Orientation to Surgical Tech Chapter 1 - (Nicola)

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Surgical Technologist: A Positive Care Approach 4E
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1

General Surgery is typically.....

Digestive system, thyroid, parathyroid, skin & breast lesions

2

AST

The Association of Surgical Technologists (AST) was established in 1969 with the mission of ensuring quality patient care

3

Emergent Surgery

Surgical pathology threatening life or limb in a short period of time

4

Urgent Surgery

Requiring treatment in short space of time

5

AST Core Curriculum for Surgical Technology published 1st Ed

1981

6

AORT and AORN National Advisory Board dissolved AORT was able to assume responsibilities of managing its own associates

1973

7

Diagnosis-related group

DRG

8

Optional surgery

Surgical intervention that does not have to be performed to preserve life or function

9

Non sterile surgical members

Circulator (RN, LPN, LVN)
Anesthesia tech Radiology tech, Pathology tech

10

Sterile surgical members

STSR Surgeon
Surgical and first assistant

11

ST Job Description components

Job Title
Requirements
Nature of position
Duties
Accountability (Director of...)
Immediate Supervisor

12

Surgical Conscience components

If in doubt throw it out
Willingness to be held liable for each one's own actions in providing health care to the patient and not hesitating to admit a break in aseptic technique in order to prevent the patient from
acquiring a surgical wound infections

13

ARC-STSA

Abbreviation for Accreditation Review Committee on Education in Surgical Technology

14

Circulator

respond to the needs of the anesthesia provider, keep a written account of the surgical procedure, and participate jointly with the scrubbed person

15

NBSTSA

Is solely responsible for all decisions regarding Surgical Technologist and First Assistant certification

16

Medicare

Government reimbursement >65,social security

17

Medicaid

Government assistance for low income patients

18

HMO Health Maintenance Organizations

You will need to receive most or all of your health care from a network provider. They require that you select a primary care physician (PCP) who is responsible for managing and coordinating all of your health care.

19

The Joint Commission

An independent, not-for-profit organization, that accredits and certifies health care organizations. Accreditation and certification is recognized nationwide as a symbol of quality

20

Proprietary

Privately owned and operated for profit

21

1500 - Father of anatomy, correctly challenged Galen openly performed dissections on human cadavers.

Vesalius

22

1850 - Developed antiseptic technique

Lister

23

1850 - Developed meticulous wound closure techniques

Halsted

24

1900 - Father of neurosurgery, reduced mortality rate of meningioma's from 96% to 5%

Cushing

25

1950 - Developed the first ventricular assisted pump

DeBakey

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1850 He developed the XRAY

Roentgen

27

Formal organization formed in 1969

AORT Organization of Operating Room Technicians

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1974 Liaison council on certification for ST joined?

An arm of AST responsible for certification

29

In 1978 this organization changes its name to Association of Surgical Technologists

AORT

30

This organization is now the comprehensive "recommended standard of practice for surgical technology"

AST 2006 to present

31

Intraoperative case management

Establishing a neutral zone, passing equipment, prepare irrigation fluids

32

What year was the ARC-ST formed?

1974

33

LCC-ST changed its name to:

National Board of Surgical Technology and Surgical Assisting (NBSTSA)

34

The ________ is a professional organization dedicated to the improvement of surgical care by elevating the standards of surgical education and practice.

ACS

35

Basic relationships that the ST will effect

Social, professional, and therapeutic

36

Components of communication

Sender, message, receiver, feedback

37

Surgical conscience

The basis for the practice of strict adherence to sterile technique by all surgical team members; involves a level of honesty and moral integrity that must be upheld

38

Preferred provider organization (PPO)

Collection of private-practice, Contract with insurance companies and receive an agreed set rate for services

39

Has an idea, encodes the idea verbally or non verbally

Sender

40

Health maintenance organization (HMO)

Collection of hospitals, health professionals, and doctors
Work for a set fee and may require patients to use a primary care physician for all referrals

41

Indirect patient care

Housekeeping, medical records, maintenance, administration, dietician

42

New York Conference - Formal organization Association of Operating Room Technicians AORT

1969

43

Direct Patient Care

Patient care units, imaging, laboratory, pharmacy

44

A surgical tech must be able to lift .....

20lbs

45

The largest programmatic accreditor in the health sciences field.

CAAHEP - Commission on Accreditation of Allied Health Education Programs

46

5 stages of conflict resolution

Forming
Storming
Norming
Performing
Adjourning

47

Patient Care Affordable Care Act

2010 Obamacare

48

First scrub duties

Anticipate needs
Organize sterile field
Applies sterile drape
Passes instruments
Performs counts
Handles specimens
Applies dressings