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SRG 120 Fundamentals of Surgical Technology I

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Nonsterile team member- also called circulator, does not scrub in, gown or glove ... Scrubbing, gowning and gloving self. Organizing the sterile field for use ... – PowerPoint PPT presentation

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Title: SRG 120 Fundamentals of Surgical Technology I


1
SRG 120Fundamentals ofSurgical Technology I
  • Lecture 120-3
  • Roles of the
  • Surgical Technologist

2
Mark Twain
  • Praise is well, compliment is well, but
    affection- that is the last and final most
    precious reward that any man can win, whether by
    character or achievement

3
Text
  • Surgical Technology, Principles and Practices
    Chapter 1

4
Objectives
  • Identify the various roles and duties of the
    surgical technologist
  • Analyze activities that reflect positive examples
    of professional behavior
  • List personal attributes for success as a
    surgical technologist
  • Understand the AST Standards of Practice for the
    surgical technologist

5
Surgical Technologists Lifestyle
  • Is entering an environment that most know little
    about
  • Knows more about the human body
  • Will participate in surgical procedures that the
    population sees as miraculous
  • Spends everyday life in a world alien
  • Will have moral, ethical, legal and professional
    obligations
  • Will have to deal psychologically with events and
    outcomes that most seldom have to face
  • Will be expected to perform well whenever called

6
Personal Conflicts
  • Leave family at inconvenient times
  • On-call responsibilities
  • Greater obligation to protect self from
    communicable disease
  • Will know details of other peoples lives that
    cannot be shared with family or friends

7
Desirable Attributes for Success
  • Care and empathy
  • Respect for others
  • Emotional self-control
  • Honesty and ethical behavior
  • Manual dexterity
  • Organizational skills
  • Concentration
  • Problem-solving skills
  • Sense of humor

8
Scope of Practice
  • Duties of the ST are determined by the employer
    and specified by the job description
  • UAP- unlicensed assistive personnel
  • Independent tasks
  • Dependent tasks

9
Phases of Surgical Case Management
  • Preoperative- occurs prior to initiation of the
    surgical procedure
  • Intraoperative- occurs while the surgical
    procedure is being performed
  • Postoperative- begins when the surgical procedure
    is terminated

10
Roles of the Surgical Technologist
  • Nonsterile team member- also called circulator,
    does not scrub in, gown or glove
  • Sterile team member- also called scrub, scrub
    nurse, operating room technician scrubs in,
    gowns and gloves

11
ST role in Preoperative Phase
  • Nonsterile team member
  • Don OR attire and personal protective equipment
    (PPE)
  • Prepare operating room
  • Transport of patient to the OR and transfer to OR
    bed
  • Positioning of patient
  • Assisting the anesthesia provider
  • Prepping of patient
  • Assisting with draping of patient
  • Connecting various cords and tubing

12
ST role in the Intraoperative Phase
  • Nonsterile team member
  • Maintaining integrity of the sterile field
  • Providing additional items to the sterile field
    during the surgical procedure
  • Maintaining the patients operative record
  • Caring for the specimen

13
ST role in Postoperative Phase
  • Nonsterile team member
  • Affixing dressings
  • Transferring patient from the OR bed to the
    stretcher
  • Transferring the patient to the post anesthesia
    care unit (PACU- old recovery room)
  • Prepare OR for the next patient

14
ST role in the Preoperative Phase
  • Sterile member
  • Donning OR attire and PPE
  • Preparing the OR
  • Gathering necessary equipment and supplies
  • Creating the sterile field
  • Scrubbing, gowning and gloving self
  • Organizing the sterile field for use

15
ST role in Preoperative Phase
  • Sterile member
  • Counting necessary items
  • Assisting team members during entry of the
    sterile field
  • Exposing the operative site with sterile drapes

16
ST role in the Intraoperative Phase
  • Sterile member
  • Maintaining sterile field
  • Passing instruments, equipment, and supplies
  • Handling medications
  • Counting necessary items
  • Caring for the specimen
  • Preparing the dressing

17
ST in the Postoperative Phase
  • Sterile team member
  • Applying the dressing
  • Maintaining sterile field until the patient is
    transported from the OR
  • Disassembling the sterile field
  • Removing used instruments, equipment and supplies
    from the OR
  • Preparing OR for the next patient

18
Professional Behaviors
  • Surgical conscience
  • Autonomy
  • Critical thinking
  • Prioritization
  • Discrimination
  • Motivation
  • Commitment
  • Flexibility
  • Adaptability
  • Self-direction
  • Internalization
  • Work ethic
  • Anticipation

19
Standards of Practice AST DevelopedStandard I
  • Teamwork
  • Essential
  • Communication
  • Work together for the common good of the patient
  • Professional behavior- personal integrity and
    surgical conscience

20
Standard II
  • Preoperative planning and preparation for
    surgical intervention
  • Collaborates with surgical team members
  • Implementation of patient care under supervision
    of RN

21
Standard III
  • Preparation of perioperative environment
  • Application of the patient care plan
  • Maintain safe work environment
  • Observe aseptic technique
  • Following policies and procedures

22
Standard IV
  • Application of basic and current knowledge
  • Proficient performance of assigned functions
  • Maintain current knowledge base of procedures and
    emergency protocol
  • Continuing education

23
Standard V
  • Patients Rights
  • Privacy, dignity, safety and comfort
  • Moral and ethical duty
  • Perform as a patients advocate
  • An accountability issue and should be part of
    each aspect of patient care

24
Standard VI
  • Every patient is entitled to the same application
    of aseptic technique within the physical
    facilities
  • All patients given the same dedication in their
    care
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