Lesson 1Time-out process: components, team communication strategies, and documentationExplains the surgery time-out way, including needed parts, role clear, talk ways, and writing, stressing how ordered stops stop wrong-place surgery and match the team on patient, step, and safety worries.
Main parts of the surgery time-outJobs of nurse, surgeon, and anesthesiaWord confirm and closed-loop talkDealing differences before cutWriting time-out and late putsLesson 2OR admission and identification procedures: patient transport, monitoring hookup, and baseline vitalsGoes over safe OR coming in ways, including patient who check, carry from pre-op, move to OR table, watching connect, and base life sign writing to make sure care keep and stop who or handoff mistakes.
Check of patient who and consentSafe carry and handoff from pre-opMove ways and fall stopFirst watching connect and lead putBase life signs and pre-calm checkLesson 3Intraoperative monitoring priorities for patients with HTN and T2DM: BP trends, glucose monitoring, temperature controlCovers inside-operation watching main for patients with high blood pressure and type 2 sugar sick, including blood pressure changes, sugar control, heat handling, and early see of blood flow or sugar not steady during laparoscopic steps.
Base check for high blood pressure and type 2 sugar risksNo-cut and cut blood pressure change watchingInside-operation sugar checks and insulin useHeat watching and warm waysSeeing blood flow and sugar red flagsLesson 4Skin prep and antisepsis specific to upper abdominal laparoscopyDetails proof-based skin ready and anti-germ for upper belly laparoscopy, including place check, hair take, anti-germ pick, put way, dry times, and ways to stop dirt during cover and port put.
Pre-check of skin, scars, and infection riskHair take ways and timePicking right anti-germ thingsPut patterns and needed dry timesKeeping ready whole during coverLesson 5Communication with surgeon and anesthesia: reporting, escalation, and crisis resource managementCovers ordered talk between circulating nurse, surgeon, and anesthesia giver, including usual report, higher of worries, and crisis help handling main to back matched, safe inside-operation care.
Standard inside-operation reportNotifying changes in life signs and changesHigher tool or safety worriesClosed-loop talk in hard timesUsing CRM main during urgentsLesson 6Sterile field maintenance: gowning/gloving, sterile draping for laparoscopy, trocar sites, and smoke plume managementFocuses on keeping germ-free area during laparoscopy, including right gown and glove, germ-free cover ways, trocar place handling, and safe deal of surgery smoke to protect patient and staff from dirt and show.
Helped and self-gown and gloveCover order for upper belly casesKeeping germ-free at trocar put placesHandling and pass laparoscopic toolsSmoke cloud take out and filter useLesson 7Instrument and device management: laparoscopic instrument sets, electrosurgery, insufflation equipment, and portsLooks at safe handling of laparoscopic tools, electric cut units, blow-in, and ports, focusing on set up, work checks, fix problems, and work with surgery team to stop hurt, burns, or tool slow.
Laparoscopic tray parts and lookElectric cut unit set and safety checksBlow-in set, alarms, and pressure limitsPort pick, put, and fixCable, tube, and cord orderLesson 8Management of common intraoperative events: hypotension, bleeding, equipment failure, retained item protocolsDeals with see and nursing answer to usual inside-operation events, including low blood pressure, bleeding, tool not work, and kept item risks, with stress on fast talk, writing, and follow safety and higher ways.
Check and answer to low blood pressureSee and control inside-operation bleedingFix key tool not worksKept item risk parts and stopHigher paths and event writingLesson 9Counts protocol: sponge, instrument, and needle counts—timing, documentation, and discrepanciesOutlines standard count ways for sponges, tools, and sharps, including time, writing, and steps for solve differences, to stop kept surgery items and back right, law sound records.
First, inside-operation, and last count timeJobs and talk during countsWriting needs and count papersHandling 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 put for laparoscopic gall bladder take out, including back lie with tilt changes, pad and pressure point protect, safe the patient, and know blood flow and breathing effects of put and air belly.
Pre-put check and planningBack lie and reverse tilt setSide tilt and table changesPad, straps, and nerve protectBlood flow and breathing meanings
