Case Study
You have been assigned to scrub for an exploratory
laparotomy. You have received the case cart form the central
processing department and have the surgeon’s preference card to
pick the rest of the supplies noted on the card. You have about 30
minutes before the scheduled case, and it normally takes you about
15 minutes to do the sterile setup for a laparotomy. After opening
the case, you proceed to the scrub area to perform the antiseptic
hand rub. When you return to the suite, the anesthesiologist
assistant is in the room preparing equipment and drugs. You proceed
to gown and glove. Consider the following events and describe
your problem-solving approach:
Case 1
Case 2
Universal Protocol was developed because of the high rate of
medical errors made in surgery, including wrong site, wrong side,
and even wrong patient. The protocols for sponge and needle counts
(the count) and for the medication process were similarly
created because of the number of deaths and injury related to these
activities. Based on what you have learned and observed about human
nature, job stress, and the causes of surgical errors, what are
the most important advantages to having such protocols? Try to
think about “near misses” you may have witnessed and what
strategies you yourself use to prevent errors
Case Study You have been assigned to scrub for an exploratory laparotomy. You have received the case cart form the centr
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