Berry & Kohn's Operating Room Technique

14th Edition - May 5, 2020
Authors: Nancymarie Phillips, Anita Hornacky
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 7 0 9 1 4 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 0 9 1 5 - 6

Easily learn how to apply basic surgical principles and techniques with Berry & Kohn’s Operating Room Technique, 14th Edition. For over 50 years, this highly readable text ha… Read more

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Easily learn how to apply basic surgical principles and techniques with Berry & Kohn’s Operating Room Technique, 14th Edition. For over 50 years, this highly readable text has been trusted to clearly cover the "nuts and bolts" of surgical techniques in a step-by-step format. Expert authors Nancymarie Phillips and Anita Hornacky emphasize the importance of teamwork throughout, with practical strategies and examples of how cooperation among perioperative caregivers contributes to positive patient care outcomes. With a strong focus on the physiologic, psychologic, and spiritual considerations of perioperative patients, this extensively updated new edition gives you the knowledge you need to plan and implement comprehensive, individualized care.

Cover image
Title page
Table of Contents
Contents in brief
Copyright
Dedication
Preface to the fourteenth edition
Preface to the first edition
Mary Louise Kohn AB RN MN 1920 2019
Acknowledgments
Section 1: Fundamentals of Theory and Practice
1. Perioperative education
The art and science of surgery
Perioperative learner
Perioperative educator
Application of theory to practice
Expected behaviors of perioperative caregivers
Realities of clinical practice
Evolve website
References
References
2. Foundations of perioperative patient care standards
Surgical conscience
Patient rights
Accountability
Standardization of patient care
Recommended practices
Professionalism
Professional perioperative nursing
Evidence-based practice
Nursing process
Standards of perioperative nursing practice
Clinical competency of the perioperative nurse
Scope of perioperative nursing practice
Surgical technology
Clinical competency of the surgical technologist
Continual performance evaluation and improvement
Evolve website
Bibliography
3. Legal, regulatory, and ethical issues
Legal issues
Liability
The joint commission and sentinel events
Consent
Documentation of perioperative patient care
Legal aspects of drugs and medical devices
Ethical issues
Evolve website
References
Bibliography
Section 2: The Perioperative Patient Care Team
4. The perioperative patient care team and professional credentialing
Dependence of the patient on the qualified team
Credentialing of qualified caregivers
Perioperative patient care team
Evolve website
References
Bibliography
5. The surgical first assistant
First assistant’s knowledge and skill level
What does the first assistant do?
Disciplines associated with first-assisting in surgery
Evolve website
Bibliography
6. Administration of perioperative patient care services
Establishing administrative roles
Interdepartmental relationships
Patient care departments
Patient services departments
Departmental service divisions
Coordination through committees
Surgical services management
Budgeting and financial responsibility
New product and equipment evaluation
Evolve website
References
Bibliography
Section 3: The Patient as a Unique Individual
7. The patient: The reason for your existence
The patient as an individual
The patient with individualized needs
The patient with cancer
The patient with chronic comorbid disease
The patient who is a victim of crime
End-of-life care
Death of a patient in the operating room
Evolve website
References
Bibliography
8. Perioperative pediatrics
Indications for surgery
Considerations in perioperative pediatrics
Perioperative assessment of the pediatric patient
Preoperative psychologic preparation of pediatric patients
Pediatric anesthesia
Intraoperative pediatric patient care considerations
Common surgical procedures
Postoperative pediatric patient care
Evolve website
References
9. Perioperative geriatrics
Perspectives on aging
Perioperative assessment of the geriatric patient
Intraoperative considerations
Postoperative considerations
Evolve website
References
Section 4: The Perioperative Environment
10. Physical facilities
Physical layout of the surgical suite
Transition zones
Peripheral support areas
Operating room
Special procedure rooms
Construction or renovation of the surgical suite
Evolve website
References
Bibliography
11. Ambulatory surgery centers and alternative surgical locations
Ambulatory surgical setting
Alternative sites where surgery is performed
Evolve website
References
12. Care of the perioperative environment
Guidelines for cleanliness in the surgical environment
Establishing the surgical environment
Room turnover between patients
Daily terminal cleaning
Evolve website
References
13. Potential sources of injury to the caregiver and the patient
Environmental hazards
Physical hazards and safeguards
Chemical hazards and safeguards
Biologic hazards and safeguards
Risk management
Evolve website
References
Section 5: Surgical Asepsis and Sterile Technique
14. Surgical microbiology and antimicrobial therapy
Microorganisms: Nonpathogens versus pathogens
Types of pathogenic microorganisms
Antimicrobial therapy
Evolve website
References
15. Principles of aseptic and sterile techniques
What is the difference between aseptic and sterile techniques?
Transmission of microorganisms
Human-borne sources of contamination
Nonhuman factors in contamination
Sources of infection
Environmental controls
Standard precautions
Principles of sterile technique
No compromise of sterility
Evolve website
References
Bibliography
16. Appropriate attire, surgical hand hygiene, and gowning and gloving
Appropriate operating room attire
Surgical hand hygiene
Gowning and gloving
Evolve website
References
Bibliography
17. Decontamination and disinfection
Central processing department
Central service personnel
Instrument cleaning and decontamination
Disinfection of items used in patient care
Methods of disinfection
Disposable products
Evolve website
References
Bibliography
18. Sterilization
Sterilization versus disinfection
Sterilization
Assembly of instrument sets
Packaging instruments and other items for sterilization
Thermal sterilization
Chemical sterilization
Radiation sterilization
Control measures
Custom packs
Evolve website
References
Bibliography
Section 6: Surgical Instrumentation and Equipment
19. Surgical instrumentation
Fabrication of metal instruments
Classification of instruments
Handling instruments
Evolve website
References
Bibliography
20. Specialized surgical equipment
Using specialized equipment in surgery
Electrosurgery
Laser surgery
Microsurgery
Ultrasonosurgery
Integrated technologies
Evolve website
References
Bibliography
Section 7: Preoperative Patient Care
21. Preoperative preparation of the patient
Hospitalized patient
Preoperative preparation of all patients
Transportation to the operating room suite
Admission to the operating room suite
Evolve website
References
Bibliography
22. Diagnostics, specimens, and oncologic considerations
Diagnosing pathology
Specimens and pathologic examination
Radiologic examination
Magnetic resonance imaging
Nuclear medicine studies
Ultrasonography
Sensory evoked potential
Plethysmography
Endoscopy
The patient with cancer
Evolve website
References
Bibliography
Section 8: Pharmacology and Anesthesia
23. Surgical pharmacology
Pharmacology baselines
Considerations in surgical pharmacology
Surgical drug and pharmaceutical sources
Pharmacologic forms used in surgery
Potential complications caused by pharmaceuticals and herbal medicine
Evolve website
References
Bibliography
24. Anesthesia: Techniques and agents
The art and science of anesthesia
Choice of anesthesia
Anesthesia state
Knowledge of anesthetics
Types of anesthesia
Alternatives to conventional anesthesia
Evolve website
References
Bibliography
Section 9: Intraoperative Patient Care
25. Coordinated roles of the scrub person and the circulating nurse
Division of duties
Efficiency of the operating room team
Evolve website
References
Bibliography
26. Positioning, prepping, and draping the patient
Preliminary considerations
Anatomic and physiologic considerations
Equipment for positioning
Surgical positions
Physical preparation and draping of the surgical site
Evolve website
References
Bibliography
27. Physiologic maintenance and monitoring of the perioperative patient
Monitoring physiologic functions
Evolve website
References
Bibliography
Section 10: Surgical Site Management
28. Surgical incisions, implants, and wound closure
The surgical incision
Surgical landmarks
Wound closure
Evolve website
References
Bibliography
29. Wound healing and hemostasis
Mechanism of wound healing
Types of wounds
Factors influencing wound healing
Hemostasis
Wound management
Complications of wound healing
Postoperative wound infections
Wound assessment
Basic wound care
Evolve website
References
References
Bibliography
Section 11: Perianesthesia and Postprocedural Patient Care
30. Postoperative patient care
Postanesthesia care
Admission to the postanesthesia care unit
Discharge from the postanesthesia care unit
Evolve website
References
Bibliography
31. Potential perioperative complications
Potential for complications during and after surgery
Respiratory complications
Cardiovascular complications
Fluid and electrolyte imbalances
Blood volume complications
Shock
Metabolic crises
Iatrogenic injury
Evolve website
References
Bibliography
Section 12: Surgical Specialties
32. Endoscopy and robotic-assisted surgery
Eight essential elements of endoscopy
Knowledge and skill for a safe endoscopic environment
Types of endoscopic procedures
Hazards of endoscopy
Care of endoscopes
Considerations for patient safety
Duties of the assistant for flexible endoscopy
Robotic-assisted endoscopy
Evolve website
References
Bibliography
33. General surgery
Special considerations for general surgery
Breast procedures
Abdominal procedures
Liver procedures
Splenic procedures
Pancreatic procedures
Esophageal procedures
Gastrointestinal surgery
Intestinal procedures
Colorectal procedures
Abdominal trauma
Anorectal procedures
Hernia procedures
Amputation of extremities
Evolve website
References
Bibliography
34. Gynecologic and obstetric surgery
Anatomy and physiology of the female reproductive system
Gynecology: General considerations
Diagnostic techniques
Vulvar procedures
Vaginal procedures
Abdominal procedures
Perioperative obstetrics
Complicated birth
Assisted reproduction
Nonobstetric surgical procedures and the pregnant patient
Evolve website
References
35. Urologic surgery
Anatomy and physiology of the urinary system
Special features of urologic surgery
Surgical procedures of the genitourinary system
Male reproductive organs
Endocrine glands
Transsexual surgery (sex reassignment)
Postoperative complications of urologic surgery
Evolve website
References
Bibliography
36. Orthopedic surgery
The art and science of orthopedic surgery
Anatomy and physiology of the musculoskeletal system
Special features of orthopedic surgery
Extremity procedures
Fractures
Joint procedures
Repair of tendons and ligaments
Cast application
Complications after orthopedic surgery
Evolve website
References
37. Neurosurgery of the brain and peripheral nerves
Anatomy and physiology of the brain
Special considerations in neurosurgery
Patient care considerations for craniotomy
Surgical procedures of the cranium
Peripheral nerve surgery
Evolve website
References
Bibliography
38. Spinal surgery
Anatomy and physiology of the spinal cord and vertebral column
Special considerations for spinal surgery
Pathology of the vertebrae and spinal cord
Surgical procedures of the spine
Evolve website
References
Bibliography
39. Ophthalmic surgery
Anatomy and physiology of the eye
Ophthalmic surgical patient care
Special features of ophthalmic surgery
Ocular surgical procedures
Eye injuries
Ophthalmic lasers
Evolve website
References
Bibliography
40. Plastic and reconstructive surgery
Special features of plastic and reconstructive surgery
Skin and tissue grafting
Head and neck plastic and reconstructive procedures
Plastic and reconstructive procedures of other body areas
Burns
Evolve website
References
41. Otorhinolaryngologic and head and neck surgery
General considerations in ear, nose, and throat procedures
Ear
Nose
Oral cavity and throat
Neck
Face and skull
Evolve website
References
42. Thoracic surgery
Anatomy and physiology of the thorax
Special features of thoracic surgery
Thoracic surgical procedures
Chest trauma
Intrathoracic esophageal procedures
Complications of thoracic surgery
Evolve website
References
43. Cardiac surgery
Anatomy of the heart and great vessels
Physiology of the heart
Special features of cardiac surgery
Cardiac surgical procedures
Mechanical assist devices
Complications of cardiac surgery
Evolve website
References
Bibliography
44. Vascular surgery
Anatomy and physiology of the vascular system
Vascular pathology
Diagnostic procedures
Special features of vascular surgery
Conservative interventional techniques
Vascular surgical procedures
Evolve website
References
45. Organ procurement and transplantation
Types of transplants
Tissue transplantation
Organ transplantation
Evolve website
References
Bibliography
Index