Question

The circulator observes the scrub nurse as she picks up a disposable scalpel blade with gloved fingers and is attempting to attach it to the reusable scalpel handle. How should the circulator respond?

A No response is required. Fingers are more dexterous allowing the blade to be easily fitted onto the handle
B Suggest the scrub nurse lay the blade on the Mayo stand and slide the handle onto the blade.
C Tell the scrub nurse to hold the blade in a clamp or needle holder and advance it onto the handle.
D Say nothing to disrupt the scrub nurse but use this example to reinforce to the OR manager the need for only disposable scalpels.

Answer 1

The circulator should suggest the scrub nurse use a clamp or needle holder to attach the scalpel blade, as it is the safest method and minimizes injury risk while maintaining a sterile environment.

Step-by-step explanation:

The circulator should respond to the scrub nurse's attempt to attach the blade to the scalpel handle with gloved fingers by recommending a safe and proper technique. The correct response is C: Tell the scrub nurse to hold the blade in a clamp or needle holder and advance it onto the handle. This method is preferred as it minimizes the risk of injury and exposure to sharp objects, maintaining a sterile environment and promoting safety in the operating room. Handling sharp instruments with gloved fingers directly is not recommended due to the potential risk of puncture or injury to the gloves, which could compromise sterility and possibly lead to infection.