Surgery Protocol

Re: Surgery Protocol

Sandra Taylor RVN, MBVNA — Wed, 28 Apr 2010 20:26:32 GMT

I have no idea what happened to my post...it disappeared... so here we go again

[quote user="leanne Penrose"]

Does anyone know where I can find evidence based studies on the use of proper surgical attire? I'm doing a surgical nursing course and have to write a review based on facts and not just my own opinion.

If any of you can help that

[/quote]

If you have acces to journals, you will probably find plenty in the human medical sector.

And a quick question..... what exactly can an animal catch and suffer from, from us? MRSA is everywhere so apart from that what else? this is a genuine question. Animals immune system is slightly more skilled shall we say, than ours.

To answer the initial question... We have a seperate theatre where only scrubs etc are allowed, this is mainly for ortho ops.

All the rest are done in the day to day theatre, where as a rule no we dont wear scrubs or hats or masks, but gloves are always worn.

Re: Surgery Protocol

leanne Penrose — Wed, 28 Apr 2010 18:51:31 GMT

Hi in my practice scrub tops and gloves is the norm unless your working with an older vet who refuses to even wear gloves!

If any of you can help that would be great!

Re: Surgery Protocol

Charlotte Fitzgerald — Wed, 14 Apr 2010 15:54:38 GMT

I too think that appropriate clothing should be used in a theatre environment as said in above posts, it is important to remember that studies have been done and show that masks are no longer effective after around 20 minutes.

Re: Surgery Protocol

Nick Shackleton — Wed, 14 Apr 2010 06:22:53 GMT

[quote user="Phrin SVN"]

A bit off topic, but the lecturer at college today was saying how you should sheath or somehow cover the gas cylinders in theatre (we don't have piped gas).

Its always bugged me how mucky they are, and that trying to clean them gets you nowhere!

She recommended making the covers... dunno if they are available commercially?

Although saying that, it probably wouldn't make a lot of difference as we just wear our normal uniform and shoes for theatre, and usually only wear masks/scrubs/hats etc for ortho ops

I have worked in places though where we were all expected to wear scrubs, clogs, masks, hats and aprons in theatre

[/quote]

With regards to cylinders we used to use an air cylinder in theatre and used to drape it in either disposable drape or a disposable gown! either way it got covered.

with regards to hat and mask, did you know that one in three of us have MRSA up our noses. Think hat and mask should be routine! Change of footwear is the least effective at infection control.

Re: Surgery Protocol

Sal the 1st — Tue, 13 Apr 2010 22:11:17 GMT

[quote user="Phrin SVN"]

A bit off topic, but the lecturer at college today was saying how you should sheath or somehow cover the gas cylinders in theatre (we don't have piped gas).

Its always bugged me how mucky they are, and that trying to clean them gets you nowhere!

She recommended making the covers... dunno if they are available commercially?

Although saying that, it probably wouldn't make a lot of difference as we just wear our normal uniform and shoes for theatre, and usually only wear masks/scrubs/hats etc for ortho ops

I have worked in places though where we were all expected to wear scrubs, clogs, masks, hats and aprons in theatre

[/quote]

we had some bright yellow padded plastic covers which just wrapped around the cylinders and fixed with velcro at one place i worked (i believe they had been 'acquired' through a contact we had in the fire brigade) hand on heart tho cant say we used them that much unless we had an ultra clean op in and as pointed out by one of the partners - gas cylinders are painted different colours for a reason so you can see at a glance what is in them and you cant if you hide them in fancy dress!

Re: Surgery Protocol

Polly P — Tue, 13 Apr 2010 21:42:20 GMT

We wear our normal uniform and shoes, but a hat and mask.

Re: Surgery Protocol

Kim Buckley — Tue, 13 Apr 2010 20:48:51 GMT

[quote user="Phrin SVN"]

A bit off topic, but the lecturer at college today was saying how you should sheath or somehow cover the gas cylinders in theatre (we don't have piped gas).

Its always bugged me how mucky they are, and that trying to clean them gets you nowhere!

She recommended making the covers... dunno if they are available commercially?

[/quote]

Could you not adapt some pillow cases/duvet covers or something similar? Easy to wash!

Re: Surgery Protocol

Phrin Vernon RVN — Tue, 13 Apr 2010 20:11:15 GMT

A bit off topic, but the lecturer at college today was saying how you should sheath or somehow cover the gas cylinders in theatre (we don't have piped gas).

Its always bugged me how mucky they are, and that trying to clean them gets you nowhere!

She recommended making the covers... dunno if they are available commercially?

Although saying that, it probably wouldn't make a lot of difference as we just wear our normal uniform and shoes for theatre, and usually only wear masks/scrubs/hats etc for ortho ops

I have worked in places though where we were all expected to wear scrubs, clogs, masks, hats and aprons in theatre

Re: Surgery Protocol

Vicky RVN — Sun, 11 Apr 2010 21:32:32 GMT

We do scrubs/hats/masks/clogs most of the time

Re: Surgery Protocol

Vicky RVN — Sun, 11 Apr 2010 21:32:31 GMT

We do scrubs/hats/masks/clogs most of the time

Re: Surgery Protocol

Nick Shackleton — Sat, 10 Apr 2010 19:38:10 GMT

[quote user="Steph Worsley RVN MBVNA"]

I will say that myself and Nick work in referral (well I do, nick used to) however it should be best practice everywhere

[/quote]

Don't take much thou TBH. Althou the use of alternative foot ware could just be shoe covers???

Re: Surgery Protocol

Steph Worsley — Sat, 10 Apr 2010 19:24:52 GMT

I will say that myself and Nick work in referral (well I do, nick used to) however it should be best practice everywhere

Re: Surgery Protocol

Maisy — Sat, 10 Apr 2010 19:01:04 GMT

I've worked in very few practices where it was the norm to wear scrubs, hat/mask (for all theatre personnel, not just surgeons!). My first boss used to wash his hands as opposed to scrub and would only wear gloves if doing orthopaedics, never mind wear a surgical gown

Ideally though proper attire should be standard!

Re: Surgery Protocol

Nick Shackleton — Sat, 10 Apr 2010 19:00:54 GMT

where i used to work hats, masks, clean scrubs and separate theatre shoes!

Much like this!

Re: Surgery Protocol

Steph Worsley — Sat, 10 Apr 2010 18:54:45 GMT

we wouldnt be allowed in theatre without scrubs/crocs/hat and mask!!