Lesson 1Time-out process: components, team communication strategies, and documentationExplains the surgery time-out way, including needed parts, role clearness, talking ways, and recording, stressing how planned stops prevent wrong-place surgery and unite the team on patient, procedure, and safety matters.
Main parts of the surgery time-outRoles of nurse, surgeon, and anesthesiaWord confirm and closed-loop talkHandling differences before cutRecording time-out and late addsLesson 2OR admission and identification procedures: patient transport, monitoring hookup, and baseline vitalsReviews safe operating room entry ways, including patient who-check, move from pre-op, shift to OR table, watching connect, and base life sign recording to keep care flow and stop who or shift mistakes.
Check of patient who and agreementSafe move and shift from pre-opShift ways and fall stopFirst watching connect and lead placeBase life signs and pre-calm checkLesson 3Intraoperative monitoring priorities for patients with HTN and T2DM: BP trends, glucose monitoring, temperature controlCovers during-surgery watching main points for patients with high blood pressure and type 2 sugar sickness, including blood pressure flows, sugar control, heat handling, and early spot of blood flow or sugar unsteadiness in laparoscopic ways.
Base check for high BP and type 2 sugar risksNon-cut and cut blood pressure flow watchingDuring-surgery sugar checks and insulin useHeat watching and warming waysSpotting blood flow and sugar warning signsLesson 4Skin prep and antisepsis specific to upper abdominal laparoscopyDetails proof-based skin ready and germ-kill for upper belly laparoscopy, including place check, hair remove, germ-kill choice, put way, dry times, and ways to stop dirt during cover and port place.
Pre-check of skin, scars, and infection riskHair remove ways and timesChoosing right germ-kill meansPut patterns and needed dry timesKeeping ready wholeness during coveringLesson 5Communication with surgeon and anesthesia: reporting, escalation, and crisis resource managementCovers planned talking between circulating nurse, surgeon, and anesthesia giver, including usual reporting, raising worries, and crisis help handling ideas to aid joined, safe during-surgery care.
Standard during-surgery reportingNotifying changes in life signs and flowsRaising tool or safety worriesClosed-loop talking in crisesUsing crisis help ideas in urgenciesLesson 6Sterile field maintenance: gowning/gloving, sterile draping for laparoscopy, trocar sites, and smoke plume managementFocuses on keeping a clean field during laparoscopy, including right gown and glove, clean cover ways, trocar place handling, and safe deal with surgery smoke to guard patient and staff from dirt and show.
Helped and self-gown and gloveCover order for upper belly casesKeeping clean at trocar put placesHandling and passing laparoscopic toolsSmoke cloud clear and filter useLesson 7Instrument and device management: laparoscopic instrument sets, electrosurgery, insufflation equipment, and portsExplores safe handling of laparoscopic tools, electric cut units, air blowers, and ports, focusing on set up, work checks, problem fix, and work with surgery team to stop hurt, burns, or tool delay.
Laparoscopic tray parts and checkElectric cut unit set up and safety checksAir blower set up, alarms, and pressure limitsPort choice, place, and fixCable, tube, and cord orderLesson 8Management of common intraoperative events: hypotension, bleeding, equipment failure, retained item protocolsDeals with spotting and nursing answer to usual during-surgery events, including low blood pressure, bleeding, tool fail, and left item risks, with stress on quick talking, recording, and follow safety and raise rules.
Check and answer to low blood pressureSpotting and control of during-surgery bleedingProblem fix for key tool failsLeft item risk parts and stopRaise paths and event recordingLesson 9Counts protocol: sponge, instrument, and needle counts—timing, documentation, and discrepanciesOutlines standard count ways for sponges, tools, and sharps, including times, recording, and steps for solving differences, to stop left surgery items and aid correct, law-sound records.
First, during, and last count timesRoles and talking during countsRecording 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 placing for laparoscopic gall bladder remove, including back-lying with tilt changes, padding and pressure point guard, securing the patient, and knowing blood flow and breathing effects of place and air belly.
Pre-placing check and planningBack-lying and reverse tilt set upSide tilt and table changesPadding, straps, and nerve guardBlood flow and breathing effects
