Theatre Practice

Question 1

Gloving and Gowning 01
You have been requested to assist the veterinary surgeon with an exploratory laparotomy. You gave just surgically scrubbed you hands and arms in preparation to assist with this procedure.

Put on the sterile surgical gown and gloves using the closed method. The gown supplied is a back tying gown

Answer 1

1. Ensure that hand and wrist jewellery is removed
2. Nails well manicured, clean and unvarnished. False nails are not permitted
3. Grasp the folded gown from the trolley
4. Lift up and away from trolley
5. Holding the neck allow the gown to fall open away from the body
6. Guide the arms through the sleeves of the gown
7. Hands remain inside the sleeves
8. Instruct assistant to touch only the insides of the gown
9. Ask assistant to fasten the waist ties
10. Bend to pick up the waist ties
11. Pass ties to assistant
12. Ask assistant to fasten waist ties at the back
13. Maintain sterility of gown and self throughout gowning process
14. Keep both hands within cuffs of gown
15. Ask assistant to open glove packet
16. Take inner glove packet
17. Outer packet not touched
18. Place inner glove packet onto sterile surface
19. Turn packet upside down (so fingers of gloved are pointing towards the candidate)
20. Unfold packet to expose gloves
21. With either hand first, pick up the appropriate glove by the rim or fold of the cuff
22. Turn the hand over so that the glove lies on the palms
23. Grasp the uppermost rim of the glove with the other covered hand
24. Pull the glove over the first hand, encapsulating cuff fully
25. Pick up remaining glove by the rim or fold with ungloved hand
26. Turn the hands over so the glove lies on the palm
27. Pick up the uppermost rim of the glove with other gloved hand
28. Pull the glove over the second hand, encapsulating cuff fully
29. Adjust the fingers and cuffs as necessary to ensure snug fit
30. Clasp hands together
31. Hands to remain above wait after gloving completed
32. Hands gloved using correct left and right gloves
33. Maintain sterility of gloves and self during gloving procedure

Question 2

Instrument identification 02
During a surgical procedure, the veterinary surgeon required some additional instruments.
A. You have been asked to put on a pair of surgical gloves using the open gloving method (assume you are already scrubbed up)
B. You are then required to select the instruments and place them on the correct section of the grid provided.

Answer 2

1. Ensure that hand and wrist jewellery is removed
2. Nails will manicured, clean and unvarnished. False nails are not permitted.
3. Ask assistant to open glove packet
4. Take inner glove packet
5. Outer packaging not touched
6. Place inner glove packet onto sterile surface
7. Unfold packet to expose gloves
8. Pick up first glove
9. Touch only inner folded down surface
10. Pull correct glove halfway onto first hand
11. Leave cuff folded back
12. Hook thumb under the fold of the cuff
13. Slide gloved fingers under the cuff of the other glove (outer surface)
14. Slide fingers of the ungloved hand into the fingers of the second glove
15. Pull folded cuff on the glove down to cover the wrist
16. Place fingers of the entirely gloved hand under cuff of the first, semi-gloved hand
17. Unhook the thumbs
18. Pull folded cuff of glove down to cover the wrist
19. Clasp hands together
20. Hands to remain above waist after gloving completed
21. Hands gloved using correct left and right gloves
22. Maintain sterility of gloves during procedure
23. From the instruments provided correctly fill 8 spaces on the grid

Question 3

Pack instrument 03
Prior to a surgical procedure, you have been requested to prepare instruments for sterilisation.
A. Select instruments and place them on the correct section of the grid provided
B. Pack and label the instrument indicated by the examiner, ready for sterilisation using an autoclave today
Note: the surgical instruments have been previously cleaned

Answer 3

1. From the instruments provided correctly fill 8 spaces on the grid
2. Cover the sharp end of the instrument securely
3. Select appropriate sized autoclave packaging material
4. Insert the instrument into the packaging
5. Instrument to be inserted the correct way round (ie handles are prevented first when packaging is opened)
6. Remove excess air from the bag
7. Secure the package
8. Double wrap in appropriate sized autoclave packaging material
9. Remove excess wire from bag
10. Secure the package
11. Select permanent marker pen
12. Label package with instrument name
13. Label package with own initials
14. Label package with date of autoclaving or date for re-autoclaving
15. Write on appropriate portion of packaging without piercing bag (ie flap, plastic or Bowie-dick)
16. Instrument packed appropriately ready for sterilisation

Question 4

Pack drape 04
Prior to a surgical procedure, you have been requested to:
A. Select instruments and place them on the correct section of the grid provided
B. Pack and label the drape indicated by the examiner, ready for sterilisation using an autoclave today
Note: the instruments have been previously cleaned

Answer 4

1. From the instruments provided correctly fill 8 space on the grid
2. Fold the drape using a recognised method
3. Selector appropriate sized autoclave packaging material
4. Select TST indicator strip
5. Insert a TST inside the folded drape
6. Insert drape into autoclave packaging
7. Remove excess air from the bag
8. Secure the package
9. Double wrap in appropriate sized autoclave packaging material
10. Remove excess air from bag
11. Secure the package
12. Select permanent marker pen
13. Label package with name of contents
14. Label package with quantity of drapes
15. Label package with own initials
16. Label package with date of autoclaving or date for re-autoclaving
17. Write on appropriate portion of packaging without piercing bag (ie flap, plastic or Bowie-dick)
18. Drape packed appropriately ready for sterilisation with the correct inclusion of the TST strip

Question 5

Pack instrument 03
Prior to a surgical procedure, you have been requested to prepare instruments for sterilisation.
A. Select instruments and place them on the correct section of the grid provided
B. Pack and label the instrument indicated by the examiner, ready for sterilisation using an autoclave today
Note: the surgical instruments have been previously cleaned

Answer 5

1. From the instruments provided correctly fill 8 spaces on the grid
2. Cover the sharp end of the instrument securely
3. Select appropriate sized autoclave packaging material
4. Insert the instrument into the packaging
5. Instrument to be inserted the correct way round (ie handles are prevented first when packaging is opened)
6. Remove excess air from the bag
7. Secure the package
8. Double wrap in appropriate sized autoclave packaging material
9. Remove excess wire from bag
10. Secure the package
11. Select permanent marker pen
12. Label package with instrument name
13. Label package with own initials
14. Label package with date of autoclaving or date for re-autoclaving
15. Write on appropriate portion of packaging without piercing bag (ie flap, plastic or Bowie-dick)
16. Instrument packed appropriately ready for sterilisation

Question 6

Pack drape 04
Prior to a surgical procedure, you have been requested to:
A. Select instruments and place them on the correct section of the grid provided
B. Pack and label the drape indicated by the examiner, ready for sterilisation using an autoclave today
Note: the instruments have been previously cleaned

Answer 6

1. From the instruments provided correctly fill 8 space on the grid
2. Fold the drape using a recognised method
3. Selector appropriate sized autoclave packaging material
4. Select TST indicator strip
5. Insert a TST inside the folded drape
6. Insert drape into autoclave packaging
7. Remove excess air from the bag
8. Secure the package
9. Double wrap in appropriate sized autoclave packaging material
10. Remove excess air from bag
11. Secure the package
12. Select permanent marker pen
13. Label package with name of contents
14. Label package with quantity of drapes
15. Label package with own initials
16. Label package with date of autoclaving or date for re-autoclaving
17. Write on appropriate portion of packaging without piercing bag (ie flap, plastic or Bowie-dick)
18. Drape packed appropriately ready for sterilisation with the correct inclusion of the TST strip