A 41-year-old woman with suspected primary adenocarcinoma of the thyroid is scheduled for total thyroidectomy surgery.The scrub person,a new perioperative nurse,is determined to participate in employing risk reduction strategies in the scrub role.Examples of risk reduction strategies for thyroid surgery,within the domain of the scrub role,would be:

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The instrument table should be kept sterile until the patient is extubated and has left the OR.A tracheotomy tray with tubes should be readily available should an emergency tracheotomy be necessary.When using an alcohol-based prep solution around the head and neck,there is an increased risk for a surgical fire.Follow the manufacturer's directions for the prep solution carefully; the patient's skin should be totally dry and all fumes from the prep solution dissipated prior to draping in accord with fire safety precautions.Self-adherent tape strips or drapes also promote maintenance of the integrity of the sterile field and reduce the risk of intraoperative fire hazard by sealing off the operative site from anesthetic vapors that may have leaked and become trapped under the drapes.

A 41-Year-Old Woman with Suspected Primary Adenocarcinoma of the Thyroid