surgical technology for the surgical technologist - comprehensive final review ST 210
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Created by:
Trae1643 on May 18, 2012
Subjects:
comprehensive final review ST 210
Description:
comprehensive final review ST 210
Classes:
Brainiacs, surgical technology for surgical technologist, CST review program
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93 terms
Terms | Definitions |
|---|---|
 Surgical Drapes | Designed in non-reflective colors (such as blue or green) to reduce glare, made of non-woven or woven material that isolates and protects the wound from SSI, can be disposable or reusable |
| Abandonment | Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training. |
| Psychological need | any need or activity related to one's identification and understanding of oneself |
| Restricted area | the area of the operating room where only personnel wearing surgical attire, including masks, shoe coverings, and head coverings, are allowed. doors are kept closed, and the air pressure is greater than that in areas outside this area, equipped with a SUPPLY AREA |
| Vasoconstrictor | a drug that causes a narrowing of blood vessels, decreasing blood flow - can be be added to the drug preparation to slow down absorption |
| Humidity in the O.R. | Is kept at 50% or above to prevent static electricity |
| General and special consent | are Two categories of consent used in a hospital setting |
| Analgesic | a medication to reduce or eliminate pain - such as: CODEINE, DEMEROL, SUBLIMAZE, MORPHINE, NOT: Pronestyl - which is an antiarrythmic |
| Neonate | First 28 days of life |
| General consent | This category of consent is for treatment defined in its broadest form |
| OSHA | Occupational Safety and Health Administration, The agency that enforces safety and health standards in the workplace is |
| Operating Room Technician first exam | December 1970 |
| Lab Synthesis derived drug source | imitate or improve upon natural substances (synthetic penicillin, or DEMEROL) |
| Viewing box | MUST BE POSITIONED AT EYE LEVEL SO IT CAN BE SEEN WITHOUT LEAVING THE OPERATING TABLE by the surgeon |
| Five stages of grief | Denial, anger, bargaining, depression, acceptance; NOT anxiety! |
| General anesthesia on a Pregnant patient | Increase preterm labor Fetal death Low birth weight |
| JCAHO recommendation | Humidtity level below 60% to reduce bacteria growth |
| Malpractice | Professional misconduct that results in harm to another; negligence of a professional |
| Standard needles | 18 gauge (pink) used to draw medication from a vial, and 25 gauge (blue) used to inject |
| NBSTSA | National Board of Surgical Technology and Surgical Assisting; national credentialing organization that offers national certification examinations for the surgical technologist and surgical assistants. IS A PART OF THE CAAHEP SYSTEM OF PROGRAM ACCREDITATION |
| Prophylaxis | prevention of a disease or a condition |
| Metabolites | The smaller molecules from the breakdown that occurs during metabolism |
| Negligence | Omission or commission of an act that a responsible and prudent individual would not do under the same conditions; may be associated with phrase "departure from the standard of care". |
| Laminar air flow | a unidirectional positive pressure flow of air that captures microbes to be filtered |
| Three Phases of surgical case management | Preoperative, intraoperative, postoperative |
| Immunocompetence | THE DEGREE OF FUNCTION FOR AN IMMUNE SYSTEM THAT IS DESIGNED TO KEEP A PATIENT FROM INFECTION BY PATHOGENS |
| Galen | Greek anatomist whose theories formed the basis of European medicine until the Renaissance, whose theories and discoveries went unchallenged for 1500 years |
| HIPAA | Went into effect on: 4/14/2003 - The Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distrubuted. |
| Competencies | General descriptions of the abilities needed to perform a role in the organization, and are described in terms that allow for measurement |
| Biotechnology vaccine | Hepatitis B was created as a result of this. |
| Intentional tort | Does NOT require that the plaintiff finds the surgeon liable for any negligent act committed |
| AST | Association of Surgical Technologists |
| A patient | Doesnt need to be able to financially support themselves to give consent for surgical intervention |
| Decontamination room | has sinks for gross decontamination of instrumentation, and ultrasonic washer for cavitation of instruments; sometimes has wall dividing cleaning and preparation area connected by washer sterilizer |
| Written informed consent | Does not require the patients telephone number and address |
| Biological hazards | laser and/or electrosurgical plume, pathogens found in body fluids, latex sensitivity, and injuries from sharps |
| Class I substances | high abuse potential and no current approved medical use (heroin, marijuana, LSD, some opiates) |
| Race track plan | FAVORED BY MANY FACILITIES THAT INVOLVES A SERIES OF ORS AROUND A CLEAN CENTRAL CORE |
| Operating Room temperature | Should be kept between 65 to 75 degrees F |
| Fire triangle | Fuel, oxygen, heat AKA: ignition |
| Documentation | Term broadly used to refer to the recording of a patient's health status in a medical record, or chart |
| Surgicel | Oxidized regenerated cellulose., specially treated form of surgical gauze that is a hemostatic agent, it swells to become a gelatinous mass that stimulates clotting |
| ARC-ST | Accreditation Review Committee on Education in Surgical Technology; a committee on accreditation that is under the large umbrella of the CAAHEP(Commission on Accreditation of Allied Health Education Programs) |
| Not for profit healthcare facility | tax-exempt, acute care hospital facilities that provide service without a primary focus on cost and income |
| Annorectal laser procedure | Requires that the rectum be packed with a sterile-water soaked sponge, to prevent a methane gas explosion, or fire |
| Morphine and Digitalis | are drug sources made from plants |
| AORT | Association of Operating Room Technicians, was formally announced in New York, in July 1969 |
| LCC-ST | liaison council on certification for the surgical technologist, changed its name to NBSTSA, IN 2006 |
| Gastic bypass complications | Abdominal catastrophes Internal hernia Acute gastric distention |
| Semi restricted and restricted areas | Require operating room attire |
| Addiction | a physiological or psychological dependence on the effects of a drug |
| Written informed consent | Is the responsibility of the surgeon to obtain |
| Adolescent vs. older adult patients | Adolescents are more physically conscious and adults are more concerned with: death, infirmity, job security, and debts |
| Enders | Propagated the poliovirus vaccine in human cell cultures |
| Obese patients | Typically have: Preoperative morbidity Primarily respiratory insufficiency Insulin-dependent diabetes |
| Accountability | the obligation an employee has to disclose details for evaluation, commonly used to mean "to be held responsible for their actions" |
| Subclassification of drugs | Principal action, organ/body system affected, physiological action, and therapeutic action |
| Primum non nocere | "Above all, do no harm" |
| Risk management | The process of identifying, assessing, and reducing risk to an acceptable level and implementing various mechanisms to maintain that level of risks |
| Maslow's hierarchy of needs | provides a means for prioritizing needs and arranges them from the most basic to advanced, for quick recognition of patient concerns |
| Express concent | Direct written or verbal statement granting permission for treatment |
| 0.9% normal saline | Comes in a: 250, 500, 1000mL bags and 10 and 30 mL vials for mixing powdered medications |
| Indications | a list of medical conditions or diseases which a medication is known to treat |
| Pasteur | Father of Microbiology, virology, and immunology |
| Legal drug classifications | Controlled substances Prescribed medications Over the counter |
| Vesalius | Father of Modern Anatomy., Wrote On the Fabric of the Human Body. Dissected human bodies to better understand them. He disproved Galen's theory of the Liver being the center of the circulatory system, overthrowing 1500 years of theories |
| Standard Operating Room | Should be equipped with: OR table, back table, one or more mayo stands, ring stands, and a kick bucket, |
| Respondeat Superior | "Let the master answer" an employer is vicariously liable for the behavior of an employee working within his or her scope of employment |
| Preschooler | 30 months (2 and 1 half) to 5 years |
| Imhotep | Egyptian, was the first physician known by name. Wrote an early book on surgery |
| Medication errors | wrong patient, incorrect route, drug, dose, time, technique, information on the patient chart...caused by not following safety guidelines |
| Liability | Obligation to, or not to do something; also an obligation potentially or actually incurred as a result of a negligent act |
| Private health insurance | health care reimbursement provided by third-party payers to private individuals or employer groups either through indemnity or managed care systems |
| Scope of practice | A term that predefined set of skills, or knowledge that the professional is legally authorized to perform when necessary; usually set by state law or regulation and local medical direction |
| Advanced directives | A written instruction for health care, recognized under state law, related to the provision of care when the individual is incapacitated |
| Six basic rights for drug handling | Patient Medication Dosage Route of administration Time/frequency Documentation/labeling |
| Acceptance | is the final stage of grief, when patients understand and accept the fact that the outcome of their condition is inevitable |
| Spiritual need | any need or activity related to the identification and understanding of one's place in an organized universe (expressions may involve theology, philosphy, mythology, and intuition |
| Hypothermia | condition in which body temperature is below normal, usually below 35 C (95 F) |
| Invasion of privacy | a tort based on misappropriation of name or likeness, intrusion upon physical solitude, or public disclosure of objectionable, private information |
| Piaget's cognitive infancy stage | When an individual begins to develop language skills |
| Type I diabetes | A form of diabetes in which so little insulin is produced that supplemental insulin must be given in order to live. Also called insulin dependent diabetes mellitus (IDDM). |
| Golden hour | The time from injury to definitive care, during which treatment of shock or traumatic injuries should occur because survival potential is best. |
| Passive euthanasia | life-sustaining treatment is withheld or withdrawn, permitting a patient to die naturally |
| Optional surgery | When surgical intervention doesn't have to be performed to preserve life or function. EX.-breast augmentation. |
| Class V substance | Consists mainly of preparations containing limited amounts of certain narcotic drugs for use as antitussives and antidiarrheals |
| Marcaine and Sensorcaine | Trade names for drugs |
| Operating room Suction outlets | Each OR should have at least two, in case one fails to function |
| Res ipsa loquitor | "the thing speaks for itself" ...the physicians mistake speaks for itself. |
| Testicles descend | Typically occurs 12 months |
| Parenteral | Administration route used for systemic effects and given by a route other than the digestive tract |
| Sublingual | Medication placed under the tongue |
| Oxygen and nitrous oxide | Two categories of gaseous types of drugs |
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