DOCSLIB.ORG

281 (Instrument Continuing Education - ICE) Sponsored By

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
281 (Instrument Continuing Education - ICE) Sponsored By CIS SELF-STUDY LESSON PLAN Lesson No. CIS 281 (Instrument Continuing Education - ICE) Sponsored by: Eliminating Missing Instruments BY MARJORIE WALL, MLOS, CRCST, CIS, CHL, CSSBB Certified Instrument Specialist (CIS) lessons provide members with ongoing education in the complex and ever-changing area of surgical LEARNING OBJECTIVES instrument care and handling. These lessons are 1. Discuss the importance of maintaining accurate count sheets designed for CIS technicians, but can be of value 2. List steps to build an effective replenishment system to replace missing and nonre to any CRCST technician who works with surgical pairable surgical instruments instrumentation. 3. Review the Six Sigma technique of 5S for instrument organization 4. Discuss the importance of flow through Sterile Processing decontamination and Earn Continuing Education Credits: assembly areas to eliminate preventable missing instruments Online: Visit www.iahcsmm.org for online grading. By mail: For written grading of individual lessons, send completed quiz and $15 to: issing instruments are and SPD runners to stop their work to go Purdue University - Online Learning a common challenge search for the missing critical instrument. Young Hall, Room 527 for Sterile Processing It is not uncommon for multiple SPD 155 S. Grant Street West Lafayette, IN 47907 departments (SPDs). This technicians to be pulled from their job Mlesson will address the importance of assignments and spend 15 minutes or Subscription Series: Purdue Extended Campus minimizing the occurrence of missing longer searching for a critical instrument, offers an annual mail-in or online self-study lesson subscription for $75 (six specific lessons worth 2 instruments and developing and which creates waste, frustration and points each toward CIS recertification of 6 maintaining an organized storage and backlogged work. hours). Call 800.830.0269 for details. reorder system. Organizations spend hundreds of Scoring: Each online quiz with a passing thousands of dollars annually replacing score is worth 2 contact hours toward your CIS Objective 1: Discuss the importance in missing instruments. This stems from the recertification (6 hours) or CRCST recertification maintaining accurate count sheets surgical procedure itself being delayed or, (12 hours). Most SPDs track tray errors. These even worse, canceled because the missing More information: IAHCSMM provides online typically involve incorrect instruments, instrument is critical to the procedure. grading service for any of the Lesson Plan packaging errors, damaged instruments, When surgeons schedule procedures, varieties. Purdue University provides grading services solely for CRCST and CIS lessons. Direct etc. Most departmental leaders do not they count on the instrument trays any questions about online grading to IAHCSMM count missing instruments as a tray error being complete and ready for surgery. at 312.440.0078. Questions about written if the instrument is marked “missing” on Missing instruments are a problem SP grading are answered by Purdue University at 800.830.0269. the tray menu and labeled on the outside Instrument Specialists should strive to of the tray; however, most surgeons and prevent proactively – before they have a Surgical Services leaders would argue chance to impact the OR. that missing instruments are the highest Many may wonder what causes missing frequency tray error and are a direct instruments, and the answer will likely contributor to delays and frustration in vary depending upon who is asked. Some the surgical suite. Missing instruments in SP Instrument Specialists might claim surgical trays can halt surgical cases and the OR is largely responsible. Those in cause Operating Room (OR) circulators the SPD typically blame the OR team www.iahcsmm.org SEPTEMBER / OCTOBER 2020 PROCESS 45 CIS SELF-STUDY LESSON PLAN for throwing away instruments with the “bread and butter” instruments correct tray. For the other examples, drapes on the back table. On the other memorized like Mayo scissors and SP technicians may put a variety of hand, many OR team members might #3 knife handles, and advanced SP lengths or thicknesses of Allis forceps envision a black hole of sorts in the technicians will have a variety of in instrument trays. Additionally, SPD where all the critical instruments instruments memorized from an technicians may not be able to replace are mysteriously collecting. Healthcare assortment of service lines. For example, an instrument because they do not have administrators do not care what is they can explain the difference between enough information. Often, hospitals causing the problem; they just want Debakey, Satinsky and Cooley vascular use their own jargon on tray menus. For an end to the never-ending expenses clamps. Even the most experienced SP example, a Rochester Eastman retractor associated with replacing missing surgical technician, however, may struggle to is listed as a Kelly retractor. There is no instruments. In reality, the root cause know the differences between similar sizing information and it is the incorrect of missing instruments is complex. instruments on ear, eye and other name. The OR cannot understand why Missing instruments are typically caused microsurgery instruments. Without those in the SPD cannot get it right. SP by instruments mixed between sets, the manufacturer’s catalog information technicians must get it right, and the prioritization systems that leave critical on tray menus, new hires will struggle way to get there is by having accurate instruments behind, bad data on critical to learn the jargon and memorize the tray menus with standard nomenclature tray count sheets, and no replenishment specialized instruments in their new SP for instrument names. The following system to replace damaged instruments. roles – and even long-term employees is an example of a simple instrument For the purpose of this lesson, let’s focus may struggle or avoid trays with less- standard nomenclature that is effective: on what the SPD can control. familiar instruments. The result for instrument type, inventor or scientific both groups is the wrong instruments in name, description of direction/curvature, Counting on Count Sheets trays and instruments marked “missing.” length, and thickness (if applicable). Surgical tray menus are the critical tool When the manufacture’s catalog This structure ensures technicians can ensuring the success or failure of SPDs. information is accurate and included on quickly read tray menus to match their Count sheets are the communication tool tray count sheets, experienced and new instruments to the count sheet. It also where the OR team ensures that the SPD SP technicians can “paint by number” to ensures they have the information to team knows exactly which instrument assemble specialized surgical instrument find their instrument in other trays or belongs in which tray. Bad data on tray trays. When this happens, tray assembly from the back-up wall, and it drastically menus leads to the wrong instruments speed and accuracy is improved, reduces the risk for technicians putting in trays, no information to order missing instruments can be located, and the incorrect instrument in a surgical replacement instruments, and failure to replacement instruments can be ordered, instrument tray. follow the manufacture’s instructions if needed. As instrument count sheets are cleaned for use (IFU) for instrument processing. One of the root causes to missing and completed, the SP leader needs Instrument Specialists are set up for and/or incorrect instruments is poor to ensure the technicians understand failure if count sheets do not have the descriptions for surgical instruments on that “close enough” substitutes are critically needed information, including count sheets. Considering the following: not acceptable. When an organization the manufacturer, catalog numbers, • Forcep Allis has had poor information for years, instrument descriptions, and quantity. • Allis Clamp the surgical instrument trays likely Whether a tray menu is electronic or • Allis Clamp Med have years’ worth of poor instrument hard copy, the count sheet must be • Allis Clamp 7in substitutes or incorrect instruments. As accurate to ensure that SP technicians • Forcep Allis Tissue Straight 6 ¼” trays are processed through the SPD, can get the right instrument in the right wrong instruments will be removed, tray. All of these descriptions may be asking and correct instruments will be placed Because there are hundreds of for the same instrument; however, in trays. This may result in a short- thousands or surgical instruments, only the last instrument description term increase in missing instruments as critical pieces of the tray menu are (Forcep Allis Tissue Straight 6 ¼”) will incorrect instruments are removed and manufacturer information and catalog result in SP technicians consistently replacement instruments are unavailable. numbers. Most SP technicians have putting the correct instrument in the 46 PROCESS SEPTEMBER / OCTOBER 2020 www.iahcsmm.org CIS SELF-STUDY LESSON PLAN Objective 2: List steps to build an effective area should be organized in a way that Standardize: The fourth step in a 5S replenishment system to replace missing makes it easy to locate instruments project is to standardize. One of the most and nonrepairable surgical instruments quickly. Six Sigma has an organization effective tools for standardizing a back- Surgical instruments undergo wear technique known as 5S. This technique, up wall is use Kanban cards.
Load more

Recommended publications
  • XI Manual IAPO Ingl CS6.Indd
    IAPO Interamerican Association of Pediatric Otorhinolaryngology XI IAPO Manual of Pediatric Otorhinolaryngology Editors TANIA SIH ALBERTO CHINSKI ROLAND EAVEY RICARDO GODINHO Coordinator TANIA SIH Techniques for Adenotonsillectomy (T&A) Estelle S. Yoo and Udayan K. Shah 1. Introduction Adenotonsillectomy (T&A) is one of the most commonly performed surgical procedures in children. An estimated 530,000 children undergo tonsillectomies each year in the United States.1 Various instruments are available currently to perform adenotonsillectomy. In Walner et al, monopolar electrocautery was used most often for total tonsillectomy. Monopolar electrocautery alone or in conjunction with the adenoid curette or the microdebrider were the top three instruments.2 In this chapter, we review the currently available technologies for performing T&A in children. We first review indications for T&A before discussing specific technologies and then discuss specific applications of these technologies for T&A. 2. Indications for T&A The indications for tonsillectomy have shifted over the past 40 years. In the early 1970s, close to 90% of tonsillectomy procedures in the United States were performed in response to infections. Current trends in T&A suggest obstructive sleep apnea (OSA) as the indication for tonsillectomy in younger children, ages 0-8 years, while infection is the most common indication in children ages 9-18 years.3 Today, most procedures are performed to treat sleep disordered breathing (SDB), which is defined as a continuum from primary snoring to OSA. This trend reflects not only improved control of the complications of group A streptococcal pharyngitis with antibiotics but also increased rates of childhood obesity, a concomitant and perhaps related factor in the diagnosis of SDB, and a greater awareness of the impact of SDB on children’s educational progress and cognitive development.
    [Show full text]
  • 17.1 Management of Intraoperative Complications in Open Procedures 315
    17 Intraoperative Complications Management of Intraoperative Complications 17.1 in Open Procedures G.H.Yoon,J.Stein,D.G.Skinner complicationsthattheauthorshaveencountereddur- 17.1.1 Introduction 313 ing open urologic procedures. It is emphasized that the 17.1.2 Vascular Complications 314 best surgical offense starts with good defense. 17.1.2.1 General Principles 314 17.1.2.2 Arterial Injuries 315 Prior to entering the operating room, the urologic 17.1.2.3 Venous Injuries 317 surgeon must prepare by mentally reviewing four gen- 17.1.3 Intestinal Complications 319 eral principles. Firstly, all necessary imaging studies 17.1.3.1 Bowel Injury 319 should be obtained preoperatively to completely delin- 17.1.4 Solid Organ Injury 323 eate the disease process, its extent, and its relation to 17.1.4.1 Spleen 323 adjacent organs and structures. This provides a work- 17.1.4.2 Pancreas 323 ing knowledge of the lay of the land, so to speak, such 17.1.4.3 Diaphragm 326 that few or no surprises are encountered. Radiographic 17.1.5 Conclusion 326 imaging techniques have clearly improved over the past References 326 decadesandprovidethesurgeonaroadmapfroman anatomical perspective. Proper imaging preoperatively will reduce the potential for surgical misadventures, 17.1.1 identify the anatomy and anomalous structures, as well Introduction as help identify the so-called pathology of interest. Pre- operative imaging studies may also direct the need for Attention to surgical details and a commitment to sur- consultations with other surgical specialties as deemed gical excellence are two fundamental principles that necessary. will help provide the best clinical and functional results Secondly, based on the region of the body involved, following open surgical procedures.
    [Show full text]
  • Basic Surgical Techniques
    BASIC SURGICAL TECHNIQUES Textbook Authors: György Wéber MD, PhD, med. habil. János Lantos MSc, PhD Balázs Borsiczky MD, PhD Andrea Ferencz MD, PhD Gábor Jancsó MD, PhD Sándor Ferencz MD Szabolcs Horváth MD Hossein Haddadzadeh Bahri MD Ildikó Takács MD Borbála Balatonyi MD University of Pécs, Medical School Department of Surgical Research and Techniques 20 Kodály Zoltán Steet, H-7624 Pécs, Telephone: +36 72 535 820 Website:http://soki.aok.pte.hu 2008 1 PREFACE The healing is impossible without entering into suffering people’s feelings and to humble yourself in your profession. All these are completed by the ability to manage the immediate and critical situations dynamically and to analyze the diseases interdisciplinarily (e.g. diagnosis, differential diagnosis, appropriate decision among the alternative possibilities of treatment, etc.). A successful surgical intervention requires even more than this. It needs the perfect, aimful and economical coordination of operational movements. The refined technique of the handling and uniting the tissues –in the case of manual skills– is attainable by many practices, and the good surgeon works on the perfection of this technique in his daily operating activities. The most important task in the medical education is to teach the problem-oriented thinking and the needed practical ability. The graduate medical student will notice in a short time that a medical practitioner principally needs the practical knowledge and manual skill in provision for the sick. “The surgical techniques” is a popular subJect. It is a subJect in which the medical students -for the first time- will see the inside of the living and pulsating organism.
    [Show full text]
  • Laparoscopic Appendectomy Instrumentation
    CIS SELF-STUDY LESSON PLAN Lesson No. CIS 275 (Instrument Continuing Education - ICE) Sponsored by: Laparoscopic Appendectomy Instrumentation JON WOOD, BAAS, CIS, CRCST – IAHCSMM CLINICAL EDUCATOR Instrument Continuing Education (ICE) lessons provide members with ongoing education in the complex and ever-changing area of surgical LEARNING OBJECTIVES instrument care and handling. These lessons are 1. Describe the different instrumentation needed to perform a laparoscopic designed for CIS technicians, but can be of value appendectomy to any CRCST technician who works with surgical 2. Identify key cleaning and inspection points for laparoscopic appendectomy instrumentation. instrumentation 3. Review medical terminology associated with appendectomy procedures Earn Continuing Education Credits: 4. Discuss the function of laparoscopic instruments during a laparoscopic Online: Visit www.iahcsmm.org for online appendectomy grading at a nominal fee. By mail: For written grading of individual lessons, send completed quiz and $15 to: Purdue University - Online Learning patient walks into the facility-specific needs, and surgeon Ernest C. Young Hall, Room 526 Emergency Department with preference. The appendectomy procedure 155 S. Grant Street dull pain around the belly requires a mixture of both general West Lafayette, IN 47907 button that radiates and instrumentation and laparoscopic Scoring: Each quiz graded online at Abecomes sharper as it moves to the lower instrumentation, which can be arranged www.iahcsmm.org or through Purdue University, right abdomen. The patient reports a in a single instrument tray format or be with a passing score is worth two points (2 contact hours) toward your CIS re-certification (6 points) loss of appetite and is experiencing some a combination of several trays, including or CRCST re-certification (12 points).
    [Show full text]
  • Surgical Instruments
    APGO Basic Clinical Skills Curriculum Surgical Instruments Association of Professors of Gynecology and Obstetrics (APGO) Undergraduate Medical Education Committee ©2017 Surgical Instruments Table of Contents Description of Surgical Instruments 3 Intended Learning Outcomes 3 Best Practices 4 Checklist 7 Performance Assessment 12 Practical Tips 12 Resources 12 2 DESCRIPTION Learners rotating on the Obstetrics and Gynecology clerkship require basic knowledge and dexterity related to commonly-used surgical instruments. These skills with surgical instruments are important for 3rd and 4th year learners in all surgical and procedural specialties. Knowledge and dexterity with instruments and basic surgical techniques can increase faculty willingness to allow more hands-on learner participation in procedure- related encounters and the operating room in general. Increased learner participation can increase learner interest in the surgical and procedural aspects of Obstetrics and Gynecology. It can also allow the learner to explore if a procedural specialty is attractive as a future career choice. The goal of this module is to increase student knowledge and dexterity with commonly-used surgical instruments which ought to result in improved faculty willingness to actively involve learners in the surgical care of patients. This module presents a clinical simulation for teaching learners to correctly identify, hold and manipulate the commonly-used instruments for a C- Section and an abdominal hysterectomy. INTENDED LEARNING OUTCOMES After completing this module learners will be able to do the following: 1. Visually identify the common surgical instruments used in a Cesarean section and an abdominal hysterectomy a. Scalpel (10-blade, 15-blade) b. Scissors (Metzenbaum, Mayo-Curved, Mayo-straight, Suture) c.
    [Show full text]
  • ANTERIOR ADVANTAGE™ MATTA METHOD™ Surgical Technique About Joel Matta, M.D
    Surgical Technique VIEW ANTERIOR ADVANTAGE™ MATTA METHOD™ SURGERY FOOTAGE On the DePuy Synthes VuMedi Channel To watch Joel Matta, M.D., perform an Anterior Approach THA surgery using the ANTERIOR ADVANTAGE™ MATTA METHOD™ Solution scan the QR code for immediate access or visit www.VuMedi.com. Table of Contents Introduction 2 Hana® Table 4 Pre-Operative Set-Up 6 Incision and Initial Exposure 12 Exposure 14 Capsular Exposure 16 Dislocation 18 Dislocation and Femoral Head Resection 19 Femoral Head Resection 20 Acetabular Reaming 21 Femoral Preparation 24 Femoral Broaching and Trialing 29 Femoral Trialing 31 Final Implantation 32 Surgical Technique ANTERIOR ADVANTAGE™ MATTA METHOD™ DePuy Synthes 1 Introduction ANTERIOR ADVANTAGE™ MATTA METHOD™ Hip Replacement Philosophy As one of the industry leaders in the Anterior Approach, Education Program ™ DePuy Synthes provides the ANTERIOR ADVANTAGE DePuy Synthes continues to work closely with Dr. Matta ™ MATTA METHOD Solution, a differentiated solution for and surgeon thought leaders around the globe to deliver Anterior Approach, inclusive of DePuy Synthes primary world class ANTERIOR ADVANTAGE™ Professional and revision hip implant products, instrumentation, Education and Training, products, and enabling enabling technologies, and world class professional technologies to surgeons, patients and hospital teams education designed to help decrease the learning curve worldwide. This program features courses offering and increase OR efficiency and surgical reproducibility hands-on cadaveric training, didactic lectures and with the goal of better patient outcomes. interactive discussion. Surgical technique papers, surgical This approach is an advanced application of the Smith- technique videos, specially designed ANTERIOR Petersen approach using the PROfx®, Hana® or Hana SSXT® ADVANTAGE Instrumentation, dinner meetings, tables from Mizuho OSI®.
    [Show full text]
  • Sample Guide Please Go to Surgical-Instrument-Pictures.Com to Purchase the Guide As a PDF Download Or the Print Version from Amazon.Com
    Sample Guide Please go to surgical-instrument-pictures.com to purchase the guide as a PDF download or the print version from Amazon.com http://www.surgical-instrument-pictures.com Table of Contents General Surgery 2 Othopedic Surgery 42 Vascular Surgery 64 Neuro-Spine Surgery 97 GYN Surgery 115 Plastic and Cosmetic Surgery 130 ENT Surgery 154 Index 182 Thank you for purchasing Learning Surgical Instruments. within these pages you will find the instruments you need to know to get off on the right foot in the operating room from day one. You will find there is a life time of learning to be had in the Operating room. It has been our goal to help individuals learn the basics without an overwhelming amount of detail. James Nideffer RN, BSN Elizabeth Nideffer RN, MSN Sample Guide Please go to surgical-instrument-pictures.com to purchase the guide as a PDF download or the print version from Amazon.com 1 http://www.surgical-instrument-pictures.com General Surgery 10 Blade Surgical Instrument: 10 Blade Alias: Skin Blade Use: For making the skin incision Additional Info: Attaches to a #3 Handle Sample Guide Please go to surgical-instrument-pictures.com to purchase the guide as a PDF download or the print version from Amazon.com 2 http://www.surgical-instrument-pictures.com Babcock Clamp Surgical Instrument: Babcock Alias: None Use: Grasping Additional Info: For grasping soft tissue, lymph nodes and bowel tissue 14 http://www.surgical-instrument-pictures.com Deep Gelpi Surgical Instrument: Gelpi Alias: None Use: Retraction Additional Info: Self-retaining
    [Show full text]
  • The Different Types of Clamps
    The Different Types of Clamps This article is about the 24 various types of Surgical Clamps. HNM Medical releases articles describing in detail about medical procedures and surgical instruments such as pessary, forceps, dilator and other medical tools. Medical Instrument: Allis clamp Use: To grasp Details: For grasping soft tissue. Medical Instrument: Aortic Clamp Use: Clamping Details: During AAA repair its used to clamp the aorta with its non-traumatic like teeth. Medical Instrument: Debakey Clamp Use: For clamping big vessels Details: A vascular clamp that performs multi-task functions and non-traumatic. Medical Instrument: Duval Lung Use: Grasping Details: To grab the lung. Medical Instrument: Fogarty Clamp Use: For clamping Details: Plastic forgarty attachments are necessary for the jaws of the clamp. Medical Instrument: Glover clamp, angled Use: For clamping Details: Non-traumatic vascular clamp. Medical Instrument: Glover Clamp, curved Use: To clamp Details: Non-traumatic vascular clamp. Medical Instrument: Glover Clamp, Straight Use: For clamping Details: Non-traumatic vascular clamp. Medical Instrument: Heaney-Ballantine Clamp, Straight Alias: Heany Use: To clamp Details: Used to clamp the uterus. Medical Instrument: Heaney-Ballantine Clamp, Curved Alias: Heany Use: To clamp Details: Used to clamp the uterus. Medical Instrument: Jake Clamp Use: Fine dissection, Clamping Details: The jake has a tiny jaw Medical Instrument: Javid Carotid Clamp Use: For clamping Details: For control of the carotic artery Medical Instruments: Karchner
    [Show full text]
  • Keir Surgical Laparoscopy
    LAPAROSCOPY Tel: 800.663.4525 or 604.261.9596 Fax: 604.261.9549 126-408 East Kent Avenue South Vancouver, BC V5X 2X7 [email protected] | www.keirsurgical.com LAPAROSCOPY LAPAROSCOPIE LAPAROSCOPIE Keir Surgical is a Pacific Surgical company Keir Surgical est une filiale de Pacific Surgical Table of Contents • Table des matières Section Trocar Systems 1 Systèmes de trocart Laparoscopy Instruments 2 Instruments de laparoscopie Veress Needles & Tubing 3 Aiguilles de Veress et tubes Monopolar & Bipolar Instruments Instruments monopolaires et bipolaires 4 Suction & Irrigation 5 Instruments pour irrigation et aspiration Telescopes & Fibre Optic Cables 6 Télescopes et câbles à fibre optique Gynecology Extras 7 Instruments pour la gynécologie Index 8 Index Keir Surgical Ltd. | 126-408 East Kent Avenue S., Vancouver, BC V5X 2X7 | T. 604.261.9596 / 800.663.4525 | F. 604.261.9549 | www.keirsurgical.com ISO 13485:2016 Certified About Keir Surgical Ltd. Keir Surgical provides high-quality surgical products to hospitals, clinics, and health care facilities across Canada. Our customers have relied on Keir Surgical’s expertise in surgical instrumentation, endoscopy products, headlights and light sources, sterilization containers and trays, and sterile processing products since 1923. We strive to continuously improve our level of service and our compliance with our ISO 13485 Quality Management System. At Keir Surgical, we value our customers and their patients, our community, and our people. À propos de Keir Surgical Ltée Keir Surgical approvisionne les hôpitaux, cliniques et établissements de soins de santé au Canada en instruments chirurgicaux de qualité première. Les clients font confiance à l’expertise de Keir Surgical au niveau de l’instrumentation, l’endoscopie, les sources lumineuses ainsi que les accessoires pour le contrôle et les procédures de stérilisation.
    [Show full text]
  • Tonsillectomy Throughout History
    Upotjmmfdupnz!boe!! Befopjefdupnz!212; Qspdfevsf!boe!Jnqmjdbujpot! gps!uif!Tvshjdbm!Ufdiopmphjtu Theresa Criscitelli cst, rn, cnor H I S T O R Y onsillectomies and adenoidectomies are one of the oldest surgical procedures known to man, dating back to before the sixth cen­ tury. 1 Aulus Cornelius Celsus was a Roman physician and writer who removed tonsils by loosening them up with his finger and U 2 then tearing them out. Vinegar mouthwash and other primitive medi­ cations were the only form of hemostasis. The procedure advanced to the hook and knife method, which was followed by the tonsil guillotine, before the use of a scalpel was finally implemented in 1906.2 L E A R N I N G O B J E C T I V E S N Compare treatment techni ques for tonsillectomy throughout history N Examine the current spectrum of sugical options for tonsillectomy N Assess the implicati ons for the surgical technologi st during this procedure N Explain the steps for pati ent and O.R. preparation for a tonsillectomy N Evaluate the advancement in technology as it relates to tonsil and adenoidectomy FEBRUARY 2009 The Surgical Technologist 65 I N T R O D U C T I O N palatopharyngeal muscle and the superior con­ The incidence of tonsillectomy and adenoidec­ strictor muscle. The palatoglossus muscle forms tomy continues to rise – it has been estimated the anterior pillar and the palatopharyngeal that 200,000 of these operations are being per­ muscle forms the posterior pillar. The tonsillar formed annually in the United States.3 Most ton­ bed is formed by the superior constrictor muscle sillectomies and adenoidectomies are performed of the pharynx.
    [Show full text]
  • Surgical Equipment / Instrument Word List for Medical Transcriptionists
    Surgical Equipment / Instrument Word List For Medical Transcriptionists Abbott-Mayfield forceps Adson forceps Asnis III cannulated abduction finger splint Adson-Brown atraumatic screw forceps Abernaz strut forceps Asnis III sterile guidewire Alexander-Ballen orbital Abrams biopsy needle retractor atraumatic needle Abramson-Allis breast alligator ear forceps Aufricht nasal rasp clamp alligator grasper Aufricht nasal retractor AccuSharp endoscope Allis clamp Austin duckbill knife Accu-Sorb sponge Allis forceps Austin Moore bone Ace dressing reamer Alta lag screw acetabular skid Auvard speculum Andrews-Hartmann ACL chamfering rasp rongeur awl ACL tunnel rasp ankle-foot orthotic splint Babcock clamp ACMI cautery Arthrex ACL graft shaper Backhaus towel clamp ACMI long colonoscope Arthrex cannulated Backhaus towel clip reamer ACMI Martin endoscopic Bakes bile duct dilator forceps Arthrex cannulated screwdriver Balfour blade ACMI sheath Arthrex drill bit Balfour retractor acorn cannula Arthrex drill guide Band-Aid Acticoat dressing Arthrex tensioning device Bard-Parker knife Acumed Arthrex tunnel notcher Baron suction tube Acutrak screw arthroscopic probe Barraquer eye speculum Adair breast clamp Asch septal forceps bayonet dressing forceps Adapter harmonic scalpel Ash forceps bayonet forceps Adaptic dressing Ash septum forceps bayonet osteotome Adson elevator Asnis 2 guided screw Beall bulldog clamp Boies nasal fracture Bunnell tendon stripper Beall mitral valve elevator prosthesis cannulated drill 10mm bone awl Beaver knife Carlens curette
    [Show full text]
  • Surgical Instrumentation : Use , C Are and Handling
    SURGICAL INSTRUMENTATION : USE , C ARE AND HANDLING 1958 1958 SURGICAL INSTRUMENTATION : U SE , C ARE AND HANDLING STUDY GUIDE Disclaimer AORN and its logo are registered trademarks of AORN, Inc. AORN does not endorse any commercial company’s products or services. Although all commercial products in this course are expected to conform to professional medical/nursing standards, inclusion in this course does not constitute a guarantee or endorsement by AORN of the quality or value of such products or of the claims made by the manufacturers. No responsibility is assumed by AORN, Inc, for any injury and/or damage to persons or property as a matter of product liability, negligence or otherwise, or from any use or operation of any standards, recommended practices, methods, products, instructions, or ideas contained in the material herein. Because of rapid advances in the health care sciences in particular, independent verification of diagnoses, medication dosages, and individualized care and treatment should be made. The material contained herein is not intended to be a substitute for the exercise of professional medical or nursing judgment. The content in this publication is provided on an “as is” basis. TO THE FULLEST EXTENT PERMITTED BY LAW, AORN, INC, DISCLAIMS ALL WARRANTIES, EITHER EXPRESS OR IMPLIED, STATUTORY OR OTHERWISE, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES’ RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. This publication may be photocopied for noncommercial purposes of scientific use or educational advancement. The following credit line must appear on the front page of the photocopied document: Reprinted with permission from The Association of periOperative Registered Nurses, Inc.
    [Show full text]