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A note from our director… National ST Week – September 2018 It’s hard to believe that National Surgical Technologist’s Week has only existed for a mere 34 years! There was a considerable amount of on-the-job training which included patient care, instrument sterilization, draping procedures, instrumentation and sutures.
Alice’s Medical Missions: I myself have been lucky enough to serve two mission trips: a Urologic mission to Haiti in 1998 and a mission focused on pediatric surgery to Granada in 2013. Previous work was as a scrub tech working for Hospital Corporation of America.) I was mainly doing suturing and closing.
Extra suture goes on the bottom right. I also make sure to grab my own gloves & any extra supplies I think may be needed during the case. 3- We all have a certain way we sort our case carts. I try to put mine in the same place for each case. Saline/Water goes on the top right. Chloraprep, etc. goes on the bottom left.
The surgery was a tibial nail explantation where there was no medical device representative on site. He was able to carry out all the subcuticular and skin suturing for the lower half of the flap while the surgeon closed the upper half. Have you had any particularly interesting experiences as an SA?
These are the notes I took after my last surgery since we do them but not quite as often. He used at least four 7-0s as tacking sutures. I have a few suture boots loaded on my small curved mosquitos so the prolene doesn’t get ruined. Never throw away your suture packs either. I’ll let you read through them.
Exploratory Laparotomies are very common add-ons & emergency surgeries over the weekend. One of the things I always do is load up my suture so it’s ready! So when she asks for suture to fix the bowel I have it ready to hand to her! As you probably know, I’m bad at explaining things! I’ll post a few.
I normally get a suture counter that has a large magnetic pad but we didn’t have any. But I had 17 suture so I always use my marker to place a dot on the white piece by the 17. I also keep track of how many vessel loops are up + hemostats, suture boots, and anything small like that. I load up about 4 suture boots.
I always keep my Vicryl loaded so if she wants the Weck or the McGlone facial closure device I can just take my scissors & cut the needle off (and the needle will be left in my suture counter) & I can take the suture & place it on my weck or facial closure device easily. I always open a basin to put my cords in.
I added some requested sutures to the suture flashcards. Unfortunately, there’s a lot of surgeries that we don’t do. We are a smaller surgery center, so we do not do hearts, spine, etc. I’ve been complimented on how far I’ve come as a scrub tech & how well I’m doing.
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