Saturday, May 06, 2006

hOw aN oPEraTiOn gOEs oN..

This time I want to tell you about an operation. This example is the simple one of an operation. Because, today there are so many sophisticated operation devices that make some changes of the configuration of the operation's team. Or it depends on the kind of operation, like Heart Surgery needs so many persons around the operation table.
The main actor of an operation is "the operator". He/She is the decision maker of an operation. What's the kind of incision, the technique that used, the tissue/organ that should be resected..Let's say, he/she is the captain of this team. An operator usually has assistants (commonly 2 persons,but can be more than 2 persons, according to type of the operation), that usually stand in the opposite side of him/her. So around the operation table, there are three person that standing. Next to the operation table, stand or sits an instrument. His/her duty is giving the operator the instrumentations he/she needs. So if the operator says.."Kocher clamp", the instrument gives it. But, if an operation is commonly done in the operation room and the instrument is usually getting involved, sometimes the instrument will give the operator instrument he/she needs before the operator says that. Like appendectomy or open prostatectomy . From each step to another step is very clear. So the use of the instrumentation is clear also. It is also happened to the assistants. If they were commonly getting involved into one kind of an operation, they know what the next step should do after this step (before the operator says that)..or if the assistants are having many experience, they will easily read what the problem on the operation table and try to make the operator easier to work.
All of the people I mentioned above are wearing sterile gowns.
There is another important person of an operation. This person is called as "the runner". He/she will give the instrument all of things that need by the operator. He/she will work very quickly, sometimes has to run! I think this is the cause why this position is given name as the runner.
The operator is a surgeon. The assistant can be a surgeon also or from the nurse. The instrument and the runner are the nurses.
Another important part of an operation is the role of the anesthesiology department. You can not start an operation before your patient is being anesthetic.
And other departments that also can be involved like..internal medicine, pediatric, Heart disease, Neurology. Sometimes there is a joint operation between two or more than two departments. Like Surgery joint Ophtalmology, if the patient has a trauma on eye.
So, to start an operation is not as simple as you think.
We are not slayers, though we work with sharp things too.
In other words, we work as a team and before we want to operate a patient, we have to prepare many things, that involving many persons from other departments. It is definetely a team work.

* The photo above is an example of an operation, with one operator, three assistants, one instrument and one runner.

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