PREPARING THE PREP SET
a. Most hospitals use disposable prep sets, but preparation of the prep set is
the same. The circulator has opened the prep set and checked the sterilization
indicator for sterilization. You, the scrub, must now check the sterilization indicator that
is inside the prep set. The sterilization indicator verifies the sterilization process.
b. Arrange the items on the prep table -- sponges, sponge bowl, sponge
forceps, and prep cup (metal cup for antiseptic solution). Place the prep gloves on prep
table with hand towel resting on them. Once the circulator has poured saline into the
sponge bowl, moisten a sponge and wipe the powder from the glove.
PREPARING THE BASIN SET
a. The circulator has placed the basin set on the ring stand and opened both
wrappers. You must check the sterilization indicator. If the sterilization indicator shows
inadequate sterilization, discard the basin set; discard gown and gloves; regown and
reglove with a fresh set of sterile gown and gloves. The circulator will obtain and open a
fresh basin set.
b. If the sterilization indicator shows adequate sterilization, you will place the
large basin in the ring of the basin stand.
PREPARING THE LAP PACK
a. After checking the sterilization indicator, move the contents of the lap pack
to a corner of the back table. The lap pack will contain at least a Mayo stand cover, four
hand towels, a fenestrated sheet (fenestrated means opening, so a fenestrated sheet
has an opening for the operative site), and two drape sheets.
b. Arrange the drapes in order of use and place on ring stand. Both towels
and sheets are used as drapes. Towels can be absorbent or nonabsorbent and are
used for a variety of purposes such as absorbing moisture, as a cushion or anchor for
instruments, or draping the operative site. Leave the Mayo cover on the back table.
DRAPING THE MAYO STAND
a. The scrub picks up the Mayo stand cover to drape the Mayo stand. The
scrub then steadies the stand with one of his feet (see Figure 3-17) as he places the
drape over the end of the stand nearest him. The circulator assists by pulling the cover
over the stand (see Figures 3-17 and 3-18).
b. The scrub tucks the extra width of the Mayo drape under the tray so that
there is no sterile drape hanging down beneath the stand.