Surgical and Delivery Room Instruments Guide for Nursing Students, Summaries of Nursing

This educational booklet serves as a visual and textual guide for nursing students and healthcare trainees to understand and identify commonly used surgical instruments in operating and delivery rooms. It covers suturing, exposing, clamping, occluding, grasping, holding, cutting, and dissecting instruments, emphasizing their precise design and function in surgical procedures. The guide aims to enhance students' confidence and competence during clinical practice and operating room rotations by providing early exposure and hands-on familiarity with these essential tools.

Typology: Summaries

2024/2025

Available from 11/30/2025

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OPERATING &
DELIVERY ROOM
INSTRUMENTS
REGUA, JESSA MAE C.
REGUA, LESLY ANNE C.
NARVACAN DISTRIC HOSPITAL
SURGICAL
INSTRUMENTS
SURGICAL
INSTRUMENTS
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A Guide to Surgical Instruments:
An Educational Booklet for Nursing
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OPERATING &

DELIVERY ROOM

INSTRUMENTS

REGUA, JESSA MAE C.

REGUA, LESLY ANNE C.

NARVACAN DISTRIC HOSPITAL

SURGICAL

INSTRUMENTS

SURGICAL

INSTRUMENTS

A Guide to Surgical Instruments: An Educational Booklet for Nursing

A Guide to Surgical Instruments: An Educational Booklet for Nursing

& SUTURING INSTRUMENTS

OTHER INSTRUMENTS

SUTURING INSTRUMENTS &

OTHER INSTRUMENTS

it has a strong grip, blunt jaws, larger size. It is used to

grasp and guide the suture needle during stitching. It is

a standard tool for all suturing tasks.

it has a strong grip, blunt jaws, larger size. It is used to

grasp and guide the suture needle during stitching. It is

a standard tool for all suturing tasks.

R D E O L H H O L D E R E L E E D N N E E D L E
E L E E D N N E E D L E G N I S U T U R S U T U R I N G
R D E O L H H O L D E R E L E E D N N E E D L E R A H E G - O Y A M M A Y O - H E G A R
E S U T U R S U T U R E
  • It is a curved or straight; may be cutting, reverse

carry the suture point. It is used to- cutting, or taper

material through tissue during wound or episiotomy

repair. Choice of needle depends on tissue type

.) e.g., vaginal wall, skin, muscle( and procedure

It is a curved or straight; may be cutting, reverse-

carry the suture cutting, or taper-point. It is used to

material through tissue during wound or episiotomy

repair. Choice of needle depends on tissue type

and procedure (e.g., vaginal wall, skin, muscle).

larger size. It is It has a strong grip, blunt jaws, and

used to hold larger suture needles during repair of

and section-C in common is It tissues. deep

perineal repair.

larger size. It is It has a strong grip, blunt jaws, and

used to hold larger suture needles during repair of

and C-section in common is It tissues. deep

perineal repair.

the on depends absorbable- non or absorbable Maybe

close wounds or surgical incisions by material. It is used to

and healing proper promoting together, tissues holding

minimizing the risk of infection. They provide mechanical

support to the tissue until it regains enough strength to

hold itself.

the on depends non-absorbable or absorbable Maybe

close wounds or surgical incisions by material. It is used to

and healing proper promoting together, tissues holding

minimizing the risk of infection. They provide mechanical

support to the tissue until it regains enough strength to

hold itself.

Introduction 01

Operating Room Instruments 02

Delivery Room Instruments^03

TABLE OF

CONTENTS

AUTHORS

,au Reg

.C Mae ass Je Regua,

Jessa Mae C. ,au Reg

.C Anne yls Le Regua,

Lesly Anne C.

Army-Navy Retractor

Deaver Retractor

Malleable Retractor

Senn Retractor

Richardson Retractor

It has a long, flat, curved blade
retract deep organs used to
such as the liver or intestines
It surgery.. abdominal during
to handling careful requires
avoid pressure injury to organs
or vessels.

Gelpi Retractor

RETRACTING & RETRACTING &

Has a right-angled blade with a
sturdy handle, used to retract
the abdominal wall and provide
deep during exposure
surgeries. It is available in small
different for sizes large and
depths.
It has a double-ended flat
different with blades
retract to used lengths,
shallow incisions or wound
in common is It edges.
and sets surgery minor
emergency kits.
It has a double-end which is
one blunt blade and one rake
to used is It (3-pronged).
retract skin and superficial soft
tissue during small procedures.
plastic in used often is It
hand and podiatry, surgery,
procedures
A flat, thin metal strip that can
be bent or molded. Used to
retract or protect soft tissue
as shaped organs, and
needed by the surgeon. It is
frequently is and versatile;
and abdominal in used
thoracic surgeries.
self-retaining with single It is
sharp curved prongs. Used to
in tissues deeper retract
like fields surgical smaller
It perineal or back surgeries.
exposure excellent provides
and sharp tips must be placed
carefully to prevent injury.

OPERAOPERA

pn

RORO

INSTRUINSTRU

It is shaped like scissors. It is used to securely apply an umbilical clamp to the newborn’s cord. It ensures safety and proper clamp placement.

KELLY CLAMPKELLY CLAMP Has curved or straight jaws; horizontal serrations It is used to control bleeding or hold tissue during delivery and repair. It is standard in delivery and repair kits.

It is long with horizontal serrations. It is used for clamping large vessels or heavy tissue in postpartum hemorrhage control. It is also used for packing gauze into uterine cavity.

It is a fine, delicate; curved or straight tips. It is used to clamp very small vessels in superficial areas. Ideal for minor bleeding control in perineal repair.

It has a plastic material that locks in place. It is used to occlude the umbilical cord after birth to prevent bleeding. It remains until cord dries, then removed.

MOSQUITO CLAMPMOSQUITO CLAMP

UMBILICAL CORD CLAMP APPLIER

UMBILICAL CORD

CLAMP APPLIER

CLAMPINGCLAMPING & OCCLUDING & OCCLUDING I I N S T R U M E N T S N S T R U M E N T S

ROCHESTER-PEAN CLAMP

ROCHESTER-PEAN

CLAMP

UMBILICAL CORD

CLAMP

UMBILICAL CORD

CLAMP

OMOM

MENTSMENTS

TINGTING

TissTissue Forcepue Forcep

Has 1×2 or 2×3 teeth for firm grip. It is used to grip skin and tissue layers during perineal repair. It enables precise handling of tissue during suturing.

Has 1×2 or 2×3 teeth for firm grip. It is used to grip skin and tissue layers during perineal repair. It enables precise handling of tissue during suturing.

GRASPING AND HOLDINGGRASPING AND HOLDING

InstrumentsInstruments

PlacenPlacenta Forcepta Forcep

De BakeDe Bakey Forcepy Forcep

Long curved forceps used to grasp and remove retained placental tissue. It helps prevent infection and postpartum hemorrhage.

Long curved forceps used to grasp and remove retained placental tissue. It helps prevent infection and postpartum hemorrhage.

Flat serrated tips but has no teeth. It is used to handle gauze, dressings, and delicate tissues. It is gentle enough for delicate postpartum tissues.

Flat serrated tips but has no teeth. It is used to handle gauze, dressings, and delicate tissues. It is gentle enough for delicate postpartum tissues.

Used to cut or dissect delicate tissue

such as fat or soft muscle It has

slender shaft with blunt tips. Not

intended for cutting sutures or heavy

tissue – misuse can dull the blades

quickly.

04.04.

METZENBAUM SCISSORSMETZENBAUM SCISSORS

05.05.

TENOTOMY SCISSORSTENOTOMY SCISSORS

It has a small blades with sharp tips

.used for fine dissection in delicate

procedures, especially in ophthalmic

or pediatric surgeries.

CAUTERYCAUTERY^ 06.06.

Pencil-like device with buttons or foot-

pedal control; often disposable tips. It

is used to cut tissue and coagulate

blood vessels using high-frequency

electric current. It has Has cutting

(yellow button) and coagulation (blue

button) modes; it must be grounded

properly to avoid electrical burns.

Bandage ScissorBandage Scissor

Has an angled blade with a blunt

tip. It is used to make a controlled

to perineum the in incision

prevents It delivery. facilitate

ragged tears during childbirth.

CUTTING AND DISSECTINGCUTTING AND DISSECTING

InstrumentsInstruments

Scissor t raight o Sy MaMayo Straight Scissor

Has a thick, straight blades with

blunt tips used to cut sutures. It is

Standard for suture cutting during

repair.

e Scissorvru o Cy MaMayo Curve Scissor

Has a thick, curved blades used

during tissue dense cutting for

postpartum repair. It is preferred

for deeper cutting due to curve.

m Scissoru enbatz MeMetzenbaum Scissor

A long, thin, curved or straight blades. It is

used for cutting delicate tissues during

for Excellent is It repair. episiotomy

internal soft tissue work.

A short scissor; often with blunt tips. It is

used to cleanly cut the umbilical cord after

clamping to ensure safe cord separation.

Umbilical Cord ScissorUmbilical Cord Scissor

ScalpelScalpel

Used for making precise incisions through skin and soft

general (curved, #10 blades: Interchangeable tissues.

use), #11 (sharp point, for puncture incisions), #15 (short

curved blade for delicate areas). Blades are replaced

using forceps, never with bare hands.

It has rounded, fenestrated

jaws; non-toothed. Used to

delicate grasp gently

tissues such as intestines,

ovaries, or fallopian tubes.

It is common in OB-GYN,

bowel and urologic,

procedures.

KOCHER FORCEPKOCHER FORCEP

It has 1×2 large teeth at tip;

for used grip strong

or tissue tough holding

in bleeding controlling

fascia and muscles. It is

and orthopedic in useful

for surgeries abdominal

holding firm tissue layers.

It has a long, narrow tips

atraumatic fine with

to serrations. it is used

grasp delicate vascular or

without tissues soft

is It trauma.. causing

standard in cardiovascular,

neurosurgical and GI,

procedures.

BABCOCK FORCEPBABCOCK FORCEP ALLIS FORCEPALLIS FORCEP

GRASPING AND

HOLDING

GRASPING AND

HOLDING

T S N E M S T R U N I I N S T R U M E N T S

Has an interlocking teeth at

to used traumatic, tip;

tissues hold and grasp

or fascia typically firmly,

skin. It is not suitable for

delicate tissue—can cause

bruising or tearing.

SPONGE HOLDERSPONGE HOLDER ring-^ with^ forceps^ Long

shaped, serrated tips used

to hold gauze or sponge for

or prepping, swabbing,

in pressure applying

to used Also cavities.

handle sterile items; can be

antiseptic apply to used

solution to skin.

TISSUE FORCEPTISSUE FORCEP DEBAKEY FORCEPDEBAKEY FORCEP

It has a Has 1×2 or 2×

teeth at the tip; provides

secure grip. Used to grip

and stabilize tougher tissue

or suturing during

dissection.. It is ideal for

skin closure; avoid using on

fragile tissues like bowel.

Weitlaner Retractor

Volkmann Rake Retractor

EXPOSING INSTRUMENTS EXPOSING INSTRUMENTS

Balfour Retractor

Harrington Retractor

Bladder Retractor^ Murphy Retractor

sweetheart as called also is It
retractor as it has curved blade
with heart-shaped tip. It is used to
retract deep organs like the liver
is It trauma. causing without
common in liver retraction during
gallbladder or gastric surgeries.
It is handheld with multiple blunt
or sharp prongs (3–6). It is used
to retract superficial tissues like
layers. subcutaneous and skin
tissue, soft for blunt Choose
sharp for fascia or muscle layers.
two with self-retaining A
lateral blades and a center
blade. Used to hold open the
abdominal wall during major
abdominal surgeries such as
laparotomy. It provides wide
often exposure; stable and
used in bowel or exploratory
surgeries.
with self-retaining A
ratcheted mechanism and
multiple prongs. Used to
hold back shallow tissue
spinal or orthopedic in
procedures. It allows the
operate to surgeon
once hands-free
positioned.
A handheld retractor with sharp
or blunt prongs (usually 2–4) and
to Used handle. ring finger a
retract superficial tissues such
during muscle or skin as
orthopedic or general surgeries.
with confused often is It
finger has Murphy Volkmann;
ring, Volkmann does not.
Has a long, flat, curved blade
with a handle; often part of self-
retaining sets like Balfour. Used
to retract the bladder downward
or pelvic during it protect to
It surgeries. abdominal lower
from bladder the protects
accidental injury.

Army-Navy Retractor

Deaver Retractor

Malleable Retractor

Senn Retractor

Richardson Retractor

It has a long, flat, curved blade
retract deep organs used to
such as the liver or intestines
It surgery.. abdominal during
to handling careful requires
avoid pressure injury to organs
or vessels.

Gelpi Retractor

RETRACTING & RETRACTING &

Has a right-angled blade with a
sturdy handle, used to retract
the abdominal wall and provide
deep during exposure
surgeries. It is available in small
different for sizes large and
depths.
It has a double-ended flat
different with blades
retract to used lengths,
shallow incisions or wound
in common is It edges.
and sets surgery minor
emergency kits.
It has a double-end which is
one blunt blade and one rake
to used is It (3-pronged).
retract skin and superficial soft
tissue during small procedures.
plastic in used often is It
hand and podiatry, surgery,
procedures
A flat, thin metal strip that can
be bent or molded. Used to
retract or protect soft tissue
as shaped organs, and
needed by the surgeon. It is
frequently is and versatile;
and abdominal in used
thoracic surgeries.
self-retaining with single It is
sharp curved prongs. Used to
in tissues deeper retract
like fields surgical smaller
It perineal or back surgeries.
exposure excellent provides
and sharp tips must be placed
carefully to prevent injury.