Surgical Procedure Review Form-1

.pdf

School

Richland Community College *

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Course

245

Subject

Medicine

Date

Dec 6, 2023

Type

pdf

Pages

4

Uploaded by KidStork3633

Report
Name: ___________________ Procedure Name and CDC Classification with Rationale: ________________________________________________________________________ Surgical Procedure Review class l clean : These types of wounds are not infected, do not exhibit any signs of inflammation, and are typically closed. Pathology/Disease/Condition (reasons the patient would need this procedure): A tympanoplasty may be needed to repair a perforated eardrum that does not heal on its own. Adults or children can get a hole in the eardrum from an ear infection, injury, or head trauma. Or to remove middle ear masses and to improve hearing. A. Required diagnostic procedures: Examination of the ear using an otoscope and a microscope to visualize the eardrum. Some hearing screening programs include middle ear impedance testing, or tympanometry. B. Patient position and positioning devices/supplies: supine with head turned to expose operative site- arms tucked at sides with a sheet donut head pillow safety strap C. Skin Prep 1. Solution Used: Povidone-iodine 2. Prepping Parameters: ___1 inch above the ear, down to the ear, stopping at the neck above the collar bone _____________________________________________________________________________ D. Drapes1 turban style head drape is used - clear plastic drape is applied- head/neck drape placed Order of Use : 1.____turban style head drape ________________________________________________________________________________________________
Name: ___________________ Procedure Name and CDC Classification with Rationale: ________________________________________________________________________ 2.__clear plastic drape _________________________________________________________________________________________________ 3.___________head or neck drape _________________________________________________________________________________________ 4. ____________________________________________________________________________________________________ G. Incision Name and Site 1.An incision is made in the ear canal (endaural, lateral circumferential, or swing door) H. Supplies Needed for this Procedure: 1.Sutures:The skin is closed with a running intradermal suture of 1-0 polyglactin 910 (Vicryl) or polyglycolic acid (Dexon) on a cutting needle. 2.Sponges: _____raytecs laps ________________________________________________________________________________________ 3.Bovie Type: __________________________________________________________________________________________ 4.Medications: The postauricular area, canal, and tragus (if necessary) are injected with 1% lidocaine with w epi 5.Ancillary supplies: ossicular implants if needed - gelfoam - bone wax - suture - dressing I. Room Equipment 1.operating microscope sitting stools ear drill if mastoidectomy is planned __________________________________ J. Instrument Trays 1.ear instrument tray
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