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Surgery Prep
Term | Definition |
---|---|
Difference between exam and surgery equipment? | Exams are not sterile, surgery equipment must be sterile |
Stethoscope | Used to listen to heart and lungs |
Thermometer | Used to take temperature |
Sphygmomanometer | Blood Pressure |
Scale | Weight |
Pen light | Eyes |
Pen | Quick notes |
Calculator | Dosage/weight calculation/calculate BPM |
Watch | Count heart beats |
Jaws of a tool | Very end of the instrument, the part you are using to clamp/grab/cut with |
Joint of a tool | The hinge part of the tool |
Shank of the instrument | The long part of the tool that extends from the ring to the joint of the tool |
Ring | Handle part where you put your hands |
Ratchet | A locking mechinism along the shank near the ring. |
Forceps are used for | Clamping blood vessels or clasping tissue |
Forceps can come | Curved or Straight |
Most forceps have | Transverse grooves along the jaw |
Scissors are used for | Tissue cutting/dissection |
Scissors tips can be | Blunt or sharp |
Scissors can come | Curved or straight |
Scalpel is used to | incise tissue with minimal trauma |
Incise means to | cut |
Scalpel holder and blade are | Separate |
The scalpel blade is | disposable |
Needle holders | Designed for holding needle, some include scissors near the joint for cutting suture |
Towel clamps | Keep sterile towels in place during surgery by clamping them to patients skin , can also be used to hold extremities |
Syringes consist of a | Plunger and a barrel |
Slip tip | A tip of a syringe in which you simply slip the needle on, less secure than luer lock |
Luer lock | A screw like tip which allows you to twist and lock the needle into place, the most secure tip |
Catheter tip | Large and long, used for flushing wounds and feeding tubes |
Oral syringe | used for oral administration of oral meds, or liquid diet |
Standard measurement for syringes is | CC/ML |
Syringes can come in | various sizes from .5ml - 60ml and more |
Drapes, Gowns, and Towels | May be paper or cloth |
Drape | Separates the sterile surgical site from the rest of the patient |
Gown | Allows the vet to operate on the patient, the front above the waist is considered sterile. |
Towels are | cloth only |
Towels are used to | absorb fluids, or used as a drape |
What is the purpose of hand scrubbing | to make sure the surgeons hands are as clean as possible incase the gloves break |
How many surfaces should you scrub in | 4 |
NEVER | go back to finished section when scrubbing |
Always scrub from | the tip of you fingers to the end of your forearms |
Scrub brush is | soaked with Iodine |
Don't scrub | to hard to cause abrasions |
Hands are dried with | a sterile towel |
Surgical site is | shaved before surgery |
You shave the surgical site with a | 40 blade |
Chlorhexidine is | Typically used to scrub a site |
Dirty scrub | Used to remove physical debris |
Sterile scrub | used to sterilize surgical site |
Elective Procedure | A surgical procedure that is not necessary but can improve life/aesthetics |
Non-elective Procedures | Surgical procedures that must be preformed to save an animals life |
Ovariohysterectomy | Spay - more invasive - recommended at 6mo |
Spay complications | Pregnancy, in heat, bleeding, infection, seroma, and reaction to sutures |
Orchiectomy | Castration/Neuter - less invasive - recommended at 6mo or 1yr for large dogs |
Neuter complications | hemorrhaging/seroma |
Cleaning | removes most dirt and impurities from surfaces - with water soap and scrubbing |
Sanitizing | reduces germs to levels that is acceptable for public health codes. done with weaker bleach solutions after they are clean |
Disinfecting | Kills most germs on surfaces and objects. Done with stronger chemicals after cleaning. |
Iodine | Common antiseptic |
Antiseptic | Made for contact with skin, used to kill microbes on skin/tissue |
Alcohols | Good for general disinfecting - irritating to tissues |
Quaternary Ammonias | Commonly used disinfectants |
Aldehydes | Kills everything - very toxic/irritating to tissue - formaldehyde is a common one |
Sterilization | kills all microbes |
All surgery must be | Sterilized! |
Asepsis | Condition of sterility |
Aseptic technique | all step to prevent contamination of surgical sites - (scrub, sterilization) |
Autoclave | Uses steam and pressure to sterilize |
Gas sterilization | used with tools that withstand heat and steam, can be very toxic and dangerous |
Cold sterilization | Constantly soaking tools in a cool chemical that is changed often, not the best way of sterilization but it works |
Dry heat | Exposing a tool to heat or flame to sterilize it |
Radiation | using UV light and gamma rays - expensive and dangerous |
Safety risk with autoclave | heat and pressure |
Ultrasonic cleaner is used | before sterilization to remove hard to reach physical debris |
Instruments are always | double wrapped |
Indicator strips | change color when sterile |
Instrument pouches can autoclave because | they have a porous paper base that allows steam to seep through |
Instrument pouches are used | to allow for individual tools to be autoclaved, so that doctors can open tools without opening a whole other pack |