(2) Normal saline solution is used in the following instances.
(a) Tissue specimens are to be examined for the presence of
(b) Tissue specimens are to be photographed (formalin discolors
tissue). Once a routine specimen has been photographed, it may be placed in 10%
(c) Tissue specimens are to be prepared for frozen section. Tissue
will be placed in a specimen container, labeled, and sent to Pathology immediately.
h. Prepare the appropriate forms, such as the SF 515 (Tissue Examination)
according to local policy. Also, write the information required by local policy on a
gummed label and stick it on the specimen jar. (Such information should include at
least the patient's name and register number, the name of the operation, the surgeon's
name, the date, and the kind of tissue included for examination.) This precaution
ensures that the specimen can be identified with the appropriate patient in case the
pathology forms are lost.
Turn on the suction machine when all furniture is moved in place.
j. According to local procedure, prepare two copies of the appropriate
anesthesia record, SF 517 (Clinical Record - Anesthesia) by stamping it with the
patient's hospital card (see Figure 4-1).
k. Take the sponge count with the scrub and a registered nurse. Make sure
that you see each sponge.
l. Prepare the adhesive strips and any other materials required for dressing
the patient's wound.
m. Fill out an "Operative Sheet" or "Buck Slip" according to local policy.
Record in appropriate places on this sheet identifying information about the patient, the
name of the operation (procedure), the tissue specimen, and the names of the surgeon,
the anesthetist, the scrub, and the circulator. A sample of DA Form 4107, Operation
Request and Worksheet, is illustrated in Figure4-2.
n. If you are relieved during the operation, instruct the new circulator on what
is taking place before you leave the room. You must also do a "turn over count" of
sharps and sponges before you leave the room.