Chapter 1 Surgical Technology

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Chapter 1 Vocabulary

Versalius

1500
Father of Modern anatomy
Challenged Galen
Performed dissections on human cadavers himself

Emergent

Threatening life or limb within a relatively short time period
EX: ruptured aneurysm of aorta

Urgent

Requires treatment within a short time period
EX: unruptured ectopic pregnancy

Elective

Intervention that does not have to be performed immediately or within short time period
EX: torn meniscus

Optional

Intervention that does not threaten life or limb
EX: rhytidectomy

Working Conditions

The surgical environment should be brightly lit, quiet, and temperature controlled

Personal characteristics

Should be able to work quickly and accurately
Have committment to detail

Problem Solving Skills

A key characteristic
Surgical tech should be constantly improving on this

STSR

Surrgical Technologist in the Scrub Role

Preoperative

Before the operation

Intraoperative

During/within the operation

Postoperative

After the surgery

Non sterile team members

Circulator
Anesthesia provider
Radiologist
Pathologist

Doctor of Osteopathy

DO

Sterile team members

Surgical tech
Surgeon
Surgical Assistant

Accreditation Review Committee on Education in Surgical Technology

ARC-ST

National Board of Surgical Technology and Surgical Assisting

NBSTSA

Association of Surgical Technology

AST

Why continue education?

1) needed for personal development and improved patient safety
2) demonstration of continuing education

Competencies

A general description of the abilities needed to perform a role in the organization

What is key among the OR team in surgery?

effective communication

What are the types of effective communication?

Verbal
Non verbal
Body language
Eye contact

Social Realtionship

established with peers and friends

Professional Relationship

established with co workers, surgeons and other healthcare providers

Therapeutic Realtionship

established among the surgical tech., patient and patients family

Surgical Conscience

Personal moral authority to accept responsibilty for his/her own actions and be willing to be held liable for ones own actions.

Ambulatory Facility

Free standing specialty center, doctors offices, doctors clinics and labor/delivery

Proprietary

Non profit hospital that are general, acute care hospital.
They are nontaxable by federal govt.
A private corporation

Health Maintenance Organization

HMO

Patients Bill of Righs

Reflect the generally accepted view of the patient as a autonomous individual who is in need of a service that he/she cannot provide for himself or herself

Accountability

Obligation to disclose details for evaluation
"to be held responsible for"

Affidavit

Voluntary statement of facts sworn to be true before the authority

Allegation

Statement that one expects to be proven true

Bona fide

In good faith or innocently

Guardian

Court appointed protector for an individual incapable of making his/her own decision

Liabilty

Obligation to do or not to do something
Obligation to potentially or actually incurred as a result of a negligent act

Malpractice

Professional misconduct that result in harm to another

Negligence

Omission or commission of an act that a reasonable and prudent individual would not do under the same conditions

Standard of Care

description of conduct that is expected of an individual or professional

Subpoena

Court order to appear and testify or produce required documents

Tort

A civil wrong could be intentional or unintentional

Doctrine of Foreseeability

The ability to see or know in advance to reasonably anticipate that harm or injury may result because of certain acts or omission.

Doctrine of Personal Liability

Each person is responsible for his/her own conduct even though others may be held liable as well.

Doctrine of the Reasonably Prudent Person

A person should preform an action as would any reasonable person of ordinary prudence

Aeger Primo

"The patient first"

Doctrine of borrowed servant

The one controlling or directing the employee has greater responsiblity than the one playing the employee.

Doctrine found corporate negligence

A health institution may be found negligent for failing to ensure that an acceptable level of patient care was provided.

Primum non nocere

"Above all, do no harm"

Res ipsa loquitur

"The thing speaks for itself"

Assault

An act that causes another person to fear that he/she will be touched in an offensive, insulting or physically injurious manner without consent or authority to do so

Battery

The actual act of harm or unwarranted contact with a person

Defamation

Slander(oral statement) or libel (written) that damages a persons reputation

False Imprisonment

Illegal detention of a person without consent or forcing a person to stay in an area

Abandonment

When a member of the surgical teams leaves a patient who is dependent on their presence as a caregiver and can be held liable

Informed Consent

A surgical procedure doesnt start without the written signature and consent of the patient

Medical Documentation

Where information about the patients medical charts are placed

Advance Directive

A written instruction dealing with the right an incapacitated patient to self determination

Incident Report

When an unusal event occurs and need to identify the factors that caused it and how to prevent it

ethics

what is good for the individual and for society

Moral principles

The guides for ethical decision making, the principles that we try to instill in our children (trustworthiness, honesty and benevolence).

Patient Care Partnership

Informs the patient about what he/she should expect during the hospital stay with reguard to his/her rights and responsibility.

deontological

The ideas of obligation and duty.

formalism

the inherent right or wrong in a given act

scope of practice

identifies the knowledge and skills required for the profession in order to provide effective and reliable services
Identifies the disiplines and processes that define the field

registration

formal process by which qualified individuals are listed in a registry

certification

recognition by an appropriate body that an individual has met a predetermined standard

liscensure

legal right granted by a government agency in compliance with a statue that authorizes and oversees the activities of a profession

accreditation

ensures the academic quality to students and the public and its an important indicator for employers who are evaluating the credentials of a potential employee

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