Setup for an Open Cholecystectomy (Eastwick College, Ramsey, NJ)

CHAPTER 1

Hi, my name is Katherine Soto, and I'm a surgical technologist here at Eastwick College, and today, I will demonstrate how I set up my table for an open cholecystectomy.

CHAPTER 2

As you can see, I have already draped my Mayo stand, my back table, and my double-ring stand.

CHAPTER 3

I have saline and I have verified the expiration date with my circulator. I have a bulb syringe. I have my softs, Ray-Tecs, and laps. I have a skin stapler, a Bovie with tip and scratch pad. Ties. Sutures. I have also received my medication, and it was already verified with my circulator. We verified the medication name, strength, and expiration date. I have also labeled my medication cup and my syringe. I have Steri-Strips, a marker, a ruler, blades, and a hypodermic needle. I also placed a towel as my safety zone.

CHAPTER 4

In my basin, I have the surgeon's and his assistant's towel, gown, and gloves. I have the patient drapes and in the order they are going to be used. I have extra gloves for the surgical team and myself. I have skin prep, light handle cover, suction tubing, and extra towels.

CHAPTER 5

Now, I am ready to receive my instruments from my circulator. This is my circulator, Ana, and she will be checking that my tray is not contaminated. No moisture, no strike-through. No moisture, no strike-through. No moisture, no strike-through. No moisture, no strike-through. I will check my chemical indicator and make sure that the sterilization process has been completed. I will hand off the instrument count sheet too. My circulator will check the bottom of my tray. Sterile. Now that I have my instruments, I will take them out and check the bottom of my tray for any hidden instruments or contamination. No moisture, no hidden instruments.

CHAPTER 6

Now I'm ready to set up my instruments. I will put my atraumatic forceps on one side. And my traumatic forceps on the other side. I will place my knife handles on my safety zone. Now, I'm ready to prepare my towel roll.

CHAPTER 7

Now that I have everything that I need, I am ready for my initial count. I will be using my knife handle to point at my instruments. My circulator needs to be able to see the tips of the instruments. I'm gonna start with my softs. Laps, one, two, three, four, five. Ray-Tecs, one, two, three, four, five, six, seven, eight, nine, 10. Moving on to my sharps. I have blades, one, two, three. Sutures, one, two. Hypodermic needle, one. And I have one Bovie tip with a scratch pad. Moving on to my stringer, I have mosquitoes, one, two, three, four, five, six. Cryos, one, two, three, four, five, six, seven, eight. Kellys, one, two, three, four, five, six, seven, eight, nine, 10. Tonsils, one, two. Right angle, one, two, three, four, five, six. Allis, one, two, three, four. Kocher, one, two, three, four. Babcocks, one, two, three, four. Needle driver, one, two, three, four, five. I have Metzenbaum scissor, one, two. Curved Mayo, one. Straight Mayo, one. Sponge stick, one, two, three, four. Moving on to my forceps, I will do my atraumatic ones first. I have DeBakey, one, two. Plain pickup or smooth pickup, one, two. Now, I'm going to do my traumatic forceps, Ferris-Smith, one, two. Adson, one, two. Moving on to my retractors, I have Richardsons, one, two, three, four. Army-Navy, one, two. I have a Balfour and two bladder blades attachments. Suctions, I have one Yankauer plus tip. In my facility, we count this separate because the tip is removable. I have a Poole suction also with one attachment. Two knife handles, one, two. And one probe. Now that the initial count is complete, I'm gonna verify it with my circulator. Initial count, complete? Initial count, complete.

CHAPTER 8

Now, I will remove my stringer and start setting up my instruments on my Mayo stand. I will pull this under my tray. And the first thing that I'm going to do is to load my blade. I will use a number 10 blade. I have already set up my safety zone. The next thing that I'm going to put is my syringe with my medication. Two laps. Two Army-Navies. Two cryos to aid in hemostasis. A tonsil for blunt dissection. Two Allis for tissue retraction. A Metzenbaum scissor for dissection. A straight Mayo for cutting the suture, and two Adsons with teeth. Now that my Mayo is set up, I am ready to gown and glove the surgical team and for the patient to come in.