DO NOT COPY AND PASTE A PREVIOUS ANSWER AS EVERY QUESTION IS DIFFERENT. Medical
ID: 122070 • Letter: D
Question
DO NOT COPY AND PASTE A PREVIOUS ANSWER AS EVERY QUESTION IS DIFFERENT.
Medical Questions - This MANDATES THREE FULL PARAGRAPHS with 300 WORDS EACH.
***The research topic is regarding the role of a Surgical First Assistant with 1) assisting with pneumatic tourniquets for patients, and 2) assisting in orthopedic surgery.***
FYI - A surgical first assistant is an integral part of the surgical team. The team works together in the operating room to ensure the patient receives quality care during a surgical procedure. A surgical first assistant works closely with the surgeon to facilitate the procedure and process of surgery.
QUESTION:
Provide credible medical sourced information to describe and explain the ways in which a surgical assistant can enhance the quality of practice and services they provide in the two research topic areas.
Be sure to include proper references for citations and further reflection.
Explanation / Answer
Pneumatic Tourniquets
The pneumatic tourniquet is utilized during extremity surgery to maintain a bloodless field and/or prevent an IV regional anesthetic drug from exiting an extremity, eg Bier block. A tourniquet applies pressure to the limb to occlude the blood supply to the operative limb. Even though the pneumatic tourniquet has been placed in the lowest risk category for medical devices by the Food and Drug Administration, the pneumatic tourniquet can cause nerve, vessel and tissue injuries to the patient, temporary or permanent, due to incorrect cuff placement, excessive tourniquet pressure, prolonged inflation and improper protection of the skin underlying the tourniquet
The safety of the patient is of utmost importance when using the pneumatic tourniquet. That is why a trained surgical resident should only handle pneumatic tourniquets
From the following sources a surgeon can learn and practice pneumatic tourniquets
CSTs and CSFAs complete continuing medical education
Educational standards as established by the Core Curriculum for Surgical Technology and Core Curriculum for Surgical Assisting.
Medical associations like Association of surgical technologist
And association of operating Room nurses have laid down few guidelines for Usage of pneumatic tourniquets which can be read by the first assistant for enhancing the knowledge and skill o using the pneumatic tourniquets
The components of the pneumatic tourniquet consist of the: Inflatable cuff: Consists of a rubber bladder that is within a plastic or fabric· covering. Cuffs may be a single cuff that contains a single chamber for the air or a double cuff that contains two chambers. Connective tubing: Connects the cuff to the pressure device· Pressure device: Consists of the air compressor, buttons for setting the pressure,· digital display of the pressure setting, and timer. The pressure device is run by electricity, therefore the unit is plugged into a wall outlet. Some units contain a battery that can run the device for a short period of time during power outages.
The various standards laid down by Association of medical Technologists are as follows
Standard of Practice I Surgical team members should complete training to demonstrate the knowledge and competency in the proper use of the pneumatic tourniquet.
Standard of Practice II Healthcare facilities should review the policies and procedures for the use of pneumatic tourniquets and method of determining competency according to a specified schedule.
Standard of Practice III Pneumatic tourniquets should be inspected and tested prior to patient use
Standard of Practice IV Non-disposable cuffs and tubing should be cleaned and decontaminated between patient uses according to manufacturer’s instructions.
Standard of Practice V Surgical team members should be knowledgeable of the contraindications for pneumatic tourniquet use.
Standard of Practice VI Surgical team members should follow the Recommended Standards for applying the tourniquet cuff, tourniquet use and establishing the pressure settings for the adult patient to avoid patient injury.
Standard of Practice VII Surgical team members should follow the Recommended Standards for applying the tourniquet cuff, tourniquet use and establishing the pressure settings for the pediatric patient to avoid patient injury.
Standard of Practice VIII Documentation of the use of the tourniquet should be included in the patient’s OR record.
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