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This document provides guidelines for various clinical procedures commonly performed by nurses, including intravenous insertion, intramuscular injection, subcutaneous injection, intradermal injection, glucose monitoring, tracheostomy suctioning, and blood transfusion. It outlines the necessary equipment, steps to perform hand hygiene, identify the patient, explain the procedure, administer the medication or treatment, monitor the patient, and document the intervention. The document serves as a review for nursing students to prepare for clinical skills assessments.
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0% found this document useful (0 votes)
1K views17 pages

OSCE Reviewer

This document provides guidelines for various clinical procedures commonly performed by nurses, including intravenous insertion, intramuscular injection, subcutaneous injection, intradermal injection, glucose monitoring, tracheostomy suctioning, and blood transfusion. It outlines the necessary equipment, steps to perform hand hygiene, identify the patient, explain the procedure, administer the medication or treatment, monitor the patient, and document the intervention. The document serves as a review for nursing students to prepare for clinical skills assessments.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

University of Northern Philippines

College of Nursing
Batch 2023
OSCE Reviewer
IV INSERTION

1. Introduce self and identify patient.


2. Explain procedure
3. Gather equipment to be use
4. Perform hand hygiene
5. Position patient in a comfortable position
6. Choose insertion site (soft, straight, bouncy vein)
7. Apply tourniquet (Placed 6–8 inches above the venipuncture site.)and re check vein
8. Don gloves and apply antiseptic over insertion site using circular motion and allow 30 sec
to dry (no touch technique)
9. Remove the cannula from its packaging and remove the needle cover ensuring not to touch
the needle.
10. Pull the skin distally and inform the patient to expect a sharp scratch.
11. Insert needle bevel upwards at 15-30 degrees angle
12. Upon backflow, lower angle and advance catheter and stylet into the vein further 2mm
13. Position catheter parallel to the vein
14. Advance catheter while stylet is held stationary
15. Slip a sterile gauze under the hub and release tourniquet
16. Remove stylet while applying digital pressure of the catheter
17. Anchor IV catheter firmly in place
18. Tape a small loop of IV tubing for additional anchoring
19. Label tubing, IV site and IV bottle
20. Dispose gloves and equipment used in the clinical waste bin, ensure the patient is
comfortable
21. Perform hand hygiene and document procedure done

INTRAMUSCULAR INJECTION

1. Perform hand hygiene.


2. Identify the patient.
3. Close the door to the room.
4. Put on clean gloves.
5. Select an appropriate administration site. Assist the patient to the appropriate position for the
site chosen.
6. Identify the appropriate landmarks. Cleanse the site with an antimicrobial swab. Allow the
skin to dry.
7. Remove the needle cap by pulling it straight off.
8. Displace the skin in a Z track manner.
9. Grasp and the bunch area surrounding the injection site
10. Quickly dart the needle into the tissue. (90 degrees)
11. Inject the medication slowly at a rate of 10 sec/ml.
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College of Nursing
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OSCE Reviewer
12. Once the medication has been instilled, wait 10 seconds before withdrawing the needle.
Withdraw the needle smoothly at the same angle.
13. Apply gentle pressure at the site with dry gauze. Do not recap the used needle.
14. Assist patient in a comfortable position.
15. Discard the needle and syringe in the appropriate receptacle.
16. Remove gloves.
17. Document the administration of the medication.

SUBCUTANEOUS INJECTION

1. Perform hand hygiene.


2. Identify the patient.
3. Close the door to the room.
4. Put on clean gloves.
5. Select an appropriate administration site. Identify the appropriate landmarks.
6. Cleanse the site with an antimicrobial swab. Allow the skin to dry.
7. Remove the needle cap by pulling it straight off.
8. Grasp and the bunch area surrounding the injection site
9. Hold the syringe in the dominant hand between the thumb and forefinger. Inject the needle
quickly at a 45 to 90 degree angle.
10. After the needle is in place, release the tissue.
11. Inject the medication slowly at a rate of 10 sec/ml.
12. Withdraw the needle quickly at the same angle. Do not recap the used needle.
13. Using a gauze square, apply gentle pressure to the site.
14. Assist patient in a comfortable position.
15. Discard the needle and syringe in the appropriate receptacle.
16. Remove gloves.
17. Document the administration of the medication

INTRADERMAL INJECTION

1. Perform hand hygiene.


2. Identify the patient.
3. Close the door to the room.
4. Put on clean gloves.
5. Select an appropriate administration site.
6. Cleanse the site with an antimicrobial swab. Allow the skin to dry.
7. Remove the needle cap by pulling it straight off.
8. Use the nondominant hand to spread the skin taut. Hold the syringe in the dominant hand.
9. Hold the syringe at a 5 to 15 degree angle from the site. Insert the needle into the skin.
10. Steady the lower end of the syringe.
11. Slowly inject the agent while watching for a small wheal to appear.
12. Withdraw the needle quickly at the same angle. Do not recap the used needle.
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13. Do not massage the area after removing needle.
14. Assist patient in a comfortable position.
15. Discard the needle and syringe in the appropriate receptacle.
16. Remove gloves.
17. Document the administration of the medication.

GLUCOSE MONITORING

1. Perform hand hygiene before procedures.


2. Instruct patient to perform hand hygiene.
3. Position patient comfortably in chair or in semi-Fowler’s position in bed
4. Remove test strip from container, then tightly seal cap.
5. Turn on glucose meter, if necessary.
6. Remove unused glucose test strip from meter
7. Insert strip into glucose meter.
8. Apply disposable gloves.
9. Choose puncture site.
10. Hold the finger while gently massaging finger toward puncture site.
11. Clean site with antiseptic swab, and allow it to dry completely.
12. Lancet or Automatic blade retraction system.
13. Wipe away first droplet of blood.
14. Obtain test results.
15. Turn meter off. Dispose of test trip, lancet and gloves in proper receptacle.
16. Discuss test results with the patient.

SUCTIONING A TRACHEOSTOMY

1. Bring necessary equipment to the bed side stand.


2. Perform hand hygiene
3. Identify the patient.
4. Provide privacy
5. Verify the suction order. Administer pain medication as prescribed before suctioning.
6. Explain the procedure to the patient.
7. Adjust bed: conscious patient; Conscious: Semi fowlers; Unconscious: Lateral position facing
you.
8. Place towel across patient’s chest.
9. Turn suction to appropriate pressure. Put on clean gloves and occlude the end of the
connecting tubing to check suction pressure.
10. Open sterile suction package (aseptic technique). Set it up on the work surface and pour
sterile saline into it.
11. Put on face shield, mask, and sterile gloves.
12. Pick sterile catheter with the dominant hand and the connecting tubing with the nondominant
hand and connect the tubing and suction catheter.
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13. Moisten catheter with normal saline, unless it is a silicone cath. Occlude Y-tube to check
suction.
14. Hyperventilate the pt. using nondominant hand and a manual resuscitation bag and deliver
3-6 breaths.
15. Insert catheter into trachea with your dominant hand.
16. Apply suction by intermittently occluding the Y-port on the catheter with the thumb of your
nondominant hand. Gently rotate the catheter as it is being withdrawn. Do not suction for more
than 10 to 15 seconds at a time.
17. Hyperventilate pt. using nondominant hand and manual resuscitation bag and deliver 3-6
breaths.
18. Flush catheter with saline.
19. Allow at least a 30-second to 1-minute interval if additional suctioning is needed. Encourage
the patient to cough and deep breathe between suctioning attempts.
20. After suctioning, remove gloves from dominant hand over the coiled catheter. Dispose used
materials in the appropriate receptacle. Assist patient to a comfortable position. Raise bed rail
and place bed in lowest position.
21. Turn off suction and remove supplemental oxygen if appropriate.
22. Offer oral hygiene after suctioning.
23. Reassess patient respiratory status.
24. Perform hand hygiene.

BLOOD TRANSFUSION

1. Check for patients’ information, the allergy status, or previous transfusion reaction
2. Verify the doctor’s order (contains of the name of the patient, reason for blood transfusion,
the type of bloods, the unit and rate of infusion)
3. Check for cross matching and typing of the blood, rh type, abo group and the expiration date.
4. Inspect for the label, the integrity of the unit, or the appearance. Do not add medication, if
you discover discrepancy.
5. Warm blood at room temperature before transfusion to prevent chills. So once na receive na
natin blood, we are going to initiate it within 30 minutes.
6. Perform hand hygiene and provide the patients privacy by closing the curtains and door in
the patient room
7. Introduce yourself to the patient, and identify the patient using two identifiers
8. Explain the risks, possible alternatives and benefits of a blood transfusion to the patient
9. Check the vital signs of the patient, altered vital signs indicate adverse reaction
10. Gather all supplies
11. Get the blood bag, and then spike. Hang it and then open the ruler clamp and the prime
tubing.
12. Connect the IV line into the IV access of the patient. Open and set the pump and deliver the
blood at no more than 2 ml for 15 minutes
13. Remain with the patient for the first 15 minutes; This is when most transfusion reactions can
occur. monitor VS to ensure that the patient is tolerating the blood transfusion.
14. After 1 hour monitor again the patients VS.
University of Northern Philippines
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15. Transfusion is to be completed with 4 hours of unit collection.
16. Close the regulator disconnect the blood tubing and flush iv line.
17. Discard all the materials used, including the tubing and blood bag on biohazard bag.
18. Lower the bed and side rails up. Clean the IV line of the patient to avoid infection
19. Document the data and the procedure done and perform handwashing.

BASIC LIFE SUPPORT

1. Assess responsiveness.
2. Assess pulse and breathing.
3. Position the patient supine and place him in a firm, flat surface.
4. Deliver compressions. (30) *It should depress the sternum 2 inches.
5. Deliver rescue breaths. (2) *Head tilt-chin lift maneuver or Jaw thrust maneuver (Trauma
patients).
6. Do five complete cycles.
7. Continue CPR until advanced care providers take over, the patient starts to move, you are
too exhausted to continue, or a physician discontinues CPR.

MALE CATHETERIZATION

1. Gather Equipment
2. Perform hand hygiene.
3. Identify the patient
4. Provide privacy
5. Provide good lighting
6. Assist the patient to a dorsal recumbent position
7. Open sterile catheterization tray.
8. Put on sterile gloves
9. Place fenestrated drape with opening over penis.
10. Open all supplies
11. Lift penis with nondominant hand. Retract foreskin in uncircumcised patient. Use the
dominant hand to pick up an antiseptic swab or use forceps to pick up a cotton ball. Using a
circular motion, clean the penis, moving from the meatus down the glans of the penis. Repeat
this cleansing motion two more times, using a new cotton ball/swab each time. Discard each
cotton ball/swab after one use.
12. Lubricate 1 to 2 inches of catheter tip.
13. Insert catheter tip into meatus. Ask the patient to take deep breaths.
14. Hold the catheter securely at the meatus with your nondominant hand. Use your dominant
hand to inflate the catheter balloon. Once the balloon is inflated, the catheter may be gently
pulled back into place. Replace foreskin over the catheter.
15. Pull gently on catheter after balloon is inflated to feel resistance.
16. Attach catheter to drainage system if not already pre-attached
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17. Remove equipment and dispose of it according to facility policy.
18. Remove gloves. Assist the patient to a comfortable position.
19. Secure drainage below the level of the bladder

FEMALE CATHETERIZATION

1. Gather Equipment
2. Perform hand hygiene
3. Identify the patient.
4. Provide privacy.
5. Provide good lighting.
6. Assist the patient to a dorsal recumbent position.
7. Open sterile catheterization tray.
8. Put on sterile gloves.
9. Place a fenestrated sterile drape over the perineal area.
10. Place sterile tray on drape between the patient’s thighs.
11. Open all the supplies
12. Lubricate 1 to 2 inches of catheter tip.
13. With thumb and one finger of nondominant hand, spread labia and identify meatus.
14. Use the dominant hand to pick up an antiseptic swab and clean one labial fold, top to bottom.
15. Using your dominant hand, hold the catheter 2 to 3 inches from the tip and insert slowly into
the urethra. Advance the catheter until there is a return of urine (approximately 2 to 3 inches
[4.8 to 7.2 cm]). Once urine drains, advance catheter another 2 to 3 inches (4.8 to 7.2 cm).
Do not force catheter through urethra into bladder. Ask patient to breathe deeply, and rotate
catheter gently if slight resistance is met as catheter reaches external sphincter.
16. Hold the catheter securely at the meatus with your nondominant hand. Use your dominant
hand to inflate the catheter balloon
17. Pull gently on catheter after balloon is inflated to feel resistance.
18. Attach catheter to drainage system if not already pre-attached
19. Remove equipment and dispose of it according to facility policy.
20. Remove gloves. Assist the patient to a comfortable position.
21. Secure drainage below the level of the bladder.

ECG

1. Introduce yourself to the patient


2. Check patient using 2 identifiers
3. Explain the procedure
4. Eexpose the patient’s chest for the procedure. Exposure of the patient’s lower legs and
wrists is also necessary to apply the limb leads.
5. Ask the patient to lay on the clinical bed with the head of the bed at a 45° angle.
6. Ask the patient if they have any pain before proceeding with the clinical procedure
7. Perform hand hygiene.
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College of Nursing
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8. Gather appropriate equipment.
9. Check the expiration date of the electrode and its compatibility to the ECG machine
10. Avoid placing the electrodes in bony parts and those with big muscle mass because this may
alter the reading.
11. Clean the area using alcohol swab and dry it with gauze to remove excess oil of the body
12. Apply the electrode on the ulnar styloid process of the right arm or just above the elbow
13. Apply the electrode on the left arm just above the elbow
14. For the lower limb, locate the ankle of the patient and then apply the electrode above the
ankle of the right leg
15. Apply the electrode on the left leg above the ankle
16. For the chest leads, find the sternal notch between the clavicle and locate the Angle of Louis
laterally and slide your finger to the right and palpate for the 4th intercostal space.
17. Apply V1 at the 4th intercostal space at the right sternal edge
18. Apply V2 at the 4th intercostal space at the left sternal edge
19. Skip the V3 and proceed to V4
20. For the V4, apply at the 5th intercostal space in the midclavicular line
21. Apply V3 midway between the V2 and V4 electrodes
22. Apply V5 at the left anterior axillary line at the same horizontal level as V4
23. Apply V6 at the left mid-axillary line at the same horizontal level as V4 and V5
24. Turn on the ECG machine and ensure ECG paper has been loaded into the machine
25. Double-check all the electrodes are attached in the appropriate locations
26. Ask the patient to remain still and not talk during the recording as muscle activity can cause
an artefact which obscures the ECG trace of myocardial activity.
27. Perform hand hygiene
28. Label the ECG with the patient's details
29. Document your findings in the patient's notes

LEOPOLD’S MANEUVER

1. Prepare the client


a. Explain the procedure.
b. Instruct the client to empty her bladder.
c. Position the woman supine with knees slightly flexed. Place a small pillow or rolled towel
under one side.
d. Wash your hands using warm water.
e. Observe the woman’s abdomen for longest diameter and where fetal movement is apparent.
2. Perform the first maneuver.
a. Stand at the foot of the client, facing her, and place both hands flat on her abdomen.
b. Palpate the superior surface of the fundus. Determine consistency, shape, and mobility,
3. Perform the second maneuver.
a. Face the client and place the palms of each hand on either side of the abdomen.
University of Northern Philippines
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b. Palpate the sides of the uterus. Hold the left hand stationary on the left side of the uterus
while the right hand palpates the opposite side of the uterus from top to bottom. Then hold
the right hand steady, and repeat palpation using the left hand on the left side.
4. Perform the third maneuver.
a. Gently grasp the lower portion of the abdomen just above the symphysis pubis between the
thumb and index finger and try to press the thumb and finger together. Determine any
movement and whether the part is firm or soft.
5. Perform the fourth maneuver.
a. Place fingers on both sides of the uterus approximately 2 inches above the inguinal
ligaments, pressing downward and inward in the direction of the birth canal. Allow fingers
to be carried downward.

WOUND CARE

1. Check for patient’s Data or Chart.


2. Prepare materials to be use.
3. Explain the procedure to the patient and show equipments.
4. Put on PPE if needed.
5. Perform hand washing.
6. Don gloving.
7. Position the patient.
a. To a supine position while foot is hanging on the edge of the bed.
b. To a prone position while foot is hanging on the edge of the bed.
c. Position patient that expose affected area.
8. Start pouring normal saline solution to the affected area.
9. Clean the wound with saline thoroughly.
10. Let it dry for a while then start applying a Topical Gel or Antibiotic Ointment medication to
the wound.
11. After each application, wrap the wound with a clean wet gauze followed by a dry gauze
dressing.
12. After care, all the materials used should be discarded properly.
13. Remove PPE, ungloves.
14. Perform hand washing.

NGT INSERTION

1. Gather equipment
2. Don non-sterile gloves
3. Explain the procedure to the patient and show equipment
4. If possible, sit patient upright for optimal neck/stomach alignment
5. Examine nostrils for deformity/obstructions to determine best side for insertion
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6. Measure tubing from bridge of nose to earlobe, then to the point halfway between the end of
the sternum and the navel
7. Mark measured length with a marker or note the distance
8. Lubricate 2-4 inches of tube with lubricant (preferably 2% Xylocaine).
9. Pass tube via either nares posteriorly, past the pharynx into the esophagus and then the
stomach.
10. Instruct the patient to swallow (you may offer ice chips/water) and advance the tube as the
patient swallows.
11. If resistance is met, rotate tube slowly with downward advancement toward closes ear.
12. Withdraw tube immediately if changes occur in patient's respiratory status, if tube coils in
mouth, if the patient begins to cough or turns pretty colors
13. Advance tube until mark is reached
14. Check for placement by attaching syringe to free end of the tube, aspirate sample of gastric
contents.
15. Secure tube with tape or commercially prepared tube holder
16. If for suction, remove syringe from free end of tube; connect to suction; set machine on type
of suction and pressure as prescribed.
17. Document

OSTOMY CARE

Emptying the Appliance


1. Assemble and bring necessary equipment at bedside or overhead table.
2. Perform hand hygiene and don on PPE if necessary
3. Identify the patient
4. Close door of the room/ curtain.
5. Explain the procedure and the need for the intervention to the client. Answer any enquiries
if needed
6. Assist patient to a comfortable sitting or lying position in bed / standing or sitting position
the bathroom.
7. Do gloves. Remove clamp and fold end of the pouch upward like a cuff.
8. Empty the contents into a bedpan, graduated container or toilet.
9. Clean the lower portion of the appliance by a tissue paper at least 2 inches.
10. Uncuff the pouch and apply the clamp to close it.
11. Make sure that the clamp follows the curve of the patient’s body
12. Remove gloves and PPE if it was used, remove and perform hand hygiene.
13. Assist patient in a comfortable position.

Changing the Pouch or Appliance


1. Ensure to place a disposable pad on the work surface.
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2. Do gloving.
a. Water proof pad must be placed under the patient at the stoma site.
b. Empty the pouch.
3. Gently and carefully remove the appliance by pushing the skin from the appliance and not
by pulling.
4. For disposable appliance, place it in the trash bag, for reusable, set aside and wash it with
lukewarm water and soap, air dry once the new appliance is already in place.
5. Use toilet paper to remove any stool around the stoma
a. Cover the stoma with a gauze pad
b. Using a mild soap and water, clean the area with a washcloth.
c. Ensure to remove all old adhesive from the skin with the use of adhesive remover.
d. Lotion is recommended to peristomal area.
6. Pat dry the skin gently, while assessing the condition of the stoma and surrounding skin.
7. Skin protectant can be applied at 2inch. (5cm) radius around the stoma, wait for at least 30
seconds to dry
8. Measure the stoma opening with the use of the measuring guide. (Cut 1/8 inch. Larger than
the stoma size)
9. Remove the backing of the appliance and quickly remove the square gauze covering the
stoma and ease the appliance over the stoma.
a. Gently press onto the skin while smoothing over the appliance surface.
b. Apply gentle pressure for 5 minutes
10. Fold the end of the pouch and use the clamp to secure it.
 The curve of the clamp should follow the curve of the patient’s body.
11. Remove gloves and assist the patient to a comfortable position.
12. Put on clean gloves and discard used materials
13. Assess patient’s response to the procedure.
14. Remove gloves and PPE if used
15. Perform hand hygiene

Ostomy Irrigation
1. Bring all the necessary equipment at bedside and place on bedside stand or overhead table
2. Perform hand hygiene and don on PPE if necessary
3. Identify the patient
4. Explain the procedure and the need for the intervention to the client. Answer any enquiries
if needed
5. Warm irrigating solution at room temperature or slightly higher.
6. Pour irrigating solution to the container and release clamp to allow fluid flow through the
tube, and then place the clamp back.
7. Hang the container bag where the bottom is at the patient’s shoulder level once seated.
8. Do non-sterile gloves.
9. Remove the ostomy appliance and replace it with the irrigation sleeve, ensure that the
drainage end is place into the toilet bowl or bedside commode.
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10. Lubricate end of stoma cone
11. Insert stoma cone into the stoma and introduce solution slowly for a period of 5 to 6 minutes.
12. Once the solution is infused, hold the cone in place for another 10 minutes
13. Remove the cone and let the patient remain seated on the bedside commode or toilet bowl.
14. When majority of the solution has returned, close the bottom of the irrigating sleeve with the
clip and patient may continue with his/her daily activities.
15. Once the flowing of the solution from the stoma has stopped, remove irrigating sleeve and
ensure to clean the skin along the stoma opening with mild soap and water then pat dry.
16. Attach new stoma appliance or cover as needed.
17. Remove gloves, assist patient to a comfortable position on bed. Use the linen to cover the
patient.
18. Ensure to raise bed side rails and lower bed height.
19. Remove PPE if used and perform hand hygiene.

OPEN GLOVING

Apply Gloves:
a. Perform thorough hand hygiene, place glove package near work area.
b. Remove outer glove wrapper by peeling sides apart.
c. Grasp inner package on appropriate workspace, open package, keep gloves on inside
surface of wrapper.
d. Identify right and left glove, glove dominant hand first.
e. Grasp glove for dominant hand by touching only glove's inside surface.
f. Pull glove over dominant hand; ensure cuff did not roll up wrist.
g. Slip fingers under cuff of second glove with dominant hand.
h. Pull second glove over nondominant hand.
i. Interlock hands once both gloves were on, hold hands away from body until beginning
procedure.
Perform Procedure
Remove Gloves:
a. Grasp outside of one cuff with other gloved hand, avoid touching wrist.
b. Pull glove off by turning it inside out, place glove in gloved hand.
c. Place fingers of bare hand inside remaining glove cuff, peel glove off inside out and over
previously removed glove, discard both gloves in receptacle.
d. Perform thorough hand hygiene

SURGICAL HAND SCRUB

1. Wet clean sponge and apply antimicrobial agent.


Visualize each finger, hand, and arm as having four sides.
Wash all four sides effectively.
Scrub the nails of one hand with 15 strokes.
Scrub the palm, each side of thumb and fingers, and posterior side of hand with 10
strokes each.
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2. Divide the arm mentally into thirds: scrub each third 10 times
Rinse brush and repeat sequence for the other arm.
3. Discard brush.
Flex arms and rinse from fingertips to elbows in one continuous motion, allowing water
to run off at elbow
4. Turn off water with foot or knee control, with hands elevated in front of and away from
body.
Enter operating room suite by backing into room.
5. Approach sterile setup: grasp sterile towel, taking care not to drip water onto sterile
setup.
6. Bending slightly at waist, keeping hands and arms above waist and out stretched,
grasp one end of sterile towel and dry one hand,
moving from fingers to elbow in a rotating motion
7. Repeat drying method for other hand by carefully reversing towel or using a new sterile
towel.
8. Drop towel into linen hamper or circulating nurse's hand.
9. Proceed with sterile gowning.

APPLYING STERILE GOWN

1. Perform surgical hand scrubbing.


2. As the NSD pack is already opened. Hold the bottom part of the sterile gown, use it to
dry your hands.
3. Lift the folded gown directly upward and step back away from the table.
4. Holding the folded gown, locate the neckband. With both hands grasp inside front of
the gown just below the neckband.
5. Allow gown to unfold, keeping inside of the gown toward the body. Do not touch the
outside of the gown with bare hands.
6. Lift both hands at the armholes simultaneously. Ask the circulating nurse to tie the
gown.

CLOSED GLOVING

1. With hand covered by the gown sleeves, open the inner package of the sterile gloves.
2. Place your right thumb under the cuff exposed on the right glove (thumb-thumb) pick up
and lay flat on your right hand.
3. Place left thumb under the cuff exposed on the right glove, and stretch glove over the
right hand.
4. Keeping your right fingers straight, pull down the glove with your left hand, using a
combination of glove and sleeve pulling.
5. Ensure the white cuff remains inside the glove
6. Repeat procedure with your left glove.
*Note: Basta detuy guys ilift yo jay gloves and then, ipatay yo jay yanti ima nga igloves yo
make sure nga thumb to thumb jay position jay glove. Santu insert.
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RETRACTING AND EXPOSING INSTRUMENTS

Deaver Retractor Richardson Retractor

Malleable Weitlaner Retractor-Dull

Army Navy Retractor Goulet Retractor


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Weitlaner Retractor-Sharp Gelpi Retractor

Balfour with Bladder Blade

CUTTING AND DISSECTING INSTRUMENTS

Metzenbaum Scissor Metzenbaum Scissor


(Straight) (Curved)
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Bandage Scissor Mayo Scissor (Straight)

Mayo Scissor (Curved)


Scalpel Handle #3

Scalpel Handle #4 Scalpel Handle #5


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CLAMPING AND OCCLUDING INSTRUMENTS

Kelly Clamp-Straight Kelly Clamp-Curved

Burlisher/Adson Mosquito

Right Angle/Mixter
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GRASPING AND HOLDING INSTRUMENTS

Kocher/Oschner
Allis

Babcock
Towel Clip

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