Many of the principles applicable to using assistants also apply in dealing with the nurses who use surgical instruments & circulating personnel. The preoperative briefing should involve not only having a written card for medical tools, forceps & surgical instruments for standard procedures, but some verbal communication with reference to special surgical instruments if this were to continue to transpire.
There is a vast advantage for the surgeon to check the surgical instrument table before scrubbing, This is done in order to keep in surprised cut using surgical scissors is made. It's very reprehensible to not find a cardiac pacemaker in the hospital scopic exposure of an endobronchial tumor prior to figuring out that the forceps have been broke & the available one is shorter than the bronchoscope. When you put together your materials & medical tools can be delegated to OR staff, however verification of the presence of necessary medical tools and other surgical instruments prior starting an operation remains the responsibility of the surgeon who handles the surgical instruments and forceps.
Briefing the surgical instruments nurse preoperatively with a general description of the process and allowing her to find the field during the procedure, will result in better assistance during subsequent similar operations. However, isolation from the field does not engender a good feeling of the involvement.
It is important for the surgeon to understand and be very aware about the medical tools and forceps he has so the nurse can do her job correctly, lengths & caliber of certain materials and certain designation of needle holders and needles. Specific requests for surgical instruments result in more rapid medical tools delivery. Pet names for a few favorite often-used medical tools may avoid confusion when one is dealing with the same personel day after day. A little thought will allow development of a very specific vocabulary for communicating how you want medical tools passed, such as "backhand the needle, hook the needle or put the needle holder at midshaft" will make surgery go much more smooth.
Author Resource:-
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This editorial written Pat Z.
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