
Berry & Kohn's Operating Room Technique
- 15th Edition - June 19, 2024
- Authors: Anita Hornacky, Nancymarie Phillips
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 0 5 2 3 - 4
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 9 4 5 - 3

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Request a sales quote- NEW! Updated, evidence-based content reflects the latest information on key topics such as AORN Guidelines for Perioperative Practice, recommended CDC guidelines for cancer screening, workplace safety, ambulatory surgery, social determinants of health, and credentialing.
- Focus on the physiologic, psychologic, and spiritual considerations of perioperative patients provides the knowledge needed to plan and implement comprehensive, individualized care.
- Strong emphasis on teamwork among perioperative caregivers (both nurses and surgical technicians) encourages cooperation in attaining positive patient care outcomes.
- Detailed information on the fundamentals of perioperative nursing and surgical technology roles enhances understanding of basic surgical principles and techniques.
- In-depth discussions of patients with special needs related to age or health status help you learn how to develop a plan of care tailored to the unique care needs of all patients.
- Step-by-step coverage of the foundations of surgical techniques enables you to effectively apply basic principles to practice.
- Content on perioperative patient care for both inpatient and ambulatory procedures highlights key considerations for each setting, as well as for individual surgical procedures.
- Clear, high-quality illustrations reflect perioperative procedures and provide important safety information.
- Chapter outlines with page numbers, chapter objectives, and key terms and definitions help you quickly find important information.
- Additional and updated tables and boxes call attention to the most important concepts in the text.
- References and bibliography highlight the text’s evidence-based practice approach.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Preface to the Fifteenth Edition
- Acknowledgments
- Section 1. Fundamentals of Theory and Practice
- 1. Perioperative Education
- The Art and Science of Surgery
- Perioperative Learner
- Perioperative Educator
- Application of Theory to Practice
- Expected Behaviors of Perioperative Caregivers
- Realities of Clinical Practice
- Evolve Website
- 2. Foundations of Perioperative Patient Care Standards
- Surgical Conscience
- Patient Rights
- Accountability
- Standardization of Patient Care
- Recommended Practices
- Professionalism
- Professional Perioperative Nursing
- Evidence-Based Practice
- Nursing Process
- Standards of Perioperative Nursing Practice
- Clinical Competency of the Perioperative Nurse
- Scope of Perioperative Nursing Practice
- Surgical Technology
- Clinical Competency of the Surgical Technologist
- Continual Performance Evaluation and Improvement
- Evolve Website
- 3. Legal, Regulatory, and Ethical Issues
- Legal Issues
- Liability
- The Joint Commission and Sentinel Events
- Consent
- Documentation of Perioperative Patient Care
- Legal Aspects of Drugs and Medical Devices
- Ethical Issues
- Evolve Website
- Section 2. The Perioperative Patient Care Team
- 4. The Perioperative Patient Care Team and Professional Credentialing
- Dependence of the Patient on the Qualified Team
- Credentialing of Qualified Caregivers
- Perioperative Patient Care Team
- Evolve Website
- Chapter 5. The Surgical First Assistant
- First Assistant’s Knowledge and Skill Level
- What Does the First Assistant Do?
- Disciplines Associated With First Assisting in Surgery
- Evolve Website
- 6. Administration of Perioperative Patient Care Services
- Establishing Administrative Roles
- Interdepartmental Relationships
- Patient Care Departments
- Patient Services Departments
- Departmental Service Divisions
- Coordination Through Committees
- Surgical Services Management
- Budgeting and Financial Responsibility
- New Product and Equipment Evaluation
- Evolve Website
- Section 3. The Patient as a Unique Individual
- 7. The Patient: The Reason for Your Existence
- The Patient as an Individual
- The Patient With Individualized Needs
- The Patient With Cancer
- The Patient With Chronic Comorbid Disease
- The Patient Who Is a Victim of Crime
- End-of-Life Care
- Death of a Patient in the Operating Room
- Evolve Website
- 8. Perioperative Pediatrics
- Indications for Surgery
- Considerations in Perioperative Pediatrics
- Perioperative Assessment of the Pediatric Patient
- Preoperative Psychologic Preparation of Pediatric Patients
- Pediatric Anesthesia
- Intraoperative Pediatric Patient Care Considerations
- Common Surgical Procedures
- Postoperative Pediatric Patient Care
- Evolve Website
- Chapter 9. Perioperative Geriatrics
- Perspectives on Aging
- Perioperative Assessment of the Geriatric Patient
- Intraoperative Considerations
- Postoperative Considerations
- Evolve Website
- Section 4. The Perioperative Environment
- 10. Physical Facilities
- Physical Layout of the Surgical Suite
- Transition Zones
- Peripheral Support Areas
- Operating Room
- Special Procedure Rooms
- Construction or Renovation of the Surgical Suite
- Evolve Website
- 11. Ambulatory Surgery Centers and Alternative Surgical Locations
- Ambulatory Surgical Setting
- Alternative Sites Where Surgery Is Performed
- Evolve Website
- 12. Care of the Perioperative Environment
- Guidelines for Cleanliness in the Surgical Environment
- Establishing the Surgical Environment
- Room Turnover Between Patients
- Daily Terminal Cleaning
- Evolve Website
- 13. Potential Sources of Injury to the Caregiver and the Patient
- Environmental Hazards
- Physical Hazards and Safeguards
- Chemical Hazards and Safeguards
- Biologic Hazards and Safeguards
- Risk Management
- Evolve Website
- Section 5. Surgical Asepsis and Sterile Technique
- 14. Surgical Microbiology and Antimicrobial Therapy
- Microorganisms: Nonpathogens Versus Pathogens
- Types of Pathogenic Microorganisms
- Antimicrobial Therapy
- Evolve Website
- 15. Principles of Aseptic and Sterile Techniques
- What Is the Difference Between Aseptic and Sterile Techniques?
- Transmission of Microorganisms
- Human-Borne Sources of Contamination
- Nonhuman Factors in Contamination
- Sources of Infection
- Environmental Controls
- Standard Precautions
- Principles of Sterile Technique
- No Compromise of Sterility
- Evolve Website
- 16. Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving
- Appropriate Operating Room Attire
- Surgical Hand Hygiene
- Gowning and Gloving
- Evolve Website
- 17. Decontamination and Disinfection
- Central Processing Department
- Central Service Personnel
- Instrument Cleaning and Decontamination
- Disinfection of Items Used in Patient Care
- Methods of Disinfection
- Disposable Products
- Evolve Website
- 18. Sterilization
- Sterilization Versus Disinfection
- Sterilization
- Assembly of Instrument Sets
- Packaging Instruments and Other Items for Sterilization
- Thermal Sterilization
- Chemical Sterilization
- Radiation Sterilization
- Control Measures
- Custom Packs
- Evolve Website
- Section 6. Surgical Instrumentation and Equipment
- 19. Surgical Instrumentation
- Fabrication of Metal Instruments
- Classification of Instruments
- Handling Instruments
- Evolve Website
- 20. Specialized Surgical Equipment
- Using Specialized Equipment in Surgery
- Electrosurgery
- Laser Surgery
- Microsurgery
- Ultrasonosurgery
- Integrated Technologies
- Evolve Website
- Section 7. Preoperative Patient Care
- 21. Preoperative Preparation of the Patient
- Hospitalized Patient
- Preoperative Preparation of All Patients
- Transportation to the Operating Room Suite
- Admission to the Operating Room Suite
- Evolve Website
- 22. Diagnostics, Specimens, and Oncologic Considerations
- Diagnosing Pathology
- Specimens and Pathologic Examination
- Radiologic Examination
- Magnetic Resonance Imaging
- Nuclear Medicine Studies
- Ultrasonography
- Doppler Studies
- Sensory Evoked Potential
- Plethysmography
- Endoscopy
- The Patient With Cancer
- Evolve Website
- Section 8. Pharmacology and Anesthesia
- 23. Surgical Pharmacology
- Pharmacology Baselines
- Considerations in Surgical Pharmacology
- Surgical Drug and Pharmaceutical Sources
- Pharmacologic Forms Used in Surgery
- Potential Complications Caused by Pharmaceuticals and Herbal Medicine
- Evolve Website
- 24. Anesthesia: Techniques and Agents
- The Art and Science of Anesthesia
- Choice of Anesthesia
- Anesthesia State
- Knowledge of Anesthetics
- Types of Anesthesia
- Alternatives to Conventional Anesthesia
- Evolve Website
- Section 9. Intraoperative Patient Care
- 25. Coordinated Roles of the Scrub Person and the Circulating Nurse
- Division of Duties
- Efficiency of the Operating Room Team
- Evolve Website
- 26. Positioning, Prepping, and Draping the Patient
- Preliminary Considerations
- Anatomic and Physiologic Considerations
- Equipment for Positioning
- Surgical Positions
- Physical Preparation and Draping of the Surgical Site
- Evolve Website
- 27. Physiologic Maintenance and Monitoring of the Perioperative Patient
- Monitoring Physiologic Functions
- Evolve Website
- Section 10. Surgical Site Management
- 28. Surgical Incisions, Implants, and Wound Closure
- The Surgical Incision
- Surgical Landmarks
- Wound Closure
- Evolve Website
- 29. Wound Healing and Hemostasis
- Mechanism of Wound Healing
- Types of Wounds
- Factors Influencing Wound Healing
- Hemostasis
- Wound Management
- Complications of Wound Healing
- Postoperative Wound Infections
- Wound Assessment
- Basic Wound Care
- Evolve Website
- Section 11. Perianesthesia and Postprocedural Patient Care
- 30. Postoperative Patient Care
- Postanesthesia Care
- Admission to the Postanesthesia Care Unit
- Discharge From the Postanesthesia Care Unit
- Evolve Website
- 31. Potential Perioperative Complications
- Potential for Complications During and After Surgery
- Respiratory Complications
- Cardiovascular Complications
- Fluid and Electrolyte Imbalances
- Blood Volume Complications
- Shock
- Metabolic Crises
- Iatrogenic Injury
- Evolve Website
- Section 12. Surgical Specialties
- 32. Endoscopy and Robotic-Assisted Surgery
- Eight Essential Elements of Endoscopy
- Knowledge and Skill for a Safe Endoscopic Environment
- Types of Endoscopic Procedures
- Care of Endoscopes
- Considerations for Patient Safety
- Duties of the Assistant for Flexible Endoscopy
- Robotic-Assisted Endoscopy
- Evolve Website
- 33. General Surgery
- Special Considerations for General Surgery
- Breast Procedures
- Abdominal Procedures
- Liver Procedures
- Splenic Procedures
- Pancreatic Procedures
- Esophageal Procedures
- Gastrointestinal Surgery
- Intestinal Procedures
- Colorectal Procedures
- Abdominal Trauma
- Anorectal Procedures
- Hernia Procedures
- Amputation of Extremities
- Evolve Website
- Chapter 34. Gynecologic and Obstetric Surgery
- Anatomy and Physiology of the Female Reproductive System
- Gynecology: General Considerations
- Diagnostic Techniques
- Robotic Procedures
- Vulvar Procedures
- Vaginal Procedures
- Abdominal Procedures
- Perioperative Obstetrics
- Complicated Birth
- Assisted Reproduction
- Nonobstetric Surgical Procedures and the Pregnant Patient
- Evolve Website
- 35. Urologic Surgery
- Anatomy and Physiology of the Urinary System
- Special Features of Urologic Surgery
- Surgical Procedures of the Genitourinary System
- Bladder Flap Urethroplasty
- Male Reproductive Organs
- Endocrine Glands
- Transsexual Surgery (Sex Reassignment)
- Postoperative Complications of Urologic Surgery
- Evolve Website
- 36. Orthopedic Surgery
- The Art and Science of Orthopedic Surgery
- Anatomy and Physiology of the Musculoskeletal System
- Special Features of Orthopedic Surgery
- Extremity Procedures
- Fractures
- Joint Procedures
- Repair of Tendons and Ligaments
- Cast Application
- Complications After Orthopedic Surgery
- Evolve Website
- 37. Neurosurgery of the Brain and Peripheral Nerves
- Anatomy and Physiology of the Brain
- Special Considerations in Neurosurgery
- Patient Care Considerations for Craniotomy
- Surgical Procedures of the Cranium
- Peripheral Nerve Surgery
- Evolve Website
- 38. Spinal Surgery
- Anatomy and Physiology of the Spinal Cord and Vertebral Column
- Special Considerations for Spinal Surgery
- Pathology of the Vertebrae and Spinal Cord
- Surgical Procedures of the Spine
- Evolve Website
- 39. Ophthalmic Surgery
- Anatomy and Physiology of the Eye
- Ophthalmic Surgical Patient Care
- Special Features of Ophthalmic Surgery
- Ocular Surgical Procedures
- Eye Injuries
- Ophthalmic Lasers
- Evolve Website
- 40. Plastic and Reconstructive Surgery
- Special Features of Plastic and Reconstructive Surgery
- Skin and Tissue Grafting
- Head and Neck Plastic and Reconstructive Procedures
- Plastic and Reconstructive Procedures of Other Body Areas
- Burns
- Evolve Website
- 41. Otorhinolaryngologic and Head and Neck Surgery
- General Considerations in Ear, Nose, and Throat Procedures
- Ear
- Nose
- Oral Cavity and Throat
- Neck
- Face and Skull
- Evolve Website
- 42. Thoracic Surgery
- Anatomy and Physiology of the Thorax
- Physiology
- Special Features of Thoracic Surgery
- Thoracic Surgical Procedures
- Chest Trauma
- Intrathoracic Esophageal Procedures
- Complications of Thoracic Surgery
- Evolve Website
- 43. Cardiac Surgery
- Anatomy of the Heart and Great Vessels
- Physiology of the Heart
- Cardiac Cycle
- Special Features of Cardiac Surgery
- Cardiac Surgical Procedures
- Mechanical Assist Devices
- Complications of Cardiac Surgery
- Evolve Website
- 44. Vascular Surgery
- Anatomy and Physiology of the Vascular System
- Vascular Pathology
- Diagnostic Procedures
- Special Features of Vascular Surgery
- Composite Vein Grafts
- Conservative Interventional Techniques
- Laser Angioplasty
- Vascular Surgical Procedures
- Evolve Website
- 45. Organ Procurement and Transplantation
- Types of Transplants
- Tissue Transplantation
- Organ Transplantation
- Evolve Website
- Index
- No. of pages: 1024
- Language: English
- Edition: 15
- Published: June 19, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780443105234
- eBook ISBN: 9780443119453
AH
Anita Hornacky
Affiliations and expertise
Perioperative Educator,Surgical Pharmacology and Orthopedics,Lakeland Community College,Kirkland, OhioNP
Nancymarie Phillips
Affiliations and expertise
Professor Emeritus,Lakeland Community College,Director Department of Perioperative Education,Perioperative Nursing, Registered Nurse,First Assistants, Surgical Technology,Kirkland, Ohio