Mindmap
Keywords
π‘Pre-op
π‘PACU
π‘Surgical Technologist
π‘Sterile Supplies
π‘Case Cart
π‘Inner Core
π‘Restricted Area
π‘Environmental Services
π‘Control Desk
π‘Microorganisms
Highlights
Introduction to Module 4 focusing on surgical equipment and layout of pre-op, PACU, and the OR.
Exploration of the flow of a typical day in the operating room through the activities of surgical technologist Mary and surgical nurse Tom.
Description of the unrestricted male and female locker rooms where staff change into surgical attire.
Explanation of the OR lounge as a semi-restricted area for staff meals and breaks.
Importance of the outer hallway as a high-traffic area for various surgical roles and patient transport.
Requirement of wearing masks when entering the outer restricted area from the lounge.
Role of the control desk for managing the daily schedule and staff assignments.
Process of collecting equipment needed for specific surgical procedures like knee scopes.
Differentiation of equipment in various OR rooms based on the type of procedures performed.
Mary's responsibility for setting up the sterile field and Tom's for patient transport from pre-op.
Pre-op procedures including checking consents, ID bands, and patient confirmation.
Importance of keeping OR doors closed to minimize microbial spread from high traffic.
Description of the post-surgery process including cleaning the sterile field and patient transfer to PACU.
Concept that once a patient enters the OR, all opened instrumentation and supplies are considered contaminated.
Procedure for handling dirty instruments and supplies, ensuring they do not re-enter sterile areas.
Housekeeping's role in cleaning and turning over the OR room using specific methods after each surgery.
Mary's routine of finding the next case cart and repeating the process until all scheduled cases are completed.
Teaser for the next module, which will delve into further details of the OR Suite and intraoperative processes.
Transcripts
hello welcome to module 4 surgical
equipment
um in this module we're going to go over
the layout of pre-op pacu and um the or
itself
last module we took a closer look at
cspd and their important
responsibilities in the OR
this week we're going to take a look at
the or room itself
um pre-op and pacu I want you to see
kind of the flow of how a typical day
will go in the operating room
so how we're going to do this is we're
going to pretend to follow
um a surgical technologist Mary and a
surgical nurse Tom through a typical day
in the operating room
Mary and Tom will start their day in the
male and female locker rooms
um
located right here okay we already
discussed that these are unrestricted
areas
Mary and Tom go into the locker rooms
um in their street clothes and change
into surgical hospital-issued surgical
clothes
um paps and shoe covers
um now
after they change into their scrubs and
haircut hair cover and shoe covers
they'll go into the next access is the
or lounge
um this Lounge is another
semi-restricted area where staff can eat
and take their breaks
uh the or will be through doors
about you know somewhere around here
um and leads to this outer hallway and
if you remember that outer hallway from
the last slide
is where man a lot of a lot of stuff
happens in that outer hallway this is
sturgeons anesthesiologists surgical
techs operating room patient care
technicians Transporters x-ray
technicians surgical assistance position
assistance
there's a lot of traffic in these areas
okay this is also how nurses will bring
the patients into their individual rooms
so Mary and Tom they've changed they've
went to the lounge now they've walked
into this outer
um uh restricted area which a mask will
be required
um so before they leave that Lounge you
don't need a mask in the lounge but once
you leave that Lounge you should have a
mask on
um they start their day by heading over
to the control desk okay this is one
area where there will be someone in
charge who handles the schedule for the
day this is also where each staff member
can see where they are assigned for the
day
after receiving their assignment
sometimes they'll also have a morning
huddle where the the managers will
discuss any important issues for the day
or maybe cases that have to be turned
over quickly
um but so after that happens Mary and
Tom head off to their assigned or room
so here in this particular or we have 10
rooms okay one is hidden right there you
can't see it two three four five six
seven eight nine ten
um depending on the schedule for that
room and the type of procedures that
will be done for that day different
types of equipment will be needed often
in hospitals you'll see one room that's
dedicated for Sisto and two rooms that
are dedicated for Ortho and then you'll
have two heart rooms
um and so on and so forth okay each of
those rooms will have specific equipment
as you can see over here in this picture
this room has a tower this Tower
includes a camera you can see a monitor
here a light cord this could be where
Scopes are done so that that does that
lives in that room and that wouldn't
have to be brought in and out if you're
in a different room that doesn't have
that equipment and let's say you're
doing a knee scope
um then this is the time where Mary and
Tom are going to start collecting all of
that equipment that they may need for
their for those knee Scopes things like
positioners bags bags of fluid cameras
light cords monitors
um if they were in a guinea room or
gynecological room they'd have
completely different equipment okay
after the team assures that the
equipment is ready for the day
Mary then heads to the inner core where
her supplies are located this is that
case cart that we talked about last week
and so this inner core
um
is filled with prepared case carts for
the cases of the day the first cases of
the day
um these case cards have all the
supplies needed for your specific
procedure there's also going to be
within this inner core shelves of extra
sterile supplies and they'll be kept
there for quick access during the
surgical procedures so that we don't
have to wait for cspd to bring something
we can uh circulator can run into the
inner core and grab some extra gloves or
sponges if they need them
um okay so Mary finds her first case
cart of the day she brings it into room
five and the team begins to open and set
up the sterile supplies
while Mary continues to open and prep
the sterile field Tom is going to go to
get
um the patient in pre-op okay pre-op
will be connected to the operating room
um this is where he's going to complete
his pre-op routine this is going to be
checking consents checking the ID band
making sure that you have the correct
patient making sure that confirming
which side is to be done if this is a
specific side surgery
after hit the pre-op routines are done
Tom will transport the patient on a cart
back to the or is coming back and he's
going to go through that outer hallway
again and through outer doors into room
five now all of these or door or Suites
also have doors into the inner core okay
now we talked about there being a lot of
traffic here
we want to keep these doors closed as
much as possible due to that extreme
amount of traffic
I want you to think about microbes if
you have a lot of people
um walking around in those areas that's
going to stir up
microorganisms the more people the more
microbes
um
okay so Tom brings our patient back to
room five uh and this is where that
surgical procedure is going to be
completed
after the procedure is complete Mary
begins to clean up the sterile field
while Tom brings the patient back to
pacu now remember pacu is that post
anesthesia Care Unit
um so again he is going to bring out
these outside doors to this outer
hallway
and then into pacu
okay
um
now an important note once the patient
has entered that or room so we brought
that patient into the OR
all of the opened instrumentation and
supplies are considered dirty or
contaminated with the patient's microbes
okay that patient comes into the room
without a mask breathing on their skin
they have specific microbes and once
they enter there we are considering
everything in that room dirty
once instruments and supplies are dirty
they cannot enter an area with sterile
supplies such as another or the inner
core so I couldn't take instruments here
and walk through the inner core
or go into another room carrying a dirty
instrument that means we're transferring
that microbe into multiple clean and
sterile areas
the dirty supplies must be covered taken
through the outer hallway
which does not hold sterile supplies and
then taken to the surgical
decontamination room
during and you'll remember it was over
in this area here
during this time housekeeping or
environmental services will be called to
clean or turn over our room five
specific cleaning methods are used which
include new mops and Rags for each dirty
room
after the room is appropriately cleaned
Mary looks for her next case cart and
repeats the process until the scheduled
cases are done for the day
you can see that same circular path that
we discussed in cspd the path is the one
way you're never going to bring those
dirty instruments back into a sterile or
Okay
um it has to go
um that dirty the dirty instruments and
dirty supplies have to go into decontam
directly and not go into even a clean
elevator
the path is one way so that that dirty
is never brought into clean during the
next module we're going to go into
further detail of the or Suite itself
um and then we're gonna see exactly what
goes on during that intraoperative
process
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