Assisting at surgical operations : a practical guide by Comus Whalan

By Comus Whalan

This publication is a pragmatic guide for helping at surgical operations. basic language and diagrams describe either the elemental rules of surgical supporting, and complex suggestions wanted within the surgical subspecialities. it's going to support clinical scholars, junior medical professionals and surgical technologists excel at helping at any surgical operation.

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Their training and skills are different to the scout and scrub nurses, so they usually will not scrub. ■ Other personnel Theatre orderlies Theatre orderlies help to move the patient around the operating theatre suite, and transfer them to and from the operating table. They are often expert at fixing problems with equipment, such as operating tables, diathermy machines and laparoscopic equipment. Radiographers Radiographers operate X-ray and other equipment, such as Image Intensifiers and Ultrasound machines.

Ensure that the surgeon has enough free length of cord to reach even the farthest reaches of the operation, but not so much that it will tangle and get in the way. Hand the cord’s plug end off the table, for one of the scout nurses or orderlies to plug into the diathermy machine. Avoid contaminating your glove by touching the nurse’s unsterile hand. Do this by grasping the cord about 30 cm from the plug, and holding it out for him or her to take. ■ Incise drapes In some operations, sterile self-adhesive sheets of soft clear plastic material, known as incise drapes, are placed on the draped operative field.

Instead, the powder is usually cornstarch or calcium carbonate, which cause fewer problems than talc, probably because they are absorbable. However, it has been shown that these powders can also cause inflammation and other problems, both for the patient and for the wearer of the gloves. Glove powder can act as a vehicle to transfer latex proteins, increasing the likelihood of latex allergy arising. It can also act as a vehicle for micro-organisms. 39 The operation itself Therefore, most theatres now prefer powderless gloves.

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