[Solved]: Long study – long procedure plan Surgery: Open…

Long study – long procedure plan Surgery: Open umbilical hernia repair with mesh Questions: 1. Surgical Specialty 2. Define the Procedure: (What will we do? Be Specific.) 3. Pre-diagnosis: (Please explain) 4. Please select the Anesthesia: Regional Anesthesia or Monitored Anesthesia or General Anesthesia 5. Identify Positions/Modifications such as Trendelenburg, Kraske, Jackknife, etc. List all items needed to position. Note any safety precautions. Please describe the Positioning. 6. List all Medications/Solutions routinely used for this procedure that would be located on your Back table (also list the medications/solutions action, If none are used Mark it N/A). Example: KY Jelly; bacteriostatic, General lubrication; sensitivities to glycerine. Specify Medication / Solution Describe Action / Used For Include Special Scrub Precautions 7. Analyze the incision site for this procedure. Review preference card and plan for the type of shave prep, prep solution, and any Precautions) Shave prep? No or Yes If yes, what type is needed? 8. Type of Prep Solution to be used: Betadine Hibiclens PCMX Duraprep Chloraprep None Prep area: (Identify the Prep area. Describe how the area is prepped, umbilicus prepped separate or last). Ensure the prep area includes a minimum of 6-8 inches from all possible extensions of the incision. 9. Anatomy Involved: Describe the function and pathophysiology of the involved anatomy for this case. Which key anatomy feature(s) will be: Incised: Removed: Protected: 10. Please describe your back table (This Back Table(s) and Mayo(s) description must be of sufficient detail that an untrained observer should be able to follow your “road map” to set this case up. explain all trays used, and all instruments commonly found on the Back Table, Mayo, or Ring Stand for this procedure. Vendor/Implant trays, indicate if there any and explain if there was a second back table ) 11. Draping What type of draping was used? Please explain. 12. Suture What types of sutures were used? Please explain. 13. Procedure Steps Activity: IMPLICATIONS FOR THE SURGICAL TECH: Such as scrub hints, instruments to pass, etc… PAUSE FOR THE CAUSE / TIMEOUT – The Introduction: What is essential to include in the TIMEOUT CHECK for this patient? Stop all activity and participate in the process. No Yes Opening sequence: Incision: (Type, Name, Location of incision) Items used during the incision: Opening Sequence: Hemostasis: Name the tissue type that requires hemostasis: Methods of Hemostasis: What method and instrument/supply/equipment used to achieve hemostasis? Thermal Chemical Mechanic N/A Are any special measures needed for this patient? 14. Opening Sequence: Exposure and Isolation of the anatomy for the procedure: (What anatomy are you trying to isolate, dissect, or identify for the procedure?) List the items/instruments to be used to isolate or dissect for this case: Retraction: Describe what layers will be retracted as you enter. 15. What short-term hand-held retractors will likely be used on EACH layer? 16. if this is ortho what type of bone holder is most likely to be used? 17. What self-retaining retractor will you need for this procedure? 18. How will you pass it? Padding/parts in order: 19. Procedure: (Using your 3 resources, List the Major steps of the procedure in a maximum of 10-12 steps.) 20. Plan: (Analyze each major step; identify what instrument, supplies and/or actions will be needed for each major step.) 21. closing Sequence: Check for bleeding/pollution / items left Irrigation? No Yes If yes, what Solution? Additive(s) 22. Drain placement? No Yes Type of drain: Reg Blake N/A Type of drain: Flat Round N/A Size: 23. Type of drainage: Gravity Closed drain Open/Dressing N/A Or (Type of drainage) Vacuum: JP Bulb Hemovac Pleurevac N/A How was drain placed? 24. Layer Closing Sequence: (Check the layers or tissue closed): Instruction Layer Closing: Bone (Distraction / Realignment) Organ closure Periosteum Peritoneum Fascia (Posterior or Aponeurosis) Muscle layer Anterior Fascia Subcutaneous Tissue Skin Drain Secured What was used and the technique used for each layer? 25. Dressings: (Plan for type, identify drainage bags wound vacs and how the dressing is secured.) Instruction What dressings were used? Please explain.