Surgical Technology : Principles and Practice

by Fuller, Joanna R.

• ISBN13: 9780721640648
• ISBN10: 0721640648
• Additional ISBN(s): 9780721696935
• Edition: 3rd
• Format: Hardcover
• Copyright: 1993-10-01
• Publisher: Elsevier Science Health Science div
• More Book Details
• Purchase Benefits

Summary

Specifically written for the surgical technologist student and practitioner, the 3rd Edition maintains a user friendly format and readability.

Table of Contents

SECTION I THE PRINCIPLES OF SURGERY	1	(234)
The Surgical Technologist---Past, Present, and Future	2	(4)
Historical Development: 1900---1945	2	(2)
World War II to the Present	4	(2)
Surgical Conscience and Ethics in the Operating Room	6	(4)
Surgical Conscience	6	(1)
Surgical Ethics	7	(1)
Situations That Undermine Surgical Conscience and Ethics	8	(2)
Surgery and the Law	10	(10)
Why Know the Law?	11	(1)
The Role of the Association of Surgical Technologists	11	(1)
Sources of Law	11	(1)
Areas of Criminal Liability	11	(1)
Civil Liability	12	(2)
Errors in the Operating Room	14	(1)
Mechanical Failures	15	(1)
Documentation and Incident Reporting	15	(1)
Insurance	15	(1)
Legal Representation	16	(4)
Organization of the Operating Room: Personnel and Environment	20	(10)
Personnel	21	(1)
Surgeon	21	(1)
Anesthesiologist	21	(1)
Operating Room Supervisor	21	(1)
Nurse Manager	21	(1)
Clinical Nurse	21	(2)
Surgical Technologist	23	(1)
Licensed Practical or Vocational Nurse	24	(1)
Unit Secretary	24	(1)
Surgical Orderly/Aide	24	(1)
Related Personnel	24	(1)
Structure and Design of the Operating Room	25	(1)
Physical Layout	25	(1)
Description and Function of Areas in the Operating Room	26	(4)
Microbiology Overview and Acquired Immunodeficiency Syndrome	30	(13)
Microbiology Overview	31	(1)
Bacterial Structure and Physiology	31	(1)
Disease Transmission	32	(3)
The Process of Infection	35	(1)
Protective Mechanisms of the Body	36	(1)
Surgical Wound Infection	37	(1)
Pathogenic Microorganisms	38	(1)
Infection Control in the Hospital	39	(1)
Acquired Immunodeficiency Syndrome	40	(1)
Clinical Significance	40	(1)
Universal Precautions	40	(1)
Personal Protective Equipment	41	(2)
Disinfection and Decontamination	43	(9)
Disinfection	44	(1)
Definitions and Clarification	44	(1)
Classification of Patient Care Equipment	44	(1)
Selection and Use of Disinfectants	45	(1)
Disinfectant Chemicals	45	(3)
Decontamination	48	(1)
Definitions and Clarification	48	(1)
Decontamination of the Surgical Suite	48	(2)
Decontamination of Other Areas in the Operating Room	50	(2)
Sterilization: Standards and Practice	52	(13)
Steam Sterilization	53	(5)
Ethylene Oxide (Gas) Sterilization	58	(2)
Sterilization by Ionizing Radiation	60	(1)
Wrapping Goods for Sterilization	60	(1)
Sterilization and Control Monitors	60	(2)
Storage and Handling of Sterile Supplies	62	(1)
Cold Chemical Sterilization	63	(2)
Aseptic Techniques and Universal Precautions in the Operating Room	65	(15)
Why Asepsis?	66	(1)
The Rules of Aseptic Technique	66	(1)
Surgical Attire	67	(1)
Personal Hygiene and Health	67	(1)
Universal Precautions	68	(1)
Aseptic Procedures	69	(1)
Techniques That Maintain Asepsis	69	(11)
Anesthesia	80	(9)
Classification of Anesthesia	81	(1)
General Anesthesia	81	(4)
Local or Conduction Anesthesia	85	(2)
Adjuncts to Anesthetic Agents	87	(2)
Transporting and Positioning the Surgical Patient	89	(10)
Transportation of the Conscious Patient	90	(1)
Transfer of and Positioning the Anesthetized Patient	91	(1)
The Operating Table	91	(1)
Positions	91	(8)
Preparation of the Surgical Site	99	(12)
Skin Preparation	100	(1)
Resident and Transient Flora	100	(1)
Preparation on the Unit	100	(1)
Hair Removal	100	(1)
Surgical Skin Prep	101	(1)
Antiseptics	102	(2)
Draping	104	(1)
Basic Principles	104	(1)
Draping Materials and Their Application	104	(7)
Wound Closure	111	(26)
The United States Pharmacopeia	112	(1)
Suture Size	113	(1)
Suture Packaging	113	(1)
Types of Suture and Their Preparation	113	(2)
Preparing and Handling Suture Materials	115	(1)
Surgical Needles	115	(3)
Methods of Suturing	118	(2)
Skin Tapes and Clips	120	(1)
Surgical Stapling Instruments	120	(11)
Wound Dressings	131	(3)
Wound Drains	134	(1)
Mechanisms of Wound Healing	134	(1)
Wound Healing Categories	135	(2)
Hemostasis	137	(11)
Electrosurgery	138	(2)
Sponges	140	(2)
Tourniquet	142	(1)
Pharmaceutical Hemostatic Agents	142	(1)
Ligation Clips	143	(1)
Hemostatic Clamps	143	(1)
Suture Ligatures	143	(1)
Hypothermia	143	(1)
Hypotension	144	(1)
Autotransfusion	144	(4)
Surgical Pharmacology	148	(9)
Weights and Measures	148	(1)
Review of Arithmetic	149	(2)
Accepting Medications in Surgery	151	(1)
Medications Used in Surgery	152	(5)
Surgical Instruments	157	(54)
Parts of an Instrument	157	(1)
Types of Instruments	158	(1)
Care of Instruments	158	(51)
How to Memorize Instrument Names	209	(2)
Surgical Routines and Emergencies	211	(10)
Preparation for the Day's Work	212	(3)
Intraoperative Routines	215	(1)
Instrumentation	215	(1)
Specimens	216	(1)
Communication	217	(1)
Completion of the Procedure---Final Count	217	(1)
Emergencies in the Operating Room	217	(4)
Communicating with the Surgical Patient	221	(7)
The Role of the Nurse and Technologist in Patient Communication	222	(1)
Psychological Concerns of the Surgical Patient	222	(1)
Special Needs of the Pediatric Patient	222	(1)
Special Needs of the Elderly Patient	223	(1)
Cultural Influences	223	(5)
Laser Technology and Use	228	(7)
History of the Laser	229	(1)
Types of Lasers	229	(1)
How the Laser Works	230	(1)
Medical and Surgical Applications of Lasers	231	(1)
Safety Precautions	231	(1)
The Role of the Scrub Assistant in Laser Surgery	232	(1)
The Role of the Circulator During Laser Use	233	(1)
Operating Room Policy Regarding Laser Use	233	(2)
SECTION II PRACTICE: SURGICAL PROCEDURES	235	(430)
Surgical Suffixes and Prefixes	235	(3)
General Surgery	238	(89)
Surgical Anatomy	238	(8)
Gastrointestinal and Abdominal Surgery	246	(28)
Surgical Stapling Procedures of the Gastrointestinal System	274	(34)
Hernia Repair	308	(11)
Rectal Surgery	319	(2)
Breast Surgery	321	(1)
Thyroid Surgery	322	(2)
Fiberoptic Procedures	324	(3)
Minimal Access Surgery	327	(23)
Visualization	327	(4)
Exposure During the Surgical Procedure	331	(1)
Hemostasis, Dissection, and Tissue Removal	332	(1)
Operative Procedures	332	(18)
Obstetric and Gynecologic Surgery	350	(28)
Surgical Anatomy	350	(4)
Indications for Obstetric and Gynecologic Surgery	354	(1)
Abdominal Procedures	354	(9)
Vaginal Procedures	363	(15)
Urogenital Surgery	378	(34)
Surgical Anatomy	378	(5)
Open Procedures	383	(16)
Closed Procedures: Cystoscopy	399	(13)
Orthopedic Surgery	412	(55)
Surgical Anatomy	412	(13)
Fractures	425	(2)
Orthopedic Equipment and Supplies	427	(11)
Surgical Exposure and Procedures	438	(29)
Cardiothoracic Surgery	467	(60)
Surgical Anatomy	467	(2)
Special Equipment	469	(4)
Special Medications and Solutions	473	(3)
Pulmonary Surgery	476	(11)
Thoracic Aorta and Cardiac Surgery	487	(40)
Peripheral Vascular Surgery	527	(22)
Surgical Anatomy	527	(1)
Special Equipment	527	(2)
Diagnostic Procedure	529	(1)
Surgical Procedures	530	(19)
Neurosurgery	549	(23)
Surgical Anatomy	549	(5)
Positioning, Prepping, and Draping	554	(1)
Special Equipment	555	(3)
Drugs Used in Neurosurgery	558	(1)
Diagnostic Procedures	558	(1)
Surgical Procedures	559	(13)
Eye Surgery	572	(28)
Surgical Anatomy	572	(3)
Special Equipment	575	(2)
Special Medications	577	(1)
Surgical Procedures	577	(23)
Ear, Nose, Throat, and Mouth Surgery	600	(29)
Ear Surgery	600	(1)
Surgical Anatomy	600	(2)
Special Equipment	602	(6)
Surgical Procedures	608	(8)
Nose, Throat, and Mouth Surgery	616	(1)
Surgical Anatomy	616	(4)
Surgical Procedures	620	(6)
Dental Procedures	626	(3)
Plastic and Reconstructive Surgery	629	(36)
Surgical Anatomy	629	(2)
Special Equipment and Materials	631	(1)
Draping	631	(1)
Surgical Procedures	631	(34)
Glossary	665	(8)
Index	673