Navigating the IRB
In this session, you will look at a few situations involving human subject research and decide what type of IRB approval will be needed. You will also be introduced to other regulatory processes if you work in a laboratory setting or work with animals. Learning Goals Describe how to navigate the Washington State University’s Institutional […]
Navigating the IRB (Facilitator)
In this session, you will look at a few situations involving human subject research and decide what type of IRB approval will be needed. You will also be introduced to other regulatory processes if you work in a laboratory setting or work with animals. Learning Goals Describe how to navigate the Washington State University’s Institutional […]
Pneumonia
Learning goals Define pneumonia and describe the pathogenesis of lower respiratory infections Compare and contrast the common bacterial causes of pneumonia in the following contexts: community-acquired, health-care-associated, persons with obstructive lung disease, immunocompromise, and aspiration Compare and contrast the clinical and diagnostic findings of typical and atypical community-acquired pneumonia Describe the clinical factors that are […]
Be helpful in the OR
Introductions Introduce yourself to room staff (especially the circulator and scrub tech). Chat with anesthesia if circumstances allow! They are very friendly and will often involve you in their process as the patient is settled. the board Put your name up on the board. You can also put your glove size next to your name. […]
Intraoperative flow
Surgical timeout Timeouts will happen before every surgery or procedure. When this happens, pause what you are doing and turn to the team. The flow will vary by site, but typically includes introducing the patient, case, safety factors, and any additional considerations. This is typically handled by the surgeon, anesthesiologist, circulator, and scrub. Your job […]
Prepare for cases
How to Prepare for Cases https://youtu.be/XvrGah7bpQQ (6:30 min.) Read the last note by your team/attending. The preop note by your attending is like the pot of gold at the end of the rainbow. It likely contains all the relevant information for the patient, surgery, indications, and so on. When available, read this! Read up on […]
Scrubbing in
What is the sterile field? The sterile field exists to reduce microbes present to as few as possible. It is used in many situations outside the operating room, as well as for performing surgical cases. Sterile fields should be used outside the operating room when performing any procedure that could introduce microbes into a patient, […]
Surgical skills to practice
Knot tying Single-hand ties (4:12 min.) Two hand ties (4:08 min.) Instrument ties (1:50 min.) https://www.youtube.com/watch?v=AOfdq-h1WMghttps://www.youtube.com/watch?v=EUEh_pf3Ipchttps://www.youtube.com/watch?v=SVZhJKB8RL0 Bonus I would take some extra silk ties from the suture carts, keep it in your pocket and practice hand ties. Great knot tying is a great way to prove your skills to your team! Additionally, develop proficiency tying […]
Interdisciplinary team members
Treat everyone with respect. You can learn from every single team member in the room. Treating them with kindness and respect can make or break your surgical rotation and the other learning opportunities you will have. Attending surgeon The primary for the case. In complex cases, multiple attendings will work on the same operation. Surgical […]
Rounding on surgical specialties
https://youtu.be/yhae_Xep0q4 (10:29 min.) Priority 1: read the latest post-op note. You can ask your team members for the progress note templates they prefer. Familiarize yourself with the jargon used by the service/team you are working on. For example, well appearing incisions are often described as: “clean, dry, and intact” and normal post-op abdominal exams can […]