SURGICAL SHARPS
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- čas přidán 21. 06. 2017
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Third year med student here, about to head out on an ortho surgery rotation. Stumbled on your channel while looking for an instrument review and now I'm 2.5 hours in. With your instruction, I now feel way more confident I won't be a jerk... or a liability.
"This is good practice" I like your term for "don't be a jerk."
Hi, I'm an ST instructor and came
across your videos and will be sharing them with my freshmen class. Thank you for taking the time and effort to share your knowledge. i know my students will be inspired
Very cool.
Hey Ms. A! :)
I’m not sure why CZcams showed me your channel, but this is information I really need for our farm business! I was a vet assistant in my teens/early 20’s, and I’m amazed at how much I remember…and now really realize how much I’ve forgotten. Bingeing your channel now. Thank you for the great content that’s still relevant in 2022
I'll be working as an ER nurse starting tomorrow. I'm here to remind myself about sharps.
Also good practice. For capping a hypo needle. You can follow the cap with the syringe and invert it down towards the table and click it closed one handed without touching the cap with your other hand thus avoiding any needle stick.
Thank you for all of your time and knowledge. I am excited to keep watching so please keep them coming.
Thank you for these videos. Not a ST, but have to learn to scrub for c-sections and you have the best teaching demeanor and tips.
Love your channel. Helps me as a new surgical RN. Keep up the good work!
Hey, I love the way you explain everything step by step, and I find it so much clearer than in any teaching book. Thank you ☺️ by the way, you're the cutest Technician I've ever had to do with if it comes to medicine ;)
I am a new sterile processing student , love you video’s... very helpful especially when I took program on line and had to find my own internship... great job done !!
Going into STII, after having just completed STI, this video really helps get a base understanding of what comes next! Thanks for these awesome videos!
Thank you so much.I truly value your knowledge and explanation of the proper way to master your skills and techniques as a surgical technician.
Hi Shane, by far, this was the best tutorial on sharps, I will definitely be sharing this video to my students. please keep them coming. Thank you
Love your videos. I start my schooling in November and they just make me so much more excited 😂
Started school last month our teacher shows your videos all the time!
No jargons, easy to understand, I liked the approach, thank you. calm and confident.
Thanks a lot boy. I really appreciate you. You are a good teacher. I learned a lot from your videos.
thank you for sharing your techniques, you are very detail oriented
Very informative and extremely helpful. Thank you for what you do.
Hey! I'm a young italian nurse living in U.k, I passed the interview for main theatres, and now I'm going to start in E.N.T, can't wait!!! I'm watching all your videos you are amazing and so so helpful!! Thank you for sharing your experience, I finally found the place of my life😁
We're setting up rooms in school now so this is so helpful. Thanks!!!
These videos are very helpful for my surgical tech program thank you😊
I’m at PIMA for medical assistanting rn and hoping to do surg tech later and you’ve already got me so excited
Just wanted to thank you for the quality vids. I don't work in medicine but I spend a lot of time in the backcountry so learning about sutures is an important topic for me especially when Im a 3 day walk to any road.
Very cool, thanks for sharing.
very nice video sir I'm also from medical profession u r doing a great job we r getting more and more knowledge I have seen many video but ur videos r great sir keep it up
HI, veterinary graduate going for my license here. You say what not to do when removing the needle from the needle holder but not what to do to remove it. Great videos. Keep up the good work!
Love love your videos,so helpful! thank you.
I am a newly qualified theatre practitioner in the the UK and your tips are extremely helpful. We pass blades in receivers/kidney dishes in our trust which I feel is a safer technique, but I'll definitely be stealing the two needleholder idea to remove suture tails thankyou ☺
I received my acceptance letter into a ST program today, but have been watching your videos for a while.
Thanks for sharing all of your tips; I can only imagine how helpful it'll all be once I've started the program!
Congrats
Sheesh, where you when I was training! Lol. What you are doing is fantastic! Keep up the good work!
Like the form you explain..
the bad techniques part freaked me out! thanks for pointing them out.
I would kill for all those sutures to practice with...
Thank you for teaching us !!
Thank you for your videos
I love your honesty.
Hi, I am a Veteran who is about 2 months into my 10 month program! It would be great if you could do a differentiating general instruments. I am struggling with some hemostats and things that to me still look similar. Your videos have been helpful to myself and students I share them with! Thank you very much for the great surgical Conscience demonstrated
Thank you, this was a really useful video!
Thanks for show your knowledge. From the Canary islands _Spain
Thanks for the how to recap your needle. I take weekly shots and have always stared at the needle go into the cap after I have drawn up my solution. I was never told NOT to do this. Thanks so much for this - it seems such an important thing to learn even if you are injecting yourself! Thanks!
It absolutely is! Glad I could help you become a little safer.
Good techniques mate. Keep up the good work pal.
Hi, Periop101 instructor here, my students and I came across you videos and have now created a library of them. They have really learn a lot from your insights. Thank you for taking the time to do this.
Thanks for sharing!
I watch every single one of your videos and they inspire me Soo much. Your videos give me motivation for when I start next month here in NV. I am very excited and passionate for this career and I would love to know what to expect on the first few months of CST school and how long it takes to get into your clinical rotations
Great to hear, and from what I remember I don't think I started doing any practical/clinical things until about a year into the program.
Just sharing. Also when capping the needle, if you hold the cap and push it down hard enough, sometimes, the needle will pierce the cap and prick your finger. I have experienced it once or twice. Learnt the lesson the hard way.
I understand sterile procedures, but I can’t get over how much has to be wasted. You’re videos are so informative and I enjoy watching! I just cringe at how much hospital supplies can’t be resterilized. I get why. I’m just cheap lol. But, you can’t be cheap when it comes to safety and health. Keep making these videos! 😎
I like this video as well. Will you do one on what you touch when sterile. What you can not touch when sterile.
Brilliant video and very interesting keep up the good work
When receiving a knife from the surgeon, you must use your emesis basin and allow the surgeon to drop it in there. It is an orthopedic technique from back in the days...and it's an approved standard practice.
This was helpful, thank you so much bro.
Dude, again ty for ur time!😃. Can u plz make a video showing the camera, light source, shaver, some type of burner, suction and irrigation tubing management on the sterile drape, then also show the camera function from- passing off the cords to the circulator, then whiting it out and also show which button on the camera handle does what and thank you again you’re super-awesome-amazing!
Hi sir,every time I watched ur vdo's n it helps me 2get d ida Wt exactly precautions d mistakes v did in emergencies &really it helps 2 do work in calmly thank you so much..... Like 2watch more vdo's ☺🙏🙏
Very informative video...from Basilan Mindanao. Philippine
2) not sure if you have a video on this, but how do you manage highly stressful operations, or when surgeons are highly stressed?
Great video
Awesome video also can you provide another video on anticipating the surgeons needs on specific cases more in depth? Thank you
+Tashima Henderson I did a video about anticipation, did you see that one?
thank u so much
thanx a lot man
Thanks 🙏
Great tips. I have always refused to recap. There is just no reason for it that outweighs the hazard. I got in the habit because of changing needles anyway after drawing.
Thanks
THAT WAS FANTASTIC TO SEE
Love ur videos...
thank you :)
We always keep sharps in kidney tray while passing to surgeon
Do you have to throw away the unused sutures, or could you use them for practice?
Do you ever take the sponges and now unsterile sutures from canceled cases? Can they be taken and used by students as practice?
Hello! ST student here getting ready for clinicals. How would you handle or ask the surgeon to please turn in the pop off needle toward the tip of the needle holder? TIA!
How do you collect sharp things(knife , needle...) after surgery?
I mean do you have any instrument for this or you collect this with your hand and put into saftybox??
What is origin of numbering the blades ?thanks
Question: so do you have to return the UNUSED sharps back for sterilization? Or can u saved for it to be used?….I just want to state tht I’m not a student nd have nvr been in a medical field. Just love ur videos and want to learn more before planning on getting on the career field of healthcare
I truly appreciate all of your videos. Thank you. Can you go over(explain)/demonstrate a clean closure technique? I struggle with it during cases.
What do you mean by clean closure technique?
the hospital I work in uses that term for a smaller, second set up that's prepared for instances when the surgeons come in contact with bowel. the backtable can no longer be utilized because it's contaminated.
Emily Ward what do want to know about dirty cases tho
dylan p I'm going to try to condense this answer lol. at our hospital, whenever there's bowel involved, we (scrubs) have to set up an extra Mayo stand with instruments, gloves an other supplies that are used after the colon has been handled. often times, the surgeon staples the bowel and these cartridges are disposed of separately. but, my hands have become "contaminated" when the surgeon finishes handling the bowel, we all take off our top gloves, sometimes rescrub, the back table and first used Mayo are pushed back (because they're contaminated) and the "clean" table is brought to the field. I have been a scrub tech for 3 months. I'm an LPN so I didn't have the actual classes that some people have had. I watch these videos to familiarize myself with the set ups and processes. I was hoping he could set up from start to finish and then include a "clean closure" set as well. I'm better than I was 3 months ago but I still get confused at times. that's all thanks
dylan p I wanted to watch a sorry set up video. but it's ok. every week I get better lol
can you do more detail videos about the way your schedule works and what do you do when there is not a case to work on when you are on duty
You sir are in luck! this exact video will be posted up in an hour or two about what to do when you don;t have a case.
czcams.com/video/jfonxmkqxrU/video.html
Hello there, I am a MS patient who has dealt with sharps since I was Rxed Avonex. I know all to well the dangers of needle sticks and keeping things sterile. My question is when you disposed of the sharps isn't there a lot of good sterile equipment that can be used elsewhere just dumped (extra sutures, blades, etc). I am trying to think of the cost of medical care here and I do understand cross contamination. I just wondered how both can be reconsild. I love your videos they are not only good for the students and pros but to show the lay person the intricacies of the medical care. Thank you for your time and I look forward to watching your other videos. Thank you again and God bless.
We do recycle things in the OR that are plastic related, have not heard of a sharps recycling program though. Interesting thought.
You're doing God work
Why do they throw out unused sutures?
I've been taught once opened, you cannot re-shield the needle (ypo), Stick it into foam
I have seen quite a few people, some Nurses too load knife handles with their fingers… It should only be done in Emergencies…
That kind of sucks that so much gets wasted.
It is quite sad how much gets wasted in a cancelled case. Honestly hospital waste in general is very sad...
especially the unused sutures being dumped. shame.
I presume nothing is considered sterile anymore after the case is cancelled and most things cannot be re-sterilized.
that was my first thought after seeing the sutures discarded
Many hospitals will donate the unsterile supplies to schools to practice with. It's amazing how well they recycle. As an educator we reuse all of those materials many times over.
Do you have any videos on surgical staples and staplers? I know next week the surgeon is going to be using some with my procedure. Thank you.
I have not made a video regarding staplers. I may have to get involved with my local Ethicon rep to see if the have some spares I could use.
I've been considering surgical technology for a couple years now, I live in Utah and just haven't taken the leap yet! Binge watching your videos has reignited the flame! Where did you start? Do you think community college or a tech school is the way to go?
If you want to just get into it as fast as possible, and not have to deal with "pre-reqs" and such, go tech school. If you have a feeling you may want to expand your career further at some point in the future, go CC. Either way you will get paid the same as a tech. Having the degree behind your belt just opens up other options to go in the future.
Hey great video, but question when you put the sharps in the kidney basin you but the needle kits that weren't touch in the sharps container?? Why if they haven't been touched??
The cases was cancelled, so everything is thrown out. Including the unused needle packs into the sharps container. There are still needles in those packages, so they go into the sharps container.
I felt guilty with the suture needle thing at the end, i do that very often and i know i shouldn't, it's just that it saves time to organize the field. I'm gonna change these old habits from now on. Great video as always!
We are creatures of habit, and we all have our bad ones lol
Great video! The only problem I have is the cutting off the left over suture. There are times when the surgeon will ask for the extra piece and if you cut the suture off the needle then you will have to open an entire pack. Not something they always want to do. In fact, they get angry when you cut it off and its later needed..
I totally understand what you're saying here. If I have question about that, I just ask the surgeon, "hey you gonna need anymore of this?" When working with the same surgeon for a time you get to the point where you will know which sutures are going to be "reused" and which aren't as well. I won't take the string off until I know they won't need it.
When you are training to be a surgical tech, what do you actually learn. Do you learn each procedure or do you choose to specialism in a certain area such as all the cardio surgery. Or do you learn the generic things and overtime, you know what you need to do step by step for each surgery in terms of the next equipment that the surgeon needs? Thanks! Great videos!
You learn a broad base of surgical procedures along all specialties, a basic knowledge of anatomy and physiology, instruments, and everything else that pertains to the OR.
Question how sweety do your hands get on a long case
What is the best practice if a surgeon gives you back a suture and tells you to save it ?
I have a question how do load a sutures for a left hand doctor?
+Yeceni Medel load it like you regularly do, then just flip the needle forward to kind of make it do a 180.
Left handed surgeons would require the drivers to be loaded in the opposite orientation,....How would that be done without touching the needle?... Thanks, and thanks to your institution for their co-operation in the making of this series....
I have a question. In an average 8 hour shift (if there is an "average"), how many surgeries will you be part of? 2-3? 4-5? How much time do you need for prepping the OR? For post surgery cleaning of the OR? Thanks!
Depends on the day, but yeah, you are right on the dot. Could be just 1 long cases, or it could be 5 smaller ones. Turnover time between cases is usually around 15 minutes or so.
I’m currently a ST student and was scrubbed in a case and had a lot of sutures on the field. I cut the tails off the needles before putting them in the sharps container. However, at the end the surgeon decided he wanted to use one again when he was closing but I had already cut the tail. How do you know when not to cut the tail if the surgeon does not say he will want to use that needle again?
If its a needle or suture you think they may re-use again. Just ask. No harm in it.
What do you do in a case when you get stuck with a blade/needle? Do you continue with the surgery, or do you have to swap with another tech to get checked out?
Swap out and go down to the ER. They will take the patients blood in the OR to test for any type of blood born diseases like HIV. They will also test you as well. Periodic checkups for the following 6 months after drawing blood each time to make sure you did not contract anything.
Thank you!
why can't unused sutures be put back for use later?
Once they are open from their sterile packaging it can no longer be used on anyone else but the patient on the table.
How long have you been a surgical technologist. Thanks
+Cole Brewer 9 years
When you are considering this field, is there a way to know if you will be too squeamish for the job? I can watch surgeries on youtube but if I only slightly cut my own finger, I have felt faint and had to sit down. This has happened twice in the last few years and was quite ridiculous but it's like I had no control over it as the feeling of weakness and lightheadedness just overcame me. I don't want to get into the program only to realize that my head/stomach can't handle it. Thanks!
If you feel faint from a cut on yourself, I don't think this would work out.
How often do needle-sticks injuries happen in the OR working as a cst? Are cst and first assistants often concern about needle-stick injuries? I know the risk is part of the job but I was wondering if it is a constant issue of concern between medical staff and if the fear goes away with time.
They don't happen often. When they do, its usually followed up by management with online modules and teachings about proper "sharps care". A cautious fear is ALWAYS present when handling sharps, that never goes away.
Thank you! It is always better to use proper technique and handle things safely than suffer the consequences of a mistake for not following proper handling.
wow video sir
If a surgeon does do something that's bad practice should the tech point it out and say something about it or would it be better just to ignore it? If you do point it out do you say something in the moment or wait until the surgery is over?
+Hunter Paige I would mention it right then. "Sir please place the blade on the sharp zone, don't try to hand it back to me." "I don't want to get cut man!"
love you
Love ya back.
I actually got stuck with a little 5-0 Nylon suture during my clinical last week and to top it all of it was dirty ;/
+Elisia Chairez always a scary situation. It's happened twice to me.
Surgical Tech Tips it was thank God the test came back negative for anything I feel so much better now!