b. As mentioned above, relationships are never all positive or all negative.
Given the ambivalence of relationships and our natural tendency to deny negative
aspects of relationship, death of a loved and valued person brings about a critical
situation. Anger because the person has left through death is added to the unresolved
anger in the relationship, and at the same time expression of this anger becomes
unacceptable. In their deep need to express this kind of anger, people often transfer it
to the doctor and hospital.
Section IV. POLICIES AND INFORMATION ON FILE
Several sources of information are kept within the surgical suite and are available
to the specialist. These sources or references, discussed in the paragraphs to follow,
make up the local policy for the suite. The specialist should, therefore, know where
these references are kept and refer to them as often as necessary.
2-30. PROCEDURE MANUAL
The procedure manual sets forth step-by-step instructions for the performance of
tasks within the surgical suite. Also, the administrative policies for the suite are often
included in the procedure manual. The specialist may refer to the procedure manual at
any time to check the local policy for the performance of assigned tasks.
2-31. INSTRUMENT CARD FILE
a. Discussion. Instrument cards contain information as to the "basic"
instruments and other items used for the various kinds of operations (such as
appendectomy, cholecystectomy, tonsillectomy, and so forth). The selection of instruments
for a given operation is made in accordance with information on the appropriate card in
b. Basic Instruments. The instruments with which an operation may be
performed are classified as the basic instruments (or basic set) for that operation.
Therefore, each card in this file has recorded on it the name of the operation, the names
of the instruments needed, the sizes (for instruments available in different sizes), and
the number of each kind of instrument to be included.
c. Other Items. Items not considered instruments (such as drains, safety pins,
and so forth) but needed to perform the operation are also listed on the instrument card.