General Surgery is typically.....
Digestive system, thyroid, parathyroid, skin & breast lesions
AST
The Association of Surgical Technologists (AST) was established in 1969 with the mission of ensuring quality patient care
Emergent Surgery
Surgical pathology threatening life or limb in a short period of time
Urgent Surgery
Requiring treatment in short space of time
AST Core Curriculum for Surgical Technology published 1st Ed
1981
AORT and AORN National Advisory Board dissolved AORT was able to assume responsibilities of managing its own associates
1973
Diagnosis-related group
DRG
Optional surgery
Surgical intervention that does not have to be performed to preserve life or function
Non sterile surgical members
Circulator (RN, LPN, LVN)
Anesthesia tech Radiology tech, Pathology tech
Sterile surgical members
STSR Surgeon
Surgical and first assistant
ST Job Description components
Job Title
Requirements
Nature of position
Duties
Accountability (Director of...)
Immediate Supervisor
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
ARC-STSA
Abbreviation for Accreditation Review Committee on Education in Surgical Technology
Circulator
respond to the needs of the anesthesia provider, keep a written account of the surgical procedure, and participate jointly with the scrubbed person
NBSTSA
Is solely responsible for all decisions regarding Surgical Technologist and First Assistant certification
Medicare
Government reimbursement >65,social security
Medicaid
Government assistance for low income patients
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.
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
Proprietary
Privately owned and operated for profit
1500 - Father of anatomy, correctly challenged Galen openly performed dissections on human cadavers.
Vesalius
1850 - Developed antiseptic technique
Lister
1850 - Developed meticulous wound closure techniques
Halsted
1900 - Father of neurosurgery, reduced mortality rate of meningioma's from 96% to 5%
Cushing
1950 - Developed the first ventricular assisted pump
DeBakey
1850 He developed the XRAY
Roentgen
Formal organization formed in 1969
AORT Organization of Operating Room Technicians
1974 Liaison council on certification for ST joined?
An arm of AST responsible for certification
In 1978 this organization changes its name to Association of Surgical Technologists
AORT
This organization is now the comprehensive "recommended standard of practice for surgical technology"
AST 2006 to present
Intraoperative case management
Establishing a neutral zone, passing equipment, prepare irrigation fluids
What year was the ARC-ST formed?
1974
LCC-ST changed its name to:
National Board of Surgical Technology and Surgical Assisting (NBSTSA)
The ________ is a professional organization dedicated to the improvement of surgical care by elevating the standards of surgical education and practice.
ACS
Basic relationships that the ST will effect
Social, professional, and therapeutic
Components of communication
Sender, message, receiver, feedback
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
Preferred provider organization (PPO)
Collection of private-practice, Contract with insurance companies and receive an agreed set rate for services
Has an idea, encodes the idea verbally or non verbally
Sender
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
Indirect patient care
Housekeeping, medical records, maintenance, administration, dietician
New York Conference - Formal organization Association of Operating Room Technicians AORT
1969
Direct Patient Care
Patient care units, imaging, laboratory, pharmacy
A surgical tech must be able to lift .....
20lbs
The largest programmatic accreditor in the health sciences field.
CAAHEP - Commission on Accreditation of Allied Health Education Programs
5 stages of conflict resolution
Forming
Storming
Norming
Performing
Adjourning
Patient Care Affordable Care Act
2010 Obamacare
First scrub duties
Anticipate needs
Organize sterile field
Applies sterile drape
Passes instruments
Performs counts
Handles specimens
Applies dressings