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ST-106 Week 3 Terminology
Terminology for Case Planning
25
Health Care
Professional
10/13/2010

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Cards

Term
Case Cart
Definition
A closed stainless steel transport cart equipped with wheels  The case cart is used to transport instruments and supplies needed for surgery into the OR and take them to decontamination areas after surgery  
Term
Laparotomy Sponges
Definition

A large padded sponge used in major surgery for absorption and during retraction; Also called a lap tape or tape

Term
Paralytic Ileus
Definition
Loss of peristalsis to the bowel as a result of excess handling during surgery.
Term
Assignment Board
Definition

A large erasable board that lists scheduled surgical cases and assigned personnel.  The board is kept in a central location in the restricted area of the surgical dept.

Term
Time Out
Definition

A procedure for verifying the patient’s identity; correct surgical procedure, site, and side.  Timeout takes place after the patient has been positioned, prepped, and draped but before the first incision,  The procedure is promoted by the AST and described I detail by the AORN and the WHO.

Term
Event Related
Definition
An activity or process linked with an event.  I.E. a sponge, needle, and instrument count is always taken before the closure of a body cavity during surgery, to ensure that no items are left inside.  This is an event related procedure
Term
Tonsil Sponge
Definition
A rounded sponge approximately walnut size, with string attached; used for absorption during tonsillectomy
Term
Case Setup
Definition
A time-related set of procedures in which sterile supplies are distributed and arranged on the sterile table.
Term

Cottonoid Sponge

Definition
A flat neurosurgical sponge available in numerous sizes and constructed of compressed synthetic and natural fibers.  Sometimes called a patty
Term
Sterile Setup
Definition

The process of organizing and arranging sterile supplies and equipment before surgery.  The setup is performed by the scrubbed surgical technologist.

Term
Sharps
Definition
Any object that can penetrate the skin and have the potential to cause injury and infection; these include but are not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires
Term
Implant
Definition
A synthetic or metal replacement for an anatomical structure such as a joint or cranial bones
Term
Bleeder
Definition
A bleeding vessel
Term
Sponge Dissector
Definition
A small compact sponge used to dissect soft tissue planes.  The sponge dissector is always mounted on a clamp for use in the surgical wound. 
Term
Count
Definition
A systematic method of accounting for all sponges, needles, instruments, and other items that can be retained in the patient.  Counts are performed in all cases in which a possibility of leaving an item in the surgical wound exists.
Term
Free-tie Suture
Definition
A length of suture material used to tie around a bleeding blood vessel in surgery
Term
Time-related 
Definition
An event or activity linked with a specific time or process (e.g. timeout for verification of the patient’s identity, correct operative site and side is time related, occurring just before surgery starts.
Term
Blunt Dissection
Definition
The technique of separating tissue layers by teasing them apart with a rough sponge dissector
Term
Culture
Definition
A process in which a sample of exudate, pus, or fluid is grown in culture media and analyzed for the presence of infectious microorganisms.  If microorganisms colonize the sample, they are examined for type and sensitivity to specific antibiotics.  This is called C&S
Term
Case Planning
Definition
The process of organizing the tasks and equipment required for a surgical procedure.  Case planning requires the ability to prioritize, organizational skills, and a knowledge of the procedure.
Term
Sponge Stick
Definition
A Raytec sponge folded and mounted on a sponge forcep for use deep in the body.  Raytec sponges are not permitted in or around the surgical wound when the body cavity is open or sponge could be lost in the wound, unless mounted on a instrument
Term
Graft
Definition
An implant used to replace or augment existing tissue.  A graft may be obtained from the patient, another person, animal source, synthetic; or biosynthetic materials
Term
Raytec
Definition
A surgical sponge folded to 4X4”.  The Raytec, also called a four by four derives its name from one of the companies which manufacturers surgical sponges
Term
Surgeon's Preference Card
Definition
A database or card system containing the methods and materials used by each surgeon for specific surgeries.  The preference card contains their choice of suture, special equipment and settings, and other information used to prepare the patient and supplies before surgery.  
Term
Biopsy
Definition
Removal of a sample of tissue for pathological analysis.
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