SRG 120 Fundamentals of Surgical Technology I

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SRG 120Fundamentals ofSurgical Technology I

• Lecture 120-3
• Roles of the
• Surgical Technologist

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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

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Text

• Surgical Technology, Principles and Practices
  Chapter 1

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Professional Behaviors

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

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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

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Standard II

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

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Standard III

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

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Standard IV

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

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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

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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