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
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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
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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
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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
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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
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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
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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
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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
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Chapter 9. Perioperative Geriatrics
Perspectives on Aging
Perioperative Assessment of the Geriatric Patient
Intraoperative Considerations
Postoperative Considerations
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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
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11. Ambulatory Surgery Centers and Alternative Surgical Locations
Ambulatory Surgical Setting
Alternative Sites Where Surgery Is Performed
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12. Care of the Perioperative Environment
Guidelines for Cleanliness in the Surgical Environment
Establishing the Surgical Environment
Room Turnover Between Patients
Daily Terminal Cleaning
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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
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Section 5. Surgical Asepsis and Sterile Technique
14. Surgical Microbiology and Antimicrobial Therapy
Microorganisms: Nonpathogens Versus Pathogens
Types of Pathogenic Microorganisms
Antimicrobial Therapy
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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
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16. Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving
Appropriate Operating Room Attire
Surgical Hand Hygiene
Gowning and Gloving
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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
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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
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Section 6. Surgical Instrumentation and Equipment
19. Surgical Instrumentation
Fabrication of Metal Instruments
Classification of Instruments
Handling Instruments
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20. Specialized Surgical Equipment
Using Specialized Equipment in Surgery
Electrosurgery
Laser Surgery
Microsurgery
Ultrasonosurgery
Integrated Technologies
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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
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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
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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
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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
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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
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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
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27. Physiologic Maintenance and Monitoring of the Perioperative Patient
Monitoring Physiologic Functions
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Section 10. Surgical Site Management
28. Surgical Incisions, Implants, and Wound Closure
The Surgical Incision
Surgical Landmarks
Wound Closure
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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45. Organ Procurement and Transplantation
Types of Transplants
Tissue Transplantation
Organ Transplantation
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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, Ohio
NP
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