Jaundice is a yellow discoloration of sclera or
even skin.
Hepatomegaly refers to the enlargement of
liver.
Bloody mucoid stool refers to the presence
of blood and mucus in stool.
Watery mucoid bloody stool diarrhea
consists of defecation of more than three times
a day with the presence of water, mucus, and
blood in stool.
Salmonellosis is an infection in the lining of
the small intestine caused by Salmonella
bacteria found in raw food, soil, water and the
bowel movements of some animals.
Typhoid fever is a bacterial infection
characterized by diarrhea, systemic disease,
and a rash -- most commonly caused by the
bacteria Salmonella typhi (S. typhi).
Cholera is an acute intestinal infection caused
Vibrio cholerae that causes a large amount of
watery diarrhea.
Malaria is an infectious disease caused by a
parasite, characterized by high fevers, shaking
chills, flu-like symptoms, and anemia.
Dengue/Hemorrhagic Fever — Herman’s
sign. It appears on the upper and lower
extremities, purplish or violaceous red with
blanched areas about 1 cm or less in size.
Swimmer's itch, also called cercarial
dermatitis, is a skin rash caused by an allergic
reaction to infection with certain parasites of
birds and mammals.
Tuberculosis is initially ASYMPTOMATIC.
Leptospirosis manifests orange eyes
Filariasis manifests Elephantiasis.
Hemlinths pathognomonic sign is the passing
out of live worms in stools.
Tetanus manifests locked jaw or trismus.
Polio — flaccid paralysis, weakness or
paralysis and reduced muscle tone without
other obvious cause (e.g., trauma).
Rabies — hydrophobia, a morbid fear of water.
meningococcemia, the bacteria frequently
lives in a person's upper respiratory tract
without causing visible signs of illness.
Gonorrhea — thick purulent discharge.
Syphilis — painless chancre or ulceration.
Trichomoniasis, sometimes referred to as
"trich" or "fishy fanny syndrome" because of
the smell associated therewith, is a common
cause of vaginitis.
Chlamydia manifests discharge from the
vagina for women and discharge from the
penis for men.
Herpes Zoster — lesions follow peripheral
nerve pathway.
In women, the warts occur on the lips of the
vagina, inside the vagina or around the anus.
The first symptoms of HIV infection can
resemble symptoms of common cold or flu
viruses.
Measles/Rubeola — Koplik’s spots, little spots
inside the mouth, the spots look like a tiny
grains of white sand, each surrounded by a red
ring.
German Measles/Rubella — Forscheimer’s
spots, a mild enanthem of petechial lesions.
Mumps — swollen parotid glands.
Leprosy or Hansen's disease (HD), it is
primarily granulomatous disease of the
peripheral nerves and mucosa of the upper
respiratory tract; skin lesions are the primary
external sign.
Chicken pox has vesiculopopular lesions.
Keratoderma blennorrhagica-Red-to-brown
papules, vesicles, and pustules with central
erosion and characteristic crusting and
peripheral scaling on the dorsolateral and
plantar foot.

Diptheria a pseudomembrane, a localized

inflammatory process; Grayish-white, leathery
consistency. Hepatitis (A,B,C,D)

Ameobic Dysentery
Pertussis — paroxysmal coughs ending with
whoop. Shigellosis

Typhoid Fever
Scarlet Fever — raspberry tongue.
Salmonellosis

Smallpox is an infectious disease unique to Cholera

humans with maculopapular rash, and later,
raised fluid-filled blisters. Malaria

Scabies is a common skin infection that Dengue Fever

causes small itchy bumps and blisters due to
tiny mites that burrow into the top layer of Schitosomiasis
human skin to lay their eggs.
PTB
Pediculosis is an infestation of lice — blood-
feeding ectoparasitic insects of the order Leptospirosis
Phthiraptera.
Filariasis
Tinea corporis produces flat lesions on the
skin at any site. Helminths

Candidial infections are treatable and Tetanus

complications such as redness, itching and
discomfort. Poliomyelitis
Malar rash (from Latin mala ‘jaw, cheek-
bone’), also called butterfly rash, is a medical Rabies
sign consisting of a characteristic form of facial
rash. Meningococcemia

CREST syndrome Numerous macular or Gonorrhea

matlike telangiectases , complete features
include calcinosis, Raynaud's phenomenon, Syphilis
esophageal dysmotility, sclerosis, and
telangiectasia. Trichomoniasis

Chlamydia
The hallmark symptom of the disorder is a
generalized dryness, typically involving dry Herpes Genitalis
mouth and dry eyes (part of what are known as
sicca symptoms). Genital Warts

Lyme’s Disease characterized by erythema HIV, AIDS

migrans EM rash refers to the rash seen in the
early stage. Measles

Rubella
Mumps

Leprosy

Varicella

Diptheria

Pertussis

Scarlet Fever

Small Pox

Scabies

Pediculosis

Dermatophytosis

Candidiasis

SLE

Scleroderma

Sjoren's Syndorme

Lyme Disease

Reiter's Syndrome

MAJOR CASES SCRUB Patient’s Profile

Name of patient: ____________________________ Name of Patient: ____________________Age:____

Date Assisted: ____________Case number :_____
Agency:____________________________________
Proposed
Operation:__________________________________
___________________________________________
Operation performed:
___________________________________________
_________________________
Anesthesia (type, agents used):
___________________________________________
___________________________________________
Name of Surgeon:
___________________________________________
Given Name Family name M.I
Circulating nurse:___________________________
Signature over printed name
Clinical instructor:___________________________
Signature over printed name
Area Coordinator.O.R:________________________
Sig. over printed name
Address:___________________________________
Sex: ________ Weight:________ height:_______
Date Admitted: ____________
Preoperative Nursing Assessment
1. Nursing History
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
2. Screening/ Diagnostic Test
x-ray findings
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Implications:
 ___________________________________ Sets to be used:
___________________________________ _____________________________
___________________________________ Contents:
3. Cardiopulmonary Clearance ___________________________________________
Findings: ___________________________________________
___________________________________ ___________________________________________
___________________________________
___________________________________ Sutures:
___________________________________
Implications: Sutures Layers Type of needle
___________________________________
___________________________________
___________________________________
4. Blood Exam
Findings:
___________________________________
Instruments:
___________________________________
Instruments paraphernalia
___________________________________
Implications:
5. Urine Exam:
Findings:
___________________________________________
___________________________________________
___________________________________________ Preop Nursing Diagnosis:
Implication: 1.
___________________________________________ 2.
___________________________________________ 3.
___________________________________________ 4.
6. Specimen Exam: 5.
Findings Intraoperative period of Activities and Care
___________________________________________
___________________________________________
___________________________________________
Implications:
___________________________________________
___________________________________________
___________________________________________ Skin Preparation Surgical Position
7. Other Diagnostic Tests (illustration)
Findings:
___________________________________________
___________________________________________
___________________________________________
Implications:
___________________________________________
___________________________________________
Post Operative Period
Preop Data related to surgery to be performed
Preop Diagnosis
Patient’s Profile
___________________________________________
___________________________________________
Name of Client: ___________________Age:
___________________________________________
_______
Time started: _______________Ended;
Medications:
__________
1.
2.
Postoperative Nursing Assessment
3.
4.
1. Immediate Postoperative
Packs to be used: __________________________
(postanesthesia)
Contents:__________________________________
Nursing Assessment
___________________________________________
Baseline Assessment:
_________________________________________
___________________________________
___________________________________
 Postoperative Nursing Diagnosis:
1.
2.
3.
4.
5.
Goal of nursing care and Nursing responsibilities
Maintenance of pulmonary Ventilation
___________________________________________
___________________________________________
Maintenance of Circulation
___________________________________________
___________________________________________
Protection from injury and promotion of comfort
___________________________________________
___________________________________________
Fluid Administration
___________________________________________
6. Immediate Postoperative care
DOCTOR’S ORDERS
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
NURSING RESPONSIBILITIES:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
MINOR CASE SCRUB
Name of Patient: __________________Age: ______
Date Admitted: _____________________________
Address: __________________________________
Date Assisted: _____________Case Number: ____
Hospital: __________________________________
Preop Diagnosis:____________________________
Proposed Operation:_________________________
Operation Preformed: ________________________
Anesthesia (type, Agents used):
__________________________________________
Surgeon(s): ________________________________
__________________________________________
Post Op Diagnosis: __________________________
__________________________________________
_________________ ____________________
Nurse on duty Coordinator, OR Area
MAJOR AND MINOR CIRCULATING NURSE
Name of Patient: _____________Sex:___ CS: ____
Address: __________________________________
Date and Time of Admission: ______Case no. :__
Preop Diagnosis: ___________________________
Date and time received at OR Lobby: ___________
Status of patient (LOC): ______________________
Preop V/S: T: ____ P: _____ R: ________ BP: ____
IVFs (level, no. of lines, serial num. no. of bags
used):
___________________________________________
___________________________________________
Blood Products(level, no of lines, serial no..,no. of
bags used):
__________________________________________
__________________________________________
Proposed Operation:
___________________________________________
__________________________________________
Preop Meds Given (complete data):
___________________________________________
___________________________________________
Check and fill out data:
Removed: _nail polish _dentures _jewelries
Informed Consent update/valid: _yes _no
_foley bag Amount of urine: _____________
_NGT tube Color and amount: ___________
_NPO status specify actual no. of hours:_____
_Chest tube color and amount: ____________
_Colostomy bag color amount: ________________
_JP drain color and amount: ____________
Time of transport to O.R theatre: ______________
Time of transfer to O.R table: _________________
Circulating staff Nurse: ______________________
Circulating Student Nurse: ___________________
Scrub student Nurse: _______________________
Anesthesiologist: ___________________________
Surgeons: ________________________________
Type Of anesthesia: ___________time: _________
Induction time: ______________________
Anesthetics given (amount: spinal/epidural):
_____________ ______________
_____________ ______________
Instruments/sets used (quantity):
 __________________________________________
___________________________________
___________________________________
____________________________
Additional:
___________________________________
___________________________________
Paraphernalia/supplies added (quantity):
___________________________________________
___________________________________________
Time of transfer: _______________
RR staff on duty: ______________
RR student nurse assigned to patient:
______________________________

___________________________________
___________________________________
Sutures (name, quantity):

___________________________________
___________________________________
Free ties (specify):
___________________________________
Time specimen taken/bb. Out: _________________

counting Time Remarks

st
1 count

2nd count

3rd count

4th count

Narrative Charting:

___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________

Washings: _________________________________
Operations Performed: _______________________
Time ended: _____Status of Pt. post op(LOC):____
Post OP V/S: T- P- R- BP-
Post Op Diagnosis: __________________________
_FBC Amount of urine: ______
_NGT Color & amount: ______
_NPO status Actual no. of hrs.:______
_Chest tube Color & amount: ______
_Colostomy bag Color & amount: ______
_JP drain Color & amount: ______

IVFs endorsed (level, no. of lines/site):

___________________________________________
Blood Products (level, no. of lines/site):
___________________________________________
Doctor’s Orders (Post Op)
___________________________________________
___________________________________________
___________________________________________