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252    Tasks for the Veterinary Assistant

          Cleaning and Maintaining                           Start by gathering all of the used surgical packs and

          the Surgery Suite                                  towels and take them to the laundry. Take the open sur-
                                                             gical packs to the sink where the instruments are placed
                                                             in cold water to soak until they can be cleaned. When
          The goal of a surgical procedure is to restore health or   you find the scalpel handle with the blade, carefully
          function and in veterinary medicine also to stop procre-  remove the blade before putting the handle into the
          ation. All surgeries must be done aseptically in order to   cold water. This is accomplished by using a needle holder
          prevent nosocomial infections. Organisms enter when the   or large hemostat to lift a lower corner of the blade up
          skin integrity is altered from the incision made to access   and sliding it forward off the handle. Do not do this with
          the interior of the body. This altered skin integrity   bare fingers as the blade is sharp and contaminated with
          increases the risk that pathogens gain access to the body.   blood which could lead to a painful and possibly infected
          When the veterinary team adheres to aseptic techniques   cut. Cleaning the instruments will be covered later in the
          in preparing instruments, equipment, the surgical suite,   chapter. Sort the cloth wraps and gowns from the towels
          the patient, and the personnel, it reduces the risk of infec-  and start a load as per the instructions in Chapter 4.
          tion from a surgical procedure. The veterinary assistant   Return to the surgical suite with a broom, fresh mop,
          has an important role in making sure the surgical suite is   and bucket filled with diluted disinfectant for later use.
          cleaned thoroughly and is ready to be used for surgeries.  Gather the spray disinfectant and paper towels. Start
            Chapter  4 discussed cleaning and disinfecting the   with the surgical lights hanging above the surgery table.
          wards and treatment areas of the hospital and those con-  Turn them off and using spray disinfectant and paper
          cepts are a good starting point. However, the surgical suite   towels clean  the entire light  and handles thoroughly.
          must be maintained at a higher level of cleanliness than   Look for the removeable handles that are autoclaved for
          other parts of the clinic. The surgical suite consists of   each surgery day. Remove them and place them with the
          three areas: the prep room, surgery room, and recovery.  other surgical items to be cleaned and sterilized. Move
            When surgeries are finished for the day, begin your   other items to the prep room for cleaning and storing as
          clean with the cleanest to the dirtiest room. The order of   you clean the surgery room.
          cleaning would be the surgery room, prep room, and   Move to the surgical table next. It too must be cleaned
          finally the recovery room. After each daily round of sur-  thoroughly which may entail lifting the side panels to
          geries, the suite must be cleaned from top to bottom.   access the drip tray and the inside edges of the panel.



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          FIGURE 14.1  Surgical table.
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