Surgical Patient Care for Veterinary Technicians and Nurses by Holzman Gerianne; Raffel Teri; & Teri Raffel
Author:Holzman, Gerianne; Raffel, Teri; & Teri Raffel [Holzman, Gerianne & Raffel, Teri]
Language: eng
Format: epub
Publisher: John Wiley & Sons, Incorporated
Published: 2015-04-27T00:00:00+00:00
Patient draping
Once the patient has received the second, “sterile” prep, draping can begin. Assistants must be thoroughly knowledgeable about the procedure and the approach the surgeon will use in order to effectively drape the patient. Depending on the procedure to be done, draping may need to include extra wide margins away from the incision. For example, draping to allow access to the exit of a chest tube for a thoracic procedure or allowing access to a bone graft site for harvesting a graft for a fracture repair.
Especially during the draping sequence, but throughout the entire procedure, both the surgical assistant and the circulating technician must be acutely aware of strict asepsis in the surgical suite and sterile field. According to Dr. Brian Beale, “the surgical assistant should be cognizant of the need for strict asepsis and act as the asepsis police in the operating room” (Beale, B.S., 2010). Any question as to a break in aseptic technique must be treated as a valid break and corrective measures must be taken. Whether that means changing a pair of gloves, a gown, or an entire pack of instruments, it must be done. Although often times not very well liked by all members of the surgical team, the veterinary technician is acting as the patient's advocate and looking out for their well being. Breaks in asepsis are not to be argued or debated, but accepted and corrected.
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