Lesson 1Time-out process: components, team communication strategies, and documentationExplains the surgical time-out process, including needed parts, role clearness, talk strategies, and recording, stressing how planned pauses stop wrong-site surgery and unite the team on patient, procedure, and safety issues.
Core parts of the surgical time-outRoles of nurse, surgeon, and anaesthesiaVerbal confirmation and closed-loop talkAddressing differences before cutRecording time-out and late notesLesson 2OR admission and identification procedures: patient transport, monitoring hookup, and baseline vitalsReviews safe OR admission processes, including patient identity check, transport from pre-op, move to OR table, monitoring connect, and base vital sign recording to ensure care continuity and stop identity or handover errors.
Verification of patient identity and consentSafe transport and handover from pre-opMove techniques and fall stoppingInitial monitoring connect and lead placeBase vitals and pre-induction assessmentLesson 3Intraoperative monitoring priorities for patients with HTN and T2DM: BP trends, glucose monitoring, temperature controlCovers intraoperative watching priorities for patients with high blood pressure and type 2 sugar sickness, including blood pressure trends, sugar control, temperature handling, and early spotting of blood flow or sugar instability during laparoscopic procedures.
Base assessment for HTN and T2DM risksNon-cut and cut blood pressure trend watchingIntraoperative sugar checks and insulin useTemperature watching and warming waysSpotting blood flow and sugar warning signsLesson 4Skin prep and antisepsis specific to upper abdominal laparoscopyDetails proof-based skin prep and anti-germ for upper belly laparoscopy, including site check, hair removal, germ-killer choice, apply way, dry times, and ways to stop dirt during covering and port place.
Pre-check of skin, scars, and infection riskHair removal ways and timesChoosing right germ-killer agentsApply patterns and needed dry timesKeeping prep wholeness during coveringLesson 5Communication with surgeon and anesthesia: reporting, escalation, and crisis resource managementCovers structured talk between circulating nurse, surgeon, and anaesthesia provider, including routine reporting, raising concerns, and crisis resource handling principles to aid coordinated, safe intraoperative care.
Standard intraoperative reportingNotifying changes in vitals and trendsRaising tool or safety concernsClosed-loop talk in crisesUsing CRM principles in emergenciesLesson 6Sterile field maintenance: gowning/gloving, sterile draping for laparoscopy, trocar sites, and smoke plume managementFocuses on keeping a clean field during laparoscopy, including proper gowning and gloving, clean covering techniques, trocar site handling, and safe managing of surgery smoke to protect patient and staff from dirt and exposure.
Helped and self-gowning and glovingCovering order for upper belly casesKeeping clean at trocar insert sitesHandling and passing laparoscopic toolsSmoke plume removal and filter useLesson 7Instrument and device management: laparoscopic instrument sets, electrosurgery, insufflation equipment, and portsExplores safe handling of laparoscopic tools, electric surgery units, air blowers, and ports, focusing on setup, function checks, fixing issues, and working with surgery team to stop injury, burns, or tool delays.
Laparoscopic tray parts and checkElectric surgery unit setup and safety checksAir blower setup, alarms, and pressure limitsPort choice, place, and fixCable, tube, and cord organisingLesson 8Management of common intraoperative events: hypotension, bleeding, equipment failure, retained item protocolsAddresses spotting and nursing response to common intraoperative events, including low blood pressure, bleeding, tool fault, and left item risks, with stress on quick talk, recording, and following safety and raising rules.
Assessment and response to low blood pressureSpotting and controlling intraoperative bleedingFixing key tool failuresLeft item risk factors and stoppingRaising paths and event recordingLesson 9Counts protocol: sponge, instrument, and needle counts—timing, documentation, and discrepanciesOutlines standard counting steps for sponges, tools, and sharps, including times, recording, and steps for solving differences, to stop left surgery items and aid accurate, legal sound records.
Initial, intraoperative, and final count timesRoles and talk during countsRecording needs and count sheetsManaging count differences and searchesUse of extra tech for countsLesson 10Positioning for laparoscopic cholecystectomy: supine with Trendelenburg/tilt, padding, pressure point protection, and hemodynamic implicationsDescribes safe positioning for laparoscopic gallbladder removal, including flat with tilt changes, padding and pressure point protection, securing the patient, and understanding blood flow and breathing effects of position and air belly.
Pre-positioning check and planningFlat and reverse tilt setupSide tilt and table changesPadding, straps, and nerve protectionBlood flow and breathing implications
