Handling of Surgical Instruments By the Scrub Nurse

Abstract Under-staffing of nurses is a significant problem in most countries. It is expected to rise in the coming years, making it challenging to perform crucial tasks like assessing a patient's condition, assisting the surgeon in medical procedures, catheterization and Blood Transfusion etc., Automation of some essential tasks would be a viable idea to overcome this shortage of nurses. One such task intended to automate is the role of a 'Scrub Nurse' by using a robotic arm to hand over the surgical instruments. In this project, we propose to use a Collaborative Robotic-arm as a Scrub nurse that can be controlled with voice commands. The robotic arm was programmed to reach the specified position of the instruments placed on the table equipped with a voice recognition module to recognize the requested surgical instrument. When the Surgeon says "Pick Instrument", the arm picks up the instrument from the table and moves it over to the prior defined handover position. The Surgeon can take over the instrument by saying the command "Drop". Safe pathways for automatic movement of arm and handover position will be predefined by the Surgeon manually. This concept was developed considering the convenience of the Surgeon and the patient's safety, tested for collision, noisy environments, positioning failures and accuracy in grasping the instruments. Limitations that need to be considered in future work are the recognition of voice commands which as well as the returning of the instruments by the surgeon in a practical and safe way.

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The Performance of Scrub Nurse In Implementing Hernioraphy Herniotomi Operation Management (HTHR) In Central Surgical Instalance RSUD Kanjuruhan Kepanuren

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v4i2.art.p174-180 ◽

2017 ◽

Vol 4 (2) ◽

pp. 174-180

Author(s):

Wahyuningsri Wahyuningsri ◽

GM Sindarti ◽

Irawan Irawan

Keyword(s):

Sampling Technique ◽

Operation Management ◽

Surgical Instruments ◽

Check List ◽

Inclusion Criteria ◽

Scrub Nurse ◽

Management Tools ◽

Continue Research ◽

Research Recommendations ◽

Type Of Surgery

Nurse instrument is professional nursing personnel who is given authority and responsibility in the management of surgical instruments of any type of surgery, has the task of covering before, during, and after surgery action. The absence of SOP (Standart OperationalProcedure) makes every action only based on the experience and habits of each surgical operator. The purpose of this study is to determine the performance of nurses in implementing instrument management tools in a kind of herniotomic herniospheric instrument operation management at central surgical installation of Kanjuruhan Kepanjen Hospital. The research design used is descriptive observative. A population of 30 nurses at a central surgical installation. The number of samples used in this study is 10 nurses of instrument according to the inclusion criteria in charge. In operating room for herniotomic hernioraphy (HTHR) surgery. Sampling technique used is Total Sampling. Taking data by observation with check list. The result of research on the performance of nurse instrument in implementing the management of Herniotomic Herniospheric operation tool before and during the 100% surgical action not yet comply with the SOP (Standart OperationalProcedure), the performance of the instrument nurse after surgery is 100% appropriated. Further research recommendations are expected to continue research on the performance of nurse instruments on others types of operations for all nurses assigned to operating rooms.

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[Liber de cirurgia, illustrated with surgical instruments]

10.24157/arc_16402 ◽

1400 ◽

Author(s):

Abū al-Qāsim Khalaf ibn ʻAbbās a

Keyword(s):

Surgical Instruments

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The Sterility of Reusable Surgical Instruments with Pouches Packaging on One of the Private Hospital in Bandung

International Journal of Pharmaceutical Quality Assurance ◽

10.25258/ijpqa.v8i2.8503 ◽

2017 ◽

Vol 8 (2) ◽

Author(s):

Kurniawansyah I. S. ◽

Mita S. R. ◽

Najla E. ◽

Nindayani E.

Keyword(s):

Storage Time ◽

Private Hospital ◽

Surgical Instruments ◽

Healthcare Associated Infection ◽

Sterility Testing ◽

Reusable Instruments ◽

Healthcare Associated ◽

The Relationship ◽

Common Infection ◽

Long Storage

Healthcare associated infection is one of the common infection that happens in Indonesia. One form control to prevent healthcare associated infection is the sterilization process of the materials and medical instruments that used for taking care of patients. At the private hospital whereas a place of research, there’s never been done the study of sterility test for reusable instrument with pouches, based on previous studies showed that 8 sets from 40 sets of reusable instrument with linen were not sterile moreover there were positively influence from the amount of time to the sterility of reusable instrument. The purpose of these studies was to determining the relationship between a long storage time and the sterility of reusable instruments with pouches. The method that used in this study was the sterility testing of reusable instrument with pouches which were stored in a central operations room storage with a long storage time of 1 and 2 months. From 30 reusable instruments with pouches which were stored for nine months there were 5 instruments were not sterile. The results of statistic analysis showed that the amount of storage time not significantly associated to the sterility of reusable instrument with pouches in the operating room central storage space.

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