MA 201 Clinical Duties

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Author:
Shutrbug20
ID:
71752
Filename:
MA 201 Clinical Duties
Updated:
2011-03-10 00:52:48
Tags:
Minor Surgery
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Description:
Chapter 17 Unit 2-3
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  1. Day before Minor Surgery
    • Confirm appointment
    • Get all necessary surgical intruments
  2. Patient Prep
    • Obtain consent form
    • Answer any questions
    • Vital signs
    • Verify known allergies
    • Empty bladder
  3. Skin Prep
    • 1. Wash and glove hands
    • 2. Gauze squares in soap solution
    • 3. One gauze at a time, soap area to be shaved
    • 4. Use scissors to cut long hair first
    • 5. Shave area with razor at 30 degrees
    • 6. Shave in direction of hair
    • 7. Apply antiseptic solution to site with transfer forceps
    • 8. Begin in center and work out in circular pattern
    • 9. Cover with sterile drape
  4. Patients Record
    • 1. Description of procedure
    • 2. Date and time
    • 3. Signed consent form
    • 4. Vital signs
    • 5. Any complications
    • 6. Meds ordered
    • 7. Findings
    • 8. Instructions for home care
    • 9. Number of sutures
    • 10. Where sutures located
    • 11. How long stay in
  5. Mayo Stand Height
    Waist level
  6. Anesthesia
    • General - unconscious
    • Local - localized to area, loss of feeling
  7. Suture Material (Absorbable)
    • Made from organic material
    • Will be absorbed by body
    • Used deep in body
  8. Suture Material (Non-Absorbable)
    • Made from man-made products
    • Must be removed from skin
    • Used superficially on body
  9. Suture Sizes
    • Larger sizes - number only
    • - bigger the number - bigger the suture
    • 3, 2, 1, 0

    • Smaller size - number -0
    • - bigger the number - smaller the suture
    • 1-0, 2-0, 3-0
  10. Minor Surgery Procedures
    • 1. Laceration repair
    • 2. Sebaceous cyst removal
    • 3. Incision and drainage (I&D)
    • 4. Biopsy
    • 5. Needle biopsy
    • 6. Cryosurgery
    • 7. Electrosurgery and cautery
    • 8. Chemical destruction
    • 9. Laser surgery
  11. Minor Surgery (MA Role)
    • 1. Assemble equipment and supplies
    • 2. Set up sterile tray and cover
    • 3. Instruct patient as needed
    • 4. Assist patient positioning
    • 5. When ready, remove drape from tray
    • 6. Wash hands, sterile gloves, assist
  12. Initial Surgical Scrub
    Six Minutes under hottest water you can handle
  13. Suture Removal
    • Grasp the knot
    • Place scissors next to skin under suture and cut
    • Pull suture toward incision to prevent re-opening
  14. Minor Surgery (Clean-Up)
    • 1. Remove gloves, wash hands
    • 2. Assist patient sitting up and dressing
    • 3. Review postop instructions
    • 4. Give written instructions
    • 5. Clean room / instruments - soak
    • 6. Restock exam room
    • 7. Dry instruments, package for autoclave

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