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Association of Operating Room Nurses |
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Liaison Council on Certification for Surgical Technology |
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Accreditation Review Committee on Education in Surgical Technology and Surgical Assisting |
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Certified Surgical Technologist |
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National Board of Surgical Technology and Surgical Assisting |
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Association of Surgical Technologists |
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American College of Surgeons |
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American Medical Association |
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American National Standards Institute |
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Association for the Advancement of Medical Instrumentation |
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Centers for Disease Control and Prevention |
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Food and Drug Administration |
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Environmental Protection Agency |
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sterile surgical team member who prepares the surgical environment, maintains and monitors the sterile field, and passes instrumentation, supplies, and equipment to the surgeon and other team members |
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sterile surgical team member who assists the surgeon by providing visualization of the surgical wound and assists with hemostasis and wound closure |
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CSFA - Certified Surgical First Assistant |
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sterile surgical team member who has obtained additional knowledge and experience and obtained an appropriate surgical assistant credential |
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Ambulatory Surgical Centers |
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Health Maintenance Organization |
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Preferred Provider Organizations |
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hospitals are investor owned by an individual or corporation, focus on providing quality patient care, but also to create a profit that is returned to investors |
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tasks to be done before surgery starts |
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tasks that need done during the surgery |
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tasks to do when surgery is over |
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an ST must maintain the principles of asepsis and commit to the practice of sterile technique, must maintain the confidentiality of patient's information, must demonstrate nondiscriminatory treatment of all patients, and must be cost conscious and not waste material |
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a CST who trains students during their clinical experience |
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a medical condition that requires surgical intervention within a short period of time |
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a planned, nonemergency, nonurgent procedure that may be either required for quality of life considerations or optional |
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a medical emergency that requires immediate surgical intervention |
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if a surgical team member leaves a patient who is dependent on his or her presence as a caregiver |
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contributes to the protection of the public by assessing educational programs for their quality and effectiveness in educating and training students and is an important indicator for employees who are evaluating the credentials of potential employees |
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a set of written instructions that address the right of an incapacitated patient to self-determination |
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a voluntary statement of facts sworn to be true before an authority |
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-to maintain highest standards of professional conduct and patient care -to hold in confidence, with respect to the patient's beliefs, all personal matters -to respect and protect the patient's legal and moral rights to quality patient care -to not knowingly cause injury or any injustice to those entrusted to our care -to work with fellow technologists and other professional health groups to promote harmony and unity for better patient care -to always follow the principles of asepsis -to maintain a high degree of efficiency through continuing education -to maintain and practice surgical technology willingly, with pride and dignity -to report any unethical conduct or practice to the proper authority -to adhere to the Code of Ethics at all times with all members of the health care team |
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does not verify competency but does establish a minimum knowledge base for a given health care profession |
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defines what is good for the individual, society and establishes the nature of duties that people owe themselves and one another, -a system of moral principles and rules that become standards for professional conduct and should not be confused with morals |
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a mechanism for reporting incidents related to an adverse patient occurrence, such as falls, medication errors, intraoperative burns, and loss of specimens are examples |
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agreement or permission accompanied by full notice about what is being consented to |
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an obligation either to do or not to do something |
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professional misconduct that results in harm to another; professional negligence |
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guides for ethical decision making, include the concern that we have for the well-being of others and respect for their autonomy |
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either the omission or commission of an act that a reasonable and prudent individual would not do under the same conditions |
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used to be patient's bill of rights, includes high quality hospital care, protection of patient privacy, a clean and safe environment, involvement in the patient's care, help with billing and insurance claims, and help when leaving the hospital by preparing the patient and family |
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an integrated system developed by hospitals for the prevention and control of areas of potential liability |
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expanded the US FDA's authority to regulate medical devices, allowing them to quickly learn about and act on information when a medical device caused an adverse patient event and ensure that hazardous devices are removed from hospitals and other health care facilities in a timely manner |
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a legal term that refers to the knowledge and skills required of a profession in order to provide effective services, or not going outside of your training to do things |
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Tort Law (intentional/unintentional) |
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any civil wrong independent of a contract, and provides a remedy in the form of an action for damages -intentional are acts that are willful and violate the civil rights of a patient -unintentional are the most common type of patient care errors committed by operating room personnel and include negligence and malpractice |
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an act that causes another person to fear that he or she will be touched in an offensive, insulting, or physically injurious manner without consent or authority to do so |
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the actual act of harmful or unwarranted contact with a person, including contact without proper consent |
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"let the master answer" an employee is responsible for the actions of his or her employees |
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"the thing speaks for itself" harm obviously came from a given act or thing of which the defendant has sole control |
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the expected conduct of a professional in a given circumstance |
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Health Insurance Portability and Accountability Act -first federal act to establish privacy standards to protect patient's medical records and other health-related information |
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also referred to as the no-pass or no-touch technique, used for the placement of sharps during the surgical procedure to prevent person-to-person transfer of sharps |
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Commission on Accreditation of Allied Health Education Programs |
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Occupational Safety and Health Administration |
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-Pull the pin at the top of the fire extinguisher -Aim the nozzle toward the base of the fire -Squeeze the handle to discharge the extinguisher while standing approximately 8 feet away from the fire -Sweep the nozzle in a back-and-forth motion at the base of the fire until the fire is extinguished |
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-Remove/rescue anyone from fire or smoke danger to safe area -Alert/sound the alarm -Contain the fire -Extinguish/evacuate |
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light amplification by the stimulated emission of radiation |
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should be kept between 68 and 73 degrees F |
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a higher pressure in the OR so when the door opens the higher pressure inside will go out, not allowing microbes to come into the OR |
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negative air pressure in dirty rooms so when the doors open, the air from outside will rush into the room keeping any microbes from escaping |
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usually located near the entrance of the OR, where offices, locker rooms, preoperative holding and PACU are located |
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surgical scrub suits as well as hair cover is mandatory, signage or red lines on the floor are used to separate areas where there are no doors, non-sterile storage rooms, instrument rooms |
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OR suites, substerile rooms, sterile storage rooms, in proper OR attire |
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unidirectional positive pressure, positive air pressure |
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a statement that one expects to be proven true |
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determine necessity of surgical intervention, possible alternatives, discuss the risks and benefits, identify the correct surgical site, assist with time out, perform the procedure, and provide follow up patient care |
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assist in positioning patient and draping, participate in time out, help with retraction, suctioning and sponging throughout surgery, apply dressings, assist in transferring patient from OR table |
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prepare OR room by gathering instruments and necessary items needed for surgery, arrange furniture, wipe down furniture, don sterile gloves for self and other sterile team members, organize sterile field, including medications, perform counts of items with circulator, assist with draping patient, maintain sterile field throughout surgery until patient leaves the room, participate in surgical time out, prepare irrigation fluids and medications, pass instruments and supplies to surgeon, assist with specimen care, clean residual fluids from patient before applying dressing, help clean up OR after surgery by getting all the instruments into their correct places and turnover |
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Second Scrub Surgical Technologist |
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help with sponging, suctioning, cutting sutures, apply clamps to bleeders, hold retractors as directed, and maneuver endoscopic camera as directed by surgeon |
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assesses patient before surgery, determine the type of anesthetic going to be used and discuss with patient the plan, as well as risks or alternative options, help determine position for patient with surgeon, maintain all phases of anesthesia, monitor vital signs of patient throughout surgery |
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assist surgical technologist with preparation of OR, ensure documents and reports are available, conduct preoperative interview with patient, transport patient to OR and transferring patient to OR table and positioning, perform patient skin prep, connect various cords and tubes, assist with time out, perform surgical counts with first scrub surgical technologist, get other sterile items for the surgery as needed, maintain operative record, assist with specimen care, secure dressings, assist with transferring patient from OR table to PACU, assist with OR turnover |
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pharmacy, physical and occupational therapy, patient care units (medical, surgical, critical care), diagnostic imaging dept, medical or laboratory department |
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hospital administration, hospital maintenance and security, housekeeping and environmental services, dietetics and food services, purchasing, central supply, materials management, medical records, admissions |
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gather necessary case cart, equipment, and supplies; review patient information; arrange OR furniture and wipe down; don sterile gown and gloves; create and maintain a sterile field; organize sterile field for use including labeling of meds; perform initial counts with circulator; gown and glove other sterile team members; assist with draping of patient |
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maintain sterile field, including establishing a neutral zone; participate in time out; anticipate needs of patient and surgeon by providing necessary items in order when needed; pass instruments and supplies to surgeon; prepare irrigation fluids and other medications; perform additional counts as needed; maintain appropriate care of specimens; clear residual blood and skin prep from patient before the application of the dressings |
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maintain sterile field until patient is out of OR; separate instruments and disassemble the sterile field; place sharps in the sharps container; place contaminated items into biohazard bags; transport instruments to the decontamination area; coordinate and assist with room turnover |
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pediatrics, obese, diabetic, pregnant, immunocompromised, physically challenged or sensory impared, isolation, geriatric, substance abuse, trauma, ptsd |
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