Hi! In the UK, in London where I worked aa a Scrub Nurse for 22yrs, we don't count sponges or swabs as we call them on top of each other. We separate them on the table as we count. We count together with the circ. Nurse 1,2,3 synchronized. The Circ. Nurae ticks the boxes on the instrument liat as we count.bWe also don't use towels as such. Everything is disposable. Even the bowl pack comes set altogether. Just open like a gown with everything inside. We don't lay out the instruments such. We leave them on the sterile inside tray. Sutures are opened individually aa needed. We tag on the strings of the sponges as we count to make sure they are not loose. We also open them in case something is inside the folded sponges. We call it diathermy instead of bovie. Just so interesting to see and learn differences. Not saying any system is wrong. Just sharing. Thank you for your teaching.
Great video! I haven’t scrubbed in 10 years and am finally stepping back into the game. If you have any other recommendations for your videos, let me know. Wish you were our teacher. 👍👍👍
I'm exactly where you were when you wrote this Chad. I'm getting certifed again after a decade away from the OR . This video was super helpful ! Thank you for these pieces of GOLD ')
@@nadiagarcia5488 I haven't taken it yet. I'm planning on studying for 2 months. I'm studying daily,using Board Vitals which I highly suggest and a couple of retired exams. What are you using to study ?
Me too in the same boat. I was scrubbing but ended up transferring to spd for 10 yrs and now getting back to the game. Nervous also😩. Once walked out and yelled at 😊
Nice video. I'm an educator in a large hospital and I'm looking for a video on how to properly cover a back table using 3/4 drapes, as well as remove them when it's time for the procedure to start to implement this recommendation from AST and AORN. Have you made such a video yet? Thank you for your time.
This video is amazing. The only lil thing I would say is it would help to have the why on some items. For example why put the tail sponges in the front vs the back, or why leave gaps or items in place.
Great questions!!! I put the 'tail sponges' in front because it's really easy for those tails to fall over the back edge without you noticing. Keeping them forward prevents this from happening. The gaps, or moving items only one time, is to limit contaminations. If something on your field is contaminated, and you don't know it, touching it and other items multiple times will spread that contamination more quickly.
In our lab? Never. :-) But during my training I did have an Ortho preceptor who insisted we check for bioburden. He was able to find some almost 20% of the time. It was often enough that this check stuck with me.
good sterilized OR gowns , towels ,gloves & instrument standard methods of use # i have used mosquito clamp , medium size clamp , curved head clamps & different size knife while performing procedures on my patients but since it was poly clinic there was no specific OR # 👍🇵🇰
Ha! yeah, shouldn't have thrown the garbage on the 'patient'. But what do you mean by gloves? when are you referring to? Is there a rule I should know about?
Just my common sense as it's all sterile and you've contaminated with your hands but yeah can be still contaminated with gloves on to, I don't know I've seen alot of nurses put gloves on when unwrapping these things.
@@t-mac2566 Ahh, I understand what you're thinking. I teach a method of opening items such that, while I touch the wrapper, I never touch the item itself. My method of 'flipping' items onto the sterile field leaves them completely sterile. You are correct in that the blue wall gloves are not sterile. Thank you for your observations.
if i wouldnt be able to see the indicator in the instruments after putting your second gloves can we just reach n n check instead of taking them out and placing them on the mayo? 8:38
Good question. Yes, that can be done if you're extremely careful. Being tall helps. We teach it this way because we've found there's less risk of contamination. If the tech checks for the indicator while the instruments are still on the ring stand, they tend to really focus on finding the indicator. moving items back and forth, digging for them. While doing so, they tend to lose concentration on the fact that they are standing so close to a non-sterile item (the ring stand). You'd be amazed at the number of times the gown, either the stomach or the sleeves, touches a contaminated surface during the search. Also with all the instruments moving around, one will invariably pop up over the edge of the basket and even touch the metal casket itself, contaminating it. Moving the basket to the mayo stand eliminates both of these risks.
