Operating Room Supplies

Terminal Objective: List supplies used for a specified operative procedure

Enabling Objectives: Surgical Sponges Drains Catheters Tubes Dressings/Casting material Identify and state the uses of:

Sponges Raytec sponges – 4 x 4 – 4 x 8 Lap tapes

Sponges Dissecting sponges – Peanut sponges (Kittners) – Tonsil sponges Cottonoids

Hemostasis Supplies Ligating clips Bone wax Pledgets Ligature

Retraction Umbilical tape Vessel loop

Dressings Keep wound free from microorganisms Absorbs drainage and secretions Protects and supports Maintains pressure or moist environment if desired Purpose:

Types of dressings One layer dressing – Clean incision with minimal drainage Dry sterile dressing – Single or Multi-layered – None or slight drainage

Three layer dressing Used when heavy drainage is expected Contact layer – Passageway for secretions Intermediate layer – Absorbs secretions Outer layer – Maintains position

Pressure dressing Added to intermediate area of three layer dressing Absorbs extensive drainage Eliminates dead space and encourages healing Distributes pressure evenly

Dressings Stent dressing Bolster / Tie-over dressing Wet to dry Wet to wet

Casts and splints Used as a rigid dressing immobilizing and supporting affected area Fiberglass cast Plaster cast Materials Examples: walking, hanging, splint, sugar-tong

Drains and Catheters Tube inserted in the stomach or small intestine Types: – Levin tube – Miller-Abbott – Salem sump Relieves distention and evacuates secretions Gastrointestinal decompression:

Drains and Catheters Tube providing drainage from the bladder or kidneys Red Robinson catheter – Short term urinary drainage Foley catheter – Inflated balloon maintains placement Urinary drainage:

Why use postoperative drains? Enhances wound healing Removes fluid accumulation – Hematoma – Pain Obliterates dead space – Minimize contamination and scarring – Tissue apposition

Passive drains Uses gravity and path of less resistance for draining Examples: – Penrose – T- tube – Malecot – Pezzer – Mushroom

Active drains Applies suction to a closed wound site Examples: – Spring loaded (Hemovac) – Grenade type Reliavac Jackson Pratt – Sump drains

Chest drainage Removes air and fluid from pleural space Collection units must be calibrated Keep collection units below chest level

SHUNTS Designed to drain fluid off of the brain Types: – Ventriculoperitoneal – Ventriculoarterial

Central venous (CV) catheters Infuse meds or blood products Withdraw blood samples Placed with aid of radiography Examples: – Hickman – Broviac – Groshong

Cholangiocath Identifies presence of gallstones or pathologic conditions in the hepatic duct

Fogarty Catheters Aids in restoring blood flow to extremities

Operating Room Supplies The end