Operating Room Technique

ISBN-10: 0323019803
ISBN-13: 9780323019804
Edition: 10th 2004 (Revised)
List price: $74.95
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Description: This volume seeks to equip the learner with a solid foundation of surgical principles and skills, while maintaining a fundamental focus on the care of the surgical patient.

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Book details

List price: $74.95
Edition: 10th
Copyright year: 2004
Publisher: Elsevier - Health Sciences Division
Publication date: 7/25/2003
Binding: Hardcover
Pages: 1008
Size: 9.00" wide x 11.50" long x 1.50" tall
Weight: 5.060
Language: English

This volume seeks to equip the learner with a solid foundation of surgical principles and skills, while maintaining a fundamental focus on the care of the surgical patient.

Fundamentals of Theory and Practice
Perioperative Education
Historical Background
The Art and Science of Surgery
Perioperative Learner
Perioperative Educator
Learning Resources
Application of Theory to Practice
Expected Behaviors of Perioperative Caregivers
Realities of Clinical Practice
Foundations of Perioperative Patient Care Standards
Historical Background
Patient Rights
Accountability
Standardization of Patient Care
Professionalism
Professional Perioperative Nursing
Nursing Process
Standards of Perioperative Nursing Practice
Clinical Competency of the Perioperative Nurse
Scope of Perioperative Nursing Practice
Surgical Technology
Standards of Practice for Surgical Technologists
Clinical Competency of the Surgical Technologist
Credentialing of Caregivers
Continuous Performance Evaluation and Improvement
Sentinel Events and Performance Improvement
Legal and Ethical Issues
Historical Background
Legal Issues
Liability
Consent
Documentation of Perioperative Patient Care
Legal Aspects of Drugs and Medical Devices
The Standard of Care and Professional Ethics
Recommended Practices
Ethical Issues
Bioethical Situations
Surgical Conscience
The Perioperative Patient Care Team
The Perioperative Patient Care Team
Historical Background
Dependence of the Patient on the Qualified Team
Perioperative Patient Care Team
Nonsterile Team Members
Sterile Team Members
The Surgical First Assistant
Historical Background
First Assistant's Knowledge and Skill Level
What Does the First Assistant Do?
Disciplines Associated with First Assisting in Surgery
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
The Patient as a Unique Individual
The Patient: The Reason for Your Existence
Historical Background
Patient-Centered Care
Patients with Special Needs
The Patient with Cancer
Historical Background
Potential Causes of Cancer
Clinical Signs and Symptoms
Curative versus Palliative Therapy
Adjuvant Therapy
Surgical Resection
Endocrine Therapy
Photodynamic Therapy
Radiation Therapy
Chemotherapy
Immunotherapy
Hyperthermia
Future of Oncology
Chronic and Terminal Illnesses
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
Perioperative Geriatrics
Perspectives on Aging
Perioperative Assessment of the Geriatric Patient
Intraoperative Considerations
Postoperative Considerations
The Perioperative Environment
Physical Facilities
Historical Background
Physical Layout of the Surgical Suite
Transition Zones
Peripheral Support Areas
Operating Room
Special Procedure Rooms
Ambulatory Surgery Centers
Historical Background
Ambulatory Surgery Programs
The Ambulatory Surgical Patient
Perioperative Documentation
Advantages and Disadvantages of Ambulatory Surgery
Performance Improvement for Ambulatory Services
Care of the Perioperative Environment
Historical Background
Establishing the Perioperative Environment
Room Turnover between Patients
Daily Terminal Cleaning
Potential Sources of Injury to the Caregiver and the Patient
Historical Background
Environmental Hazards
Physical Hazards and Safeguards
Chemical Hazards and Safeguards
Biologic Hazards and Safeguards
Risk Management
Surgical Asepsis and Sterile Technique
Microbiologic Considerations
Historical Background
Microorganisms: Nonpathogens versus Pathogens
Types of Pathogenic Microorganisms
Antimicrobial Therapy
Principles of Asepsis and Sterile Technique
What Is the Difference between Asepsis and Sterile Technique?
Historical Background
Transmission of Microorganisms
Human-Borne Sources of Contamination
Nonhuman Factors in Contamination
Sources of Infection
Aseptic Technique and Environmental Controls
Standard Precautions
Application of Sterile Technique
Principles of Sterile Technique
No Compromise of Sterility
Attire, Surgical Scrub, Gowning, and Gloving
Historical Background
Appropriate Operating Room Attire
Surgical Scrub and Hand Cleansing
Gowning and Gloving
Decontamination and Disinfection
Instrument Cleaning and Decontamination
Repairing or Restoring versus Replacing Instruments
Disinfection of Items Used in Patient Care
Methods of Disinfection
Disposable Products
Sterilization
Historical Background
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
Surgical Instrumentation and Equipment
Surgical Instrumentation
Historical Background
Fabrication of Metal Instruments
Classification of Instruments
Handling Instruments
Specialized Surgical Equipment
Electrosurgery
Historical Background
Laser Surgery
Historical Background
Microsurgery
Historical Background
Ultrasonosurgery
Integrated Technologies
Preoperative Patient Care
Preoperative Preparation of the Patient
Historical Background
Hospitalized Patient
Preoperative Preparation of all Patients
Transportation to the Operating Room Suite
Admission to the Operating Room Suite
Diagnostic Procedures
Historical Background
Patient Care Considerations for Diagnostic Procedures
Pathologic Examination
Radiologic Examination
Magnetic Resonance Imaging
Nuclear Medicine Studies
Ultrasonography
Sensory Evoked Potential
Plethysmography
Endoscopy
Pharmacology and Anesthesia
Surgical Pharmacology
Historical Background
Pharmacology Baselines
Considerations in Surgical Pharmacology
Surgical Drug and Pharmaceutical Sources
Pharmacologic Forms Used in Surgery
Anesthesia: Techniques and Agents
Historical Background
Types of Anesthesia
Choice of Anesthesia
Anesthesia State
Knowledge of Anesthetics
General Anesthesia
Balanced Anesthesia
Controlled Homeostasis
Care of the Anesthetized Patient
Care of General Anesthesia Equipment
Local and Regional Anesthesia
Historical Background
Preparation of the Patient
Intraoperative Patient Care
Local Anesthesia
Spinal and Epidural Anesthesia
Techniques of Administration of Local or Regional Anesthesia
Actions of Local and Regional Anesthetics
Complications of Local and Regional Anesthesia
Alternatives to Conventional Anesthesia
Intraoperative Patient Care
Coordinated Roles of the Scrub Person and the Circulator
Division of Duties
Setting up the Room
Scrub Person Duties
Circulator Duties
Sponge, Sharps, and Instrument Counts
Sponges
Sharps
Instruments
Efficiency of the Operating Room Team
Positioning, Prepping, and Draping the Patient
Historical Background
Preliminary Considerations
Anatomic and Physiologic Considerations
Equipment for Positioning
Surgical Positions
Modifications for Individual Patient Needs
Physical Preparation and Draping of the Surgical Site
Principles of Patient Skin Preparation
Preliminary Preparation of the Patient's Skin
Antiseptic Skin Cleansing Fundamentals
Antiseptic Solutions
Skin Preparation for Specific Anatomic Areas
Documentation
Draping
Draping Materials
Style/Type of Drapes
Principles of Draping
Procedures for Draping the Patient
Draping of Equipment
Plastic Isolator
Physiologic Maintenance and Monitoring of the Perioperative Patient
Historical Background
Monitoring Physiologic Functions
Surgical Site Management
Hemostasis and Wound Closure
Historical Background
Hemostasis
Wound Closure
Wound Healing
Historical Background
Anatomy and Physiology of Body Tissues
Mechanism of Wound Healing
Types of Wounds
Factors Influencing Wound Healing
Wound Management
Complications of Wound Healing
Postoperative Wound Infections
Wound Assessment
Basic Wound Care
Perianesthesia and Postprocedural Patient Care
Postoperative Patient Care
Historical Background
Postanesthesia Care
Admission to the Postanesthesia Care Unit
Discharge from the Postanesthesia Care Unit
Death of a Patient in the Operating Room
Potential Perioperative Complications
Historical Background
Respiratory Complications
Cardiovascular Complications
Intravenous Cardiovascular Drugs
Cardiopulmonary Resuscitation
Fluid and Electrolyte Imbalances
Blood Volume Complications
Shock
Metabolic Crises
Physiologic Injury
Surgical Specialties
Endoscopic Surgery
Historical Background
Eight Essential Elements of Endoscopy
Knowledge and Skill for a Safe Endoscopic Environment
Types of Endoscopic Procedures
Laparoscopic Procedure
Hazards of Endoscopy
Care of Endoscopes
Considerations for Patient Safety
Duties of the Assistant for Flexible Endoscopy
General Surgery
Historical Background
Special Considerations for General Surgery
Breast Procedures
Abdominal Surgery
Biliary Tract Procedures
Liver Procedures
Splenic Procedures
Pancreatic Procedures
Esophageal Procedures
Gastrointestinal Surgery
Gastric Procedures
Intestinal Procedures
Colorectal Procedures
Abdominal Trauma
Complications of Abdominal Surgery
Anorectal Procedures
Excision of Pilonidal Cysts and Sinuses
Hernia Procedures
Amputation of Extremities
Gynecologic and Obstetric Surgery
Historical Background
Anatomy and Physiology of the Female Reproductive System
Gynecology: General Considerations
Diagnostic Techniques
Vulvar Procedures
Vaginal Procedures
Abdominal Procedures
Perioperative Obstetrics
Assisted Reproduction
Nonobstetric Surgical Procedures and the Pregnant Patient
Urologic Surgery
Historical Background
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
Orthopedic Surgery
Historical Background
Anatomy and Physiology of the Musculoskeletal System
Special Features of Orthopedic Surgery
Extremity Procedures
Fractures
Joint Procedures
Repair of Tendons and Ligaments
Vertebral Surgery
Cast Application
Complications after Orthopedic Surgery
Neurosurgery
Historical Background
Anatomy and Physiology of the Brain and Spinal Cord
Special Considerations in Neurosurgery
Surgical Procedures of the Cranium
Surgical Procedures of the Spine
Peripheral Nerve Surgery
Ophthalmic Surgery
Historical Background
Anatomy and Physiology of the Eye
Ophthalmic Surgical Patient Care
Special Features of Ophthalmic Surgery
Ocular Surgical Procedures
Eye Injuries
Ophthalmic Lasers
Plastic and Reconstructive Surgery
Historical Background
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
Otorhinolaryngologic and Head and Neck Surgery
Historical Background
General Considerations in Ear, Nose, and Throat Procedures
Ear
Nose
Oral Cavity and Throat
Neck
Face
Thoracic Surgery
Historical Background
Anatomy and Physiology of the Thorax
Special Features of Thoracic Surgery
Thoracic Surgical Procedures
Chest Trauma
Intrathoracic Esophageal Procedures
Complications of Thoracic Surgery
Cardiac Surgery
Historical Background
Anatomy of the Heart and Great Vessels
Physiology of the Heart
Special Features of Cardiac Surgery
Cardiac Surgical Procedures
Vascular Surgery
Historical Background
Anatomy and Physiology of the Vascular System
Vascular Disease
Diagnostic Procedures
Special Features of Vascular Surgery
Conservative Interventional Techniques
Vascular Surgical Procedures
Organ Procurement and Transplantation
Historical Background
Types of Transplants
Tissue Transplantation
Organ Transplantation
Index

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