The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Figure 20 illustrates the conveyance of a person by twomen. Obviously the assistants should arrange themselves,in lifting the body, with reference to the side of the tableor, after the operation, the side of the bed, to which thepatient is to be restored. It is well to place the patient at once in the position uponthe table which he is to occupy, for shifting afterwards isawkward. The arms should be so disposed that they arenot subjected to any pressure or stretching (see page 86). 68 Preparation of a
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Figure 20 illustrates the conveyance of a person by twomen. Obviously the assistants should arrange themselves,in lifting the body, with reference to the side of the tableor, after the operation, the side of the bed, to which thepatient is to be restored. It is well to place the patient at once in the position uponthe table which he is to occupy, for shifting afterwards isawkward. The arms should be so disposed that they arenot subjected to any pressure or stretching (see page 86). 68 Preparation of a Patient for Operation. 69 If the operation is one that requires a preliminary lavage ofthe stomach that has not already been performed, the assist-ant should next give his attention to this (page 200). It will save much trouble and discomfort if, before thefield of operation is disinfected, the patients clothing is rolledup far enough to prevent soiling and wetting. Thus, thenight shirt and undershirt should be drawn well up to theshoulders posteriorly if a laparotomy is to be Fig. 19. Lifting and carrying a patient. A blanket or sheet is then spread over the parts of the bodynot to be exposed for the operation, but the movements ofthe chest must not be impeded by heavy covering. A rub-ber sheet turned over the edge of the blanket will preserveit from soiling. The field of operation must then be cleansed over a widearea. Even if the parts are not hairy they should be 70 The Surgical Assistant. shaved. Cleansing with green soap and hot water bymeans of a stiff brush or a soft cotton mop, as the operatormay prefer, must be thorough in either case and per-formed with clean hands. Abundant lather is necessary,but not more important than a sufficiency of water, whichit is well to apply from time to time during the and crevices of the skin and especially the vimbilicus(in abdominal operations) must be cleansed deliberately and
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