Lesson 1Time-out process: components, team communication strategies, an documentationExplain di surgical time-out process, includin required elements, role clarity, communication strategies, an documentation, stressin how structured pauses prevent wrong-site surgery an align di team pon patient, procedure, an safety concerns.
Core elements a di surgical time-outRoles a nurse, surgeon, an anesthesiaVerbal confirmation an closed-loop talkAddressin discrepancies before incisionDocumentin time-out an late entriesLesson 2OR admission an identification procedures: patient transport, monitorin hookup, an baseline vitalsReview safe OR admission processes, includin patient identification, transport from pre-op, transfer to di OR table, monitorin hookup, an baseline vital sign documentation fi ensure continuity a care an prevent identification or handoff errors.
Verification a patient identity an consentSafe transport an handoff from pre-opTransfer techniques an fall preventionInitial monitorin hookup an lead placementBaseline vitals an pre-induction assessmentLesson 3Intraoperative monitorin priorities fi patients wid HTN an T2DM: BP trends, glucose monitorin, temperature controlCover intraoperative monitorin priorities fi patients wid hypertension an type 2 diabetes, includin blood pressure trends, glucose control, temperature management, an early recognition a hemodynamic or metabolic instability durin laparoscopic procedures.
Baseline assessment fi HTN an T2DM risksNoninvasive an invasive BP trend monitorinIntraoperative glucose checks an insulin useTemperature monitorin an warmin strategiesRecognizin hemodynamic an metabolic red flagsLesson 4Skin prep an antisepsis specific to upper abdominal laparoscopyDetail evidence-based skin preparation an antisepsis fi upper abdominal laparoscopy, includin site assessment, hair removal, antiseptic selection, application technique, dryin times, an strategies fi prevent contamination durin drapin an port placement.
Pre-assessment a skin, scars, an infection riskHair removal methods an timinChoosin appropriate antiseptic agentsApplication patterns an required dry timesMaintainin prep integrity durin drapinLesson 5Communication wid surgeon an anesthesia: reportin, escalation, an crisis resource managementCover structured communication between circulatin nurse, surgeon, an anesthesia provider, includin routine reportin, escalation a concerns, an crisis resource management principles fi support coordinated, safe intraoperative care widout delay.
Standardized intraoperative reportinNotifyin changes inna vitals an trendsEscalatin equipment or safety concernsClosed-loop communication inna crisesUsin CRM principles durin emergenciesLesson 6Sterile field maintenance: gownin/glovin, sterile drapin fi laparoscopy, trocar sites, an smoke plume managementFocus pon maintainin a sterile field durin laparoscopy, includin proper gownin an glovin, sterile drapin techniques, trocar site management, an safe handlin a surgical smoke fi protect both patient an staff from contamination an exposure.
Assisted an self-gownin an glovinDrapin sequence fi upper abdomen casesMaintainin sterility at trocar insertion sitesHandlin an passin laparoscopic instrumentsSmoke plume evacuation an filter useLesson 7Instrument an device management: laparoscopic instrument sets, electrosurgery, insufflation equipment, an portsExplore safe handlin a laparoscopic instruments, electrosurgical units, insufflators, an ports, focusin pon setup, function checks, troubleshootin, an collaboration wid di surgical team fi prevent injury, burns, or equipment-related delays inna di OR.
Laparoscopic tray components an inspectionElectrosurgical unit setup an safety checksInsufflator setup, alarms, an pressure limitsPort selection, placement, an fixationCable, tubin, an cord organizationLesson 8Management a common intraoperative events: hypotension, bleedin, equipment failure, retained item protocolsAddress recognition an nursin response to common intraoperative events, includin hypotension, bleedin, equipment malfunction, an retained item risks, wid emphasis pon rapid communication, documentation, an adherence to safety an escalation protocols.
Assessment an response to hypotensionRecognition an control a intraoperative bleedinTroubleshootin critical equipment failuresRetained item risk factors an preventionEscalation pathways an event documentationLesson 9Counts protocol: sponge, instrument, an needle counts—timin, documentation, an discrepanciesOutline standardized countin procedures fi sponges, instruments, an sharps, includin timin, documentation, an steps fi resolvin discrepancies, fi prevent retained surgical items an support accurate, legally sound records inna di OR.
Initial, intraoperative, an final count timinRoles an communication durin countsDocumentation requirements an count sheetsManagin count discrepancies an searchesUse a adjunct technologies fi countsLesson 10Positionin fi laparoscopic cholecystectomy: supine wid Trendelenburg/tilt, paddin, pressure point protection, an hemodynamic implicationsDescribe safe positionin fi laparoscopic cholecystectomy, includin supine wid tilt variations, paddin an pressure point protection, securin di patient, an understandin hemodynamic an respiratory effects a position an pneumoperitoneum.
Pre-positionin assessment an planninSupine an reverse Trendelenburg setupLateral tilt an table adjustmentsPaddin, straps, an nerve protectionHemodynamic an respiratory implications
