AST Surgical Technology Chapter 1

Vesalius - -Father of modern anatomy who openly challenged and corrected the scientific anatomical writings of Galen by dissecting cadavers to illustrate anatomy. 1500 Lister - -Developed technique of antiseptic surgery in the 1850 Halsted - -Developed meticulous closure of wounds Roentgen - -Developed the X-ray machine (AORN) House of Delegates - -The Association of Operating Room Nurses. Feb 1969 Liaison Council on Certification for the Surgical Technologist (LCC-ST) - -LCC becomes arm of AST responsible for certification. 1974 Anesthesia care provider - -one who administers anesthesia and can be a physician, doctor of osteopathy, anesthesiologist or a nurse anesthetist. Circulator - -non sterile surgical team member who moves about the periphery of the sterile field, usually an RN. Surgeon - -May be an MD, DO, doctor of pediatric medicine DPM, or a doctor of Dental science DDS. Surgical First Assistant - -Provides aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation. First Scrub Technologist - -Maintains sterile field, pre and postoperative duties along with intraoperative duties. Preoperative case management - - *Gather the necessary case cart, equipment, and supplies. *Review the patients info *Arrange the OR furniture *Preform the surgical scrub *Don the sterile gown and gloves *Create and maintain sterile field *Organize the sterile field for use including labeling of medications. *Preform initial counts with the RN circulator *Gown and glove the sterile team members *Assist with draping the patient Intraoperative case management - -*Maintaining sterile field *Passing instruments to surgeon *Performing surgical counts *Handling medications *Prepare irrigation fluids and other meds *Preparing specimens and dressings *Clear residual blood and skin prep solution from the patient prior to the application of the sterile surgical dressings as depicted by the surgeon. Postoperative case management - -Maintain sterile field until the patient has left the OR. Separate instruments and disassemble the sterile field. Place sharps in secured sharps container Place contaminated items in biohazard bags Transport instruments to the decontamination area. Coordinate and assist with room turnover. Second Scrub Surgical Technologist - -Assist the surgeon by carrying out tasks that might, in some circumstances be preformed at the same time as the first scrub role. Sponging Suctioning Cutting sutures Apply electrocautery to clamps on bleeders Hold retractors or instruments as directed by the surgeon. Specialties - -Fields of study or professional work (general, pediatrics, orthopedics, obstetrics) American College of Surgeons (ACS) - -The scientific and educational association of surgeons formed to improve the quality of surgical care by setting high standards for surgical education and practice Emergency - -A medical emergency that requires immediate surgical attention Urgent - -A medical condition that requires surgical intervention in a short period of time Elective - -A planned, nonemergency, non urgent procedure Professional - -Maintain competence in a specialized body of knowledge and skills Aeger Primo - -The patient first Critical thinking skills - -Known steps of the procedure and anticipate for the unexpected Commission on Accreditation of Allied Health Education Programs (CAAHEP) - -agency that accredits educational programs for allied health personnel Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA) - -ARC/STSA- National Board of Surgical Technology and Surgical Assisting (NBSTSA) - -NBSTSA- Association of Surgical Technologist(AST) - -AST-National nonprofit professional organization for surgical technologist. Ensures surgical technologist have knowledge and skills required to administer patient care. Surgical conscience - -In surgery, professional and personal honesty about one's actions, mistakes, and abilities. Confidentiality - -the act of holding information in confidence, not to be released to unauthorized individuals Competing - -Individual is selfish in pursuing his/her own concerns at the expense of others; the person wants Accommodating - -Oppositie of competing; individual completely ignores his/her own concern to satisfy the concerns of others Avoiding - -Person is neutral; neither pursues his/her own concerns or those of others in order to avoid conflict Collaborating - -Person attempts to work and cooperate with others to reach a solution that everyone agrees on Compromising - -Individuals goal is to reach a solution as quickly as possible that may be accepted by others, but only partially fulfills the concern of the group Communication - -Three basic relationships an ST should distinguish 1.)Social relationships- peers and friends 2.)Professional-coworkers, doctors, and other health care providers. 3.)Therapeutic-Interactions with patients and the patients family Five goals of communication - -1.Slove problems 2.Express personal feelings 3.Provide info to an individual or group 4.Obatian info from an individual or group 5.Persuade an individual or group to change behavior or opinion about a specific subject Four Components of communication - - 1.Sender - -Shares a message with an individual or group. Delivers or "encodes" this message through verbal and nonverbal means.