1. Instrumentation, Equipment, and Supplies
CHAPTER 10
Instrumentation, Equipment, and Supplies

2. Objectives After studying this chapter, you will be able to:
Explain the relationship between instrumentation, equipment, and supplies and with quality patient care in the operating room (OR)
Explain the relationship between instruments, equipment, and supplies and the OR environment with safety concepts

3. Objectives (cont’d.)
Indicate items that require sterilization prior to use in the sterile field
Recognize basic instruments by type, function, and name
Demonstrate proper care, handling, and assembly of instruments
Differentiate the types of special equipment utilized in OR practice and demonstrate proper care, handling techniques, and safety precautions

4. Objectives (cont’d.)
Cite the names and functions of accessory equipment and demonstrate proper care, handling, and assembly
Collect and prepare supplies used in the OR

5. Accessory Equipment Suction system components Vacuum source
Vacuum source tubing
Collection unit
Tubing
Suction tip

6. Lights Good lighting White fluorescent overhead lights
Necessary for any surgical procedure
Refer to Figure 10-19
White fluorescent overhead lights
Provide general illumination for the room
Ceiling-mounted overhead operating lights
Provide focused lighting for precision illumination during the surgical procedure

7. Pneumatic Tourniquets
Tourniquet purposes
Amount of blood lost is minimized
Visualization of the surgical site is improved
Electrically operated pneumatic tourniquet components
Cuff, tubing, pressure device, and power source

8. Pneumatic Tourniquets
The amount of blood lost by the patient is minimized.

9. Sequential Compression Devices (SCD)
Components
Compressor that is electrically operated
Connecting tubing
One or more sleeves that enclose that patient’s limb(s)
Uses
Prevent venous stasis
Treat edema

10. Supplies Drape materials Drape types Nonwoven fabrics
Woven textile fabrics
Plastic adhesive drapes
Drape types
Fenestrated
Nonfenestrated
Stockinettes

11. Sterile Packs Basic sterile pack components Highly specialized
Mayo stand cover
Two gowns
Suture bag
Four sticky paper drapes for square draping
Two paper towels for hand drying
Highly specialized
Most surgical specialties have one or more specific sterile packs

12. Surgical Sponges Sponge uses Absorb blood and tissue fluids
Blunt dissection of tissues
Protect important structures

13. Surgical dressings
Applied to most wounds
Several functions

14. Sponges and Dressings (cont’d.)
Dressing types
Biologic dressings
Skin grafts
One-layer dressing
Three-layer dressing
Pressure dressing
Bulky dressing
Rigid dressings
Specialty dressings

15. Catheters, Tubes, and Drains
Used to remove fluid or other objects
Urinary catheters: typically used to drain urine, but may have other applications
Intravascular catheters: used to infuse fluids, obtain a diagnosis, monitor body functions, and remove thrombi
Specialty catheters: several types

16. Urinary catheters

17. Catheters, Tubes, and Drains (cont’d.)
Used to remove air and fluids from the body for the purpose of decompression
Gastrointestinal tubes: used to aspirate air and fluids from the gastrointestinal tract
Airway tubes: used to maintain patency of the upper respiratory tract
Chest tubes: inserted percutaneously through a “stab” wound to treat pneumothorax or following cardiothoracic surgical procedures to evacuate air and fluid from the pleural space

18. Catheters, Tubes, and Drains (cont’d.)
Used to evacuate air and fluids from a surgical or traumatic wound
Passive drains: allow a pathway for fluid or air to move from an area of high pressure to one of lower pressure
Active drains: make use of negative pressure

19. Irrigators and Syringes
Used to irrigate wounds, aspirate fluids, or inject medications
Made of plastic or glass
Vary in sizes
Include: insulin syringes, tuberculin syringes, three-ring or control syringes, and irrigation syringes

20. Summary This chapter reviewed:
The relationship between instrumentation, equipment, and supplies and with quality patient care in the operating room
Basic instruments by types and functions
Proper care, handling, and assembly of instruments
Special equipment utilized in OR practice
Supplies used in the OR