Surgical Technology : Principles and Practice

by Fuller

• ISBN13: 9780721696935
• ISBN10: 0721696937
• Additional ISBN(s): 9780721640648
• Edition: 4th
• Format: Hardcover
• Copyright: 2005-03-29
• Publisher: Saunders
• More Book Details
• Purchase Benefits

Summary

A trusted source for over 20 years, this simple, straightforward text addresses the core of what a practicing surgical technologist needs to know to work closely with surgical personnel in delivering optimum patient care before, during, and after surgery. Clear guidelines help the reader understand and follow key procedures, common set-ups, and important considerations to ensure that the operating room or environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. The 4th edition has been extensively revised to reflect the most current practice, including updates in areas such as anesthesia, wound management, and endoscopic surgery. All procedures have been updated and new procedures have been added to many areas. Instructor resources are available; please contact your Elsevier sales representative for details. Information is presented in simple, clear narratives and through lists, illustrations, and boxes. A complete glossary of all key terms at the end of the text provides one central location for easily referencing all key terms and definitions. Each chapter opens with behavioral objectives to highlight important information and help students focus on what they will be learning in the chapter. An updated bibliography appears at the end of each chapter as a source for locating additional information on the chapter topic. Dynamic, full-color design and illustrations provide visual connection and involvement with the material. New topics from the Association of Surgical Technologist's Core Curriculum, including robotics, computers, and electricity, are covered. All procedures from the Association of Surgical Technologist's Core Curriculum are covered. Procedural updates in all procedure chapters reflect the latest techniques and equipment that have occurred since the previous edition. New procedures, including endoscopic, have been added to many areas. A new format for all procedures breaks each procedure down into its surgical goal, pathology, technique, and discussion. The technique section is now highlighted in a consistent box format across all procedures that makes it easier for students to follow the critical steps involved. Exploration of the changing role of the surgical technologist and the emerging levels within the profession keeps students in touch with this evolving profession. Three to five mini case studies at end of all chapters in the section on Theory and Techniques in Surgery promote critical thinking and application of concepts learned in the chapter, designed to help students relate to real-life situations. The entire art program of almost 600 illustrations has been revised to reflect the full-color design and to update procedural methods. Key terms specific to each procedural chapter make it clear which terms pertain to a specific area and help students learn more terminology in a concise, logical fashion.

Table of Contents

Unit 1 THEORY AND TECHNIQUES IN SURGERY
The Surgical Technologist	2	(15)
Evolution of the Profession	3	(1)
Training, Certification, and Employment	4	(1)
Desirable Attributes for Success	5	(2)
Scope of Practice and State Jurisdiction	7	(1)
Tasks and Responsibilities of the Surgical Technologist	8	(9)
The Patient	17	(16)
Patient-Centered Care	18	(1)
Maslow's Hierarchy	18	(5)
Physiological Needs	23	(2)
Specific Patient Groups	25	(2)
Psychosocial Needs	27	(2)
Therapeutic Communication	29	(2)
Culturally Appropriate Patient Care	31	(2)
Law and Ethics	33	(17)
Sources of the Law and Practice	34	(4)
Torts (Civil Liability)	38	(3)
Criminal Liability	41	(1)
Need for Legal Representation	41	(2)
Documentation	43	(3)
Ethics	46	(1)
Combined Ethical and Legal Concerns	47	(1)
Ethical Dilemmas	47	(1)
Professional Codes of Ethics and Standards of Practice	48	(2)
Hospital Administration and Organization	50	(10)
Health-Care Facilities	51	(1)
Hospital Administration	51	(1)
Hospital Policy	52	(1)
Hospital Accreditation	53	(1)
Hospital Ancillary Services and Departments	53	(4)
Operating Room Personnel	57	(3)
Operating Room Environment	60	(13)
Operating Room Design Principles	61	(1)
Architectural Design	61	(1)
Areas of the Operating Room	62	(2)
Operating Room (Surgical) Suite	64	(4)
Environmental Controls	68	(2)
Communication	70	(2)
Alternative Surgical Sites	72	(1)
Communication and Teamwork	73	(15)
Why Study Communication?	74	(1)
Dimensions of Communication	74	(3)
Qualities of Good Communication	77	(3)
Problem Behaviors	80	(4)
Teamwork	84	(4)
Microbiology and the Process of Infection	88	(23)
Introduction to Microbiology and the Process of Infection	90	(1)
Microbe-Host Relationships	91	(1)
Types of Microorganisms	91	(11)
Process of Infection	102	(1)
Body Defenses	103	(3)
Microbial Action	106	(1)
Nosocomial Infection	106	(5)
Disinfection, Decontamination, and Sterilization Standards and Practices	111	(26)
Disinfection	112	(5)
Decontamination	117	(5)
Sterilization	122	(13)
Current Issues in Sterilization and Disinfection	135	(2)
Aseptic Technique	137	(25)
Important Concepts of Aseptic Technique	138	(2)
Standards for Aseptic Technique	140	(4)
Practice for Aseptic Technique	144	(7)
Drying, Gowning, and Gloving	151	(11)
Transporting, Transferring, and Positioning	162	(34)
Body Mechanics	163	(1)
Principles of Safe Patient Transport and Transfer	164	(1)
Assisting the Ambulatory Patient	165	(3)
Assisting the Inpatient	168	(3)
Positioning the Surgical Patient	171	(3)
Patient Injuries and Positioning	174	(9)
Surgical Positions	183	(13)
Surgical Preparation and Draping	196	(19)
Objectives of Surgical Skin Preparation and Draping	197	(1)
Preoperative Patient Preparation	197	(1)
Urinary Catheterization	198	(1)
Surgical Skin Preparation Agents	198	(3)
Patient Risks Related to Surgical Skin Prepping	201	(1)
Skin Preparation Procedure	201	(8)
Patient Draping	209	(6)
Anesthesia	215	(29)
Anesthesia Care Provider	217	(1)
Preoperative Patient Care	217	(4)
Physiological Requirements for Surgery	221	(1)
Balanced Anesthesia	222	(5)
Intraoperative Management of the Patient	227	(3)
Physiology of Central Nervous System Agents	230	(1)
Conscious Sedation	231	(1)
Inhalation Anesthetics	232	(1)
Sedatives and Adjunct Drugs	233	(3)
Complications of General Anesthesia	236	(1)
Regional Anesthesia	237	(6)
Local Anesthetic Agents	243	(1)
Surgical Pharmacology	244	(27)
What is Pharmacology?	245	(1)
Legal Policies and Responsibilities for Drug Handling	245	(1)
Accepting and Handling of Medication in the Sterile Field	246	(1)
Math Skills and Drug Calculations	247	(4)
Drug Approval and Standards	251	(1)
Properties of Drugs and Drug Action	252	(1)
Drug Label Information	253	(1)
Prevention of Medication Errors	254	(1)
Drug Distribution Process	255	(2)
Medication Devices	257	(1)
Drug Administration	258	(1)
Intravenous Drugs and Fluids Used	259	(12)
Environmental Hazards	271	(22)
Risk, Standards of Practice, and Recommendations	272	(1)
Fire	273	(3)
Compressed Gas Cylinders	276	(1)
Electricity	277	(1)
Disease Transmission	278	(3)
Hazardous Waste	281	(1)
Smoke Plume	282	(1)
Latex	283	(2)
Ionizing Radiation	285	(1)
Toxic Chemicals	285	(2)
Musculoskeletal Injury	287	(6)
Surgical Technique	293	(28)
Case Planning (Preoperative Planning and Setup)	294	(1)
Opening a Case	295	(2)
Setup of Sterile Work Areas and Supplies	297	(4)
Surgical Count	301	(1)
Lost and Retained Items	302	(1)
Maintaining the Surgical Field	303	(1)
Handling and Maintaining Sponges	303	(2)
Passing and Handling Instruments	305	(4)
Handling and Caring for Specimens	309	(1)
Care and Handling of Tissue	310	(2)
Dissection	312	(1)
Retraction	313	(1)
Hemostasis	313	(3)
Wound Drains	316	(2)
Wound Dressings	318	(3)
Sutures and Wound Healing	321	(26)
Introduction to Sutures	322	(2)
Properties of Sutures	324	(1)
Suture Materials	325	(5)
Surgical Needles	330	(2)
Suture Techniques	332	(2)
Selection and Use of Sutures During Surgery	334	(1)
Suture Passing Techniques	335	(1)
Suture Removal and Cutting Techniques	336	(1)
Surgical Stapling Devices	337	(3)
Tissue Adhesives	340	(2)
Process of Wound Healing	342	(5)
Laser Surgery and Electrosurgery	347	(15)
Laser Technology and Surgery	348	(7)
Electrosurgery	355	(7)
Endoscopic Surgery and Robotics	362	(18)
Rigid Endoscopy	363	(12)
Flexible Endoscopy	375	(2)
Electrosurgery and Laser Surgery	377	(1)
Tissue Reduction and Retrieval	377	(1)
Robotics	378	(2)
Diagnostic Procedures	380	(24)
Introduction to Diagnostic Procedures	381	(1)
Vital Signs	382	(3)
History and Physical (H & P)	385	(1)
Hematology	386	(3)
Chemistry	389	(2)
Clotting Tests	391	(1)
Urinalysis	392	(1)
Electrocardiogram (ECG/EKG)	392	(1)
Cardiac Catheterization	393	(1)
Echocardiography	394	(1)
Ultrasound Studies	394	(1)
Radiographic Studies	394	(6)
Tissue and Cell Diagnosis	400	(2)
Endoscopy	402	(1)
Importance of Diagnostic Procedures	402	(2)
The Selection of Surgical Instruments	404	(18)
Learning Surgical Instrumentation	405	(1)
Instrument Construction	406	(1)
Characteristics of Tissue	407	(1)
Body Planes	407	(2)
Types of Instruments by Function	409	(11)
Instruments by Surgical Specialty	420	(2)
Unit 2 SURGICAL PROCEDURES
General Surgery	422	(87)
Introduction to General Surgery	422	(1)
Section I: Incisions	422	(1)
Surface Anatomy of the Abdomen	423	(1)
Incisions	423	(3)
Section II: Hernias	426	(1)
Anatomy of the Suprapubic and Inguinal Region	426	(1)
Surgical Procedures	427	(7)
Section III: Gastrointestinal Surgery	434	(1)
Introduction to Gastrointestinal Surgery	435	(1)
Anatomy of the Abdominal Cavity	435	(2)
Flexible Endoscopic Procedures	437	(1)
Instruments	438	(1)
Surgical Stapling Procedures	438	(1)
Surgical Procedures	438	(39)
Section IV: Surgery of the Biliary System, Liver, Pancreas, and Spleen	477	(1)
Anatomy of the Biliary System, Liver, Pancreas, and Spleen	478	(3)
Instruments and Equipment	481	(1)
Surgical Procedures	481	(20)
Section V: Breast Surgery	501	(1)
Anatomy of the Breast	502	(1)
Introduction to Surgery of the Breast	502	(2)
Surgical Procedures	504	(5)
Gynecological and Obstetrical Surgery	509	(42)
Anatomy of the Female Reproductive System	510	(3)
Introduction to Obstetrical and Gynecological Surgery	513	(7)
Complications in Obstetrical and Gynecological Surgery	520	(1)
Abdominal Surgical Procedures	521	(14)
Vaginal Surgical Procedures	535	(16)
Genitourinary Surgery	551	(41)
Introduction to Genitourinary Surgery	552	(1)
Anatomy of the Genitourinary System	552	(3)
Equipment	555	(3)
Instruments	558	(1)
Cystoscopic Procedures	558	(10)
Cystoscopic Surgical Procedures	568	(2)
Flexible Ureteroscopy Procedures	570	(1)
Flexible Ureteroscopy Surgical Procedures	571	(1)
Open Procedures of the External Genitalia	571	(7)
Transabdominal Surgical Procedures	578	(14)
Ophthalmic Surgery	592	(35)
Introduction to Ophthalmic Surgery	593	(1)
Anatomy of the Eye	593	(2)
Care of the Ophthalmic Patient	595	(1)
Ophthalmic Drugs	596	(1)
Instruments	596	(1)
Equipment and Supplies	596	(1)
Microsurgery	597	(2)
Surgical Procedures	599	(28)
Otorhinolaryngologic, Oral, and Maxillofacial Surgery	627	(53)
Section I: Surgery of the Ear	628	(1)
Introduction to Surgery of the Ear	628	(1)
Anatomy of the Ear	628	(1)
Equipment and Instruments	629	(2)
Prepping and Draping	631	(2)
Medications, Sponges, and Dressings	633	(1)
Surgical Procedures	633	(5)
Section II: Surgery of the Nose, Throat, and Mouth	638	(1)
Introduction to Surgery of the Nose, Throat, and Mouth	638	(1)
Anatomy of the Nose	638	(2)
Anatomy of the Mouth	640	(1)
Anatomy of the Pharynx	641	(1)
Anatomy of the Larynx	641	(1)
Equipment and Instruments	641	(1)
Prepping and Draping	642	(1)
Medications, Sponges, and Dressings	642	(3)
Surgical Procedures	645	(7)
Section III: Surgery of the Head and Neck	652	(1)
Introduction to Surgery of the Head and Neck	652	(1)
Anatomy of the Trachea	652	(1)
Anatomy of the Salivary Glands	652	(1)
Anatomy of the Neck	653	(1)
Equipment and Instruments	653	(1)
Prepping and Draping	653	(1)
Medications, Sponges, and Dressings	654	(1)
Surgical Procedures	654	(17)
Section IV: Maxillofacial Trauma and Oral Surgery	671	(1)
Introduction to Maxillofacial Trauma and Oral Surgery	671	(1)
Anatomy of the Midface	671	(1)
Anatomy of the Mandible	671	(1)
Equipment and Instruments	672	(2)
Prepping and Draping	674	(1)
Medications, Sponges, and Dressings	674	(1)
Surgical Procedures	674	(4)
Orthognathic Surgical Procedures	678	(2)
Plastic and Reconstructive Surgery	680	(28)
Introduction to Plastic and Reconstructive Surgery	681	(1)
Anatomy of Skin or the Integumentary System	681	(1)
Anatomy of the Hand	681	(1)
Equipment and Instruments	682	(4)
Prepping and Draping	686	(1)
Medications, Sponges, and Dressings	686	(1)
Surgical Procedures	687	(21)
Orthopedic Surgery	708	(53)
Surgical Anatomy	709	(7)
Diagnostic Tests	716	(1)
Fractures	717	(8)
Orthopedic Equipment and Instruments	725	(9)
Positioning	734	(1)
Surgical Procedures	734	(27)
Peripheral Vascular Surgery	761	(33)
Introduction to Peripheral Vascular Surgery	762	(1)
Anatomy of the Peripheral Vascular System	762	(5)
Equipment and Instruments	767	(2)
Operative Techniques	769	(1)
Surgical Procedures	770	(24)
Cardiothoracic Surgery	794	(84)
Introduction to Cardiothoracic Surgery	795	(1)
Anatomy of the Thoracic Cavity	795	(8)
Instruments	803	(4)
Prosthetic Grafts	807	(1)
Special Equipment	808	(1)
Drugs	808	(2)
Surgical Procedures	810	(68)
Pediatric Surgery	878	(17)
Introduction to Pediatric Surgery	879	(1)
Physiological Needs	879	(1)
Psychological Needs	879	(1)
General Considerations	879	(1)
Special Equipment and Supplies	880	(1)
Surgical Procedures	880	(15)
Neurosurgery	895
Introduction to Neurosurgery	896
Anatomy of the Nervous System	896
Positioning, Prepping, and Draping	900
Special Equipment	901
Drugs	904
Diagnostic Procedures	905
Surgical Procedures	905