Standard precautions - barriers, sterile techniques and safety

Principles of standard precautions

  • Infection control
  • Safe management of sharps
    • Personal protection
  • Scrubbing
  • Gowning
  • Gloving
  • Splash protection

Standard precautions video

Using sutures, surgical knots, needles

Suture needles

  • Correct mounting on needle holder
  • Knot tying, principles and practise
  • Selection of appropriate materials
  • Knot security
  • Able to tie a square knot proficiently: instrument technique; one-handed technique; two-handed technique

Knot tying and suturing video

Instrumentation

Scissors

  • Able to name types of scissors and explain indications for appropriate and safe use
  • Safe and correct handling and use
  • Explain mechanism of action of scissors
  • Demonstrate care of scissor blades
  • Able to pass and receive scissors safely

Needle holders

  • Select needle holder of appropriate weight and length
  • Safe and correct handling and use
  • Pass and receive needle holders safely

Tissue-holding forceps

  • Selection of appropriate forceps (thumb – unlocking; locking; tooth and non-tooth)
  • Safe and correct handling and use

Retractors

  • Selection of appropriate retractors (hand-held; self-retaining)
  • Safe, correct handling; use and risk of tissue damage

Scalpel

  • Select appropriate blade
  • Safe and correct mounting of blade
  • Able to explain principles of holding and using
  • Able to pass scalpel safely using a safety dish
  • Perform a long cut with square edges at appropriate depth, without slicing or multiple passes

Skin staples

  • Recognise indications for use of skin staples
  • Correct application
  • Safe removal

Instrumentation video