I know this is probably an odd question but I wanted to ask, when doing simple interrupted sutures, after you finish one do you just place the needle back in the needle driver with your hands?
If you look up what the term kelly and crile means they are different based on serrations but still clamp the same tissue? Correct me. i.e. We put together a major abdominal set that starts off with 10 7” crile clamps. If we are short on 10, SPT just grab 6” kelly clamps and again no complaints. If the manual says not the same why are they the same though? like what’s half serration gonna be vs whole serrations?
You are absolutely correct. SPTs will often sub similar instruments, with no issues. Unless you have a very particular surgeon, nobody cares. Here in South Carolina, the doctors refer to Peans as Kellys. The Surg Techs know what they are asking for. And since they are so similar, they are used in exactly the same way, so it really doesn't matter. In this video I'm just distinguishing the instruments for students who need to take a test on them. In the OR, those differences are mostly irrelevant.
I need help with a question I am stuck on! I got a question that said, “Assuming every single surgical team member walked in at the same time, who would be scrubbed first?” This is confusing to me because I know the surgeon is the most important person on the team, but who technically would need to be the first one scrubbed? The one who first has to help the patient? I’m sooo confused and I don’t want to get it wrong on my exam! Please let me know your thoughts on this.
Are you sure the question isn't "who would be GLOVED first?" Because that has a definite answer: the surgeon. but 'scrubbed first'? That's just weird, because they should be scrubbed before they walk into the OR. 🙂
@@AmmoGus1 Oh, is THAT what the question is asking? Wow. That's kind of a trick question then, because I assumed (and I think most people would assume) that you (the first scrub) are already scrubbed in when everyone else walks in.
i have used lots of suture needles but this method of using needle is best & safest , except the last one in which there is a risk of needle prick # 🇵🇰
Does a crile and mayo really matter? Depending I mean. i.e. so many (SPT here) will sub a 1661 crile wood 6” for what the count sheet calls for a 6” mayo hegar. I know the difference but it still so identical and no one ever complains for those type of details. I ain’t talking like 6” crile vs like 11” mayo either. also no one picks up details of 6” mayo hegar driver vs 8” mayo hegar driver. your thoughts
You are absolutely correct. SPTs will often sub similar instruments, with no issues. Unless you have a very particular surgeon, nobody cares. These instruments are basically interchangeable.
This guy is really great at explaining.
Thank you so much for all the videos
I learn so much from them.
Amazing vids
Can you make a video about Pharmacology for surgical techs?
I've been wanting to for a while now. It's just a matter of me finding the time. 🙂
Yes I need this
I know this is probably an odd question but I wanted to ask, when doing simple interrupted sutures, after you finish one do you just place the needle back in the needle driver with your hands?
yes, with the pointy-end buried between the jaws of the needle driver before handing it back to the ST.
If you look up what the term kelly and crile means they are different based on serrations but still clamp the same tissue? Correct me.
i.e. We put together a major abdominal set that starts off with 10 7” crile clamps.
If we are short on 10, SPT just grab 6” kelly clamps and again no complaints.
If the manual says not the same why are they the same though?
like what’s half serration gonna be vs whole serrations?
You are absolutely correct. SPTs will often sub similar instruments, with no issues. Unless you have a very particular surgeon, nobody cares. Here in South Carolina, the doctors refer to Peans as Kellys. The Surg Techs know what they are asking for. And since they are so similar, they are used in exactly the same way, so it really doesn't matter. In this video I'm just distinguishing the instruments for students who need to take a test on them. In the OR, those differences are mostly irrelevant.
Just out of curiosity when would you ever use an 0 monocryl? Biggest I've ever seen used was a 3-0.
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As an L&D tech, some surgeons use an 0 monocryl as a uterine stitch after delivery of the infant(s).
On a CTX needle to be more specific
I need help with a question I am stuck on! I got a question that said, “Assuming every single surgical team member walked in at the same time, who would be scrubbed first?”
This is confusing to me because I know the surgeon is the most important person on the team, but who technically would need to be the first one scrubbed? The one who first has to help the patient? I’m sooo confused and I don’t want to get it wrong on my exam! Please let me know your thoughts on this.
Are you sure the question isn't "who would be GLOVED first?" Because that has a definite answer: the surgeon. but 'scrubbed first'? That's just weird, because they should be scrubbed before they walk into the OR. 🙂
techs have to be scrubbed in first because they gown and glove everyone else
@@AmmoGus1 Oh, is THAT what the question is asking? Wow. That's kind of a trick question then, because I assumed (and I think most people would assume) that you (the first scrub) are already scrubbed in when everyone else walks in.
@@SurgicalCounts - it is a very tricky question!! 😵💫 Thank you for answering and helping!
@@AmmoGus1 - that’s kind of what I was thinking too! But I kept going back and forth with it. 🤯
i have used lots of suture needles but this method of using needle is best & safest , except the last one in which there is a risk of needle prick # 🇵🇰
Does a crile and mayo really matter? Depending I mean.
i.e. so many (SPT here) will sub a 1661 crile wood 6” for what the count sheet calls for a 6” mayo hegar.
I know the difference but it still so identical and no one ever complains for those type of details.
I ain’t talking like 6” crile vs like 11” mayo either.
also
no one picks up details of 6” mayo hegar driver vs 8” mayo hegar driver.
your thoughts
You are absolutely correct. SPTs will often sub similar instruments, with no issues. Unless you have a very particular surgeon, nobody cares. These instruments are basically interchangeable.
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