For an operation theatre (OT) nurse should prepare?

BCCL kharkhanda Staff Nurse - 2015

Medical & Surgical Nursing

Easy

Appeared in: BCCL kharkhanda Staff Nurse - 2015

Explanation

A Mayo trolley, or Mayo stand, is specifically designed to hold sterile instruments and supplies required for immediate use during a surgical procedure.
It is positioned over or next to the patient, within the sterile field, allowing the surgeon and scrub nurse easy and quick access to tools.
Preparing the Mayo trolley is a core responsibility of the OT nurse to ensure the surgery proceeds smoothly and sterile technique is maintained.
The stand is adjustable and placed conveniently for the surgical team, making it an essential piece of furniture for any operation.

Option A: A dressing trolley is equipped for wound care, such as changing dressings and removing sutures, not for holding the primary set of instruments for a major surgical procedure.
Option B: An emergency trolley, or 'crash cart,' contains life-saving medications and equipment for resuscitation (e.g., defibrillator, intubation supplies). It is not used for the planned instruments of a routine surgery.
Option D: A 'washing trolley' is not a standard term for a trolley prepared for surgery. Trolleys are used to transport soiled instruments to the decontamination or 'washing' area after a procedure is complete, not to prepare for one.

Clinical Relevance

Nursing practice connection: Knowing Equipment preparation in the operation theatre helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Proper preparation and management of the Mayo trolley are critical for maintaining aseptic technique and preventing surgical site infections (SSIs), a major patient safety concern.
An efficiently organized Mayo stand ensures the surgeon has the right instrument at the right time, which can reduce surgical duration, minimize anesthesia time, and prevent potential complications.
What if? If the surgeon requires an instrument that was not placed on the Mayo stand, the circulating nurse must retrieve it and present it to the scrub nurse using a sterile technique. This process takes time and slightly increases the risk of contamination, highlighting the importance of thorough pre-operative planning.

How to Approach the Question

First, identify the core question: What specific trolley does an OT nurse prepare for a surgical procedure?
Analyze the setting provided, which is the 'operation theatre' (OT). This implies a sterile environment for surgery.
Evaluate the function of each option. Consider what each trolley is typically used for in a hospital.
Recall that the Mayo trolley (or stand) is the primary surface for holding frequently used sterile instruments within the sterile field.
Eliminate the other options based on their distinct functions: 'Dressing trolley' for wound care, 'Emergency trolley' for resuscitation, and 'Washing trolley' for post-procedure cleaning.
Conclude that the Mayo trolley is the only option directly related to the setup of instruments for an ongoing surgery.

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 69-71