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293 Cards in this Set

  • Front
  • Back

acronym

A word formed by the initial letters of the principal components of a compound term

ambulatory surgical center

Facility where patients are treated and released the same day; also known as outpatient surgery or same-day surgery center

Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA )

A committee on accreditation that is under the large umbrella of the Commission on Accreditation of Allied Health Education Programs (CAAHEP), which oversees the accreditation processes of surgical technology education programs

Association of Surgical Technologists (AST)

The nonprofit national professional membership organization for surgical technologists and surgical assistants

circulator

Nonsterile surgical team member who moves about the periphery of the sterile field

competency

(1) Skill; (2) ability; (3) statements that establish the level of skill or quality needed to be able to perform the job duties of a profession

Core Curriculum for Surgical Technology

The recommended approperate curriculum template for an educational program that provides the expected entry level knowledge for the surgical technologist

Doctor of Osteopathy (DO)

A physician who treats patients in a holistic manner and emphasizes the use of manipulative techniques for correcting abnormalities thought to cause disease and inhibit recovery

Elective

pertaining to a surgical intervention that rides not require immediate interventions; the patient "elects" to have the surgery at a specific time.

emergent

Surgical pathology that is life threatening

health maintenance organization (HMO)

Health care organization that serves as both the insurer and provider of medical services; typically, a group of physicians provides services to a population of clients who voluntarily enroll in the program

intraoperative

Occurs during the surgical intervention

The Joint Commission

An independent, nonprofit national organization that develops standards and performance criteria for health care organizations

National Board of Surgical Technology and Surgical Assisting (NBSTSA)

Organization that is solely responsible for all decisions regarding certification, from determining eligibility to maintaining, denying, granting, and renewing the designation.

optional

Surgical intervention that does not have to be performed in order to preserve life or limb

postoperative

Period of time after surgery when the patient is recovering

preceptor

Instructor or tutor who demonstrates the general rules of conduct and procedures and guides the students while they are practicing or performing

preoperative

Period of time before the surgical procedure begins

professional

An individual who has special education and experience in a given field and who meets certain competency-based and ethical criteria

proprietary

Organization or company that is owned and operated by an individual or corporation with the intent of making a profit that is returned to the investors; the profit is taxable

urgent

Surgical pathology requiring treatment within a relatively short period of time

Vesalius

Father of modern anatomy who openly challenged and corrected the scientific anatomical writings of Galen by dissecting cadavers to illustrate anatomy

Cooley

Perfected the heart transplant and the heart-lung machine

Cushing

Father of modern neurosurgery

Debakey

Developed the first ventricular assist pump

Galen

First great anatomist; biology was made to serve theology

Halstead

Developed methods of meticulous wound closure known as the principles of surgical technique

Jenner

invented the vaccination for small pox

Lister

Father of modern surgery, who used carbolic acid as a technique for antiseptic surgery

Pare

Surgeon who ligated arteries using "suture" after amputations

pasteur

father of microbiology, who proved the germ theory of disease.

Vesalius

father of modern anatomy, who performed dissections on human cadavers and created permanent records

abandonment

To leave a patient alone who is still in need of care or observation

accreditation

Process whereby businesses, educational institutions and programs, and health care organizations are determined to meet standards and performance criteria as established by an accrediting agency

advance directive

Written instructions expressing the patient’s wishes concerning the types and amount of medical treatment to be rendered in the event the patient can no longer make those types of decisions

affidavit

Voluntary statement of facts sworn before an authority to be true

Code of Ethics

Guidelines, usually expressed in a series of statements, that provide ethical standards of conduct for a profession

credentialing

Process by which an agency or organization establishes a minimum knowledge base for a given health care profession and awards a credential to individuals who meet the minimum knowledge level

ethics

Branch of philosophy dealing with good conduct and moral values

incident report

Mechanism for reporting an incident, usually by completing a document describing what happened, related to any adverse patient occurrence

informed consent

A situation in which a patient gives voluntary permission to another party (i.e., surgeon or anesthesia provider) to perform the procedures that have been explained; includes the risks, benefits, possible complications, and alternative treatment options

liability

(1) An obligation to do or not do something; (2) An obligation potentially or actually incurred as a result of a negligent act

malpractice

Professional misconduct that results in harm to another; negligence of a health care professional

moral principles

Guides for ethical decision making that include the concern individuals have for the well-being of others, respect for individual autonomy, basic justice, prevention of harm to others, and refusal to take unfair advantage

negligence

Omission or commission of an act that a reasonable or prudent person would not do under the same conditions

Patient Care Partnership

Replacing the AHA’s Patients’ Bill of Rights, this plain-language brochure informs patients about what they should expect during their hospital stay with regard to their rights and responsibilities

risk management

The efforts of a health care provider organization to collect and utilize data to decrease the chance of harm to patients or staff or damage to property

Safe Medical Device Act

Established in 1990, this act requires medical device users to report to the manufacturer and/or FDA incidents that reasonably suggest that there is a probability that a medical device has caused or contributed to the death, serious injury, or illness of a patient

scope of practice

Professional duty limits based on state and federal law and on an individual’s education and experience

surgical conscience

The basis for the practice of strict adherence to sterile technique by all surgical team members; involves a level of honesty and moral integrity that must be upheld

tort law

Describes any civil wrong independent of a contract; allows for a remedy in the form of an action for damages

Certification

Recognition by an appropriate body that an individual has met a predetermined standard

Licensure

Legal right granted by a government agency in compliance with a statute that authorizes and oversees the activities of a profession

Registration

Formal process by which qualified individuals are listed in a registry

Aegar Primo

Motto of AST "the patient is first"

doctrine of borrowed servant

one controlling or directing the employee has greater responsibility than the one paying the employee. this doctrine could be applied to the surgeon and the "captain of the ship" doctrine

doctrine of personal liability

each person is responsible for his or her own conduct even though others may be liable as well, this doctrine could be applied to a surgeon delegating a task outside of your scope of practice. the surgeon delegating a a task outside of your scope of practice. the surgeon is wrong to do this, but if you perform the task you will be liable

primum non nocere

"above all do no harm"

re ipsa loquitur

"the thing speaks for itself"

HIPPA

Federal act that establishes privacy standards to protect patients' medical records and other health-related information.

Tort

A civil wrong that causes injury to another person that may be intentional or unintentional.

Liablity

Legally responsible for damages; an obligation to do or not do something; may be personal or corporate

Negligence

lack of skill or care, departure from the standard of care

Abandonment

Leaving a patient who needs care and is dependent on the caregiver's presence

Incident report

Report of an irregular or adverse patient occurrence

Standard of care

Description of expected conduct for a given circumstances what a prudent caregiver would do in a similar circumstance

Ethics

System of moral principles and rules that become standards of professional conduct

Malpractice

Professional misconduct, lack of judgment or skill that results in harm to another

Iatrogenic injury

Adverse outcome that results from the activity of health care professionals

slander

oral statement that damages a person's reputation

Maslow’s hierarchy of needs

A model developed by Maslow that expresses human development and progression using developmental stages that prioritize needs

patient

The person receiving medical treatment

physical need

Any need or activity related to genetics, physiology, or anatomy

psychological need

A mental requirement or necessity for fulfillment as a person

social need

A need to fit into society and to be accepted by one’s peers

spiritual need

A need for a connection with a higher order

physiological needs

most basic needs are biological needs such as the need for water, oxygen, food, and temperature regulation

safety needs

these needs refer to the perception on the part of the individual that his or her environment is safe

belongingness and love needs

these are basic social needs- to be known and cared for as an individual and to care for another

prestige and esteem needs

this level of need refers to a positive evaluation of oneself a need to be respected and to respect others

self-actualization

this is the need to fulfill what one believes is one's purpose

arterial blood gases (ABGs)

A method of monitoring blood oxygenation levels & CO2

autoimmune diseases

A disease such as rheumatoid arthritis that attacks the body’s own tissues

central venous catheter

A catheter passed through a peripheral vein and ending in the thoracic vena cava; it is used to measure venous pressure or to infuse concentrated solutions

diabetes mellitus

A disorder of the endocrine system that affects the production of insulin in the pancreas; either type I (in which the pancreas produces little or no insulin) or type II (in which the pancreas produces different amounts of insulin)

enterocolitis

Inflammation of the small intestine and colon

extruded

Degree of function of an immune system that is designed to keep a patient from infection by pathogens

golden hour

Concept that medical treatment of a trauma victim within the first hour following injury improves patient outcomes

human immunodeficiency virus (HIV)

The virus that causes acquired immune deficiency syndrome (AIDS)

hypothermia

Abnormally low body temperature, typically defined as a core body temperature that is below 35°C

intra-arterial measurement

A method of ECG monitoring in which the intra-arterial catheter is inserted directly into the artery

Kaposi’s sarcoma

A cancer that produces painful external and internal lesions; internally, the lesions can cause complications, such as difficulty in swallowing (if present in the esophagus) or bowel obstruction (when present in the intestine)

kernicterus

A potentially lethal disease of newborns caused by excessive accumulation of the bile pigment bilirubin

kinematics

An attempt to understand the mechanism of injury and the action and effect of a particular type of force on the human body

penetrating trauma

Injury caused by a foreign object, such as a bullet or knife, that passes through tissue

pneumothorax

Abnormal accumulation of air in the pleural cavity

Revised Trauma Score (RTS)

A scoring system used to assess the severity of a traumatic wound and to determine the condition of a patient

septic shock

A state of shock produced by septicemia, when the body is overwhelmed by the pathogenic microorganisms and cannot adequately fight the infection

splenectomy

Removal of the spleen

splenomegaly

Abnormal enlargement of the spleen

torticollis

An abnormal contracted state of a muscle(s)

urine output

Amount of urine collected and measured from a patient over a given amount of time; indicator of kidney function

venous compression device

A device used for patients who are prone to the development of thrombophlebitis; a patient is fitted with intermittent venous compression boots that inflate and deflate every few seconds to promote the movement of venous blood in the leg(s)

Adolescent

13-18 year

Infant

1-18 moths

Neonate

birth to 28 days

Preschooler

30 mo to 5 years

school age

6-12 years

toddler

18-30mo

airborne bacteria

Transported or spread by air; the surgical technologist is primarily concerned with airborne bacteria

back table

Large movable table that is covered with a sterile drape for placement of sterile instruments, supplies, and equipment for surgical procedures

breakpoints

Points in the operating table that indicate where a section can be moved up or down

decontamination room

Room that typically contains sinks for gross decontamination, an ultrasonic washer, and a washer-sterilizer to decontaminate instruments and equipment

electrosurgical unit (ESU)

Mechanical device that produces an electric current that is converted into thermal energy (heat) for the purpose of cutting or coagulating tissue

high-efficiency particulate air (HEPA) filter

Filter that is capable of removing bacteria as small as 0.5–5 mm; utilized in the operating room to aid in preventing the patient from acquiring a postoperative wound infection

ionizing radiation

Process by which energy either directly or indirectly induces ionization of radiation-absorbing material or tissues; X-rays

laminar airflow

The unidirectional positive-pressure flow of air that captures microbes to be filtered

linen hamper

Four-wheeled stand that can be lined with a biohazardous-marked bag for the collection of nondisposable linen during a surgical procedure

Mayo stand

Small portable stand with a tray on top that is covered with a sterile drape and on which the instruments, equipment, and supplies that are most frequently used for the surgical procedure are placed; it is most often positioned over the patient’s legs

Occupational Safety and Health Administration (OSHA)

Federal organization that is dedicated to protecting the health of workers by establishing standards that address issues related to safety in the workplace

pathology department

The department responsible for testing and processing specimens, tissues, and body fluids to obtain a diagnosis

perfusionist

The individual responsible for running and maintaining the cardiopulmonary bypass machine during open heart procedures

personal protective equipment (PPE)

Attire worn to protect against exposure to physical and biological hazards

plume

Smoke produced by laser or electrocautery that has been shown to contain biological material

polymethyl methacrylate (PMMA)

A chemical compound composed of a mixture of liquid and powder used for cementing prostheses during total joint arthroplasties; also referred to as bone cement

postanesthesia care unit (PACU)

Area where immediate postoperative care of the patient takes place before transfer to the hospital room or ICU

prophylaxis

Prevention of a disease or condition

restricted area

The areas of an operating department (including the sterile storage areas of the surgery department) that require proper OR attire, including the wearing of a mask

ring stand

A stand that is designed with one or two circular bands at the top to hold sterile basins

Standard Precautions

Guidelines established by the Occupational Safety and Health Administration and the Centers for Disease Control and Prevention to reduce the risk of disease transmission from blood and body fluids

suction outlet

A wall or ceiling connection for a suction device

surgical site infection (SSI)

An infection of the surgical wound that was acquired during the course of the surgical procedure

Nitrous oxide

Blue

Oxygen

Green

Conpressed air

Yellow

Nitrogen

Black

Carbon Dioxide

Gary

active electrode

Transfers concentrated electrical current into another medium (e.g., electrical current transformed into thermal energy)

Cartesian coordinate geometry

Refers to the 16th-century philosopher René Descartes, who invented coordinate geometry; also called rectangular coordinate geometry

central processing unit (CPU)

Silicon chip located within the computer case that is responsible for coordinating the operations of the computer, managing the computer systems, and facilitating the exchange of data with the computer memory

circuit

The path that electricity travels between an energy source and its usage device(s)

degrees of freedom

The number of ways in which a robotic manipulator moves

electrons

The negatively charged particles circling the nucleus of an atom

free electrons

The outermost electrons in the atom’s orbit that can most easily be attracted away from the nucleus

generator

Devices that convert mechanical energy to electric energy

grounding pad

A pad that is placed on a patient to complete the pathway for the electrical current back to the electrosurgical unit; also called the dispersive electrode

insulator

Material that inhibits the flow of free electrons; typically prevents electron leakage and directs the flow to a destination

load

The weight supported or force imposed

mass

The property of a body that causes it to have weight in a gravitational field

modem

A communications hardware device that enables the sending and receiving of data over a telephone line or cable; typically used to send e-mail or to access the Internet

monitor

A visual interface for computers

mouse

A hand device used to move a cursor on a computer monitor and select a file or function

neutrons

Subatomic particles equal in mass to protons but without an electrical charge

patient return electrode

New term that replaces dispersive (inactive) electrode; also called a grounding pad

plasma

(1) Liquid portion of body fluid; (2) an ionized gas made primarily of free electrons and having a neutral charge

power

The ability or capacity to perform or act effectively

pressure

The force per unit of area; applied evenly over a surface

protons

An elemental particle with a positive charge equal to the negative charge of the electron

switch

A device used to open or close a circuit, thereby controlling the flow of electricity


Byte

Equals to or holds one character

modem

facilitates internet connections

usb port

opening in front of back of computer tower; can also be found on sides of some monitors for insertion of a usb drive- thumb or flash drive

CPU

"brains" of the computer that coordinates the operations of the computer

kilobyte

1000 bytes

search engine for research

uses key words or succinct phrases in parenthesis

terabyte

1000 gigabytes (1 trillion characters)

BCC

blind carbon copy, message can be sent to multiple people but no one sees who else got the message

word processing

creation of a document

megabyte

1000 kilobytes

Cartesian geometry

Mathematical design that allows arm movement in a perpendicular axes along x,y, and z aes (up-down, right left and front -back)

Resolution

Ability to differentiate between two objects

Binaural Hearing

Stereo similar to human

Degrees of freedom

Number of dimensions that a manipulator can move(usually three)

Degrees of rotation

Angles of a joint that allow movement clockwise or counterclockwise around a joint/axis

Manipulator

Robotic arm

Telechir

Remotely controlled robot

Articulation

Joint

Second generation

Monitored robot with pressure or tactile sensors and vision or hearing capabilities

Third generation

Autonomous or insect robot

Argon

blue or green light beam, travels through clear fluid/tissues; useful for ophthalmic or cystoscopy surgery; absorbed by hemoglobin; useful in port wine dermabrasion; 208 or 220 volt service

ND:YAG

Solid crystal invisible beam; useful in clear fluid environment; requires cooling system; delivery with contact or noncontact fibers; tips require careful handling

Holmium

Flexible fiber delivery, 208 volt services; useful in arthroscopy/cystoscopy and clear fluid environments

Carbon dioxide

Most common; least expensive; gas media; invisible beam; articulated mirror/lens delivery system requires care; useful in all surgery except clear fluid environments; absorbed by water

Laser Head

Contains in media with mirrors at either end

Electromagnetic sepctrum

Radio waves, microwaves, infrared waves, visible light, ultraviolet light X-rays and gamma rays

Energy Pump

Excitation with electrical energy chemical energy or flash lamps

Delivery system

articulated arm fixed optical array or fiber

Tissue effects

Absorption; reflection or transmission

Laser beam characteristics

monochromatic; collimated; fluence; coherent

autologous

From one self

cardiac dysrhythmias

Refers to any type of abnormal heart rhythm

cardiopulmonary resuscitation (CPR)

The act of manually providing chest compressions and ventilations to patients in cardiac arrest in an effort to provide oxygenated blood to the brain and vital organs, and reverse the processes that lead to death

compress

to apply pressure

hemolysis

The destruction of erythrocytes

hemostasis

The arrest of the escape of blood through natural or artificial means

hemostat

A device or agent used as a coagulant

homologous

From the same species

hyperthermia

Abnormally high body temperature

Rh (Rhesus) factor

Genetically determined blood group antigen that is present on the surface of erythrocytes of some individuals; if the antigen is present the individual is Rh1 (positive) and if absent Rh– (negative)

suction

The act of sucking up air or fluids through a device, such as a tonsil suction tip

Transfusion reaction

Occurs when mismatched blood is given (mild to anaphylatic shock)

Dirty radiological bomb

Thermal burns, flash blindness, poor immune resonse

nerve agent

Rhinorrhea, dyspena seizure paralysis

mustard gas (vesicant)

treated with epinephrine for extreme cases

phosgene (choking agent)

pulmonary edema

anthrax

skin lesions, flu-like symptoms, dyspnea, high fever shock

botulism

neuroparalysis (nausea and vomiting) blurred vision slurred speech dysphagia

smal pox

fever, aches, pain ,m maliaise, painful vesicular/pustular skin rash

most likely bioweapons

smallpox and anthrax

CBRN

Disaster code that requires decontamination procedures for patients coming into the hospital

BRP

Health care facilites plan for delain with biological terrorist events

thrombus

blood clot formed

drains

used to eliminate dead space and hematoma formation

ADP

Released along with epinephrine, causing platelets to clump and forming small initial thrombus

Vasoconstriction

Initial response when a blood vessel is cut or injured

Fibrin

Formed from the reaction of thrombin with fibrinogen to form a matrix that leads to a moresolid cut

Sequential compression device

Prevents venous stasis and deep-vein thrombosis

endothelial cells

interacts with platelets and clotting factors after trauma or certain vessel diseases

coagulation

bodily process to control blood loss resulting in hemostasis

thrombin

formed from the reaction of prothrombin with thromboplastin

pledgets

provides pressure as a buttress over small holes to prevent bleeding

Agonist

Refer to an agent that stimulates or prolongs the response of a drug or a physiologic action

Amnesia

Lack of recall

Anaphylaxis

An immediate hypersensitivity reaction to a foreign protein or other specific substance

anesthesia

Absence of sensation

antagonist

Refers to an agent used to block the action of another drug or physiological action without producing any effect of its own

antimuscarinic/anticholinergic

Refers to an agent used to block parasympathetic effects such as salivation and bradycardia

aspiration

Drawing in or out by suction

biotechnology

The making of drugs in the laboratory using genetic engineering; also referred to asrecombinant DNA technology

buccal

Pertaining to the cheek or mouth

contraindication

A reason why a specific procedure or drug may be undesirable or improper in a particular situation

Doppler

Ultrasonic device used to identify and assess vascular status of peripheral arteries and veins by magnifying the sound of the blood moving through the vessel

drug

Agent used as a medicine for the diagnosis, treatment, cure, mitigation, or prophylaxis of a disease or condition

generic

Nonproprietary name for a drug that is often a shortened version of the chemical name and may include a reference to the intended use

homeostasis

The reactions in the body that act and counteract to maintain the body in a normal physiological state

hypnosis

Altered state of consciousness that may be achieved by suggestion of another, an individual’s own concentration, or with the use of a substance

indication

A reason to perform a specific procedure or prescribe a certain drug

induction

The second phase of general anesthesia, in which the patient is given induction drugs and intubated

intra-articular

Within a joint

laryngospasm

Sudden involuntary contraction of the larynx capable of causing partial or total occlusion of the larynx

NPO

Nothing by mouth; Latin acronym for nil per os

parenteral

Taken into the body or administered in a manner other than through the digestive tract, as by intravenous or intramuscular injection.

pharmacodynamics

The interaction of drug molecules with target cells, resulting in biochemical and physiological actions

pharmacokinetics

The study of the movement of drugs through the body, involving absorption, distribution, biotransformation, and excretion

pharmacology

The study of drugs and their actions

retrobulbar

Behind the eyeball or pons

sedative

Agent that produces a soothing or quieting effect but does not cause the person to sleep

topical

As pertaining to anesthesia, an agent that is applied to the surface of the skin or anatomical structure (such as the eye) to produce a loss of feeling or sensation in the area of application; blocks the nerve conduction of superficial nerves

volatile agents

A group of liquids that easily evaporate and, when inhaled, produce general anesthesia through interaction with the CNS

Additive

Given with a medication to alter some aspect of the medications action

Adverse effect

Undesirable and potentially harmful effect that can lead to organ damage or failure

Mitigation

given to reduce the force or intensity of a disease or condition

Duration

Overall period of time that the effects of the medications occur

Onset

Period of time required for the effects of a drug to occur

Peak effect

Period of time when the maximum effect of a medication occurs

Prophylaxis

Given 1 hour prior to incision to prevent SSI

Side effect

Expected, undesirable, but tolerable effect of medication

Contraindication

Conditions or circumstances under which a medication should not be used

tolerance

Effect of medication given over a period of time is reduced

Analgesic

Relieves pain

Anesthetic

Produces partial or complete loss of sensation

Antibiotic

Prevents or treats infection

Anticholinergic or antimuscarinic

Blocks parasympathetic impulses

Antiemetic

Prevents or treats nausea and vomiting

Anti-inflammatory

Prevents or treats pain, redness, swelling, or heat

Antipyretic

Relieves fever

Controlled substance

Drugs with potential for addiction

Contrast media

Appears radiopaque on X-ray

Cycloplegic

Paralyzes he cilliary muscle

Anticoagulant

Prevents clot or thrombus formation

Diuretic

Increases urine output or treat edema

Dye

Colors or marks tissue

Fibrinolytic

Dissolves clots or thrombus- enzyme

Hemostatic

Enhances formation of clot or thrombus

Hormone

Enhances formation of clot or thrombus

Miotic

Constricts pupil

mydriatic

dilates pupil

sedative

Reduces mental anxiety and promotes sleep

Vasoconstrictor

Increase blood pressure

Lidocaine

Antiarrhythmia and anesthetic

Dantrolene

Treatment for malignant hyperthermia

Epinephrine

Hormone vasoconstrictor

Benzodiazepines

Preoperative sedative

Atropine

Anticholinergic or antimuscarinic-decrease mucous secretions or treat bradycardia

Nitrous oxide

Gas anesthetic; may increase ear pressure

Heprain

Anticoagulant use for vascular cases

Thrombin

Hemostatic agent never given via IV

Mannitol

Osmotic diuretic

Bacitracin

Antibiotic

Avitene

Collagen kept dry prior to placement

Epinephrine

Vasoconstrictor mixed with Gelfoam or soaked sponges

Gelfoam

Gelatin powder or pad that deposits fibrin

Silver nitrate

Caustic pencil or swab stick for cervical or nasal bleeding