surgical tech role/ surgical patient Flashcards
The surgical team is composed of four basic members
the surgeon, the first scrub, the anesthesia care provider, and the circulating nurse
what are the three surgical cases the four members are in involved in
-Preoperative
-intraoperative
-postoperative
no sterile surgical memebers
-Anesthesia care provider
-circulator
-radiology tech
-patient care tech
-pathologist
Tuckmans stages of group development
Forming, storming, norming, performing, adjourning
The Thomas-Killman conflict response mode instruments
competing, accommodating, avoiding, collaborating, and compromising
3 types of hospital organizations
proprietary, non profit, governemnt supported
ways to pay for health care
private insurance,
hmos and ppos
medicare
Medicaid
government payers
Association for professionals of infection control and epidemiology (APIC)
promotes wellness and worldwide infection prevention
Association for the Advancement of Medical Instrumentation (AAMI)
non-profit organization that is involved in developing, managing, and using of safe and effective medical devices and technology
Association and perioperative registered nurses (AORN)
Establishes standards in nursing education and clinical practice
council on surgical and perioperative safety (CSPS)
promotes excellence in surgical patient safety
Emergency Services Advanced registry for volunteer health professionals (ESAR-VHP)
a Federal program that supports territories and states in establishing standardized registration programs for volunteers for disasters and public medical and health emergencies
Medical Reserve Corps (MRC)
network of volunteers in localities to improve the safety and health of their communities
National Fire Protection Association (NFPA)
focuses on minimizing fire hazards and commits to establishing consensus for safety codes and standards
Centers for Disease control and prevention (cdc)
monitors and prevents outbreaks of diseases, health stats, and implements prevention strategies
environmental protection agency (EPA)
protects human health and the environment by creating and enforcing regulations based on laws passed by congress
the joint commission
develops and accredits healthcare organization in the USA
NAtional institute of occupational safety and health (NIOSH)
researches and provides recommendations to prevent work-related illness and injury
OSHA
publishing and enforces standards for workplace health and safety
Tort Law
area of the law that covers most civil suits, the tort law intends to provide full compensation for proven harms intentionally or unintentionally
Intentional Torts
-assault,
-defamation,
-intentional infliction of emotional distress, —battery,
-false imprisonment,
-invasion of privacy
unintentional torts
-patient misidentification
-foreign bodies left in patients
-patient injury
- incorrect procedures
-patient burns
-specimen errors
-medication errors
-infection control
-abandonment
-equipment errors
-violation of facility policy
informed consent
-agreement or permission accompanied by full notice about what is being consented to.
-ultimate responsibility for securing written informed surgical consent belongs to the surgeon.
-
implied consent
not the preferred option in a healthcare environment, but the law allows for it under emergencies when no other authorized person can be contacted.
withdrawal of consent
refusal of consent for a procedure and should be placed on the patient’s record
advance directives
-are written
-legal instructions regarding a persons preferences for medical care if the patient can not make decision for themselves
risk management
-Avoid and control financial loss to hospital
-minimize risks to people
-collect and use data to decrease harm or damage
-implement programs, polices, and procedures to reduce negative outcomes
Indictment
forma accusation against someone who is suspected of committing a serious crime
bona fides
latin phrase “good faith”
deposition
is an out-of-court testimony made under oath and recorded by an authorized officer for later use in court
Maslow’s hierarchy, what are the 5 priorities
-physiological needs
-safety needs
-love and belonging needs
-esteem needs
-self actualization needs
what are the 6 steps involved in the adaptation models nursing process?
- address the patient’s behavior
- deals with the patients stimuli
- patients diagnosis
- goal-setting regarding the patients health
- interventions needed to meet the goals
- evaluation of the result to determine if the goals were met.
who and why was the adaptation model was made?
-sister callista roy
-promoting adaptation, adaptation happens when individuals respond positively to the changes in their environment
stress management coping mechanisms
denial- refuses to accept the truth
rationalization- attempt of a patient to justify things logically
regression- retreating to an earlier developmental stage of life
repression- blocks unpleasant feelings and thoughts about their disease of illness (avoiding)
3 medically accepted stages of death
-cardiac death
-higher-brain death
-whole-brain death
causes of death
-Accidental
-terminal
-prolonged
-sudden
5 stages of grief
Elizabeth Kubler-ross
- denial
- anger
- bargaining
- depression
- acceptance
what is palliative care
is specialized medical care for critically ill patients. type of care gives patients relief from the stress and symptoms of serious illnesses
therapeutic surgical procedures
refer to procedures performed to remove, repair, or heal a diagnosed health issue that requires physical intervention.
elective surgery
is a procedure that is planned or scheduled in advance
life support
is a set of therapies that preserve a patient’s life. body systems do not work sufficiently to sustain life.
Euthanasia
is the act or practice of painlessly ending a patients life who is suffering from incurable and painful diseases or incapacitating disorders
2 types of euthanasia
passive- occurs when patient’s doctor does nothing to preserve their life
active- speeding the dying process by administering lethal substances
what requires hospitals to create organ procurement protocols?
Title XI of the omnibus budget reconciliation act of 1986
