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Operating Room Skills: Fundamentals for the Surgical Technologist, 2nd edition

Published by Pearson (May 1, 2019) © 2020

  • Nancy N. Dankanich

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For courses in surgical technology.

A lab manual for surgical technologists new to the operating room

Operating Room Skills helps students develop the essential skills needed to perform safely and competently in the operating room. The unique format follows the role of the surgical technologist, in conjunction with a patient's movement through surgery. From the start, students are immersed in an active-learning experience that integrates best practices, core-curriculum requirements and recommendations.

The 2nd Edition has a new Chapter 26, “Transition to the Clinical Setting,” as well as new quick-reference guides and updated Competency Assessments.

Hallmark features of this title

Step-by-step skills training with rationales

  • The skill sequences and instructions in the text reflect best practices advocated by professional and government organizations, including OSHA, CDC, AST and AORN, as well as those in the AST's Core Curriculum for Surgical Technology.
  • Trends for awareness and prevention are discussed, including completing a safe surgery checklist, ensuring medication accountability, preventing retained objects, and applying aseptic technique.

Study resources

  • A companion website includes skills videos, competency assessments, end-of-chapter activities, General Surgery instruments, and operating room concepts and skills from select chapters.
  • Discussion questions prompt learners to think critically, while generating in-class debate.

New and updated features of this title

Quick reference guides to skills and equipment

  • NEW: An introduction to the skills and roles presented in the forthcoming chapter now appears at the start of each chapter, providing a quick reference for instructors and students.
  • NEW: A list of supplies to be used, directions for preparation and performance, and learning objectives are now in each chapter. This information prompts a quick start to each lab session.
  • NEW: Sections describing frequently used surgical instruments, suture and dressing supplies (Ch. 7, 19, 20 and 22) provide essential details about tasks performed by the surgical technologist.
  • UPDATED: Competency Assessments forms, updated in each chapter, are useful for evaluating lab and clinical performance. They are also available as editable files on the companion website.

Interactive content

  • NEW: A new Chapter 26, “Transition to the Clinical Setting,” uses interactive strategies to provide direction for pre-clinical requirements, clinical case participation and log documentation for accredited programs.
  • NEW: Online appendices to enrich learning are new to this edition. They include internet resources, apprentice preceptor and active-learning strategies, as well as answer keys for discussion questions and medication math problems.

UNIT I: SURGERY PREPARATION
1. Don Scrub Attire
2. Perform Basic Hand Hygiene
3. Don and Doff Personal Protective Equipment
4. Open Sterile Supplies
5. Perform Surgical Hand Scrub and Rub
6. Gown and Glove Self-Closed Gloving Method
7. Drape Mayo Stand and Prepare Back Table
8. Prevent Retained Surgical Items and Demonstrate the Count Protocol
9. Manage Medications and Solutions
10. Select Mayo Stand Instruments
11. Prepare the Patient for Operating Room Entry
12. Participate in Preanesthesia Skills
13. Facilitate Electrosurgery and Surgical Fire Awareness
14. Gown and Glove Another Team Member
15. Perform Open Gloving Technique
16. Position the Patient, Perform Urinary Catheterization and Skin Preparation
17. Apply Surgical Drapes
18. Perform Postdraping and Preincision Preparation

UNIT II: SURGERY FUNDAMENTALS
19. Identify, Prepare, and Pass Instruments
20. Prepare, Load, and Pass Suture for Right- and Left-Handed Surgeons
21. Maintain Sterile Technique
22. Facilitate Specimen Care, Dressings, Drains, and Postanesthesia Care

UNIT III: ESSENTIALS AFTER SURGERY
23. Dismantle the Sterile Field and Disrobe
24. Facilitate Room Turnover and Confidentiality

UNIT IV: MINIMALLY INVASIVE SURGERY
25. Facilitate Minimally Invasive Surgery: Laparoscopic and Robot-Assisted

UNIT V: STUDENT SURGICAL TECHNOLOGIST IN THE OPERATING ROOM
26. Transition to the Clinical Setting

Appendices
A. Answer Keys: Discussion Questions and Math Problems
B. Apprentice Preceptor
C. Internet Supplements

Online Resources
Chapter Skills
ST Skills Videos and Scenarios
Editable Competency Assessments
End-of-chapter Activities
General Surgery Instruments # 1-128 PowerPoint

About our author

Nancy Dankanich is Surgical Technology Program Manager at Frederick Community College in Frederick, Maryland. In her 22 years in this position, she has helped develop this program by implementing national standards, negotiating contracts with numerous clinical sites, and overseeing growth in the number of qualified program applicants. Ms. Dankanich has taught in health care for over 30 years (surgical technology theory, laboratory and clinical, and in registered nurse and practical nurse programs). Her additional teaching responsibilities include online documentation training for nurses, electronic medication administration record-training for nurses, and American Heart Association CPR. She also participates on numerous college-wide committees. As the recipient of several grants, Ms. Dankanich has networked with colleagues to develop surgical instrument training modules, online CST preparation examinations, and interactive on-campus surgical technology skill sessions. She is a member of Phi Kappa Phi, Sigma Theta Tau, AST and AORN, and established the Joseph and Margaret Droll Memorial Student Scholarship Fund through the Frederick Community College Foundation, Inc. Ms. Dankanich holds a bachelor's degree with high honors in nursing from the University of Maryland, Baltimore and a master's degree from Hood College, Frederick, Maryland. She also holds a certification from CCI in operating room nursing-CNOR.

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