{"id":141687,"key":"SELF/Perioperative_Nursing/Setting_Up_the_Operating_Room/Psychomotor_Skills_Practice_Instructions","title":"SELF/Perioperative Nursing/Setting Up the Operating Room/Psychomotor Skills Practice Instructions","latest":{"id":1270105,"timestamp":"2026-09-11T22:06:15Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"
\n[https://drive.google.com/file/d/1hQdmHIKSZjZNxeV1US-liIAaZQVVlIzH/view?usp=sharing 📄 Download as PDF]\n\n=== Instructions ===\n\n{| class=\"wikitable\"\n! #\n! Step\n! Instructions\n! Good Skills (Learning Objectives)\n! Common Errors\n! Guidance\n|-\n| 1\n| Environmental readiness check and [[SELF/Perioperative Nursing/Setting Up the Operating Room/Instruments and Supplies|gather supplies]]\n| colspan=\"4\" | Articulates that OR environmental cleaning checklist / terminal cleaning checklist are completed\n|-\n| 2\n| Verify:\n\n* Planned procedure\n* Surgeon requirements/preferences\n* Special equipment needs\n\n| colspan=\"4\" | Articulates planned procedures and setup/special equipment required confirmed with surgeon\n|-\n| 3\n| Gather supplies\n| colspan=\"4\" | Articulate that all needed equipment is available and ready\n|-\n| 4\n| Check and position OR furniture\n| Position OR bed/table, Mayo/side tables, anesthesia workstation and stools; ensure clear transfer space and walkways.\n| Correct ergonomic layout; unobstructed walkways; table aligned with lights; patient transfer space ready\n| Poor positioning causing crowding or obstruction; table not aligned to lights\n| Do a quick walk-around: transfer path, anesthesia access at head, and clear entry and exit routes.\n|-\n| 5\n| Check lighting\n| Power on overhead/portable lights; position over expected field; confirm focus, intensity and movement range.\n| Lights positioned over surgical field; bulbs working, light arms stable; adjustable focus, intensity and movement range confirmed\n| Lights not tested; burned-out bulbs discovered during surgery; lights positioned incorrectly away from the operative field; focus or intensity not adjusted appropriately; movement range and stability of light arms not checked\n| Confirm sterile light handles/covers are available if used; set initial position for average patient height and expected surgical field.\n|-\n| 6\n| Check suction system\n| Assemble canister/tubing; connect to wall/portable suction; test suction; keep spare canister/tubing.\n| Test suction function; correct tubing connections; spare canister ready\n| Weak suction pressure; leaks or blockages in tubing; no spare canister\n| If weak, check canister seal, tubing kinks, regulator, and power source (if portable).\n|-\n| 7\n| Check anesthesia machine\n| Confirm anesthesia team has completed machine check; verify oxygen source present; ensure readiness for patient arrival.\n| Verify with anesthesia lead that machine tested per protocol; oxygen supply adequate; circuits leak-checked; all alarms and safety systems functional\n| Oxygen empty; leaks or disconnections in circuit; machine not tested before case\n| If the machine is not cleared, pause room readiness sign-off and escalate to anesthesia lead.\n|-\n| 8\n| Set up waste disposal system\n| Place sharps containers and labeled waste bins in standard locations; ensure liners are present and accessible.\n| Clearly labeled, color-coded bins in correct locations\n| Bins missing, not within reach of procedural area, or mislabeled; sharps container absent\n| If not properly organised, stop and correct the setup by repositioning or replacing waste containers before proceeding.\n|-\n| 9\n| Verify available surgical instrument sets\n| Check correct set(s) for planned case; confirm seals intact; verify sterility indicators/expiry as visible; stage for opening.\n| Confirm availability and correct type; check seals intact\n| Missing sets; damaged packaging; incorrect sets pulled\n| Escalate early — avoid opening incorrect sets and wasting sterile supplies.\n|-\n| 10\n| Arrange sterile supplies (without opening)\n| Check correct set(s) for planned case; confirm seals intact; verify sterility indicators/expiry as visible; stage for opening.\n| Sterile packs placed on clean, dry surfaces; labels visible; expiry dates checked\n| Expired packs; damaged packaging; placed on contaminated surfaces\n| Leave a clear landing zone for opening; avoid stacking that crushes packaging or hides indicators.\n|-\n| 11\n| Check patient positioning equipment\n| Confirm needed positioning aids (straps, padding, armboards, stirrups, head ring) are present, intact, and clean.\n| Equipment present, clean, functioning and within reach\n| Equipment missing or not easily accessible; straps frayed; padding torn\n| Match to likely case needs before the patient arrives; replace/flag damaged items.\n|-\n| 12\n| Set up auxiliary equipment such as diathermy, warming devices\n| Route cords to reduce trip/pull risk; keep plugs accessible; avoid crossing walkways.\n| Cables inspected; grounding pads ready; devices tested\n| Faulty cables; ESU not tested; warming device missing\n| Route cords to reduce trip/pull risk; keep plugs accessible; avoid crossing walkways.\n|-\n| 13\n| Verify emergency equipment, supplies and medications\n| Confirm crash cart access and key items (functional airway equipment, supplies, medications, oxygen) reachable; verify charge/power.\n| Fully stocked; airway equipment (defibrillator, bag valve mask, suction) functional; equipment, supplies and medications accessible\n| Missing medications/supplies/equipment; defibrillator not charged\n| Quick reach test:\n\n* Can the team access the emergency kit without moving clutter?\n* Can the team identify the backup location of emergency items before starting?\n\n|-\n| 14\n| Patient data board, time-out list and count board\n| Prepare checklist/time-out materials; set up a count board; ensure patient placeholders are ready (update at time-out).\n| OR safety checklist and time-out set up for patient to be operated on with current, up-to-date information\n| Missing OR safety checklist and/or count board\n| Limit premature PHI (patient health information); update immediately before time-out; keep board visible to the team.\n|-\n| 15\n| Final room readiness check\n| Run a final sweep: clear pathways, remove hazards, confirm stations ready, retrieve or escalate missing items.\n| All stations ready; pathways clear; alarms and safety systems activated; safety hazards removed\n| Missing items; clutter; alarms and safety systems not functional; tripping hazards present\n| Use a consistent sweep order (door → anesthesia → scrub/circulator → exits) to avoid omissions.\n|-\n| 16\n| Ensure backup energy supply\n| colspan=\"4\" | Verbalizes that backup energy supply is checked and functional\n|}\n\n{{Page data}}"}