Lesson 1VTE and thromboembolism prevention implementation: risk stratification, timing of prophylaxis around spinal/epidural and regional anesthesiaCovers venous thromboembolism prevention for laparoscopic hysterectomy, including risk assessment, mechanical and pharmacologic prophylaxis, timing around neuraxial anesthesia, and patient education on early mobilization.
Using VTE risk assessment toolsApplying mechanical prophylaxis devicesCoordinating anticoagulant timingConsiderations with neuraxial anesthesiaTeaching early ambulation and hydrationLesson 2Infection prevention specific to laparoscopy: instrument sterilization verification, draping, skin antisepsis agents and application timingExplores infection prevention tailored to laparoscopy, including verification of instrument sterilization, appropriate skin antisepsis agents and timing, safe hair removal, draping techniques, and adherence to perioperative antibiotic protocols.
Verifying instrument cleaning and sterilizationSelecting and timing skin antisepsis agentsSafe hair removal and skin assessmentAseptic draping for laparoscopic portsCoordinating prophylactic antibiotics timingLesson 3Pre-op physical preparation: skin prep, bowel prep options, catheterization indications, VTE prophylaxis (mechanical and pharmacologic) and timingReviews physical preparation before surgery, including skin cleansing, bowel preparation indications, urinary catheterization criteria, and timing of VTE prophylaxis, while promoting comfort, dignity, and clear patient instructions.
Pre-op bathing and skin preparation stepsBowel prep indications and patient teachingUrinary catheterization indicationsTiming of mechanical VTE prophylaxisTiming of pharmacologic VTE prophylaxisLesson 4Pre-anesthesia handover: essential information to communicate to anesthesiologist (airway, fasting, meds, labs, anticoagulation, comorbidities)Describes the structured pre-anesthesia handover, emphasizing communication of airway assessment, fasting status, medications, allergies, labs, comorbidities, and anticoagulation to ensure safe anesthesia planning and intraoperative management.
Key airway and respiratory informationConfirming fasting status and aspiration riskCurrent medications and allergy summaryRelevant labs and hemodynamic statusAnticoagulation and bleeding risk detailsLesson 5Equipment and instrument readiness: laparoscopic tower, insufflation system, energy devices, trocars, specimen retrieval bags, suction/irrigation checksAddresses preparation and safety checks for laparoscopic equipment, including tower setup, insufflation system, energy devices, trocars, suction and irrigation, specimen retrieval tools, and troubleshooting common equipment issues.
Setting up laparoscopic tower and cameraChecking insufflation and pressure alarmsInspecting trocars and accessory instrumentsTesting energy devices and safety featuresVerifying suction, irrigation, and retrieval bagsLesson 6Pre-op patient education and informed consent support: explaining procedure, anesthesia types, expected course, risks, recovery milestones, pain management plan, discharge criteriaCovers structured preoperative teaching for laparoscopic hysterectomy, including procedure steps, anesthesia options, realistic recovery milestones, pain control strategies, complication warning signs, and discharge planning tailored to patient needs.
Explaining laparoscopic hysterectomy stepsDiscussing anesthesia types and side effectsClarifying risks, benefits, and alternativesSetting recovery expectations and milestonesTeaching pain management and discharge planLesson 7Preoperative assessment components: surgical history, comorbidities, medication reconciliation, allergies, consent verification, fasting status, labs and imaging to confirmDetails comprehensive preoperative assessment for laparoscopic hysterectomy, focusing on history, comorbidities, medications, allergies, prior anesthesia issues, physical exam, and review of labs and imaging to confirm readiness and minimize perioperative risk.
Targeted gynecologic and surgical historyReview of comorbidities and functional statusMedication reconciliation and allergy reviewFocused physical and airway assessmentReviewing labs, imaging, and clearancesLesson 8Pre-op emotional support and communication: assessing anxiety, using structured scripts, culturally sensitive communication, family involvement and documentationFocuses on assessing and addressing preoperative anxiety, using therapeutic communication, culturally sensitive approaches, family involvement, and documentation of emotional status, coping strategies, and referrals to support holistic perioperative care.
Screening for anxiety and fear of surgeryUsing structured scripts and plain languageCulturally sensitive communication strategiesInvolving family or support personsDocumenting emotional status and referralsLesson 9Operating room safety checks: WHO surgical safety checklist use, time-out procedure, allergy/implant alerts, baseline vital signs and markingsExplains operating room safety checks for laparoscopic hysterectomy, including WHO checklist use, time-out procedures, verification of patient identity, allergies, implants, surgical site marking, and baseline vital signs documentation.
Using the WHO surgical safety checklistConducting pre-incision time-outVerifying identity, site, and procedureHighlighting allergies and implant alertsRecording baseline and trend vital signs
