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Integrate safety controls to prevent or minimize surgical hazards
Assessment Strategies
in an oral, written, demonstrative or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you identify environmental hazards
you identify physical hazards
you identify chemical hazards
you identify biological hazards
you identify electrical hazards
you choose an appropriate course of action for resolving or minimizing the hazard
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Differentiate among methods and techniques of anesthesia
Assessment Strategies
in an oral, written, demonstrative or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
response identifies routes of administration
response identifies methods and techniques of anesthesia administration
response includes patient factors for choice of anesthetic
response describes general anesthesia
response identifies anesthesia equipment and patient monitoring devices
response specifies general anesthetic agents
response identifies topical, regional and local agents
response lists blood replacements and interventions
response describes risks and complications associated with general anesthesia
response identifies crystalloid IV agents
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Establish the sterile field
Assessment Strategies
by applying the principles and skills in a role-play
in an oral, written, demonstrative or graphic response
by completion of competency on assignments and/or activities
Criteria
you are properly attired
you apply sterile technique in draping the mayo stand
you place towels on mayo stand following facility practice
you begin organization of back table and mayo stand by placing instruments and supplies in an efficient pattern
you work in sections at the table
you organize items based on order of use (gowns/gloves/drapes) and place similar items together
you practice economy of time, motion and materials
you establish a routine(s)
you maintain sterile field by being aware of items and people moving about the area
you face your sterile field
you prioritize sequence of activities
you utilize good body mechanics in setting up
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Perform surgical scrub
Assessment Strategies
by performing a surgical scrub in the lab
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you perform the medical hand wash
you prepare for the surgical scrub by checking hand and skin integrity and removing all jewelry
you are appropriately attired for the surgical scrub
you discuss various antiseptic agents
you use the timed method
you use the counted brush stroke method
you use the waterless brushless system
you proceed to the OR keeping hands and arms up and away from the body
you recognize and correct breaks in technique
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Don sterile gown and gloves
Assessment Strategies
by applying the principles and skills in a role-play
in an oral, written, demonstrative or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you open your gown and gloves on a separate table
you enter the OR without contamination of self or the sterile field
you dry hands and arms when applicable
you gown self
you don gloves using closed glove technique
you complete the wrap-around gown process with assistance of an OR team member
you gown and glove others
you perform open gloving
you change a contaminated glove and/or gown when necessary
you don a sterile sleeve when needed
you remove gown and gloves adhering to principles of infection control
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Demonstrate the procedures for counting instruments, sponges, needles and other items in the field
Assessment Strategies
in an oral, written, demonstrative and/or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you count materials in multiple units as they are packaged
you separate and count different types of sponges
you separate and count different types of instruments.
you separate and count different types of sharps.
you recognize that the surgical count is performed by the RN circulator and the STSR
you recognize that the count is a permanent part of the surgical record
you verify number of needles in a pack when a multi-pack is opened for use
you organize counted items before closing counts
you perform counts according to facility policy
you initiate counts at specific times: before the procedure begins, during surgical procedures, and at the end
you perform counts at appropriate times and in specific sequence: before the procedure begins, during surgical procedures, and at the end following proper technique
you report the results of the count
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Demonstrate urinary catheterization
Assessment Strategies
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
in an oral, written, demonstrative or graphic response
by applying the principles and skills in a role-play
Criteria
you assemble appropriate supplies for urinary catherization
you demonstrate the procedural steps of urinary catherization
you list the indications for urinary catherization
you demonstrate principles and skills of sterile technique
you maintain patient privacy, dignity, and safety
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Perform skin preparation for surgical procedure
Assessment Strategies
in an oral, written, demonstrative or graphic response
by applying the principles and skills in a role-play
by answering questions that require you to apply knowledge about this competency (Your instructor may require several written exams as part of this course. You will be notified in advance.)
Criteria
you assemble and prepare supplies, equipment and solutions
you identify prep parameters
you expose the site to be prepped
you create sterile field
you open glove
you place protective pads/drapes
you scrub the skin starting at incision site
you demonstrate the correct sequence of events for a surgical skin prep
you document the preparation
you demonstrate principles and skills of sterile technique
you maintain patient privacy, dignity, and safety
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Prepare the operating room
Assessment Strategies
in an oral, written, demonstrative or graphic response
by applying the principles and skills in a role-play
by answering questions that require you to apply knowledge about this competency (Your instructor may require several written exams as part of this course. You will be notified in advance.)
Criteria
you are appropriately attired to enter the OR
you perform the medical handwash
you use surgeon's preference card to pull needed supplies
you select appropriate supplies to be opened
you arrange OR furniture, backtable, mayo stand
you distribute instruments and supplies to appropriate place
you place appropriate equipment in the OR
you apply principles of disinfection as needed
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Demonstrate care and utilization of surgical supplies while maintaining aseptic technique
Assessment Strategies
by applying the principles and skills in a role-play
in an oral, written, demonstrative or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you identify surgical supplies (i.e. sponges, tapes)
you explain function of the supply
you prepare supplies for use at the field at appropriate times [i.e. having irrigation ready]
you prepare and pass the supply
you demonstrated limited handling of supplies
you monitor sterility
you identify breaks in sterile technique
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Perform non-sterile duties in the preoperative phase
Assessment Strategies
by applying the principles and skills in a role-play
in an oral, written, demonstrative or graphic response
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you read the preference card
you prepare the operating room
you perform the initial count
you transport the patient to the operating room
you safely transfer the patient to and from the operating table
you position the patient
you assist the anesthesia provider
you prep the patient
you connect various cords and tubing from sterile field
you reference patient documentation
you monitor the sterile field
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Perform instrument identification
Assessment Strategies
in an oral, written, demonstrative or graphic response
using pictures, instruments, and/or descriptions
by applying the principles and skills in a role-play
by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]
Criteria
you identify the instruments by name
you identify the instrument type
you handle instruments correctly
you identify the instrument function
you assemble instruments for use