Care of patient with microsurgery & equipment care by Lee Pamelia Joan Suyin https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig Read the slides and discuss on the microsurgery aspects en-us 2022-07-19 05:19:09 UTC 2023-07-24 08:34:26 UTC hello@padlet.com Tian Li https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248728593 Priorities of the scrub team:
* place the micro instruments in sequence of usage
* Place instruments in surgeon's hand properly and surgeon no need to turn away from surgical filed
* do not touch the tip of micro-instruments
* Wipe the tips of micro-instruments using lint-free cloth
* Do not place hands into surgical fields.

How circulating nurse anticipating:
* through the TV screen and monitor the progress of surgery ]]> 2022-07-24 09:48:17 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248728593 Tian Li https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248729650 Surgeries that need microscope: 
* Ophthalmology surgery:
Phaco/IOL; Retina reattachment; Trabeculectomy; 
* Hand/Plastic recon surgeries 
* Spine Instrumentation surgeries 
* Neuro surgeries]]> 2022-07-24 09:55:29 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248729650 Tian Li https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248731324 The most difficult part to maintain:
Microscope lens can be easily scratched. it should be treated with care and clean with proper lens clean lotion and cloth. ]]> 2022-07-24 10:00:37 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2248731324 Syakura https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249307631 Priorities for the scrub team:
  • Firstly, scrub nurses ensure that all equipment in the microsurgery are correct and intact especially the tip of the instrument.
  • Arrange the instrument in sequence according to surgeon’s preference or procedure
  • Ensure that microsurgery instruments are placed above e.g penny towel for easy access for surgeons especially during hand surgery
  • Pass the required instrument to surgeon in a proper way
  • Wipe the instruments after each used by using a gauze or penny towel. 
  • Ensure that hand is always above the sterile field to avoid contamination
 
Circulating nurse can help to;
  • Open consumables or any required sets that is needed intra-operatively by observing the procedure and with the help of the TV screen as well.
  • Should there be any bleeding, circulating nurse can help to standby the medication for hemostasis like the Duraseal etc.
]]> 2022-07-25 13:51:46 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249307631 Syakura https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249307827 Surgeries that require microscope are;
  • Hand
  • Spine
  • Plastic reconstruction surgery
  • Neuro surgeries
  • Eye surgery

]]> 2022-07-25 13:52:09 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249307827 Syakura https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249308400 The most difficult part to maintain is the microscope lens as it can be easily scratched or broken if not handled or maintain properly. We have to ensure that microscope are being kept properly after each used to avoid any damages to the lens. Microscope lens should be wiped using a clean cloth/anti-bacterial cloth after each used.
 
]]> 2022-07-25 13:53:22 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249308400 Chloe https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249803659 Ensure compliance to monitoring standards, high quality equipment and assisting surgical skills. ]]> 2022-07-26 07:49:33 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249803659 Chloe https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249805185 Compliance with handling protocol of the Microscope from manufacturer and in house training. 
Be familiar and get constant update for the use of the microscope and draping. ]]> 2022-07-26 07:52:30 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249805185 Chloe https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249807296 The microscope lens and mirror arm can be pushed and pulled easily in any direction. Nurses need to  to have in-depth knowledge on their features and the different steps before, during and after the surgical procedure.]]> 2022-07-26 07:57:01 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249807296 Han Huan https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249860353 Scrub nurse must know the surgeon preference and well prepared with the instruments and consumables before start the knife to skin . Must check the instruments are intact and complete before using. Also have a knowledge on the surgery steps , one hand step before surgeon ask.
Circulating nurse must check the instruments and consumables expiry day and make sure it’s sterile before open, also initiate to know the surgeon well and know the surgery steps well. ]]> 2022-07-26 10:01:11 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249860353 Han Huan https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249861149 Care of microscope: the lens is very fragile and easily to be blurred. So before surgery and after surgery we must clean and dry accordingly. And after use must cover the lens with cap, make sure the microscope is locked, otherwise it will move automatically without locked. ]]> 2022-07-26 10:03:19 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249861149 Han Huan https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249862121 Usually in OT, we have OTTA to help push the microscope inside the theatre , and they will help to drive too. As well, circulating nurse must know hot to drive the microscope independently. It can be driven with any direction. But be mindful that Ot have limited space , so don’t push so fast or large motion while driving. And be careful of the surroundings as well, do not overstep on other people’s feet.]]> 2022-07-26 10:06:03 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249862121 shuangcun https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249867130 scrub nurse:
1, check instruments properly with circulating nurse before op.
2. place the micro instruments accordingly.
3.carefully handling micro instruments
4. hand over the correct instruments to the surgeon
circulating nurse:
1, check instrument with scrub nurse.
2, provide the correct consummables to scrub nurse such as wipes, penney towel, spears, vessel clips...

]]> 2022-07-26 10:22:07 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249867130 Nurul Fadillah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249877573 Priorities for the scrub team:
- Ensure correct instrument set are open for the surgery.
-Ensure all the tip of the micro instrument are intact especially micro scissors and jewellers forcep.
- Ensure to place all micro instrument on top of penny towel and near surgeon for easier access and to protect patient as the tip of micro instrument can be sharp.
- To clean tip of micro instrument gently with wet gauze or wet merocel wipes. 
- To always pass the instrument in the direction that surgeon could use it without having to adjust as surgeon eyes are fixed on the microscope. 
- Always have an extra set available on standby in case of any instrument is contaminated or drop intra-operatively. 

Circulating nurse can help to:
-Open consumables such as sutures before scrub nurse or surgeon even asked for it by observing through the tv screen.]]> 2022-07-26 10:59:31 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249877573 Herman https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878568 To ensure instruments is available and to listen closely to what the surgeon is calling. Try to anticipate the next step. 
To ensure micro instrument tip is intact and to clean after every time we take back from surgeon.]]> 2022-07-26 11:03:20 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878568 Herman https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878970 To ensure proper care of microscope and ensure its is switch off correctly.
To anticipate where to position the microscope so that to ensure the flow of the theatre is not obstructed ]]> 2022-07-26 11:04:48 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878970 Nurul Fadillah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878990 Surgeries that requires microscope:
- Plastic (Flap reconstruction)
- Ent (Ear cases)
- Hand (hand reconstruction)
- Spine
-Neuro (craniotomy)]]> 2022-07-26 11:04:53 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249878990 Herman https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249879321 Ensure the microscope is returned to the recommended position and to ensure the lens is positioned in a way that its less likely to get hit as microscope is very costly ]]> 2022-07-26 11:06:10 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249879321 Nurul fadillah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249880295 The difficult part to maintain for the microscope is usually the part that is frequent use. The lens and the handle of the microscope. For the lens: once it is scarred it will affect the surgeon view and unable to see the operation field properly. Next for the microscope handle, surgeon tends to adjust the handle while their eyes is on the microscope lens to handle the height of the microscope. Due to not seeing the microscope handle, they may use excessive force and break the handle.]]> 2022-07-26 11:09:22 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249880295 Eleanor https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249903162 The lens of the microscope is hard to maintain. If it scratch, it disturbs the view of surgeons while operating. Use a specific cloth and wipe to clean the lens. If there is any dust, use a rubber bulb to blow air to remove dust.]]> 2022-07-26 11:46:13 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249903162 Eleanor https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249909078 Care of microscope

·       Ensure nothing in front before pushing the microscope.
·       Prevent microscope banging into anything
·       Wipe down the microscope and the lens with specific wipes
·       Turn off the microscope power first, instead of switching off the power switch.

Surgery that requires microscope

·       Eye Surgery
·       ENT
·       Neuro
·       Spine
·       Plastic recon

]]> 2022-07-26 12:01:52 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249909078 Eleanor https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249913373 Priorities for scrub team:

·       Prepare micro instrument and arrange in sequence
·       Do not touch the tip of the micro instrument and make sure it is intact does not chip, bend or blunt.
·       Place instrument directly to surgeon hand so he/she no need to turn away from the surgical view.
·       Clean the instrument tip
·       Never put hands into surgical field

 

How circulating nurse anticipating:

·       Observe the TV screen and open anything that require.

]]> 2022-07-26 12:13:39 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249913373 shuangcun https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249977189 sugery requires microscope:
1.Spine surgery such as microdisectomy
2.Hand surgery such as repairing nerve and vessel
3.Plastic surgery such as reconstruction
4.ENT surgery such as Tympanoplasy
5.Opthalmic surgery 
6. Neuro surgery 

]]> 2022-07-26 14:16:41 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249977189 shuangcun https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249991102 The most difficult part to maintain is always the easiest to break. For microscope, user would need to press a button in order to move the handle. However, new users, who are unaware of this feature, or forgotten to press the button, would force the handle to move, cause damage to the handle.
Another damage is always happen on the lens. As lens is fragile, it can be easily scratch and broken,so we must handle with care.]]> 2022-07-26 14:42:26 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2249991102 Afiqah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250006075 Priorities & how circulating nurse can anticipate:
- Ensure scrub nurse to check each of the instruments and witness with the circulating nurse. (eg. ensure all fine tips are intact, no bending of insturments)
-Make sure that micro instruments are placed in a safe place (e.g no heavy instruments are placed on top or place a penny towel for safety and lay out instruments for surgeon to choose).
-

]]> 2022-07-26 15:10:54 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250006075 Afiqah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250006560 Surgeries that use microscopes:
-Hand
-Neuro
-Plastics
-Spine

Care of microscope:
- use the correct disinfectant wipes to wipe down
- always autobalance before use
-do not force handles if its at locked/off mode. ensure that handles can move freely.


]]> 2022-07-26 15:11:58 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250006560 Afiqah https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250007958 The most difficult to maintain would be the lens . Lens easily damage as it is the most fragile area.]]> 2022-07-26 15:15:21 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250007958 Priscilla https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250009866 Priorities for scrub team:
·      Instruments are intact and arranged in order of usage
·      Focus on the surgical field and anticipate what is required next and pass the correct item in a manner the surgeon can pick up without looking away from the surgical field and use immediately.
Circulating nurse :
·      View the surgery from the screen and concentrate on the operation to help the scrub nurse anticipate on consumables required and open for them.
]]> 2022-07-26 15:18:24 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250009866 Priscilla https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250017750 Surgery which requires microscope: 
·      Flap reconstruction
·      Tympanoplasty
·      Hand reconstruction
·      Spine
·      Cataract surgery
]]> 2022-07-26 15:34:25 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250017750 Priscilla https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250018897 The lens of the microscope is the most delicate part of the microscope.
Once it is scratched the microscope cannot be used anymore and need to be replaced.
Therefore staff has to be trained to manage and handle the microscope.
]]> 2022-07-26 15:37:14 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250018897 Week 4 E-learning-Peter https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250025397 What are the priorities for the scrub team and how can the circulating nurse anticipate?
Priorities scrub Nurse:
1. Micro instruments handling. Care of the tips of the instrument from bend or blunt.
2. Correct way of passing micro instrument to the surgeon as the surgeon focus on the microscope. To prevent sharp injury.
3. Pass the correct instrument by placing the instrument in the correct sequence. By placing in the correct sequence, the scrub nurse can anticipate what are the micro instrument needed for the next step.
4. Pay intention to the tv screen, the scrub nurse can anticipate the step and prepare before they need the instrument.
5. To always check the tip of the instrument and clean the instrument using lint-free cloth after receiving back from the surgeon. 
6. Micro instrument cannot be mix with other heavy instrument. Use mayo trolley for micro instrument layout if not enough space in the main trolley.
How can the circulating nurse anticipate?
1. During Team brief ask surgeon for any additional set needed to be standby to prevent leaving the theatre during surgery. 
2. No playing phone!!!
3. Observe the surgery through the tv screen to anticipate any consumable that need to be open.
4. Always stay next to scrub nurse to witness micro needle.
5. Keep voice low volume to prevent distraction. ]]> 2022-07-26 15:51:01 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250025397 Week 4 E-learning - Peter https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250041517 Discuss the type of surgery that requires microscope intraoperatively.

1. Hand surgery (Repair of Cut structures, Nerve repair, vessel), Spine surgery, Neuro surgery, Plastic surgery, eye surgery, ENT Surgery

]]> 2022-07-26 16:17:48 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250041517 Week 4 E-Learning- Peter https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250047650 Start a new discussion thread on which parts do you think will be mostly difficult to maintain.
1. The most difficult part is to maintain the lens from scratches or broken. This may be due to inexperience staff pushing the microscope or operating the microscope. A proper in-service on handling the microscope need to be done in the ot. This to ensure all the ot nurses competent to handle the microscope as it is a costly device.   ]]> 2022-07-26 16:30:36 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250047650 Songli https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250321831 Priorities and anticipation from scrub nurses:

Ensure that microscope is available and in working condition before operation.
Sterile light handle is available
Proper positioning for microscope to enter and exit theatre without intefering eith other appliances]]> 2022-07-27 03:07:40 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250321831 Surgery that requires microscope - songli https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250323368 Eye surgeries - phaco iol implant
Hand and spine surgeries - reconstructions, microdiscectomy]]> 2022-07-27 03:10:16 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250323368 Songli https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250326136 Diifficult maintenance

Driving the microscope as its bulky and and ot entrances are barely large enough. Ot space is generally not big enough to accomodate the microscope with adequate allowance. Situation worsens if its a major case and there are many surgeons around - lesser space to manouver.
Lens care - some surgeons really dont bother to handle the scopes with care

Light source- due to long surgeries the bulbs can burn out and need time to replace. Meanwhile a whole other microscope need to be brought in to replace]]> 2022-07-27 03:15:37 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250326136 Marcus https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250901871 What are the priorities for the scrub team and how can the circulating nurse anticipate?
- Scrub nurses should ensure that the microscope and consumables are ready before the operation.
- Ensure sterility is maintained.
- Practice the proper way of passing of the microsurgery instruments to surgeons. (To decrease possible risks of sharp injuries)]]> 2022-07-28 02:08:12 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250901871 Marcus https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250903144 Neurosurgery, ENT Surgery & Consultation, Reconstructive Surgery, Dentistry, Orthopedics, Ophthalmology. It is used in surgeries that require precision instruments to repair intricate structures such as vessels and nerves.]]> 2022-07-28 02:10:21 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250903144 Marcus https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250904930 -Microscope maintenance (To ensure that microscope is working fine preoperatively)
-Cleaning of microscope (To prevent any rust and dust especially on specific parts of the microscope especially the lens which could occlude the surgeon's vision and disrupt/impair surgery.]]> 2022-07-28 02:13:44 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250904930 meihong s10244854 https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250911970 Firstly , scrub team should check microscope and do auto balance before surgery, make sure it's functioning and ready to use.
Secondly, scrub nurse should strictly use sterile technic  to drape microscope .
Thirdly , scrub nurse should use proper to handle microscope instruments and circulating nurse should supervise surgical team through out the procedure for any contamination of microscope .]]> 2022-07-28 02:25:50 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250911970 meihong s10244854 https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250917412 1. Hand surgery ( nerve and vessel reconstruction ) 
2. spine surgery ( MIS tubular ,laminectomy )
3. neuro surgery ( aneurysm clip ,tumour resection )
4. ENT surgery ( myringoplasty and so on )
5. plastic surgery ( recon cases ) ]]> 2022-07-28 02:35:32 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250917412 meihong s10244854 https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250921562 The lens is the most challenging component to maintain since it is easily damaged or shattered if not handled or maintained properly. We must ensure that microscopes are stored correctly after each usage to prevent lens damage. After each usage, the microscope lens should be cleaned with a clean, antibacterial cloth.]]> 2022-07-28 02:42:06 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2250921562 Law Lee Ying https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251618208 - understand the function of each micro instrument
- ensure all the micro instrument is intact and alignment is in the right position prior the surgery.
- handling with care to prevent bend or blunt 
- clean instrument using lint free cloth and elevate the tip of micro instrument with small roll of towel or paper.
- know the right way to pass in micro instrument while surgeon is focus on the surgical field through microscope. ]]> 2022-07-29 06:33:27 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251618208 Law Lee Ying https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251621114 - Neuro Surgery
- Spine surgery
- Eye Surgery
- ENT surgery 
- Plastic Surgery
- Hand Surgery (eg: nerve and tendon repair, Re-implantation of digit)

]]> 2022-07-29 06:41:22 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251621114 Law Lee Ying https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251625952 Functional Button on microscope:
- frequent use by surgeon to adjust the microscope arm, focus, lighting and others, frequent use may lead to button stuck and mal-functioning, required regular PPM.

Microscope lens:
- need to handle with care while changing to prevent scratch, it is EXPENSIVE.

Microscope Eye piece
- clean with recommended solution, cover microscope with well ventilation cloths, keep microscope at good ventilation area, to prevent fungus growth.
 ]]> 2022-07-29 06:55:15 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2251625952 Joanne https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254584678 Making sure instruments are available and listen closing about what the surgeon is asking for.
To clean instrument tip every time after surgeon pass it pass to me. 

]]> 2022-08-04 03:44:24 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254584678 Joanne https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254586029 To drape microscope without contamination and park at a side that surgeon is going to sit. 
Ensure the wire of the microscope is sticked down to the floor to prevent any staff from tripping over.  ]]> 2022-08-04 03:47:08 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254586029 Joanne https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254587549 The lens is the most fragile part of the microscope. To ensure that we handle it with care and prevent scratches.]]> 2022-08-04 03:49:57 UTC https://padlet.com/pamelia_lee2/w15nh7gmq2wi4mig/wish/2254587549