Case No: Minor Scrub 2

Name of Student: Salazar, Nica Sharmaine C.

Year/Section & RLE: 3NUR8 RLE4

Name of Patient: Lolita Barcalia Merin Age: 58 Sex: F Civil Status: Married
Date of Admission: 10/14/17 Time Started & Ended: 11:45-11:51 PM
Date of Surgery: 10/14/17
Bed #: 3011 Hospital No: 17-13000000638 Admission No: OPD

Surgeon: Dr. Dexter D. Paz Anesthesiologist: LOCAL

Assistant Surgeon: Dr. Ralph Olalia Scrub Nurse: Dominica Lady Reisa T. Tolentio, RN
Circulating Nurse: Christpoher James Z. Ruz, RN

Chief Complaint: n/a

Rationale/Definition:

Post-Operative Diagnosis: Epidermal Lesion Right ear

Rationale/Definition: Skin diseases on the external aspect of the ear are seen in a variety of medical disciplines.
Dermatologists, othorhinolaryngologists, general practitioners, general and plastic surgeons are regularly consulted regarding
cutaneous lesions on the ear. The auricle is susceptible to environmental influences and trauma.

Complete Surgical Procedure: Excision/shaving of Epidermal Lesion Right ear

Definition: A shave excision is a simple procedure that your doctor can use to remove growths, such as moles, lesions, and
tumors, from your skin.
Type of Anesthesia:
Specific Technique:
Skin preparation/ Assistance done: LOCAL
Items used to Administer Anesthesia:
Main Anesthetic Agent: Xylocaine
Mechanism of Action: alters signal conduction in neurons by blocking the fast voltage-gated Na+ channels in the neuronal
cell membrane responsible for signal propagation.

Position: Supine
Equipment used for Positioning: Straps/ safety belt, donut
Incision: n/a
Skin Preparation: around the era
Disinfectant Used: cutasept
Draping: Laparotomy sheets

Sutures and needles: N/A

INSTRUMENTS:

CLAMPING RETRACTING GRASPING CUTTING OTHERS

Towel clips N/A Tissue forceps Straight mayo Kidney basin
Kelly regular Adson Metzembaum Medicine cup
Curved mayo Bowl
bone curette