Berry & Kohn's operating room technique.

Format:

Book

Author/Creator:

Phillips, Nancymarie Fortunato.

Contributor:

Berry, Edna Cornelia.

Kohn, Mary Louise.

Language:

English

Subjects (All):

Operating room nursing.

Operating Room Nursing.

Operating Room Technicians.

Perioperative Care--methods.

Medical Subjects:

Operating Room Nursing.

Operating Room Technicians.

Perioperative Care--methods.

Physical Description:

xxi, 978 pages : illustrations (some color) ; 29 cm

Edition:

Tenth edition / Nancymarie Fortunato Phillips.

Other Title:

Berry and Kohn's operating room technique

Operating room technique

Place of Publication:

St. Louis, MO : Mosby, [2004]

Summary:

For 46 years Berry & Kohn's Operating Room Technique has been the text of choice for understanding basic surgical principles and techniques. It is commonly used as a text for either surgical technology or perioperative nursing courses or an educational reference for practicing surgical technologists, perioperative nurses, and in-service training for perioperative professionals. It covers the foundations of surgical techniques in a step-by-step format to enable the perioperative learner to effectively apply basic principles to practice, and focuses on the physiologic and psychologic needs of the patients to provide guidelines for planning and implementing comprehensive, individualized care. It also reviews the most commonly performed surgical procedures to help the reader see and apply surgical techniques and emphasizes teamwork among perioperative caregivers to encourage cooperation in attaining positive patient care outcomes.

Contents:

Section 1 Fundamentals of Theory and Practice

1 Perioperative Education 1

The Art and Science of Surgery 1

Perioperative Learner 2

Perioperative Educator 4

Learning Resources 6

Application of Theory to Practice 8

Expected Behaviors of Perioperative Caregivers 8

Realities of Clinical Practice 10

2 Foundations of Perioperative Patient Care Standards 13

Patient Rights 14

Accountability 15

Standardization of Patient Care 15

Professionalism 16

Professional Perioperative Nursing 17

Nursing Process 17

Standards of Perioperative Nursing Practice 19

Clinical Competency of the Perioperative Nurse 23

Scope of Perioperative Nursing Practice 23

Surgical Technology 23

Standards of Practice for Surgical Technologists 24

Clinical Competency of the Surgical Technologist 24

Credentialing of Caregivers 25

Continuous Performance Evaluation and Improvement 26

Sentinel Events and Performance Improvement 27

3 Legal and Ethical Issues 29

Legal Issues 29

Liability 30

Consent 33

Documentation of Perioperative Patient Care 35

Legal Aspects of Drugs and Medical Devices 38

The Standard of Care and Professional Ethics 39

Recommended Practices 41

Ethical Issues 44

Bioethical Situations 45

Surgical Conscience 48

Section 2 The Perioperative Patient Care Team

4 The Perioperative Patient Care Team 50

Dependence of the Patient on the Qualified Team 50

Perioperative Patient Care Team 51

Nonsterile Team Members 51

Sterile Team Members 53

5 The Surgical First Assistant 56

First Assistant's Knowledge and Skill Level 56

What Does the First Assistant Do? 57

Disciplines Associated with First Assisting in Surgery 62

6 Administration of Perioperative Patient Care Services 73

Establishing Administrative Roles 73

Interdepartmental Relationships 77

Patient Care Departments 77

Patient Services Departments 78

Departmental Service Divisions 78

Coordination through Committees 80

Surgical Services Management 83

Budgeting and Financial Responsibility 85

New Product and Equipment Evaluation 86

Section 3 The Patient as a Unique Individual

7 The Patient: The Reason for Your Existence 88

Patient-Centered Care 88

Patients with Special Needs 92

The Patient with Cancer 101

Potential Causes of Cancer 101

Clinical Signs and Symptoms 104

Curative versus Palliative Therapy 105

Adjuvant Therapy 106

Surgical Resection 106

Endocrine Therapy 107

Photodynamic Therapy 107

Radiation Therapy 108

Chemotherapy 112

Immunotherapy 116

Hyperthermia 117

Future of Oncology 117

Chronic and Terminal Illnesses 118

8 Perioperative Pediatrics 119

Indications for Surgery 119

Considerations in Perioperative Pediatrics 121

Perioperative Assessment of the Pediatric Patient 121

Preoperative Psychologic Preparation of Pediatric Patients 126

Pediatric Anesthesia 128

Intraoperative Pediatric Patient Care Considerations 132

Common Surgical Procedures 134

Postoperative Pediatric Patient Care 153

9 Perioperative Geriatrics 155

Perspectives on Aging 155

Perioperative Assessment of the Geriatric Patient 158

Intraoperative Considerations 176

Postoperative Considerations 177

Section 4 The Perioperative Environment

10 Physical Facilities 178

Physical Layout of the Surgical Suite 178

Transition Zones 182

Peripheral Support Areas 183

Operating Room 185

Special Procedure Rooms 191

11 Ambulatory Surgery Centers 192

Ambulatory Surgery Programs 193

The Ambulatory Surgical Patient 195

Perioperative Documentation 201

Advantages and Disadvantages of Ambulatory Surgery 202

Performance Improvement for Ambulatory Services 202

12 Care of the Perioperative Environment 204

Establishing the Perioperative Environment 204

Room Turnover between Patients 205

Daily Terminal Cleaning 208

13 Potential Sources of Injury to the Caregiver and the Patient 211

Environmental Hazards 211

Physical Hazards and Safeguards 214

Chemical Hazards and Safeguards 222

Biologic Hazards and Safeguards 224

Risk Management 227

Section 5 Surgical Asepsis and Sterile Technique

14 Microbiologic Considerations 229

Microorganisms: Nonpathogens versus Pathogens 230

Types of Pathogenic Microorganisms 233

Antimicrobial Therapy 244

15 Principles of Asepsis and Sterile Technique 247

What Is the Difference between Asepsis and Sterile Technique? 247

Transmission of Microorganisms 249

Human-Borne Sources of Contamination 249

Nonhuman Factors in Contamination 250

Sources of Infection 251

Aseptic Technique and Environmental Controls 251

Standard Precautions 254

Application of Sterile Technique 256

Principles of Sterile Technique 257

No Compromise of Sterility 262

16 Attire, Surgical Scrub, Gowning, and Gloving 263

Appropriate Operating Room Attire 264

Surgical Scrub and Hand Cleansing 270

Gowning and Gloving 273

17 Decontamination and Disinfection 281

Instrument Cleaning and Decontamination 281

Repairing or Restoring versus Replacing Instruments 285

Disinfection of Items Used in Patient Care 286

Methods of Disinfection 287

Disposable Products 293

18 Sterilization 297

Sterilization versus Disinfection 297

Assembly of Instrument Sets 299

Packaging Instruments and Other Items for Sterilization 301

Thermal Sterilization 304

Chemical Sterilization 312

Radiation Sterilization 319

Control Measures 319

Custom Packs 321

Section 6 Surgical Instrumentation and Equipment

19 Surgical Instrumentation 324

Fabrication of Metal Instruments 324

Classification of Instruments 326

Handling Instruments 339

20 Specialized Surgical Equipment 343

Electrosurgery 343

Laser Surgery 347

Microsurgery 355

Ultrasonosurgery 362

Integrated Technologies 362

Section 7 Preoperative Patient Care

21 Preoperative Preparation of the Patient 364

Hospitalized Patient 364

Preoperative Preparation of all Patients 365

Transportation to the Operating Room Suite 375

Admission to the Operating Room Suite 376

22 Diagnostic Procedures 380

Patient Care Considerations for Diagnostic Procedures 381

Pathologic Examination 381

Radiologic Examination 383

Magnetic Resonance Imaging 389

Nuclear Medicine Studies 389

Ultrasonography 390

Sensory Evoked Potential 392

Plethysmography 392

Endoscopy 392

Section 8 Pharmacology and Anesthesia

23 Surgical Pharmacology 394

Pharmacology Baselines 394

Considerations in Surgical Pharmacology 396

Surgical Drug and Pharmaceutical Sources 398

Pharmacologic Forms Used in Surgery 398

24 Anesthesia: Techniques and Agents 401

Types of Anesthesia 402

Choice of Anesthesia 403

Anesthesia State 403

Knowledge of Anesthetics 403

General Anesthesia 404

Balanced Anesthesia 418

Controlled Homeostasis 418

Care of the Anesthetized Patient 420

Care of General Anesthesia Equipment 422

Local and Regional Anesthesia 423

Historical Background 424

Preparation of the Patient 424

Intraoperative Patient Care 425

Local Anesthesia 425

Spinal and Epidural Anesthesia 427

Techniques of Administration of Local or Regional Anesthesia 433

Actions of Local and Regional Anesthetics 435

Complications of Local and Regional Anesthesia 437

Alternatives to Conventional Anesthesia 440

Section 9 Intraoperative Patient Care

25 Coordinated Roles of the Scrub Person and the Circulator 443

Division of Duties 443

Setting up the Room 443

Scrub Person Duties 446

Circulator Duties 454

Sponge, Sharps, and Instrument Counts 460

Sponges 462

Sharps 464

Instruments 465

Efficiency of the Operating Room Team 465

26 Positioning, Prepping, and Draping the Patient 470

Preliminary Considerations 470

Anatomic and Physiologic Considerations 476

Equipment for Positioning 477

Surgical Positions 483

Modifications for Individual Patient Needs 491

Physical Preparation and Draping of the Surgical Site 491

Principles of Patient Skin Preparation 494

Preliminary Preparation of the Patient's Skin 494

Antiseptic Skin Cleansing Fundamentals 495

Antiseptic Solutions 497

Skin Preparation for Specific Anatomic Areas 498

Documentation 501

Draping 502

Draping Materials 502

Style/Type of Drapes 504

Principles of Draping 505

Procedures for Draping the Patient 506

Draping of Equipment 509

Plastic Isolator 510

27 Physiologic Maintenance and Monitoring of the Perioperative Patient 512

Monitoring Physiologic Functions 513

Section 10 Surgical Site Management

28 Hemostasis and Wound Closure 528

Hemostasis 529

Wound Closure 537

29 Wound Healing 560

Anatomy and Physiology of Body Tissues 561

Mechanism of Wound Healing 564

Types of Wounds 565

Factors Influencing Wound Healing 568

Wound Management 571

Complications of Wound Healing 576

Postoperative Wound Infections 577

Wound Assessment 578

Basic Wound Care 580

Section 11 Perianesthesia and Postprocedural Patient Care

30 Postoperative Patient Care 581

Postanesthesia Care 581

Admission to the Postanesthesia Care Unit 583

Discharge from the Postanesthesia Care Unit 585

Death of a Patient in the Operating Room 586

31 Potential Perioperative Complications 588

Respiratory Complications 589

Cardiovascular Complications 592

Intravenous Cardiovascular Drugs 598

Cardiopulmonary Resuscitation 602

Fluid and Electrolyte Imbalances 606

Blood Volume Complications 608

Shock 615

Metabolic Crises 616

Physiologic Injury 620

Section 12 Surgical Specialties

32 Endoscopic Surgery 622

Eight Essential Elements of Endoscopy 623

Knowledge and Skill for a Safe Endoscopic Environment 629

Types of Endoscopic Procedures 629

Laparoscopic Procedure 630

Hazards of Endoscopy 631

Care of Endoscopes 631

Considerations for Patient Safety 633

Duties of the Assistant for Flexible Endoscopy 633

33 General Surgery 635

Special Considerations for General Surgery 636

Breast Procedures 637

Abdominal Surgery 641

Biliary Tract Procedures 644

Liver Procedures 649

Splenic Procedures 651

Pancreatic Procedures 651

Esophageal Procedures 652

Gastrointestinal Surgery 653

Gastric Procedures 654

Intestinal Procedures 658

Colorectal Procedures 664

Abdominal Trauma 665

Complications of Abdominal Surgery 666

Anorectal Procedures 666

Excision of Pilonidal Cysts and Sinuses 667

Hernia Procedures 668

Amputation of Extremities 669

34 Gynecologic and Obstetric Surgery 672

Anatomy and Physiology of the Female Reproductive System 673

Gynecology: General Considerations 676

Diagnostic Techniques 677

Vulvar Procedures 682

Vaginal Procedures 683

Abdominal Procedures 687

Perioperative Obstetrics 691

Assisted Reproduction 698

Nonobstetric Surgical Procedures and the Pregnant Patient 700

35 Urologic Surgery 706

Anatomy and Physiology of the Urinary System 706

Special Features of Urologic Surgery 709

Surgical Procedures of the Genitourinary System 715

Male Reproductive Organs 728

Endocrine Glands 737

Transsexual Surgery (Sex Reassignment) 737

Postoperative Complications of Urologic Surgery 739

36 Orthopedic Surgery 740

Anatomy and Physiology of the Musculoskeletal System 741

Special Features of Orthopedic Surgery 744

Extremity Procedures 750

Fractures 751

Joint Procedures 755

Repair of Tendons and Ligaments 761

Vertebral Surgery 762

Cast Application 762

Complications after Orthopedic Surgery 765

37 Neurosurgery 767

Anatomy and Physiology of the Brain and Spinal Cord 768

Special Considerations in Neurosurgery 772

Surgical Procedures of the Cranium 777

Surgical Procedures of the Spine 784

Peripheral Nerve Surgery 791

38 Ophthalmic Surgery 793

Anatomy and Physiology of the Eye 794

Ophthalmic Surgical Patient Care 795

Special Features of Ophthalmic Surgery 796

Ocular Surgical Procedures 797

Eye Injuries 809

Ophthalmic Lasers 811

39 Plastic and Reconstructive Surgery 812

Special Features of Plastic and Reconstructive Surgery 812

Skin and Tissue Grafting 814

Head and Neck Plastic and Reconstructive Procedures 822

Plastic and Reconstructive Procedures of Other Body Areas 825

40 Otorhinolaryngologic and Head and Neck Surgery 837

General Considerations in Ear, Nose, and Throat Procedures 837

Ear 839

Nose 844

Oral Cavity and Throat 848

Neck 852

Face 861

41 Thoracic Surgery 866

Anatomy and Physiology of the Thorax 866

Special Features of Thoracic Surgery 868

Thoracic Surgical Procedures 874

Chest Trauma 877

Intrathoracic Esophageal Procedures 877

Complications of Thoracic Surgery 878

42 Cardiac Surgery 879

Anatomy of the Heart and Great Vessels 880

Physiology of the Heart 881

Special Features of Cardiac Surgery 883

Cardiac Surgical Procedures 890

43 Vascular Surgery 902

Anatomy and Physiology of the Vascular System 902

Vascular Disease 905

Diagnostic Procedures 905

Special Features of Vascular Surgery 907

Conservative Interventional Techniques 910

Vascular Surgical Procedures 912

44 Organ Procurement and Transplantation 921

Types of Transplants 922

Tissue Transplantation 922

Organ Transplantation 924.

Notes:

Includes bibliographical references and index.

ISBN:

0323019803

OCLC:

51857074