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Surgical Technology
Principles and Practice
- 8th Edition - December 18, 2020
- Author: Joanna Kotcher Fuller
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 8 0 1 8 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 8 0 2 0 - 2
Prepare to deliver the best patient care before, during, and after surgery with this approachable guide to surgical skills and operating room procedures. In addition to covering al… Read more
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Request a sales quotePrepare to deliver the best patient care before, during, and after surgery with this approachable guide to surgical skills and operating room procedures. In addition to covering all the content in the AST Core Curriculum, this one-of-a-kind text offers a unique mentoring approach and engaging learning features that make even complex skills and techniques easy to understand.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors and Reviewers
- Preface
- Acknowledgments
- PART I. SURGICAL TECHNOLOGY PRINCIPLES
- 1. Surgical Technology: The Profession and the Professional
- Short History of the Profession
- Surgical Technologist’s Role
- Surgical Technology Education and Certification
- Required Skills
- AST: the Association of Surgical Technologists
- Careers for Certified Surgical Technologists
- Becoming a Health Care Professional
- Preparing for Employment
- Key Concepts
- 2. Communication and Teamwork
- Part I: Communication
- Elements of Communication
- Verbal Communication
- Nonverbal Communication
- Communication With Patients
- Communication Failure
- Part II: Teamwork and Problem Behaviors
- Characteristics of Good Teamwork
- Team Conflict
- Team Management
- 3. Medicolegal Aspects of Surgical Technology
- Types of law
- Facility Standards and Policies
- Standards of Practice, Position Statements, and Codes of Conduct
- Right to Practice
- Common Acts of Negligence in the Perioperative Setting
- Abuse and Disruptive Behavior in the Operating Room
- Incidents in the Health Care Setting
- Risk Management
- Legal Documents
- Medical Records and Documents
- Civil Lawsuits
- Liability Insurance
- Patients’ Rights
- Key Concepts
- 4. Health Care Facility Structure and Environment
- Standards and Recommendations
- Accreditation
- Alignment of Terminology
- Section I: The Perioperative environment
- Surgical Suite
- Work Areas
- Section II: Ambulatory and Outpatient Surgery
- Types of Ambulatory Facilities
- Outpatient Facility Design
- Regulation and Accreditation of Ambulatory Surgical Facilities
- Comparison of the Ambulatory Surgery Center and Hospital-Based Operating Rooms
- Section II: Health Care Facility Departments And Functions
- Section III: Health Care Administration
- Health Care Financing
- Management Structure
- Staff Roles
- 5. Supporting the Psychosocial Needs of the Patient
- Basic Human Needs
- Supportive Patient Care
- Spiritual Needs of the Patient
- 6. Diagnostic and Assessment Procedures
- Concepts Related to Pathology
- Vital Signs
- Imaging Procedures
- Blood Tests
- Urinalysis
- Microbiological Studies
- Pathological Examination of Tissue
- Cancer Terms and Concepts
- 7. Environmental Hazards
- Risk and Safety
- Fire
- Compressed Gas Cylinders
- Electrical Hazards
- Ionizing Radiation
- Magnetic Resonance Imaging
- Toxic Chemicals
- Smoke Plume
- Standard Precautions
- Latex Allergy
- Musculoskeletal Risks
- Key Concepts
- 8. Microbes and the Process of Infection
- Classification of Organisms
- Binomial System
- Cell and its Components
- Microorganisms and the Diseases They Cause
- Immunity
- Key Concepts
- 9. Sterile Technique and Infection Control
- Part I: Foundation Concepts in Sterile Technique
- Important Terms Related to Sterile Technique
- Part II: Operating Room Design and Environment
- Operating Room Environment: HVAC
- Part III: Personal Cleanliness and Hand Hygiene
- Part IV: Surgical Attire
- Scrub Suit
- Head Covering
- Shoes, Shoe Covers, and Boots
- Protective Eyewear and Face Shields
- Surgical Mask
- Nonsterile Cover Jacket
- Lab Coats and Cover Gowns
- Laundering Surgical Attire
- Part V: Surgical Hand Antisepsis
- Part VI: Drying the Hands, Gowning, and Gloving
- Drying the Hands
- Unassisted Gowning
- Closed (Unassisted) Gloving
- Open Gloving
- Assisted Gowning and Gloving
- Surgical Helmet System
- Part VII: Preparing the Sterile Field
- Creating the Sterile Field
- Part VIII: Maintaining the Sterile Field
- Breaks in Sterile Technique
- Covering the Sterile Setup
- Movement Within and Around the Sterile Field
- Part IX: Infection Control in the Perioperative Environment
- Standard Precautions
- Personal Protective Equipment
- OSHA Bloodborne Pathogens Standard
- Key Concepts
- 10. Decontamination, Sterilization, And Disinfection
- Standards in Surgical Decontamination, Disinfection, and Sterilization
- Principles of Decontamination, Sterilization, and Disinfection
- Reprocessing Cycle
- Cleaning at the Point of Use
- Instrument Cleaning and Decontamination
- Sorting and Inspection
- Assembling Instrument Sets
- Packaging Systems Used in Sterilization
- Sterilization
- Monitoring the Sterilization Process
- Steam Sterilization
- Immediate-Use (Flash) Steam Sterilizer
- Ethylene Oxide Sterilization
- Vaporized Hydrogen Peroxide Sterilization
- Liquid Peracetic Acid Sterilization
- Ozone Sterilization
- Cobalt-60 Radiation
- Storage of Wrapped Sterile Goods
- Disinfection
- Environmental Disinfectants
- Use of Chemical Disinfectants
- Chemical Disinfectants for Medical Devices
- Environmental Cleaning
- Key Concepts
- 11. Surgical Instruments
- Introduction
- Instrument Manufacturing
- Instrument Grades
- Instrument Names
- Common Types of Instruments by Function
- Use of Instruments by Tissue Type
- Passing Surgical Instruments During Surgery
- Troubleshooting Surgical Instruments
- Key Concepts
- 12. Perioperative Pharmacology
- Section I: Pharmacology Basics
- Drug Information Resources
- Regulation of Drugs, Substances, and Devices
- Drug Nomenclature
- Drug Labels
- Drug Formats
- How Drugs Work
- Unit Systems of Measurement
- Devices for Drug Preparation and Delivery
- Drug Packaging
- Section II: The Medication Process
- Prescriptions and Drug Orders
- Selection of Drugs
- Drug Preparation and Transfer to the Surgical Field
- Preparing Drugs on the Sterile Field
- Drug Administration
- Section III: Preventing Drug Errors
- Section IV: Surgical Drugs
- Local Anesthetics
- Blood and Blood Derivatives
- Hemostatic Agents
- Anticoagulants and Thrombolytics
- Central Nervous System Agents
- Neuromuscular Blocking Agents
- Analgesics
- Sedatives and Hypnotics
- Contrast Media
- Colored Dyes and Stains
- Antiinfective Agents
- Antineoplastic Agents
- Drugs that Affect the Autonomic Nervous System
- Fluid Balance and Electrolytes
- Cardiac Drugs
- Diuretics
- Gastrointestinal Drugs
- Hormones and Synthetic Substitutes
- Corticosteroids
- Antidiabetic Drugs
- Prostaglandins
- Drugs Used in Obstetrics
- Gonadal Steroids
- Emergency Drugs
- 13. Anesthesia, Physiological Monitoring, and Postanesthesia Recovery
- Part I: Anesthesia
- Anesthesia Concepts
- Anesthesia Personnel
- Preoperative Patient Assessment
- Patient Preparation: One day Before Surgery
- Immediate Preoperative Preparation of the Patient
- General Anesthesia
- Anesthesia Equipment and Devices
- Stages of General Anesthesia
- Physiological Monitoring During Surgery
- Procedural Sedation
- Dissociative Anesthesia
- Regional Anesthesia
- Emergencies
- Part II: Postanesthesia Care Unit (PACU)
- Description of the PACU Facility
- PACU Procedures
- Patient Assessment and Care
- Postoperative Complications
- Elements of Discharge Planning
- Unanticipated PACU Outcome
- Death in the PACU
- 14. Death And Dying
- Defining The End Of Life
- Cause Of Death
- Models Of Death And Dying
- Support And Comfort For The Dying And Bereaved Patient
- Family
- Ethical Considerations In Death And Dying
- Cultural Responses To Death And Dying
- Death In The Clinical Setting
- 15. Energy Sources in Surgery
- Review of Electricity
- Electrosurgery
- Electrosurgery Components and their Use
- Electrosurgery in Minimally Invasive Surgery
- Ultrasonic Energy
- Cryosurgery
- Laser Surgery
- Laser Safety
- 16. Moving, Handling, and Positioning the Surgical Patient
- Section I: Transport and Transfers
- Patient Identification
- Safety First
- Transport by Gurney
- Bed to Gurney: Bringing a Patient to the Operating Room
- Performing Assisted Lateral Transfers
- Wheelchair Transfer and Transport
- Assisting an Ambulatory Patient
- Special Patient Populations
- Section II: Positioning the Surgical Patient
- Patient Safety During Positioning
- Potential Patient Injuries
- General Operating Table
- Surgical Positions
- Supine (Dorsal Recumbent)
- Trendelenburg
- Reverse Trendelenburg
- Lithotomy
- Fowler and Modified Fowler
- Lateral Decubitus
- Prone
- Jackknife (Kraske) Position
- 17. Surgical Skin Preparation and Draping
- Section I: Surgical Skin Prep
- Hair Removal
- Preoperative Skin Marking
- Urinary Catheterization
- Procedure For Catheterization
- Preoperative Prepping Agents
- Principles of the Surgical Skin Prep
- Skin Prep Safety
- Basic Skin Prep Supplies
- General Procedure for the Prep
- Eye
- Ear
- Face
- Neck
- Breast
- Shoulder
- Arm
- Hand
- Abdomen
- Flank and Back
- Vulva, Perineum, and Vagina
- Male Genitalia
- Perianal Area
- LEG and Foot
- Trauma and Debridement Procedure
- Autograft
- Cardiovascular Prep
- Section II: Draping the Surgical Site
- Draping Fabrics and Materials
- Types of Drapes
- Techniques Used in Draping
- Abdomen
- Lithotomy (Perineal) Draping
- LEG/HIP
- Knee
- Hand
- Shoulder
- Face
- Eye
- Craniotomy
- Draping Equipment
- Removing Drapes
- 18. Surgical Skills I: Planning a Case, Opening, and Start of Surgery
- Surgical Terms
- Surgical Case Plan
- Types of Surgery by Objective
- Implant Surgery
- Tissue Grafts
- Preoperative Case Preparation
- Nonsterile Room Preparation
- Opening a Case
- Sterile Setup
- Surgical Count
- Start of Surgery
- Universal Protocol (Timeout)
- 19. Surgical Skills II: Intraoperative and Immediate Postoperative Period
- Halstead’s Principles of Surgery
- Intraoperative Role of the Surgical Technologist
- Skin Marking and the Incision
- Retraction
- Wound Irrigation
- Hemostasis During Surgery
- Management of Surgical Sponges During Surgery
- Management of the Sterile Field
- Management of Surgical Specimens
- Sutures
- Surgical Needles
- Suture Storage, Packaging, and Dispensing
- Suturing and Ligation Techniques
- Intraoperative Suture Management
- Vessel Clips and Staples
- Wound Drainage
- Dressings
- Wound Closure and the Completion of Surgery
- wound Healing and Complications
- Process of Wound Healing
- Wound Complications
- 20. Minimally Invasive Surgery
- Section I: Minimally Invasive Surgery
- MIS Instruments
- Energy Sources in MIS
- Preoperative Preparation
- Section II: Flexible Endoscopy
- Flexible Endoscope
- Reprocessing Endoscopes and Instruments
- Key Concepts
- 21. Robotic-Assisted Surgery
- Section I: Overview
- Features of Robotic Systems
- Section II: Robotic Technology
- Robotic Instruments
- Access
- Types of Robotic and Computer-Assisted Systems
- Preparation for Surgery
- Room Layout
- Section III: the Patient
- Skin Prep and Draping
- Emergencies During Robotic Surgery
- Section IV: the Robotics Team
- Role of the Surgical Technologist in Robotic-Assisted Surgery
- Communication During Robotic Surgery
- Robotics Training
- PART II. SURGICAL TECHNOLOGY PRACTICE
- 22. General Surgery
- Section I: The Abdominal Wall
- Procedures of the Abdominal Wall
- Section II: Gastrointestinal Surgery
- Diagnostic Procedures
- Surgical Techniques in Gastrointestinal Procedures
- Diagnostic and Procedural Endoscopy
- Surgical Procedures
- Section III: Surgery of the Biliary System, Liver, Pancreas, and Spleen
- Diagnostic Procedures
- Case Planning
- Surgical Procedures
- Section IV: Breast Surgery
- Breast Cancer
- Case Planning
- Surgical Procedures
- Section V: The Thyroid and Parathyroid Glands
- Key Concepts
- 23. Gynecological and Obstetrical Surgery
- Surgical Anatomy of the Female Reproductive System
- Ovarian (Menstrual) Cycle
- Diagnostic Procedures
- Psychosocial Considerations
- Case Planning
- Sutures
- section I: Gynecological Surgery
- Transvaginal Procedures
- Procedures of The Vulva
- Abdominal Procedures
- Section II: Operative Obstetrical Procedures
- Complications of Pregnancy
- Diagnostic Tests
- Normal Vaginal Delivery
- Immediate Postpartum Care
- Newborn Care
- Obstetrical Procedures
- Key Concepts
- 24. Genitourinary Surgery
- Surgical Anatomy
- Reproductive Structures of the Male
- Diagnostic Procedures
- Kidney Dialysis
- Renal Calculi
- Transurethral Cystoscopy Procedures
- Open Genitourinary Procedures
- Procedures of the Ureters and Kidney
- Procedures of the Prostate
- Surgery of the Male External Genitalia
- Key Concepts
- 25. Ophthalmic Surgery
- Surgical Anatomy
- Refraction
- Diagnostic Testing
- Case Planning
- Equipment and Supplies
- Surgical Techniques in Eye Surgery
- Role of the Scrubbed Surgical Technologist
- Surgical Procedures
- Key Concepts
- 26. Surgery of the Ear, Nose, Pharynx, and Larynx
- Section I: The Ear
- Sound Transmission in the Ear
- Diagnostic Procedures
- Case Planning
- Endoscopic Ear Surgery
- Open Procedures of the Ear
- Section II: The Nasal Cavity, Oropharynx, and Larynx
- Diagnostic Tests
- Case Planning
- Surgical Procedures
- Section III: The Neck
- Case Planning
- Surgical Procedures
- Key Concepts
- 27. Oral and Maxillofacial Surgery
- Surgical Anatomy
- Classification of Facial Fractures
- Incisions of the Face
- Case Planning
- Surgical Procedures
- Key Concepts
- 28. Plastic and Reconstructive Surgery
- Surgical Anatomy
- Anatomy of the Face
- Case Planning
- Surgical Procedures
- Skin Grafts
- Key Concepts
- 29. Orthopedic Surgery
- Surgical Anatomy
- Pathology of Soft Connective Tissues and Joints
- Orthopedic Pathology
- Orthopedic Case Planning
- Orthopedic Sutures
- Orthopedic Power Equipment
- Orthopedic Instruments
- Orthopedic Implants
- Wires and Cables
- Joint Replacement Implants
- Bone Grafts and Bone Substitutes
- Arthroscopic Surgery
- Surgical Procedures
- Forearm
- Wrist and Hand
- Hip
- Knee
- Foot
- Key Concepts
- 30. Vascular and Microvascular Surgery
- Pathology of the Arterial System
- Pathology of the Venous System
- Surgical Anatomy
- Circulatory Pathways
- Blood Pressure
- Major Arteries
- Lymphatic System
- Vascular Disease
- Diagnostic Procedures
- Vascular Instruments
- Case Planning
- Techniques in Vascular Surgery
- Endovascular Techniques
- Endovascular Procedures
- Open Vascular Procedures
- Microvascular Surgery
- Key Concepts
- 31. Thoracic and Pulmonary Surgery
- Surgical Anatomy
- Diagnostic Tests
- Case Planning
- Surgical Procedures
- Video-Assisted THORACIC Surgery (VATS)
- Key Concepts
- 32. Cardiac Surgery
- Surgical Anatomy
- Diagnostic Procedures
- Case Planning
- Surgical Procedures
- Pediatric Cardiac Procedures
- Key Concepts
- 33. Pediatric Surgery
- Physiological and Anatomical Considerations
- Pathology
- Psychosocial Care of the Pediatric Patient
- Case Planning
- Surgical Procedures
- Key Concepts
- 34. Neurosurgery
- Surgical Anatomy
- Diagnostic Procedures
- Case Planning
- Cranial Procedures
- Cerebral Aneurysm Surgery
- Arteriovenous Malformation Resection
- Endoscopically Assisted Correction of Craniosynostosis
- Ventriculoperitoneal Shunt
- Transnasal Transsphenoidal (TNTS) Hypophysectomy
- Endoscopic Third Ventriculoscopy
- Spinal Procedures
- Anterior Endoscopic Cervical Decompression OF Disc and Foramen
- Posterior Cervical Laminectomy
- Thoracic Corpectomy
- Posterior Lumbar Interbody Fusion (PLIF)
- Minimally Invasive Lumbar Discectomy
- Rhizotomy
- Peripheral Nerve Procedures
- Carpal Tunnel Release
- Peripheral Nerve Resection and Repair
- Key Concepts
- 35. Emergency Trauma Surgery
- Trauma Systems
- Trauma Injuries
- Trauma Pathophysiology
- ATLS Principles of Trauma Management
- Damage Control Surgery
- Case Planning for Trauma Surgery
- Preoperative Care of the Patient
- Opening a Case and Sterile Setup
- Managing the Sterile Field in Emergency Trauma
- Laparotomy With Staged Closure
- Orthopedic Trauma
- Thoracic Injury
- Major Peripheral Vascular Trauma
- Injuries of the Brain and Spinal Cord
- Key Concepts
- 36. Disaster Preparedness and Response
- Acronyms
- Training
- Classification and Definition of Disasters
- Disaster Management and Government Structures
- Disaster Cycle
- Ethical Dilemmas in Disaster
- Resources for Students and Instructors
- Key Concepts
- Appendix A. Common Pathology by System
- Appendix B. Drugs and Substances Associated with Surgery
- Appendix C. Math Review
- Index
- Surgical Procedures
- No. of pages: 1152
- Language: English
- Edition: 8
- Published: December 18, 2020
- Imprint: Saunders
- Hardback ISBN: 9780323680189
- eBook ISBN: 9780323680202
JK
Joanna Kotcher Fuller
Joanna Kotcher holds a Master’s Degree in Global Health, a Bachelor of Science in Nursing and a BA in International Studies. She has coordinated emergency response in conflict environments for the past 18 years in such locations as Kosovo, Central Asia (Tajikistan), Afghanistan, Darfur, Gaza and the OPT, Somaliland, Syria, and Iraq. As a Medical/Surgical Coordinator Ms. Kotcher has coordinated and managed medical teams in the start-up and full implementation stages of projects that assist populations in need of emergency medical and surgical care during armed conflict. She has also coordinated post-conflict actions during the period immediately following “official” cessation of armed conflict. Working in insecure environments, Ms. Kotcher has extensive experience in the design and implementation of medical/surgical actions, team building and support, implementation of standards and guidelines, medical and nursing staff training, and team mentoring. She continues to study and learn while working in the field and maintaining membership with notable professional organizations in the combined disciplines of humanitarian studies and medical/surgical assistance.
Affiliations and expertise
Independent Consultant in Medical and Surgical Coordination in Conflict Environments, USA