I'm currently a student for a surgical tech course in the Army and they taught us not have any part of our body hover over the sterile field because of microbial contamination. Is it different in the civilian side? You opened a peel pack right over.
I’m training as a CST now and trust me it does you get a flair for it lol at first you’re scared then suddenly after practicing and practicing, without noticing it you just do it like it’s nothing it’s amazing.
Your technique is fine. The guy critisizing you is one of those know it all scrubs. Every hospital has one. And they usually are limited in scope to gyn cases or general and most docs dislike them and the have no idea. Keep up the good work.
This is badass I’m a 68D in the army and we do the laparotomy set for setting up the back table and it’s very enjoyable and interesting because the job is never boring
It's just training and practice,it's good learning all the different specialities,also bear in mind different hospitals do things very differently,can be confusing doing agency cus they look at you as if you're wierd cus you do it differently to them, also bear in mind theatre is a very tense,stressful place and a lot of bullying goes on!! Unbelievable but true !!!
Thanks alot! I'm going to start working soon. I haven't worked since I graduated 3 years ago, so I'm a bit nervous I have forgotten some things. This helps alot!
You may not realize it or know it, but these videos are super helpful for us lay folks who don't get to observe all that goes on in the operating room. Even more beneficial is the fact that I'm totally blind, and I really appreciate how well you describe everything. I've been blind since birth, so it's no problem for me, but when people tell me that I don't need to know all these facts and such, that really bothers me. I understand that there are things that are better unseen, but when it comes to life saving surgeries and procedures, I think that spiritual vision is a absolute must! Keep up what you're doing, and thank you for all these videos. I'm still listening up for the anesthesiology machine. (Yes, I hear what I'm typing right now, and I use text-to-speech software called JAWS that reads all unimbedded text onscreen. Any depicted text inside a video is off limits, but Vispero is working very hard on developing more technology that'll hopefully make it possible to know more about pictures. Emojis are great, and some of them are downright hillarious! (winking face)
Love your vids! They are a great help as a 1st yr student studying Operating department practice i hve to work in surgery, anaesthetics and recovery aaahh
I start my OR theories and practices classes tomorrow. Now that all the pre-reqs are done, stuff is getting real and I am so freaking nervous! Wish I would have found your channel sooner! These videos are going to be a big help
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan, He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) ruclips.net/channel/UCIbszSZ7toF2YpQSaU5U18Q I'm a living testimony stay safe and stay bless🙏🏼
First thing you do before picking up any sterilized instrument sets or consignments is to make sure that the indicator is visible on top and that it met the sterilization process. Filters and checking hole in wraps are secondary.
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan, He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
It’s mind boggling how differently things are being done in Australia. For example our surgical techs are actually scrub nurses and everyone is pro turning around to fasten the gown.. you don’t actually go to a teching school you become a nurse and learn surgical teching on the job. You learn the instruments and how they relate to the anatomy and what the surgeon is doing on the job. Which is tricky as sometimes your surgeon won’t be as talkative or the nurse won’t tell you much in detail so how do we even learn properly?
Sir your simplicity is admirable and the way you teach is v.osm and your concepts are crystal clear,l wish if have a person like you who teaches me like this way then l will always respect him and consider him even greater than me. Lots of love and respect for you 💝 One question sir what should l do after graduating as surgical technologist.. waiting for your response..
3 years with a license and still no ST job .. currently working in sterile processing ( I still have faith ) ...after it expires tho .. that’s it for me. 🙅🏾♀️
The only thing that I see you forgot to do was put your goggles on before you did your surgical scrub. They were on your head but not “ready” for surgery. Other than that, it is helpful for me because I just started school this summer. I actually watched your videos when I was researching ST as a possible career change! Can’t wait to go through skills check off!
Have worked as an EMS First Responder, however, after transferring to our CCT division, we transport many of our patients to surgery and for procedures, such as Cardiac Caths, Head Trauma, etc. The very first thing the surgical staff taught us, was to be aware of the presence of the Sterile Field(s), and NOT to touch them...and for Heaven's sake, do NOT sneeze on them, either! Thanks again 🚑
I just have the dumbest question. I've always wondered how the field stays sterile, once it's exposed to air. The open fluids, the instruments all out, how does this remain sterile?
It's basically because they have a positive air pressure in the operating room, so their vents push air out of the room. This keeps and pathogens from entering the room, but it doesn't completely stop it. So they honestly have to set up as close to the surgery because it's a matter of time before the really are unsterile. (Sorry for the long, late answer)
Hi! Can you do a video of you strictly just opening stuff onto the sterile field (gloves, suture, gauze, etc)? I’m a new OR circulator nurse and I’m struggling with opening stuff onto the sterile field . TIA
Pearl of wisdom, always count your instruments before case. Circulator may say it's not an open belly or it's all percutaneous, I always count to ensure that the set came to the or complete. If I discovered and have found discrepancies I let the circulator know about it. Central sterile might claim to you about missing instruments, but you're covered you and the nurse aware.
I guess that depends on how early you scrub, if you have a lot of instruments to prepare, it's always best if you scrub early, but for minor cases, you can scrub once the patient is in the theater, so while the anesthesiologist is putting the patient under and intubating the patient, that gives you time to scrub and prepare your sterile field. In the hospital I work in, the scrub nurse normally scrubs a good 15 to 20 minutes before a major case starts, so that gives them ample time to prepare their sterile field. Hope this helps :)
Hi I'm a surg tech student, and II have a question. What is the reason you only move equipment on the table once? Is it to prevent contamination? but the field is already sterile...
When setting up a case, how far in advance do you start setting up? When do you load your knife blades? You need at least one ready to go at the outset, right? When do you load needle holders? I know that instrument trays are set up according to count sheets, but generally speaking, what is on the count sheet? What I mean is, is the count sheet just what is needed for the case or are there also "extra" items that may be needed during the case?
+Stephanie Lake on average 30min before a case starts. I load knife blades after I do the initial count. I usually don't pre-load needle holders unless I know I won't have time to do it during the case. Everything that is in an instrument tray is on the count sheet, nothing less, nothing more. If more instruments "peel packs" are added during the procedure, the nurse will write down on the sheet what has been added.
Thank you for all the helpful and meaningful tips you give in each video. I am attending a surgical program this spring(January) and I am excited and anxious to get started, I am looking forward to clericals. I plan to complete my clericals with a guaranteed job. I am not yet, nervous because I am looking to make this a career. One quick question, by having a MBA in healthcare management but no patient care experience besides clericals when applying for a job. Would the MBA help, with a certification in surgical tech-to get hired quicker than someone with just a Certification? What are some tips you have in terms of studying for the certification?
I see that you did a basic video on some of the ppe, can you do one on what type of shoes to use? since some hospitals can use OR detacated shoes with out covers. thanx
It does, but the average temperature in the OR hangs around 68 degrees anyways, so you really don't notice....unless you do pediatric cases, then you will be sweating like crazy all day.
I've been told in school to spin when gowning. Also not to open it drop anything over the table. Was told to toss it into the field. Is this just how your facility does it?
I heard the reason why from my instructor. She said that you shouldn't spin because your backside on the surgical gown is unsterile. And spinning exposes your backside to the sterile field.
The idea is just to get things onto the table without extending any non-scrubbed parts of your arms over it that may bear loose skin cells. Tossing is generally not the best method because items can tumble off, but it's kind of nit picking. As for the spinning during gowning, you should step away from the field to avoid exposing your backside to it. The reason you rotate is because it's less choreography than the tag holder winding around you.
Hey! I've got several questions about some of the little details in this video. Here goes. In the video you mentioned covering the table with towels or drapes. How do you do that safely as in without knocking things off or compromising sterility? Is covering the table done to be able to move the table to the field safely? I noticed you put the suction tip in the container that the saline was dispensed into. Is there a specific reason for that? Later you put something else in there as well. More suction tips, I think? The filters in the instrument tray. What exactly are you looking for as an indicator? I'm curious about the heparinized saline. In my lab, I'm used to fluids being in closed containers that are only opened at the immediate time of use. That freaked me out the first time I watched this video. LOL
+Stephanie Lake reasons for covering a table would be to reinforce the table drapes itself from the instrumentation being placed on the table. You can do this easily by opening up with that in mind. Open everything you can on the far right side of the table and leave the left side open with nothing on it so when you scrub in you can lay out your 3/4 sheet or towels on the left side, then transfer everything on the right side of the table over to the left on top of the towels or 3/4 you have started to unfold. Drape the rest of your table out and you have a reinforced table.
+Stephanie Lake with the instrument tray filters I'm looking for any breaks, tears, or holes in them. If I find a hole, that entire tray would be considered unsterile. The sterile indicators are not on the filters themselves, but in the instrument trays.
+Stephanie Lake heparinized saline is something that is mixed off the field, then given on the field by the use of a bag decanter. "Sterile tube" common concentrations would be 1000:1000 or 10,000:1000 hep/saline.
Thanks so much, Shane. I should have known the suction tip answer. We do the same thing when we build equipment in our sterile processing department but with alcohol to make the tubing slippery. Then everything gets rinsed before it’s packaged and sterilized.
Question: I did not see if the pen/marker you used was a one-time use sterile pen/marker. Was it a packaged sterile pen/marker? I bet the answer is yes. But, just curious.
Does your hospital use "double decker" back tables with the small shelf above the main table surface? I saw them mentioned on line the other day and was wondering if you had ever come across them? What would be placed on the second shelf? Thank you!
+Jesse Green our facility doesn't use them, but I have seen them in use before. Most commonly used in Ortho and spine cases where you would normally have 2 back tables, one for your normal sterile setup and another for all of your instrumentation for implantation and trials. The double decker table just combines it so you can have all the implant trays on that second level. Works great if your OR is on the small side.
Jesse Green after you double cover, you’d have the instruments that you’d be using the most, closest to you. It’s also good to have a small table in addition to the double decker for all sorts of reasons.
Jesse Green 90% I would say are laproscopic, robotic, or minimally invasive of some kind. There are certain circumstances health wise, that force the surgeon to "open up" a patient, but it's becoming more and more rare.
The sterile indicator should be viable in the tray. You look inside, if you can't see it, you don't grab it. Or you use one hand to move things in the tray to find it. If the indicator is OK you use both hands to pick it up. ( 20 yrs as a tech)
Hi- i am just starting lab at my school and we are going over this exact thing. I have a question- when writing down med info, are we allowed to use a pen once we are gloved? Or is that something the circulator should be writing down for us? I really enjoy all your videos- started watching before starting school.
Three quarter sheets are not considered "truly" impervious, so you should not use them to drape a ring stand (microbes will communicate if fluid spills and is left to soak on the three quarter drape for an extended period of time) Also, you should set an example and wear eye protection. Not to mention, your glasses could have fallen off of your head onto the sterile field. Also, you guys got way too close when opening that ioban. Large items like this should be dawned by a non sterile team member to ensure that you don't hover over the sterile field. Also, you guys were getting far closer than 12 inches in general. Also, you should ball your hands (in gown) prior to them being inside your gloves. The cuff is only considered contaminated once your hand passes through. So when you have it balled, your hands only slide though the cuff after it's completely covered by a glove. If this was a real case, talking should have been kept to a minimum- do a mock surgery next time. Also, phones are typically not allowed in the OR (phone in circulators pocket), let alone a video camera. Also, the sharps should be secured first. Also, a chemical indicator is usually taped on the count sheet, so you should also keep it for that reason.
1. Why do we use 3/4 sheets to drape out a patient if it has the possibility to transfer microbes when fluid hits them? Go ahead and drop some saline on a 3/4 sheet tomorrow and tell me if it seeps through the sheet. 2. You do not have to use eye protection when setting a case up. Its use as PPE is directly related when being exposed to potential bodily fluids. ie: When you are actually doing surgery. Do you just wear your safety glasses at all times throughout the day, never taking them off? The glasses were perfectly safe on my head, and if they fell off, that would be MY FAULT and I would have to breakdown the table and re-set up. 3. I agree. 4. You are right, that is how they tell you to do it in school. 5. Personal preference. 6. Really? 7. Depends on your hospital policy. We are allowed. I also got privileges from my administration to do these videos as well. You think I would just do this without anyone knowing? 8.I have never heard of this as a standard. If you open your sharps in the same place every time this should not be an issue. Its a great thought for safety though. 9. Why would I need to keep the chemical indicator after I have seen it? Don't understand the purpose of that. All that being said, I truly feel that you are a genuine internet troll, first I have had to deal with actually. I did not appreciate the comments you made on a previous video, and arguing with some of my viewers. Yes I read it all. You are coming on to these videos with the intent to just discredit and belittle everything I do. It seems that you have been quite jaded in your current position in CA. I work with a team of people that appreciates me, and I appreciate them equally. We work as a team cohesively and effectively to give proper patient care in our OR's. You are a sour, disrespectful, and hateful person. I hope you find peace in what you do at some point in your future, but something tells me nothing will satisfy you. Thanks for watching and commenting, and If you would like to continue to comment on these videos, I would appreciate you to lose the nasty attitude you have grown into and start offering constructive criticism's instead of just making me out to look like an idiot.
Surgical Tech Tips 1) 3/4 drapes bleed through, buddy. Hence why the correct sequence for an extremity is: 3/4 drape, IMPERVIOUS PLASTIC U-DRAPE- LEVEL 4s, followed by an extremity sheet. Lap sheets aren't really applicable because you're working only on the abdomen. Why do you think in every major ortho case we use impervious plastic split sheets? BECAUSE LIQUID BLEEDS THROUGH. I've seen it hundreds if not thousands of times. 2) so you're saying that you're going to monopolize other staff to put your eye protection on while they tend to the patient? Not to mention, get unnecessarily close to you, and shed more skin cells all over you? Or, you're going to scrub out and waste supplies, and put them on when you come back? It's about setting an example for future techs.. would you tell a student to follow your lead? Absolutely NOT. When you're under the gun, you don't ever do that- makes you look inexperienced. Patient arrives: "nurse, can you put on MY eye protection now"? Yeah, you see where I'm going with this? Beginner techs are watching you, and prolly thinking that that's acceptable, which it's not. 3). Personal preference? Not really, actually. One is the correct way, the other is not. 4) in theory, more talking INCREASES the risk of infection, and since we are so anal about aseptic technique, this case should be treated no different than a total joint case. 5) I'm sure if that was your mom or dad on the table you would not want people recording a video prior to them going in/having the room open for a prolonged period of time. We treat all cases with the same delicacy, right? Or, are you deciding which one is more important than the other? It's less invasive, so I am going to give less of a fuck type thing? 6) sharps should be secured first because in a big case, pins, hypos, drills, blades, sutures, burrs, etc- can easily get lost if you were in a pinch. Not to mention, if someone has to relieve you.. catch my drift? And losing an exposed blade because the patients on the table, and you have no time, everything is everywhere, surgeons are scrubbing in... let's count- oh shit I can't find one of the sharps that I opened because things are everywhere. These are all very real circumstances that every tech will face at one point in time. So, it's very important that they're not cavalier about preparation. Sure, open the sharps on the corner, great. I mean when you scrub in, establish a safe zone immediately. 7) The chemical indicators should stay on the field so relieving techs can be certain that the sterility check checks out- at least on our end; Leaving them on the case cart is not an option. This mainly applies to relievers. Quit with the ad hominem, btw- it makes you look sour. Feel appreciated all you want, you'll still always make significantly less than a nurse. If you don't care about money, great. Maybe one day you'll actually want to start a family, and not have to take call every night/ work two jobs. What I'm saying is true, and you know it. You're just being critiqued at a level that you're not used to. Some of the things I mentioned, in theory, increase the risk of infection. Why do you think we minimize our movements? Why do you think we limit traffic in and out of rooms? You know what I am saying is correct, btw.
Surgical Tech Tips what's also funny is that I didn't attack you at all, and here you are with the personal attacks, because you know there are several flaws in your video. Go ahead and delete my comment, man. I know you want to.
Forsaken Individual I'm a student and we are taught to ball up the cuffs in our hands and my teacher will yell if we don't do that . Also we have to wear are protective eyewear while we are setting up . I think all your points are valid .
Forsaken Individual Do you need to start every paragraph with also?? We get you are adding something & it's a diff subject because it's a new paragraph, also at the beginning is repetitive & unnecessary.
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan, He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
@@MichaeleL3 My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan, He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
Yes, you will find what works for you. However, it's nice when everyone sets up similarly at a facility. The reason is if someone has to relieve you out. I have let a scrub out and then try and figure out their set up. Usually, after awhile, new employees would set up like we did. I'm not talking about every single item, just in general.
Kara Ogburn it doesn't matter where it is but it was a big mayo and those wraps don't cover the whole table so it just makes it easier to toss your gloves and keeps the unsterile mayo that is closest to you covered so there is less change of contamination
Really informative guys! But it is really poor aseptic technique to drop or flick items onto the surgical trolley 😧 I was always taught to take the item from the scout nurse & if an emergency then open everything into a large splash bowl so as not to accidentally contaminate your trolley. As per standards. Also should always double glove & wear eye protection.
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan, He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) ruclips.net/channel/UCIbszSZ7toF2YpQSaU5U18Q I'm a living testimony stay safe and stay bless🙏🏼
#2 You should never have the white cuffs showing while opening your glove wrapper. The cuff is only to show when you are putting on the glove. Your bare hands should never enter the cuff because it's porous. You had your entire unsterile head over the top of the back table while making your med label. You didn't check your indicator in your pan to ensure sterility. Never shake supplies, the air isn't sterile. You raise your arms up to your head and the sterile area is nipples to navel. Your case is contaminated. I cannot watch any of your video's because they're incorrect.
Cathy Empson while I agree with most of what you said, how do you manage to put the light handles on, drape a c-arm, or a microscope, without raising up your hands? It’s not possible :p
I had absolutely no idea there was so much to all this. Not in the medical field but this is really great stuff! I've subscribed. You deserve a cigar :D
Your vids are awesome. They are simple and accurate and help this newbie reinforce what I've seen (or SHOULD see 🤔) in the OR so far. I take my cert exam a week from today! (7/11😱)
Great job scrub. Keep them coming, short, very detailed, and straight to the point.... I did want to see how you opened up that big ass ruler onto the sterile field..😉😉😉👏🏻👏🏻👏🏻👏🏻👍🏻👍🏻👍🏻👍🏻👍🏻👌🏻👌🏻👌🏻👌🏻💪🏻💪🏻💪🏻💪🏻💪🏻
I just finished binge watching all of your videos! I discovered your channel by mistake, but I do not regret it at all! Amazing content :D
+Ella Havia haha, thanks for joining the STT fam 😉
Glad to be here :)!
I'm currently a student for a surgical tech course in the Army and they taught us not have any part of our body hover over the sterile field because of microbial contamination. Is it different in the civilian side? You opened a peel pack right over.
Me too
Patrick C you read my mind...
As a surg tech in school, I appreciate these videos so much. They are great tools for me and allow for the visual I need to understand it all.
I was thinking about this career but I dont think I would do well in such a stressful environment 😔
Love how you guys can open the packages and get the contents on the table so smoothly. Im assuming that it takes a bit of practice.
I’m training as a CST now and trust me it does you get a flair for it lol at first you’re scared then suddenly after practicing and practicing, without noticing it you just do it like it’s nothing it’s amazing.
it is on time_lapse at probbably 10X speed!!
I just starting working in the OR last month and omg the fear i get sometimes opening things is insane but with practice it becomes muscle memory
Been a C.S.T. for 30 years and still found some good stuff. Great job.
I just got offered my first ST position on Thursday. I start after Christmas
Jessie Sineath congrats!!!
Congrats
Your technique is fine. The guy critisizing you is one of those know it all scrubs. Every hospital has one. And they usually are limited in scope to gyn cases or general and most docs dislike them and the have no idea. Keep up the good work.
he did a few big no nos tho....
This video gave me life. lol! I can't wait until I can start school! thanks, dude! great videos!
I wish you had these videos when I was in ST school. Great videos and content! Thank you for making these videos!!
I am a New Student and your videos are way more informative than the book. Thank you!!
I start my program next week. thanks for all these videos they gave me a lot of info and some peace of mind about going into this field thanks again!!
Gabriel Gomez how long is the program
@@Miaonroblox About 1-2 years
This is badass I’m a 68D in the army and we do the laparotomy set for setting up the back table and it’s very enjoyable and interesting because the job is never boring
I was one for 10 years (91D10) '81-91.
It's just training and practice,it's good learning all the different specialities,also bear in mind different hospitals do things very differently,can be confusing doing agency cus they look at you as if you're wierd cus you do it differently to them, also bear in mind theatre is a very tense,stressful place and a lot of bullying goes on!! Unbelievable but true !!!
Thanks super helpful! I’m a student I start clinics in a little less than 2 months
Thanks alot! I'm going to start working soon. I haven't worked since I graduated 3 years ago, so I'm a bit nervous I have forgotten some things. This helps alot!
Wow this is so helpful! I start school in 1 week 😅
Update! Today we learned how to scrub in and gown and glove.. it’s harder than it looks!! Lol
princesa jacinda which classes are you taking?
Jauk Dijero I’m now in my clinical rotations
You like it
im a year late.... how do you like it?
So are you on the field now? How is it
You may not realize it or know it, but these videos are super helpful for us lay folks who don't get to observe all that goes on in the operating room. Even more beneficial is the fact that I'm totally blind, and I really appreciate how well you describe everything. I've been blind since birth, so it's no problem for me, but when people tell me that I don't need to know all these facts and such, that really bothers me. I understand that there are things that are better unseen, but when it comes to life saving surgeries and procedures, I think that spiritual vision is a absolute must!
Keep up what you're doing, and thank you for all these videos. I'm still listening up for the anesthesiology machine. (Yes, I hear what I'm typing right now, and I use text-to-speech software called JAWS that reads all unimbedded text onscreen. Any depicted text inside a video is off limits, but Vispero is working very hard on developing more technology that'll hopefully make it possible to know more about pictures. Emojis are great, and some of them are downright hillarious! (winking face)
Probably the most introductory and useful video
Love your vids! They are a great help as a 1st yr student studying Operating department practice i hve to work in surgery, anaesthetics and recovery aaahh
I start my OR theories and practices classes tomorrow. Now that all the pre-reqs are done, stuff is getting real and I am so freaking nervous! Wish I would have found your channel sooner! These videos are going to be a big help
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan,
He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) ruclips.net/channel/UCIbszSZ7toF2YpQSaU5U18Q I'm a living testimony stay safe and stay bless🙏🏼
Who knew prepping an operating theatre could be so interesting...
I’m currently in surgical technology school and you made this look easy 😮😊
Over time it will be!
I absolutely love watching someone setting up a sterile field (the proper way)! I guess I’m a nerd? Loved the video as always!😎
Very helpful and cool as always, keep doing those videos please!!
First thing you do before picking up any sterilized instrument sets or consignments is to make sure that the indicator is visible on top and that it met the sterilization process. Filters and checking hole in wraps are secondary.
You put out amazing videos! Who’d have thought surgery of any type can be so involved? I love learning this stuff. You are tops bro!
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan,
He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
both of u are an amazing!! very helpful for students like me ! thank you for this. video
Thank you I have enjoyed your videos and get to learn more
Wow Thank you for all you do in the Medical field,very interesting.😷😷
It’s mind boggling how differently things are being done in Australia. For example our surgical techs are actually scrub nurses and everyone is pro turning around to fasten the gown.. you don’t actually go to a teching school you become a nurse and learn surgical teching on the job. You learn the instruments and how they relate to the anatomy and what the surgeon is doing on the job. Which is tricky as sometimes your surgeon won’t be as talkative or the nurse won’t tell you much in detail so how do we even learn properly?
Great video Shane!! Thank you!! We are learning this right now in m y program, so this is VERY helpful!!! ~Amy
Sir your simplicity is admirable and the way you teach is v.osm and your concepts are crystal clear,l wish if have a person like you who teaches me like this way then l will always respect him and consider him even greater than me. Lots of love and respect for you 💝
One question sir what should l do after graduating as surgical technologist.. waiting for your response..
Excellent job, thanks for sharethis videos ,I would like to watch a Neurosurgery instruments thanks a lot.
3 years with a license and still no ST job .. currently working in sterile processing ( I still have faith ) ...after it expires tho .. that’s it for me. 🙅🏾♀️
Don't let it go register for the state test if you're not
You just saved my ass! General Surgery exam tomorrow!!!
The only thing that I see you forgot to do was put your goggles on before you did your surgical scrub. They were on your head but not “ready” for surgery. Other than that, it is helpful for me because I just started school this summer. I actually watched your videos when I was researching ST as a possible career change! Can’t wait to go through skills check off!
Thank you abundantly!
Have worked as an EMS First Responder, however, after transferring to our CCT division, we transport many of our patients to surgery and for procedures, such as Cardiac Caths, Head Trauma, etc. The very first thing the surgical staff taught us, was to be aware of the presence of the Sterile Field(s), and NOT to touch them...and for Heaven's sake, do NOT sneeze on them, either!
Thanks again 🚑
I just have the dumbest question. I've always wondered how the field stays sterile, once it's exposed to air. The open fluids, the instruments all out, how does this remain sterile?
That's not a dumb question.
It's basically because they have a positive air pressure in the operating room, so their vents push air out of the room. This keeps and pathogens from entering the room, but it doesn't completely stop it. So they honestly have to set up as close to the surgery because it's a matter of time before the really are unsterile. (Sorry for the long, late answer)
Thank you for the sharing, it's amazing educational material. Subscribed.
Awesome! Can you do a robotic hernia repair setup?
Awesome job❤
Hi! Can you do a video of you strictly just opening stuff onto the sterile field (gloves, suture, gauze, etc)? I’m a new OR circulator nurse and I’m struggling with opening stuff onto the sterile field . TIA
I like the new colorful intro - very professional.
Do you mean the logo? If so, thanks!
Pearl of wisdom, always count your instruments before case. Circulator may say it's not an open belly or it's all percutaneous, I always count to ensure that the set came to the or complete. If I discovered and have found discrepancies I let the circulator know about it. Central sterile might claim to you about missing instruments, but you're covered you and the nurse aware.
How much time do you get to set up your table before surgeon and patient comes in
I guess that depends on how early you scrub, if you have a lot of instruments to prepare, it's always best if you scrub early, but for minor cases, you can scrub once the patient is in the theater, so while the anesthesiologist is putting the patient under and intubating the patient, that gives you time to scrub and prepare your sterile field. In the hospital I work in, the scrub nurse normally scrubs a good 15 to 20 minutes before a major case starts, so that gives them ample time to prepare their sterile field. Hope this helps :)
Hi I'm a surg tech student, and II have a question. What is the reason you only move equipment on the table once? Is it to prevent contamination? but the field is already sterile...
Thanks good job
Great video dude
When setting up a case, how far in advance do you start setting up? When do you load your knife blades? You need at least one ready to go at the outset, right? When do you load needle holders? I know that instrument trays are set up according to count sheets, but generally speaking, what is on the count sheet? What I mean is, is the count sheet just what is needed for the case or are there also "extra" items that may be needed during the case?
+Stephanie Lake on average 30min before a case starts. I load knife blades after I do the initial count. I usually don't pre-load needle holders unless I know I won't have time to do it during the case. Everything that is in an instrument tray is on the count sheet, nothing less, nothing more. If more instruments "peel packs" are added during the procedure, the nurse will write down on the sheet what has been added.
Thanks for making this! It has helped!
Very good
So are you an ot technician side or nursing side please answer your videos are owsm and knowledgeable too from India🇮🇳
He is a surgical tech
Thanks for information 😊
What if the tray of instruments falls by mistake what to do?
Great information
Thank you for all the helpful and meaningful tips you give in each video. I am attending a surgical program this spring(January) and I am excited and anxious to get started, I am looking forward to clericals. I plan to complete my clericals with a guaranteed job. I am not yet, nervous because I am looking to make this a career. One quick question, by having a MBA in healthcare management but no patient care experience besides clericals when applying for a job. Would the MBA help, with a certification in surgical tech-to get hired quicker than someone with just a Certification? What are some tips you have in terms of studying for the certification?
I see that you did a basic video on some of the ppe, can you do one on what type of shoes to use? since some hospitals can use OR detacated shoes with out covers. thanx
+Matthew Abila plans on a video covering "OR gear" which would include shoes will be sometime in the future 😀
Superb
This may be an odd question but while you're wearing all the scrubs, hairnet, face mask and such, does it get very warm while working?
It does, but the average temperature in the OR hangs around 68 degrees anyways, so you really don't notice....unless you do pediatric cases, then you will be sweating like crazy all day.
Surgical Tech Tips or burn cases
It was miserable when I started having hot flashes!!! The days when I had to wear a scrub jacket, xray apron....... horrendous!
Is the tool still considered sterile if the tool is hanging over the edge of the mayo stand?
well done!
You are amazing. I really get so much out of your videos. I’m going to be going to school soon to be a Surgical Assistant. Keep up your videos! 👍
I've been told in school to spin when gowning. Also not to open it drop anything over the table. Was told to toss it into the field. Is this just how your facility does it?
I heard the reason why from my instructor. She said that you shouldn't spin because your backside on the surgical gown is unsterile. And spinning exposes your backside to the sterile field.
adrienne ngo that’s why you step away from your sterile field.
The idea is just to get things onto the table without extending any non-scrubbed parts of your arms over it that may bear loose skin cells. Tossing is generally not the best method because items can tumble off, but it's kind of nit picking. As for the spinning during gowning, you should step away from the field to avoid exposing your backside to it. The reason you rotate is because it's less choreography than the tag holder winding around you.
I just got an interview at MVH!!! for SPT!!! would help me so much!
That'd great! When is the interview?
Surgical Tech Tips
it's on Thursday at 12. June 15th. Is the managers last name Johnson?
Awesome, yeah thats his name. Mike's a great guy.
Surgical Tech Tips
interview went well! Keeping my fingers crossed! Thx for letting him know!
Hey! I've got several questions about some of the little details in this video. Here goes.
In the video you mentioned covering the table with towels or drapes. How do you do that safely as in without knocking things off or compromising sterility? Is covering the table done to be able to move the table to the field safely? I noticed you put the suction tip in the container that the saline was dispensed into. Is there a specific reason for that? Later you put something else in there as well. More suction tips, I think? The filters in the instrument tray. What exactly are you looking for as an indicator? I'm curious about the heparinized saline. In my lab, I'm used to fluids being in closed containers that are only opened at the immediate time of use. That freaked me out the first time I watched this video. LOL
+Stephanie Lake reasons for covering a table would be to reinforce the table drapes itself from the instrumentation being placed on the table. You can do this easily by opening up with that in mind. Open everything you can on the far right side of the table and leave the left side open with nothing on it so when you scrub in you can lay out your 3/4 sheet or towels on the left side, then transfer everything on the right side of the table over to the left on top of the towels or 3/4 you have started to unfold. Drape the rest of your table out and you have a reinforced table.
+Stephanie Lake suction tip is easier to install on the tubing when it's wet, so I always have my suction tips sitting in saline for that reason.
+Stephanie Lake with the instrument tray filters I'm looking for any breaks, tears, or holes in them. If I find a hole, that entire tray would be considered unsterile. The sterile indicators are not on the filters themselves, but in the instrument trays.
+Stephanie Lake heparinized saline is something that is mixed off the field, then given on the field by the use of a bag decanter. "Sterile tube" common concentrations would be 1000:1000 or 10,000:1000 hep/saline.
Thanks so much, Shane. I should have known the suction tip answer. We do the same thing when we build equipment in our sterile processing department but with alcohol to make the tubing slippery. Then everything gets rinsed before it’s packaged and sterilized.
Question: I did not see if the pen/marker you used was a one-time use sterile pen/marker. Was it a packaged sterile pen/marker? I bet the answer is yes. But, just curious.
We had them in our custom packs. They're also packaged individually. Yes, they're thrown away at the end.
Was there a delay in this case?? Seems like you have all the time in the world :))
Bigworld DDD delays can happen for all sorts of reasons. He strategically chose a smaller case so he could take his time and go over the basics.
Why is like everything in surgery blue?
Does your hospital use "double decker" back tables with the small shelf above the main table surface? I saw them mentioned on line the other day and was wondering if you had ever come across them? What would be placed on the second shelf? Thank you!
+Jesse Green our facility doesn't use them, but I have seen them in use before. Most commonly used in Ortho and spine cases where you would normally have 2 back tables, one for your normal sterile setup and another for all of your instrumentation for implantation and trials. The double decker table just combines it so you can have all the implant trays on that second level. Works great if your OR is on the small side.
Surgical Tech Tips thank you
jesse i use the double decker for my ortho cases and i use the top tier for my rep instruments
Jesse Green after you double cover, you’d have the instruments that you’d be using the most, closest to you. It’s also good to have a small table in addition to the double decker for all sorts of reasons.
ooh cool
How many of the cases you typically work on are laparoscopic and how many are open? The one I'm having is supposed to be laparoscopic?
Jesse Green 90% I would say are laproscopic, robotic, or minimally invasive of some kind. There are certain circumstances health wise, that force the surgeon to "open up" a patient, but it's becoming more and more rare.
Surgical Tech Tips mine wound up being laparoscopic. Got five little scars on my midsection and a nice big bruise from the IV on my arm.
Great video... is cardiovascular always that simple too setup?
+Nicole Berry no, that setup and case are one of the most simple to setup for, other CV cases can be much more involved.
What if there's no second tech or circulator around when you pick up the instrument tray? How would you check??
The sterile indicator should be viable in the tray. You look inside, if you can't see it, you don't grab it. Or you use one hand to move things in the tray to find it. If the indicator is OK you use both hands to pick it up. ( 20 yrs as a tech)
Hi- i am just starting lab at my school and we are going over this exact thing. I have a question- when writing down med info, are we allowed to use a pen once we are gloved? Or is that something the circulator should be writing down for us? I really enjoy all your videos- started watching before starting school.
+Alejandra Villanueva the tech writes the medication on the field, the nurse will tell you what it is.
You also need to read the bottle/bag and verify the 6/7 rights.
missing the #sterilefield. hope to come back one day
Wow it's like everything you do needs Technic 😂😂... Even lifting a tray needs proper Technic 😂
Does touching a pen when you write down fluid type/expiration date interfere with the sterile field at all?
+Kayli Cantavero their are sterile skin marker pens that you open on your field.
It's either a sterile skin marker or sterile utility marker. Lol. Never get those two confused when drawing on a patient haha
Mslovelyshot Mrs. Dawn there wouldn’t be an unsterile marker on your field to begin with.
❤
Opening the dreaded 9 ft ioban lol
Three quarter sheets are not considered "truly" impervious, so you should not use them to drape a ring stand (microbes will communicate if fluid spills and is left to soak on the three quarter drape for an extended period of time)
Also, you should set an example and wear eye protection. Not to mention, your glasses could have fallen off of your head onto the sterile field.
Also, you guys got way too close when opening that ioban. Large items like this should be dawned by a non sterile team member to ensure that you don't hover over the sterile field.
Also, you guys were getting far closer than 12 inches in general.
Also, you should ball your hands (in gown) prior to them being inside your gloves. The cuff is only considered contaminated once your hand passes through. So when you have it balled, your hands only slide though the cuff after it's completely covered by a glove.
If this was a real case, talking should have been kept to a minimum- do a mock surgery next time.
Also, phones are typically not allowed in the OR (phone in circulators pocket), let alone a video camera.
Also, the sharps should be secured first.
Also, a chemical indicator is usually taped on the count sheet, so you should also keep it for that reason.
1. Why do we use 3/4 sheets to drape out a patient if it has the possibility to transfer microbes when fluid hits them? Go ahead and drop some saline on a 3/4 sheet tomorrow and tell me if it seeps through the sheet.
2. You do not have to use eye protection when setting a case up. Its use as PPE is directly related when being exposed to potential bodily fluids. ie: When you are actually doing surgery. Do you just wear your safety glasses at all times throughout the day, never taking them off? The glasses were perfectly safe on my head, and if they fell off, that would be MY FAULT and I would have to breakdown the table and re-set up.
3. I agree.
4. You are right, that is how they tell you to do it in school.
5. Personal preference.
6. Really?
7. Depends on your hospital policy. We are allowed. I also got privileges from my administration to do these videos as well. You think I would just do this without anyone knowing?
8.I have never heard of this as a standard. If you open your sharps in the same place every time this should not be an issue. Its a great thought for safety though.
9. Why would I need to keep the chemical indicator after I have seen it? Don't understand the purpose of that.
All that being said, I truly feel that you are a genuine internet troll, first I have had to deal with actually. I did not appreciate the comments you made on a previous video, and arguing with some of my viewers. Yes I read it all. You are coming on to these videos with the intent to just discredit and belittle everything I do. It seems that you have been quite jaded in your current position in CA. I work with a team of people that appreciates me, and I appreciate them equally. We work as a team cohesively and effectively to give proper patient care in our OR's. You are a sour, disrespectful, and hateful person. I hope you find peace in what you do at some point in your future, but something tells me nothing will satisfy you. Thanks for watching and commenting, and If you would like to continue to comment on these videos, I would appreciate you to lose the nasty attitude you have grown into and start offering constructive criticism's instead of just making me out to look like an idiot.
Surgical Tech Tips 1) 3/4 drapes bleed through, buddy. Hence why the correct sequence for an extremity is: 3/4 drape, IMPERVIOUS PLASTIC U-DRAPE- LEVEL 4s, followed by an extremity sheet. Lap sheets aren't really applicable because you're working only on the abdomen. Why do you think in every major ortho case we use impervious plastic split sheets? BECAUSE LIQUID BLEEDS THROUGH. I've seen it hundreds if not thousands of times.
2) so you're saying that you're going to monopolize other staff to put your eye protection on while they tend to the patient? Not to mention, get unnecessarily close to you, and shed more skin cells all over you? Or, you're going to scrub out and waste supplies, and put them on when you come back? It's about setting an example for future techs.. would you tell a student to follow your lead? Absolutely NOT. When you're under the gun, you don't ever do that- makes you look inexperienced. Patient arrives: "nurse, can you put on MY eye protection now"? Yeah, you see where I'm going with this? Beginner techs are watching you, and prolly thinking that that's acceptable, which it's not.
3). Personal preference? Not really, actually. One is the correct way, the other is not.
4) in theory, more talking INCREASES the risk of infection, and since we are so anal about aseptic technique, this case should be treated no different than a total joint case.
5) I'm sure if that was your mom or dad on the table you would not want people recording a video prior to them going in/having the room open for a prolonged period of time. We treat all cases with the same delicacy, right? Or, are you deciding which one is more important than the other? It's less invasive, so I am going to give less of a fuck type thing?
6) sharps should be secured first because in a big case, pins, hypos, drills, blades, sutures, burrs, etc- can easily get lost if you were in a pinch. Not to mention, if someone has to relieve you.. catch my drift? And losing an exposed blade because the patients on the table, and you have no time, everything is everywhere, surgeons are scrubbing in... let's count- oh shit I can't find one of the sharps that I opened because things are everywhere. These are all very real circumstances that every tech will face at one point in time. So, it's very important that they're not cavalier about preparation. Sure, open the sharps on the corner, great. I mean when you scrub in, establish a safe zone immediately.
7) The chemical indicators should stay on the field so relieving techs can be certain that the sterility check checks out- at least on our end; Leaving them on the case cart is not an option. This mainly applies to relievers.
Quit with the ad hominem, btw- it makes you look sour. Feel appreciated all you want, you'll still always make significantly less than a nurse. If you don't care about money, great. Maybe one day you'll actually want to start a family, and not have to take call every night/ work two jobs.
What I'm saying is true, and you know it. You're just being critiqued at a level that you're not used to. Some of the things I mentioned, in theory, increase the risk of infection. Why do you think we minimize our movements? Why do you think we limit traffic in and out of rooms?
You know what I am saying is correct, btw.
Surgical Tech Tips what's also funny is that I didn't attack you at all, and here you are with the personal attacks, because you know there are several flaws in your video.
Go ahead and delete my comment, man. I know you want to.
Forsaken Individual I'm a student and we are taught to ball up the cuffs in our hands and my teacher will yell if we don't do that . Also we have to wear are protective eyewear while we are setting up . I think all your points are valid .
Forsaken Individual Do you need to start every paragraph with also?? We get you are adding something & it's a diff subject because it's a new paragraph, also at the beginning is repetitive & unnecessary.
What about the pen you used to write with how was it sterile
A marking pen generally comes with the pack and is sterile.
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan,
He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
@@MichaeleL3 My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan,
He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) I'm a living testimony stay safe and stay bless🙏🏼
Why the instruments sticking off the table? I know there is a reason/
I usually have a little bit of my forcep sticking over the side of the mayo stand for an easy grab.
linda back tables and mayo stand setups are totally surgical tech preferances as long as everything remain on top of the table or mayo stand
Yes, you will find what works for you. However, it's nice when everyone sets up similarly at a facility. The reason is if someone has to relieve you out. I have let a scrub out and then try and figure out their set up. Usually, after awhile, new employees would set up like we did. I'm not talking about every single item, just in general.
If you have not had the opportunity to wrap one of those trays, just know that the particular wrap shocks you every 5 seconds.
How did you sterilize the camera?
DrumStick The same way he sterilized the hat and mask.
NOOO the camera does not need to be sterile because it's not touching the sterile field.
The camera isn't on the sterile field. So it doesn't have to be sterilized.
@@cindymorrow6623 . But you have to be careful with your sterile glove
You could easily be an instructor.
Card????? What is the card????
Why do you place your gown and gloves at the bottom of the table like that. school taught is in the middle..
Kara Ogburn it doesn't matter where it is but it was a big mayo and those wraps don't cover the whole table so it just makes it easier to toss your gloves and keeps the unsterile mayo that is closest to you covered so there is less change of contamination
Good point. I just thought maybe you'd want a bigger space for the gloves to fall :)
I love seeing how different things are in the "real world"
Kara Ogburn are you almost finished with school? when you do your clinicals. you'll notice a lot of differences
Dylan p FTW. Right on point.
senpai!!!
Thanks for sharing
That RUclips guy "Forsaken Individual" is on so many surgical tech forums and videos just trolling everyone by the way.
Yeah he is a true internet troll.
Thanks, my points are valid.
Look up the definition of ‘trolling’
where are your sterile gloves
Really informative guys! But it is really poor aseptic technique to drop or flick items onto the surgical trolley 😧 I was always taught to take the item from the scout nurse & if an emergency then open everything into a large splash bowl so as not to accidentally contaminate your trolley. As per standards. Also should always double glove & wear eye protection.
My heart is filled with gratitude as I'm sharing my testimony to the entire universe on how herbal doctor oduntun cured me from diabetes I suffered it right from my adolescent stage for years I often see symptoms in my private area nd lips, anytime I use acyclovir drugs it will go away then return some months later. it was disheartening since i have been diagnosed but after finding herbalist oduntun and his reviews on instagram @herbalist_oduntun i was convinced that he meant be of great help to me so I contacted him to know more about his herbal products and how I can get it delivered to me here in Tajikistan,
He then said that he will deliver the herbal package to me through the ups delivery service with the address I will provide that is after preparing the medication with the roots and herbs ingredients he will purchase from the traditional market, so I keep faith believing that I can be cured completely with what comes from nature since it herbal medicine i took the risk and pay him the amount he requested to get the ingredients he started preparation as soon as I send him the money and submit my home address for the delivery today I'm so happy sharing this to the world 🌍 I'm Isabella From Tajikistan (Centre Asia ) for more information on how to get in touch with herbal doctor oduntun you can reach him on What'sApp:+2349039463501 or his(email:herbalistoduntun@gmail.com) ruclips.net/channel/UCIbszSZ7toF2YpQSaU5U18Q I'm a living testimony stay safe and stay bless🙏🏼
#2 You should never have the white cuffs showing while opening your glove wrapper. The cuff is only to show when you are putting on the glove. Your bare hands should never enter the cuff because it's porous. You had your entire unsterile head over the top of the back table while making your med label. You didn't check your indicator in your pan to ensure sterility. Never shake supplies, the air isn't sterile. You raise your arms up to your head and the sterile area is nipples to navel. Your case is contaminated. I cannot watch any of your video's because they're incorrect.
Cathy Empson while I agree with most of what you said, how do you manage to put the light handles on, drape a c-arm, or a microscope, without raising up your hands? It’s not possible :p
Can you make a video on the CST Exam, like what they focus on and some ways to help be prepared for it?
I had absolutely no idea there was so much to all this. Not in the medical field but this is really great stuff! I've subscribed. You deserve a cigar :D
liposuction change your look .i had a great exprence
@Compilation Corner what..? Maybe on hospital grounds, yes. I know doctors that smoke..a couple smoke cigars mostly.
Thank you for this!!! I am in a Periop program as a nurse and I was feeling like my "scrubbing" instruction was lacking! Now I'll be more confident!
Completely agree! I am a new OR nurse, about to start scrubbing in, and these have helped me prepare! Thanks so much!
I have my lab final tomorrow and we have to do a mock surgery so glad I came across this video!!
one day i will be a doctor. It is a nice job.
Your vids are awesome. They are simple and accurate and help this newbie reinforce what I've seen (or SHOULD see 🤔) in the OR so far. I take my cert exam a week from today! (7/11😱)
Renee K how did you do??
Great job scrub. Keep them coming, short, very detailed, and straight to the point.... I did want to see how you opened up that big ass ruler onto the sterile field..😉😉😉👏🏻👏🏻👏🏻👏🏻👍🏻👍🏻👍🏻👍🏻👍🏻👌🏻👌🏻👌🏻👌🏻💪🏻💪🏻💪🏻💪🏻💪🏻
romber86 that’s not a ruler, that’s ioban.