important part of your duties as an operating room specialist is your
ability to communicate with the professional staff in the operating
room, other operating room specialists, and the support staff for the
operating room. Understanding the use and meaning of terminology used
within the operating room is an important part of this sub course. Some
of the words listed in the following paragraphs have been defined in
previous sub courses, but are included to refresh your operating room
General or local insensibility to pain and other sensation induced
by certain drugs.
One who administers anesthetics. This person may be a nurse
anesthetist or a physician anesthesiologist.
The prevention of sepsis by the exclusion, destruction, or
inhibition of growth or multiplication of microorganisms from body
tissues and fluids.
Chemical agents that fight sepsis by inhibiting growth of
microorganisms without necessarily killing them; used only on living
The absence of microorganisms that cause diseases.
Technique. The method by which contamination with microorganisms is
prevented. Also called "sterile technique." g. Autoclave. A
sterilizing apparatus that uses saturated steam under pressure.
One category of microorganisms. Microorganisms are of great concern
to hospital personnel because they are difficult to destroy and produce
many different diseases.
Method of enclosing supplies and equipment. This may be done by
plastic or paper to prevent the spread of infection or to maintain
The technician on the operating room team who functions outside of
the sterile field during surgery.
Soiled with microorganisms.
Contamination. Transmission of microorganisms from patient to
patient and from contaminated objects to patients and vice versa.
A cleansing agent that facilitates removal of grease or soil. A
suitable detergent must be selected; it must clean but not injure the
surface of the article.
A condition in which there is incorrect or poor functioning of any
part, organ, or system of the body.
An agent that kills all growing forms of microorganisms, thus
completely eliminating them from objects; used only on inanimate
The chemical or physical process of destroying all pathogenic
microorganisms except spore-bearing ones. Disinfectants are used on
objects--not on tissue.
Commercially prepackaged, usually pre-sterilized items, designed
for one-time use.
The procedure of covering the patient and surrounding areas with a
sterile barrier to create and maintain an adequate sterile field during
an operation. Drapes include towels and sheets and may be disposable.
A common term for a microscopic or submicroscopic organism capable
of producing disease.
A large utility sink equipped with a flushing device. Used to
dispose of contaminated waste.
Invasion of the body by pathogenic microorganisms and the reaction
of tissues to their presence.
Living organisms that cannot be seen with the naked eye, including
bacteria, fungi, viruses, yeasts, and molds; also called "microbial
A particular way of doing something; a series of steps followed in a
definite order; a traditional way of doing things.
A series of procedures designed to prepare supplies and equipment
for use in giving patient care.
The basis upon which the correct way of doing something is
determined. A reference to the principles or procedures that leads to
the right way of doing something.
A process whereby microorganisms present on an object are reduced
in number to a level considered safe for human use.
An apparatus employing a sanitizing agent such as hot water, steam,
The technician on the operating room team who scrubs, dons sterile
gown and gloves, and functions within the sterile area.
Invasion of the body by pyrogenic microorganisms.
A sterile surgical dressing of absorbent material for wiping or
absorbing blood or other fluids during an operation.
Radiopaque. This type of sponge has multiple layers of absorbent
gauze with a radiopaque thread sewn in. It is used to control bleeding
during all types of surgery.
Free of microorganisms (bacterial, spores, and germs invisible to
the naked eye).
Field. The area of the operating room that immediately surrounds
and is especially prepared for the patient. To establish the sterile
field, all items needed for the operation are sterilized and only
sterile team members function within the sterile area.
Apparatus using saturated steam under pressure, ethylene oxide, or
dry heat as the sterilizing agent. These include gravity and mechanical
The process by which all pathogenic and nonpathogenic
microorganisms, including spores, are killed.
Procedure. A set of steps by which a desired result is accomplished
by surgery, which is the treatment of diseases and injuries by manual
or operative methods.
Team or Operating Room Team. Surgeon, one or more assistant
surgeons, a scrub nurse or technician, an anesthetist, and a circulating
nurse or technician makes up the surgical team.
Needles. Surgical needles are straight or curved needles used to
safely carry suture material through tissue with the least amount of
effort. Needles must also be sterile.
Clean. Mechanically or physically cleaned, but unsterile. Items are
rendered surgically clean by the use of chemical, physical, or
mechanical means that reduce the number of microorganisms on them.
(verb). Suturing is the act of sewing by bringing tissues together
and holding them until healing has taken place.
(noun). A suture is any strand of material used to sew tissue
together. Suturing material must be sterile. Ligature is a strand of
suture material used to "tie off" or seal blood vessels to prevent
Card or Surgeon"s Preference Card. This card lists the surgeon"s
usual suture and needle routine by tissue layer and preference for
instrument equipment and position of patient.
Sterilization and Disinfection. The procedures carried out for the
destruction of pathogens on instruments and supplies before they are
handled for complete cleaning and checked for proper functioning.
Terminal sterilization is often done by the using unit to protect
personnel handling the items.
نوشته : jebeli
تاریخ:شنبه 27 شهریور1389