OPERATING ROOM SET UP
REMINDERS:
SQUARE BASIN- IT SERVE AS THE SALAHAN/PANALA NG NORMAL SALINE
WHILE WASHING THE INSTRUMENT FROM THE SOAKING PAN.
SQUARE PACK- IT CONTAINS SQUARE BASIN AND KIDNEY BASIN
LAPAROTOMY PACK KIDNEY BASIN- SERVE AS THE CONTAINER OF THE INSTRUMENTS WITH
NORMAL SALINE.
MATERIALS INSIDE THE LAP PACK: THE COVER OF THE SOAKING PAN IS USED TO TRANSPORT THE INSTRUMENTS
1. 3 pcs of gown (scrub nurse, surgeon, TO MAINTAIN STERILITY.
and assistant of the surgeon)
2. 7 towels (4 for the patient, 1 for the BASIC INSTRUMENTS
mayo tray and 2 extra)
3. Mayo tray cover
CUTTING OR DISSECTING (FOR INCISION)
4. Fenestrated sheet/ lap sheet
1. SCALPEL
MATERIALS OUTSIDE THE LAP PACK: 3, 4, 7, 11, 27 (7, 11, 27 IS USED FOR LONGER AND
1. 3 pcs of sterile gloves (scrub nurse, DEEPER INCISION)
IF THE BLADE HOLDER IS 3, THE BLADE SIZE IS 10, 11, 15
surgeon and assistant of the surgeon)
FOR SIZE 4 BLADE HOLDER, THE BLADE SIZE IS 20, 22,
2. Surgical blade 27
3. Operating sponges (4x4); 5pcs to
10pcs;discard if below 4pcs.
4. Visceral pack/laparotomy sponge with
blue string called radiopaque strip.
Sutures
Kinds of sutures:
BLADE HOLDER BLADE
NYLON (ETHILON) SUTURE- non-
absorbable (for skin closure)
SILK SUTURE- NON ABSORBABLE- 2. MAYO SCISSOR (STRAIGHT)
mainly used in ophthalmology but CUTTING SUTURE AND DRESSING
might also be applied in
cardiovascular
or neurological procedures.)
VICRYL SUTURE- ABSORBABLE-
used to suture small and large
intestine, peritoneum, fascia,
muscle, subcutaneous tissue, and
skin) 3. MAYO SCISSOR (CURVED)
CUTTING HEAVY TISSUE OR MUSCLE; DISSECTING HEAVY
CHROMIC CATGUT SUTURE- TISSUE
ABSORBABLE- used to suture CUTTING IT THROUGH MUSCLE (FASCIA)
small and large intestine,
peritoneum, fascia, muscle,
subcutaneous tissue, and skin)
Types of sterilization of instruments
1. Dry method- using gas (ethylene oxide), chemical.
PROLENE SUTURE- NON-
ABSORBABLE- general soft
2. Air pressure
3. Autoclave
4. Wet- using glutaraldehyde/cidex
- Lifespan of the solution is 28 days
- 1st day if 100% sterile
- If 28 days is consumed there is zero
tissue approximating and/or
sterility.
- If the instrument is wet from water, dry
it first before placing in the solution because it will lessen the sterility of the solution.
ligation, including use in
cardiovascular, ophthalmic,
and neurological procedure 4. METZENBAUM SCISSOR
CUTTING OR DISSECTING DELICATE TISSUE; NOT FOR
*THE LOWER THE NUMBER THE BIGGER THE NEEDLE. CUTTING SUTURES OR HEAVY TISSUE.
SOAKING PAN
(FOR STERILIZATION OF INSTRUMENTS)
TYPES OF STERILIZATION OF INSTRUMENTS
1. Dry method- using gas (ethylene oxide),
chemical.
2. Air pressure
3. Autoclave 5. IRIS SCISSOR
4. Wet- using glutaraldehyde/cidex CUTTING AND DISSECTING FINE TISSUE; CUTTING
Lifespan of the solution is 28 days FINE SUTURES.
1st day if 100% sterile
If 28 days is consumed there is zero sterility.
If the instrument is wet from water, dry
it first before placing in the solution because it
will lessen the sterility of the solution.
INSTRUMENT THAT SHOULD BE IN THE SOAKING PAN:
5. BANDAGE SCISSORS
USE FOR CESAREAN SECTION OR OB PROCEDURE.
1. Tissue Forceps
2. Thumb Forceps
3. Russian Forceps
4. All Scissors
MOVEMENTS ON THE OPERATING ROOM
1. BACK - TO - BACK MOVEMENT
2. FRONT - TO - FRONT MOVEMENT
1
OPERATING ROOM SET UP RETRACTING (FOR RETRACTION OF TISSUES AWAY)
MANUAL
GRASPING OR HOLDING 1. BLADDER RETRACTOR
RETRACTING THE BLADDER DURING CS
1. TISSUE FORCEPS (TOOTHED)
GRASPING FINE TISSUE
2. SENN RETRACTOR
EXPOSING SUPERFICIAL WOUND
2. THUMB FORCEPS (NO TEETH)
FINE HANDLING OF TISSUE
3. DEAVER RETRACTOR
DEEP WOUND RETRACTION
3. DEBAKEY TISSUE FORCEPS
GRASPING TISSUE OR BLOOD VESSELS
4. U.S ARMY NAVY RETRACTOR
EXPOSING SUPERFICIAL WOUND
4. ALLIS FORCEPS
TO HOLD HEAVY TISSUES 5. RICHARDSON RETRACTOR
USED TO EXPOSE WOUND
5. RUSSIAN FORCEPS
GRASPING HEAVY TISSUE 6. MALLEABLE/ RIBBON RETRACTOR
RETRACTING DEEP WOUND; BENDABLE
6. BABCOCK
GRASPING DELICATE TISSUES (E.G., FALLOPIAN TUBE) SELF-RETRACTING
1. WEITLANER RETRACTOR
EXPOSING SUPERFICIAL WOUND
7. PENNINGTON FORCEPS 2. HARRINGTON RETRACTOR OR HARRINGTON
GRASPING TISSUE, ESPECIALLY DURING SWEETHEART
INTESTINAL OR RECTAL SURGERIES AND CS USED FOR DEEP WOUNDS
2
SUCTION
6. BALFOUR RETRACTOR (TO REMOVE THE BLOOD FOR CLEARER VIEW)
USED FOR DEEP ABDOMINAL RETRACTION; HAVE 3 TYPES OF SUCTION
MOISTENED LAP PADS (USED AS PADDING 1. POOLE SUCTION TUBE
LESSEN THE TRAUMA; SUCTIONING LARGE
QUANTITIES OF FLUID OR BLOOD; REMOVABLE
SHEATH ALLOW CANNULA TO SUCTION SMALLER
AREAS.
7. THOMPSON RETRACTOR
TO PROVIDE SURGICAL EXPOSURE.
2. FRAZIER SUCTION
SUCTIONING SMALL QUANTITIES OR FLUID;
SUCTIONING SMALL AREAS; SHORT OR LONG TIPS;
6FR TO 16FR DIAMETER (MOST COMMON SIZE ARE
7FR, 9FR AND 11FR
CLAMPING [Link] SUCTION
SUCTIONING FLUID OR BLOOD MAY BE USED TO
SUCTION SMOKE; MENTAL OR PLASTIC
CLAMPING (TO CLOSE CERTAIN VESSELS)
1. KELLY STRAIGHT AND CURVED FORCEPS
TO CLAMP BLOOD VESSELS AND HEAVY TISSUE IN
PLACE
ELECTRONIC
STRAIGHT CURVED
1. ELECTROCAUTERY/ELECTROCAUTERIZATION-
USED IN SURGERY TO REMOVE UNWANTED
2. MOSQUITO STRAIGHT AND CURVED FORCEPS TISSUE; ALSO USED TO BURN AND SEAL BLOOD
CLAMPING DELICATE BLOOD VESSELS OR TISSUE VESSELS TO REDUCE BLEEDING
STRAIGHT CURVED
3. DOYEN INTESTINAL FORCEPS REMIDERS:
CLAMPING BOWEL TISSUE
COUNT ALL INSTRUMENTS, SPONGES, BLADE,
AND SUTURES BEFORE CLOSING THE PATIENT.
CIRCULATING NURSE WILL CONFIRMED IF IT IS
COMPLETE OR INCOMPLETE BASING ON THE
BOARD.
4. ROCHESTER-PEAN CLAMP
CLAMPING HEAVY TISSUE
5. KOCHER/OCHSNER FORCEPS
GRASPING HEAVY TISSUE (E.G, FASCIAL
6. MIXTER
CLAMPING TISSUE OR GRASPING LIGATURE
AROUND A CURVE
Pablico, Kayzee Minneth P. 3
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