Surgical Technology Lab Salt Lake Community College Mia Carsey

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Surgical Technology LabSalt Lake Community
CollegeMia Carsey
Supplies
Supplies
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Supplies
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Asepto Syringe

• The asepto syringe is filled with saline and used
  for irrigation in a stream. Fill it by squeezing
  the bulb and drawing up the fluid as the bulb is
  released. Then hold the syringe upside down and
  squeeze the bulb again and fill it by turning it
  upside down and releasing the bulb with the tip
  in the fluid again. Repeat 3 times to fill.

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Basin

• Usually filled with sterile water for soaking
  used instruments. A second basin may be filled
  with saline if lap sponges are to be moistened
  and used during the procedure. Comes wrapped
  sterilely and is to be opened on a ring stand.

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Bovie Pad

• This is the grounding pad for the bovie pencil.
  It is applied to the patients skin over a
  non-bony, hair free surface (such as the thigh or
  buttock) by the circulating nurse. It is a non
  sterile supply and is thrown away after each
  case. Some times the cord will be
  non-disposable. This pad must be used every time
  a bovie pencil is used because it provides a
  continuous circuit for the electricity of the
  bovie pencil and keeps the patient from getting
  an electric shock.

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Bovie Pencil

• The plug end of the cord is passed off to the
  circulating nurse to be plugged into the bovie
  machine. It is used to cauterize blood vessels
  (back of switch) and also to cut tissue (front of
  switch). Tip is considered a sharp and must be
  removed from the pencil and disposed of in the
  sharps container. Tips may also be interchanged
  with other tips such as Teflon coated, needle
  tip, or a 6 extension.

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Graduate Pitcher

• Filled with 1000 ml. of saline on the back table.
  This will be warm saline if it is to be poured
  into the body. It is measured and the
  Anesthesiologist may ask the tech. how much
  saline was used to help determine blood loss.
  This is the fluid to be used any time moisture is
  needed in of near the wound. Never put water in
  your pitcher.

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Kidney Basin

• Another extra bowl to be used at the techs
  discretion. The recessed edge is often useful to
  catch spillover saline when the wound is
  irrigated. The name kidney refers to its shape.

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Kitners

• These tiny sponges are always attached to a clamp
  when put on the mayo stand. They are to be left
  in the foam case they come in, unless they are on
  a clamp. Put them immediately back into the foam
  when they have been used. They are used for
  blunt dissection (intentional tearing of tissue)
  in small areas. They come in packs of 5, are
  part of the sponge and needle counts, and have a
  radio opaque thread running through them for
  x-ray location if one is lost.

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Lap Sponges

• Theses are used for cases where large amounts of
  blood are expected or in cases with a large
  incision. They come in packs of five and must be
  counted at the beginning and end of every case.
  They have a radio opaque band that runs through
  it to make it visible by x-ray for procedures
  where a sponge is lost.

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Syringe and Needles

• The needle twists into the hub of the leuer lock
  syringe. Draw medication into syringe out of the
  medicine cup, and then attach the needle.
  Needles are numbered according to size in
  diameter. The bigger the number, the smaller the
  needle. Larger needles are used for drawing
  medications out of bottle with a rubber stopper.
  Smaller needles are used in the patients skin
  when they are awake and will feel it.

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Light Handles

• Come Sterile for opening onto back table. As
  sterile field is set up, handles will be attached
  to spot lights and will be the only sterile place
  on the light that can be touched by sterile
  personnel.

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Marking Pen with Labels and Ruler

• Marking pen is for writing on skin, labeling
  medications or any other writing need. It is
  thrown away at the end of the case and a new one
  is used for the next case.

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Medicine Cup

• Hold medications on the back table. Drugs are
  poured from a medicine bottle into the medicine
  cup by the circulating nurse in a sterile manor.

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Needle Mattress

• Used needles are stuck in the foam of this
  mattress as they are used during the case. One
  needle goes in each numbered square. This
  facilitates the needle count at the end of the
  case and keeps the needles safe from puncturing
  personnel or drapes.

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Raytec Sponges

• These are used for cases with small incisions or
  they may be folded and used on a sponge stick in
  larger incisions. They come in packs of ten and
  are a part of the sponge and needle count at the
  beginning and end of every case. They have a
  radio opaque thread running through them so they
  may be located by x-ray if one is lost.

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Small Bowl

• Used on the back table for a variety of reasons
  including specimens, dye, sponge or dressing
  organization, etc. Its use is up to the tech.
  Even if it is sitting empty, keep it on your back
  table as a need for it could arise at any time
  during the case.

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Suction Tubing

• Used on most cases for suctioning things such as
  fluid, blood, smoke etc. The end with the
  adaptor is passed off to the nurse to plug into a
  canister. The other end is attached to a suction
  tip.

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Tail Sponges

• These are used most often during vaginal
  hysterectomies to pack bowel away from the
  uterus. They are attached to a clamp and
  moistened with saline to keep them from sticking
  to the bowel. They come in packs of five, are
  part of the sponge and needle counts, and have a
  radio opaque band running through them for x-ray
  location if one becomes lost.

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Suction Tips

• These are attached to suction tubing. The
  bulbous end of the yankauer tip is for use in
  large openings (abdomen). The narrower end of
  the CV tip is for smaller holes (throat). The
  Frasier tip is used for the smallest holes (nose).

CV
Frasier
Yakauer
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3-way Stopcock

• Connector between two types of tubing and a
  syringe for measuring fluid amounts. A moveable
  valve shuts off one port at a time.