Berry & Kohn’s Operating Room Technique PDF
Preview Berry & Kohn’s Operating Room Technique
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Table of Contents Section One Section Eight Fundamentals of Theory and Practice Pharmacology and Anesthesia Chapter 1: Perioperative Education, 1 Chapter 23: Surgical Pharmacology, 411 Chapter 2: Foundations of Perioperative Patient Chapter 24: Anesthesia: Techniques and Care Standards, 16 Agents, 422 Chapter 3: Legal, Regulatory, and Ethical Issues, 38 Section Nine Section Two Intraoperative Patient Care The Perioperative Patient Care Team Chapter 25: Coordinated Roles of the Scrub Person Chapter 4: The Perioperative Patient Care Team and the Circulating Nurse, 457 and Professional Credentialing, 56 Chapter 26: Positioning, Prepping, and Draping the Chapter 5: The Surgical First Assistant, 64 Patient, 489 Chapter 6: Administration of Perioperative Patient Chapter 27: Physiologic Maintenance and Care Services, 79 Monitoring of the Perioperative Patient, 526 Section Three The Patient as a Unique Individual Section Ten Surgical Site Management Chapter 7: The Patient: The Reason for Your Existence, 99 Chapter 28: Surgical Incisions, Implants, and Chapter 8: Perioperative Pediatrics, 125 Wound Closure, 542 Chapter 9: Perioperative Geriatrics, 160 Chapter 29: Wound Healing and Hemostasis, 573 Section Four Section Eleven The Perioperative Environment Perianesthesia and Postprocedural Patient Care Chapter 10: Physical Facilities, 176 Chapter 11: Ambulatory Surgery Centers and Chapter 30: Postoperative Patient Care, 601 Alternative Surgical Locations, 195 Chapter 31: Potential Perioperative Chapter 12: Care of the Perioperative Environment, Complications, 607 208 Chapter 13: Potential Sources of Injury to the Section Twelve Caregiver and the Patient, 214 Surgical Specialties Chapter 32: Endoscopy and Robotic-Assisted Section Five Surgery, 640 Surgical Asepsis and Sterile Technique Chapter 33: General Surgery, 658 Chapter 14: Surgical Microbiology and Antimicrobial Chapter 34: Gynecologic and Obstetric Therapy, 233 Surgery, 689 Chapter 15: Principles of Aseptic and Sterile Chapter 35: Urologic Surgery, 723 Techniques, 252 Chapter 36: Orthopedic Surgery, 755 Chapter 16: Appropriate Attire, Surgical Hand Chapter 37: Neurosurgery of the Brain and Hygiene, and Gowning and Gloving, 267 Peripheral Nerves, 785 Chapter 17: Decontamination and Disinfection, 285 Chapter 38: Spinal Surgery, 804 Chapter 18: Sterilization, 302 Chapter 39: Ophthalmic Surgery, 823 Chapter 40: Plastic and Reconstructive Surgery, 845 Section Six Chapter 41: Otorhinolaryngologic and Head and Surgical Instrumentation and Equipment Neck Surgery, 872 Chapter 42: Thoracic Surgery, 905 Chapter 19: Surgical Instrumentation, 328 Chapter 43: Cardiac Surgery, 923 Chapter 20: Specialized Surgical Equipment, 350 Chapter 44: Vascular Surgery, 948 Chapter 45: Organ Procurement and Section Seven Transplantation, 970 Preoperative Patient Care Chapter 21: Preoperative Preparation of the Patient, 370 Chapter 22: Diagnostics, Specimens, and Oncologic Considerations, 386 BERRY & KOHN’S OPERATING ROOM TECHNIQUE Twelfth Edition NANCYMARIE PHILLIPS, RN, BSN, BA, MEd, RNFA, CNOR, PhD Lakeland Community College, Department of Perioperative Education Director and Professor Perioperative Nursing Registered Nurse First Assistants Surgical Technology Kirtland, Ohio with 742 illustrations 3251 Riverport Lane St. Louis, Missouri 63043 Berry & Kohn’s Operating Room Technique ISBN: 978-0-323-07358-5 Copyright © 2013 by Mosby, an imprint of Elsevier Inc. Copyright © 2007, 2003, 2000, 1996, 1991, 1986, 1978, 1972, 1966, 1960, 1955 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any informa- tion storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data Phillips, Nancymarie Fortunato. Berry & Kohn’s operating room technique / Nancymarie Phillips.—12th ed. p. ; cm. Berry and Kohn’s operating room technique Operating room technique Includes bibliographical references and index. ISBN 978-0-323-07358-5 (hardback : alk. paper) I. Berry, Edna Cornelia. Introduction to operating-room technique. II. Title. III. Title: Berry and Kohn’s operating room technique. IV. Title: Operating room technique. [DNLM: 1. Operating Room Nursing—methods. 2. Operating Room Technicians. 3. Perioperative Care—methods. WY 162] 617’.0231--dc23 2011045407 Executive Content Strategist: Teri Hines Burnham Senior Content Developmental Specialist: Laura M. Selkirk Publishing Services Manager: Jeff Patterson Senior Project Manager: Tracey Schriefer Project Manager: Anitha Sivaraj Design Direction: Ashley Eberts Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 To Martin My rock in every storm and to Mary Lou Kohn An inspiration to all of us This page intentionally left blank Clinical Consultants Ruth Bakst, RN, BSN, RNFA, CNOR Nursing Educator Parma Community Hospital Parma, Ohio; Registered Nurse Midwife Capetown, South Africa Patrick Burniston, RN, BSN, RNFA, CNOR RNFA Educator Lakeland Community College Kirtland, Ohio Regina Elam, RN, CST General Surgery Cleveland Clinic Foundation Cleveland, Ohio Anita Hornacky, RN, BS, CST Perioperative Nursing Fairview Hospital Cleveland, Ohio Jennifer Kavran, RN, MSN, CNOR Nursing Educator Louis Stokes, Veteran’s Administration Medical Center Cleveland, Ohio Martin A. Phillips III, RN, BSN, CNOR, COL USAR Chief Nurse United States Army Nurse Corps, Reserve Component 256th Combat Support Hospital Solon, Ohio; Cleveland Clinic Cleveland, Ohio Mary Shami, CST Surgical Technology Clinical Instructor Hillcrest Hospital Mayfield Heights, Ohio vii Reviewers Michael D. Aldridge, MSN, RN, CCRN, CNS Janet Anne Milligan, RN, CNOR, BSed Clinical Nursing Instructor Program Manager/Instructor The University of Texas at Austin, School of Nursing College of Southern Idaho Austin, Texas Surgical Technology Program Twin Falls, Idaho Klebe W. Brumble, RN, CNOR Joyce T. Moyer, CST, RN Charge Nurse Baylor Surgicare at Ennis Department Head of Surgical Technology Ennis, Texas Greenville Technical College Greenville, South Carolina Rachel Hottel, MSN, RN, CNOR Theresa Pape, PhD, RN, CNOR Advanced Practice Nurse, Perioperative Division University of Iowa Hospitals and Clinics Associate Professor Iowa City, Iowa Texas Woman’s University, College of Nursing Denton, Texas Jacki Lausin, RN, ST Carolyn J. Ragsdale, CST, BS Nurse Lake Health and University Hospitals Surgical Technology Faculty Mentor, Ohio Surgical Technology Program Parkland College Sherry M. Lawrence, MSN, RN, CNOR, ONC Champaign, Illinois Instructor Victoria M. Steelman, PhD, RN, CNOR, FAAN University of South Alabama, College of Nursing Mobile, Alabama Advanced Practice Nurse, Department of Nursing The University of Iowa Hospitals and Clinics Tom Lescarbeau, BS, CST, CFA Iowa City, Iowa Program Coordinator, Surgical Technology Herman Young, BS, BM, CST/CFA McCann Technical School North Adams, Massachusetts Program Director Surgical Technology Oakland Community College Colleen Lindahl, CST Southfield, Michigan Certified Surgical Technologist Lakeland Community College Kirtland, Ohio Elizabeth A. Matos, PhD, MSN, BSN, CNE Assistant Professor, Department of Nursing West Texas A & M University Canyon, Texas viii
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