Surgical Intervention Goals and Facilities
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Questions and Answers

What is the primary goal of surgical intervention?

  • To prevent diseases
  • To alleviate symptoms without curing the disease
  • To allow the patient to return to their best possible state of health (correct)
  • To diagnose illnesses

    • Palliative surgery aims to cure the underlying cause of a disease.

    False

    What type of surgical intervention is intended to prevent the occurrence of a disease?

    Prophylactic

    A __________ surgery center is part of a physician's office that is equipped to perform surgery.

    <p>office-based</p> Signup and view all the answers

    Which type of hospital is funded by charitable donations and does not pay taxes?

    <p>Nonprofit hospital</p> Signup and view all the answers

    Satellite surgery centers are usually not physically separated from hospitals.

    <p>False</p> Signup and view all the answers

    What is the purpose of restorative surgical intervention?

    <p>To regain the patient’s health and strength</p> Signup and view all the answers

    Self-contained units are essentially __________ for ambulatory care that are separate from inpatient surgical suites.

    <p>operating rooms</p> Signup and view all the answers

    Which of the following is NOT one of the main types of surgical interventions?

    <p>Intensive</p> Signup and view all the answers

    Match the type of surgical facility with its description:

    <p>Hospital-based unit = Surgical suites within or attached to a hospital Ambulatory care center = Independent facility for non-confined patients Office-based surgery center = Facility part of a physician's office Satellite surgery center = Separation from the main hospital facility</p> Signup and view all the answers

    Who performs specialized functions related to their area of expertise in the surgical team?

    <p>Radiology technician</p> Signup and view all the answers

    All surgical technology programs must be CAAHEP accredited in order to be recognized for certification.

    <p>True</p> Signup and view all the answers

    List three job responsibilities of a surgical technologist during the intraoperative phase.

    <ol> <li>Pass instruments to the surgeon. 2. Maintain aseptic technique. 3. Anticipate the surgeon's needs.</li> </ol> Signup and view all the answers

    A _____ is a written document that defines the purpose of a position and details the requirements.

    <p>job description</p> Signup and view all the answers

    Match the following surgical roles with their primary function:

    <p>Circulator = Responds to needs of scrubbed members Surgical Technologist = Prepares sterile field and assists during surgery Radiology Technician = Performs imaging procedures Pathologist = Analyzes surgical specimens</p> Signup and view all the answers

    What is one of the primary duties of a circulator during a surgical procedure?

    <p>Respond to the needs of scrubbed team members</p> Signup and view all the answers

    The primary responsibility of the scrub role includes both preoperative and postoperative tasks.

    <p>True</p> Signup and view all the answers

    What role does a physician/surgeon’s assistant fulfill in surgery?

    <p>Assists the surgeon during procedures.</p> Signup and view all the answers

    A surgical technologist may assist with the application of _____ post-surgery.

    <p>dressing</p> Signup and view all the answers

    Which of the following is NOT typically a responsibility of the surgical technologist after surgery?

    <p>Passes instruments during surgery</p> Signup and view all the answers

    What is one of the responsibilities of a circulator before surgery?

    <p>Perform preoperative education to the patient</p> Signup and view all the answers

    The circulator may administer anesthetic agents during surgery.

    <p>False</p> Signup and view all the answers

    What does the circulator do in the postoperative phase?

    <p>Tapes postoperative dressing</p> Signup and view all the answers

    During surgery, the circulator ensures there are no breaks in ______ technique.

    <p>aseptic</p> Signup and view all the answers

    Match the following responsibilities with their corresponding phases:

    <p>Preoperative = Transports and positions patient on the surgery table Intraoperative = Observes for any breaks in aseptic technique Postoperative = Performs clean up of equipment and supplies</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the circulator?

    <p>Administers medication</p> Signup and view all the answers

    The circulator may function in the operating room suite without supervision.

    <p>False</p> Signup and view all the answers

    What is a specific task the circulator performs related to blood during surgery?

    <p>Obtain blood products for transfusion</p> Signup and view all the answers

    After surgery, the circulator may decontaminate and ______ instruments and supplies.

    <p>resterilize</p> Signup and view all the answers

    Which of the following is a primary responsibility of the circulator during the intraoperative phase?

    <p>Anticipate sterile team members' needs</p> Signup and view all the answers

    Which of the following is a responsibility of the anesthesia provider?

    <p>Administering anesthesia to the surgical patient</p> Signup and view all the answers

    The organizational chart of a medical facility shows only direct lines of authority.

    <p>False</p> Signup and view all the answers

    What are the two types of team members in the surgical team based on their functions in the sterile field?

    <p>Sterile team members and unsterile team members</p> Signup and view all the answers

    The _____ is responsible for keeping hospital facilities clean, safe, and orderly.

    <p>Environmental services</p> Signup and view all the answers

    Match the surgical team members with their roles:

    <p>Surgeon = Performs operative procedures Scrub person = Prepares the sterile field Anesthesia provider = Administers anesthesia Circulator = Coordinates activities in the operating room</p> Signup and view all the answers

    Which department is responsible for maintaining patient records?

    <p>Medical records</p> Signup and view all the answers

    The operating room clinical manager is responsible for direct patient care.

    <p>False</p> Signup and view all the answers

    What is the role of the first scrub in the operating room?

    <p>Prepares the sterile field and scrubs and gowns the surgical team</p> Signup and view all the answers

    The _____ issues disposable medical supplies and reprocesses reusable instruments.

    <p>Purchasing/Central services</p> Signup and view all the answers

    Who in the surgical team is considered a sterile team member?

    <p>Surgical technologist</p> Signup and view all the answers

    Study Notes

    Goals of Surgical Intervention

    • Primary objective is to restore optimal physical and mental health for patients.
    • Types of Surgical Goals:
      • Diagnostic: Identify the illness and its cause.
      • Palliative: Alleviate symptoms without curing the disease.
      • Prophylactic: Prevent illness occurrence.
      • Restorative: Restore health and normal activity.

    Types of Healthcare Facilities

    • Nonprofit Hospitals: Funded by charitable donations; income is tax-exempt.
    • Proprietary Hospitals: Privately owned; profits are taxed, and investors receive returns.
    • Tax-supported Hospitals: Funded by government sources.

    Surgical Facilities Types

    • Hospital-based Units: Surgical suites located within hospitals.
      • Self-contained Units: Separate from inpatient surgical suites for outpatient care.
      • Combined Units: Shared operating rooms for inpatients and outpatients with a distinct preoperative area.
    • Satellite Surgery Center: Hospital-owned, but separate from the main facility.
    • Office-based Surgery Center: Surgeries performed within a physician's office.
    • Ambulatory Care Center/Surgicenter: Investor-owned, focused on non-confined patient care.

    Organizational Structure of Hospitals

    • Each facility has an organizational chart showing employee roles and responsibilities.
    • Importance of following lines of authority for problem resolution within the hospital structure.

    Surgical Services Personnel

    • Key members include:
      • Director of Surgical Services
      • Operating Room Clinical Manager
      • Post Anesthesia Recovery Unit Manager
      • Staff Nurses, Surgical Technologists, Patient Care Assistants

    Hospital Departments for Patient Care

    • Direct Patient Care Departments:
      • Nursing Care Units
      • Diagnostic Imaging
      • Pathology
      • Clinical Laboratories
    • Indirect Patient Care Departments:
      • Environmental Services
      • Facilities Management
      • Purchasing/Central Services
      • Medical Records
      • Biomedical Engineering
      • Administration
      • Nutritional Services
      • Pharmacy

    Members of the Surgical Team

    • Sterile Team Members: Operate within the sterile field and include:
      • Surgeon
      • Assistants (Physician and Nonphysician)
      • Scrub Person
    • Unsterile Team Members: Maintain sterile technique from outside the sterile field:
      • Anesthesia Provider
      • Circulator
      • Technicians (Radiology, EEG)

    Surgical Technologist Employment and Training

    • Employment opportunities include roles in surgery scheduling, medical sales, and teaching.
    • Surgical Technology Programs require CAAHEP accreditation to allow certification.

    Job Responsibilities of Surgical Technologists

    • Preoperative Duties:
      • Gather and open sterile supplies, perform surgical hand wash, and set up the sterile field.
    • Intraoperative Duties:
      • Pass instruments, maintain sterility, prepare medications, assist the surgeon.
    • Postoperative Duties:
      • Assist with dressing application, patient transfer, and cleanup.

    Circulator Role

    • Prepare surgical site, assist anesthesia provider, and maintain operative records.
    • Responsible for specimen identification and ensuring aseptic practices.

    Circulator Limitations

    • Cannot administer medication or anesthetics, or function unsupervised in the OR.
    • Not responsible for assessing patient status or finalizing documentation.

    Importance of Job Descriptions

    • Define roles, responsibilities, and legal accountability for healthcare positions.
    • Ensure compliance with safety and operational standards as dictated by regulatory bodies.

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    Description

    Explore the objectives and types of surgical interventions, emphasizing the importance of diagnostic, palliative, prophylactic, and restorative goals. Understand the various healthcare and surgical facility types, including nonprofit and proprietary hospitals along with operational units within them.

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