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