The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Fig. 39. Correct manner of handing chisel and mallet, suited to the posi-tion of the operator and the direction of the wound. right angles to its axis. So, too, with the mouse-tooth for-ceps next required. One should be held within easy graspof the operator, the other in the position in which his assistantwill apply it. So, too, with sutures, the instrument passershould place the needle holder with his left hand into theright hand of the operator and the forceps with his right handinto the surgeons lef
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Fig. 39. Correct manner of handing chisel and mallet, suited to the posi-tion of the operator and the direction of the wound. right angles to its axis. So, too, with the mouse-tooth for-ceps next required. One should be held within easy graspof the operator, the other in the position in which his assistantwill apply it. So, too, with sutures, the instrument passershould place the needle holder with his left hand into theright hand of the operator and the forceps with his right handinto the surgeons left, And so, too, with all the instru- Handing Instruments. m ments and all the dressings, even down to so small an articleas a safety-pin. During the course of an operation, only those few instru-ments in immediate use should be left on the patients body,or on the invalid table over his body, and these should becleaned whenever blood accumulates upon them. Othersthat have been used should be cleansed and replaced on theinstrument table or, if they have been soiled by infectious. Fig. 40. Handing suture and forceps. material, laid apart from the instruments that are still assistant should see to it that instruments lying on thepatients body are not brought in contact with the elbows ofthe operator, that the sharp points of tools are tarned down-wards, and that the towel on which the instruments are al-lowed to lie is replaced when it is blood-soaked or otherwisesoiled. 128 i^HE Surgical Assistant The assistant zvho hands sponges should observe the samesystem. She must watch the operation closely to adapt thesizes of the sponges to the needs developed. If gauze wipes are used, several may be placed near the wound,—by means of a pair of forceps to avoid undue handling. Ifsea-sponges are being employed she ought to have a clean onealways in her hand, ready when needed. This sponge shepasses from her fingers to the wound-assistants palm, takingthe soiled sponge from his
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
