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HSHV
SURGERY SUPPORT VOLUNTEER TRAINING
Overview of Today
Tour of clinic
Expectations
Roles and responsibilities
Clinic/Volunteer schedule
Hands-on Building of Surgery
Packs, Linen Folding
1
Expectations
Be comfortable with and respectful of tough decisions that will
be made by HSHV staff. Euthanasia will be a part of this
environment.
Be able to be around surgery and blood. Faint of heart need
not apply.
Be willing to commit to a regular schedule
to provide consistent support to the team.
Be mindful of your environment. Use “indoor”
voices for conversations, give staff space to work, especially during a difficult or complicated surgery or recovery.
Schedule of Volunteering Times
Weekdays (occasional weekend, based on need)
Monday – Friday- 1 volunteer per shift
11:00am-1:00pm – most popular shift
2:00pm-4:00pm
Can commit to a specific day/time each week to
provide consistent support for surgical team. Or
select days as open
Roles and Responsibilities
Role: Be the eyes of the clinic, see what jobs need to be done…do them!
Primary responsibilities include:
Cleaning cages after the animals have been moved*
Take out trash in dog and cat recovery rooms
Laundry
Popping syringes*
Making surgery packs/fold drapes and wraps
Washing/organizing instruments, mask, etc.
*depends on shift
Roles and Responsibilities
• Shelves are marked for
ease of putting clean
laundry away.
New towels can also
go in basket under
table in center of
room on prep side
Remove all dirty
laundry as needed.
Tips for Success:
• Before entering clinic for shift, stop by
Laundry for any clinic laundry and pick up
some large towels. They’re always needed
in clinic, cat & dog recovery. Small blue &
green towels are in cabinet under counter
with instruments. When finished, they go in
Clinic Laundry.
• Stock towels/blankets in recovery/surgery
area shelves.
• Use the hallway entrance to gain
access to this area- avoid walking
through surgery to prevent
contamination of this sterile
environment
•Use quiet voices around animals recovering.
Daily Tasks- In order
Daily Task #1- Recovery Rooms
Maintain cleanliness in cages:
Observe animals as they recover in the
rooms and report any animals to
technicians who are not recovering well
Restock supplies such as towels,
paper towels, refill disinfectant
spray bottles, bowls, litter, etc.
Empty laundry bins (also in hall)
Garbage removal as needed
Most Important
Daily Tasks cont’d.…
Daily Task #2- Surgical Packs &
Sterile Equipment
Folding drapes and wraps
Clinic laundry transfer as needed
Organizing surgical instruments
Washing instruments, masks,
endotracheal tubes, and dental
equipment
Wrapping packs and individual
instruments
Daily Tasks cont’d.…
Daily Task #3: When all
the other tasks are done, you can…
Sweep the floors
Replenish supplies
Paper & bath towels
Fill Accel bottles
1. Door can be found in the hallway.
2. Set the concentration amount
(match the bottle color on the neck).
3. Use these tubes to fill bottles.
Washing Instruments - How To!
1. Scrub each instrument in the
sink on the right, with a brush,
removing all debris- blood,
tissue, etc.
3. Once all instruments
are in Ultrasonic Cleaner,
cover and set timer for 10
minutes.
2. Place cleaned, UNLOCKED
instruments into Ultrasonic
Cleaner.
Note: Staff will fill both tub in sinks and
Ultrasonic Cleaner with proper
concentration of cleaning solution.
Washing Instruments - How To!
5. After distilled water bath, place instruments
(only) into instrument milk & let set for one
minute (look at clock).
6. Lay instruments out to dry, opened
on a clean towel. You may help drying
by patting with a towel.
4. After instruments are
done in Ultrasonic cleaner,
dunk instruments and
basked right into distilled
water bath
Washing Instruments - How To!
7. After they are completely dry, place
unlocked instruments into their
appropriate bins. Razor and Clipper
Blades can be put in the blue misc bin
for staff to put away.
8. Black Velcro Strips come in
small and large sizes. After
they are finished drying,
attach them to the wall according to size.
Velcro Strap Attached
to mask
Washing Instruments – DentalDental Instruments do not need a “milk bath.” After the ultrasonic
cleaner, hand dry with blue towel and put away.
Drawer for the
dental instruments
can be found at
the “wet table.”
Dental instruments
can be identified by
the green band
around the handles.
See note on top of
page.
Inside the “wet
table” drawer
where clean
dental
instruments are
stored.
Laundry
Washing Instruments - How To!
Instruments in the Left Sink :
Wash items in the left sink
with a clean non-abrasive
sponge (masks,
endotracheal tubes, etc.)
Rinse items thoroughly and
air dry on a clean towel or
hang to dry above sink.
Folding Surgical Packs - How To!
The Final Product
3. Select the instruments to be wrapped-
Surgery Packs Document for list of items.
Read carefully & watch for changes
2. Place the “steri” onto
the gauze
1. Open a blue, green, or tan wrap and
place gauze in the center. IMPORTANT:
make sure there are ONLY 6 gauze pieces!
Exception: Large
dog spay has 12
gauze pieces
Folding Surgical Packs - How To!
5. Stack hemostats and
carmalt on top of each
other (largest on bottom
and smallest on top)
4. Place spay hook &
forceps on top of your 6
gauze pieces.
Folding Surgical Packs - How To!
7. Cover with one
drape
6. continued…view
from side6. Place stack on top of
gauze, (view from top)
Folding Surgical Packs - How To!
8. Fold from bottom up: Bring in tightly
(but not so tight the instruments break
through the material)
10. Bring the left side up,
continuing to keep the material
taught, and fold back half-way
9. Fold back (accordion) any
extra material from the first fold
11. Now, fold the right side
the same as in step 10
Folding Surgical Packs - How To!
12. Rotate pack and make final fold
from bottom up
14. Last step: Folded pack should be
secured. Add a section of tape and write on
the tape the current date and the code for
that surgical pack, and your initials. Make a
little tab for the vet to grab!
13. Tuck extra material into the top pocket of the pack, keeping corner tab exposed. The pack should remain very taught the whole time.
15. You are done!
Place on top of autoclave,
avoiding vent.
Folding Surgical Linens - How To!
1. Lay surgical drape out flat.
2. Fold the material in a
accordion style fashion-
the long side of the drape
Instead of folding
from the middle,
begin fan- folding
from the edge.
Folding Surgical Linens - How To!
3. Fold in half, from
right to left
5. Flip and
fold the
other side
back
4. Fold the top back in
half again, from left to
right
6. Final product!
These are the packs we will
add to the surgery packs
Proper Use of Rescue (formerly Accel)
See Handout: Clinic Cleaning
Procedures
It is important to know and to follow the
cleaning procedures for the following:
Types of Rescue/Supplies Needed
Recovery Cage Cleaning – Cats & Dogs
Instrument Cleaning Order, as of 5/13/15
(Posted on wall above sink)
High Suds
Rinse with tap water
Ultrasonic (10 minutes)
Distilled dunk
Milk (1 minute)
Dry
Small blue & green towels are in a
cabinet under the counter with
instruments. They go in clinic
laundry when you are finished with
them.