Question

Case Studies CA SE STUDY 1 Sean is a student surgical technologist scheduled to scrub for a laparoscopic assisted vaginal hysterectomy (LAVH). The surgical handed by the circulator, his left glove touches the outside of the packet. case starts as 7:30 a.m. and it is now 7:10 a.m. As he reaches for a supply item being 1. Does Sean have a problem? If so, what is it? (Continues publicly accessible website, in whole or in part. 0 2018 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted t CASE STUDY 1 (Continued) 2, What steps need to be taken to correct the problem? Describe the procedure(s). 3. The circulator moves to standby patient be placed in? What nerves or as the patient is administered general anesthesia. What position will the potential injuries may occur to the lower extremities? 4. As you participate in the time out, it is noted that the patient has been NPO since 4 a.m. Why is the surgeon concerned?

Answer 1

Yes as his gpove has touched the packet so he has to change his gloves or better scrub again as Surgerical team has to wear completely sterilised gloves and has to practice no touch technique with anything which is not sterilised to eliminate the risk of infection to the patients

He should preferably have an assistant help to remove his gown also and he should scrub again for 10 mins and then wear gloves and gown again and then proceed

The patient is placed in dorsal lithotomy position. Femoral , sciaitc and common peroneal nerves may be involved leading to lower extremity neuropathy

Ideally the patient should be nil per orally six hours prior to surgery or else there is a risk of aspiration and the surgeon may use a ryles tube to clear the upper gi tract of food