1. ST230 Concorde Career College

2. 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.

3. 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.

4. 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.

5. 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.

6. Drape Removal Remove drapes after dressing application Roll drape to contain biohazardous material Dispose Clean patient Secure dressing

7. Operating Room Cycle  Preoperative Phase  Intraoperative Phase  Postoperative Phase

8. Homeostasis  How is homeostasis monitored in the OR?  How is homeostasis maintained in the OR?

9. Emergency Situations Respiratory arrest Cardiac arrest Malignant hyperthermia Seizure Anaphylaxis Transfusion reaction Pseudocholinesterase deficiency syndrome Shock

10. Surgical Specimens  What is a surgical specimen?  How are specimens obtained?

11. Specimen Care Name/location Labeling Type of exam Requisition Fixative Note: Most specimens are not replaceable

12. Documentation Operative Record Anesthesia Record Specimen Handling Incident Report Implant Log Operative Report PACU Record

13. ST230 Concorde Career College, Portland

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. 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?

20. Homeostasis List the components of physical, mental, emotional, and spiritual health and describe the methods through which health is achieved.

21. PACU Equipment and supplies

22. Equipment and Supplies  Oxygen  Suction  Monitoring Devices  Wound Care  Emergency (resuscitation) Equipment  Personnel  Diagnostic Equipment (available)

23. 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

24. Operating Room Cycle 1. Preoperative 2. Intraoperative 3. Postoperative

25. Instrument Cycle  Preoperative Phase  Intraoperative Phase  Postoperative Phase