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NOVEMBER 2014 THE VOLUME 46 NO 11 T E C H N O L O G I S T OFFICIAL JOURNAL OF THE ASSOCIATION OF SURGICAL TECHNOLOGISTS, INC. Orthopedic Surgery DURING THE AMERICAN CIVIL WAR Prepzyme Forever Wet ® Instrument Transport Humectant Spray The latest breakthrough in enzymatic pre-cleaning sprays, Prepzyme® Forever Wet’s unique humectant properties form a moist coating over the instruments that lasts for days. • The humectant formulation creates a moisture retention barrier which keeps soiled instruments and scopes moist for a prolonged period of time – unlike a GEL which HAS NO MOISTURE RETENTION properties • Operating room safe, non-aerosol, multi-tiered enzymatic spray helps prevent bio-burden from drying on the surface of soiled instruments and scopes • Ideal for transporting soiled instruments that may sit for an extended period of time • Reduces tray weight during transport compared to liquid presoaks • Soiled sharps are visible through humectant • Decreases spills and potential cross-contamination Prepzyme® Forever Wet creates a long lasting moisture barrier. 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For More Information and GENEROUS FREE SAMPLES 1-800-537-8463 www.ruhof.com 393 Sagamore Avenue, Mineola, New York 11501 Tel: 516-294-5888 Fax: 516-248-6456 Copyright ©2013 Ruhof Corporation 070814 AD-004 THE NOVEMBER 2014 AST VOLUME 46 NO 11 Association of Surgical Technologists 6 West Dry Creek Circle ▲ Littleton, CO 80120 Tel 303-694-9130 ▲ Fax 303-694-9169 Member Number (toll free 8-4:30 pm MT, Mon-Fri) 800-637-7433 ▲ www.ast.org T E C H N O L O G I S T OFFICIAL JOURNAL OF THE ASSOCIATION OF SURGICAL TECHNOLOGISTS, INC. STATEMENT OF EDITORIAL PURPOSE The purpose of the Journal is to advance the quality of surgical patient care by providing a forum for the exchange of knowledge in surgical technology and by promoting a high standard of surgical technology performance. BOARD OF DIRECTORS Roy Zacharias, cst, fast Kathleen Demitras, cst-cvs, fast Don Braziel, cst, fast Holly Falcon, cst, fast Mollye Banks, cst, crcst Heather Burggraf, cst Jolane Buss, cst Jean Carty-Turner, cst, csfa, fast Nicole Claussen, cst, fast Sam Waites, cst Orthopedic Surgery During the American Civil War PRESIDENT VICE PRESIDENT SECRETARY TREASURER DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR Tony Forgione, cst, lpn [email protected] Contact your Board: ASSOCIATION OF SURGICAL ASSISTANTS Dennis Stover, cst, csa Douglas Hughes, csfa, csa, cst, crcst Rebecca Hall, cst, csa, fast Greg Salmon, csfa, csa Paul Beale, csfa Fred Fisher, csfa, csa Shannon Smith, cst, csfa Crystal Weidman, cst, csfa, sa-c Jodie Woods, cst, csfa AST STAFF Bill Teutsch, cae, fasahp Kevin Frey, cst, ma Karen Ludwig, ba Catherine Sparkman, jd CE EX AMINATION: PRESIDENT VICE PRESIDENT SECRETARY TREASURER DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR 496 FINDING MY CALLING – THE MILITARY EDITION 506 508 CHIEF EXECUTIVE OFFICER DIRECTOR OF CONTINUING EDUCATION DIRECTOR OF PUBLISHING DIRECTOR OF GOVERNMENT AFFAIRS PUBLICATIONS Jodi Licalzi, ba EDITOR/PUBLISHING MANAGER EDITORIAL REVIEW Teri Junge, cst, csfa, med, fast THE SURGICAL TECHNOLOGIST (ISSN 0164-4238) is published monthly by the Association of Surgical Technologists, Inc, 6 West Dry Creek Circle, Suite 200, Littleton, CO 80120-8031. Telephone 303-694-9130. Copyright © 2014 Association of Surgical Technologists, Inc. No article, photograph, or illustration may be reproduced in whole or in part without the written permission of the publisher. Information contained herein is believed to be accurate; however, its accuracy is not guaranteed. Periodical postage is paid at Littleton, Colorado, and additional mailing offices. ADVERTISING Send insertion orders and materials to Attn: Advertising, 6 West Dry Creek Circle, Suite 200, Littleton, CO 80120-8031; 303-3252513; e-mail: [email protected]. Acceptance of advertising in The Surgical Technologist in no way constitutes an endorsement by the Association of the product, organization, or service advertised. Similarly, mention of a commercial product by trade name, organization, program, or individual and that person’s statements in any article does not constitute Delicious an endorsement by the Association of the product or sanction of the organization, program, or individual. The Association accepts health-related and recruitment advertising and reserves the right to decline ads at its discretion. While the Association takes every precaution against mistakes, it assumes no responsibility for errors or inaccuracies. Facebook SUBSCRIPTIONS A one-year subscription is $40 for nonmembers and $55 (US funds) for foreign. Back issues are available for $5 each (specify date of issue). Written requests for replacement issues will be honored up to 60 days after date of publication only. Please address all requests to the editor. Slash Dot JOURNAL DEADLINES The deadline for editorial copy is 8 weeks prior to the cover date (eg, the deadline for the December issue is October 1). POSTMASTER Send address corrections to The Surgical Technologist, 6 West Dry Creek Circle, Suite 200, Littleton, CO 80120-8031. Surgery during the American Civil War, as portrayed in movies, was an exercise in torture. The reality was far from what was portrayed. This article overviews the reality and obstacles of surgery during and after the battle, some of the key surgical influencers and how prosthetics were changed forever. 486 488 494 512 514 526 478 382 From Tanker to Tech Michael Sells, cst, rn Forced Decision Turns Out to Be the Best One Ralph Dunlap Mixx Delicious Roy Zacharias, cst, fast AST News and Current Events Hear Ye, Hear Ye AT A GLANCE STATE ASSEMBLY Terri Crosson, cst Awareness in the Workplace NBSTSA Flickr MySpace Celebration and Service PRESIDENT’S MESSAGE Cara Stan, nbstsa Twitter Retweet UPCOMING PROGRAMS StumbleUpon ADVERTISER’S INDEX Around the US Digg ADVERTISER’S INDEX Technorati FlickrSkype Twitter Retweet GET SOCIAL WITH AST Reddit FriendFeed Facebook YouTube MySpace LinkedIn StumbleUpon Newsvine Slash SlideShare Dot Mixx Google NOVEMBER 2014 SkypeGoogle Talk Technorati Digg | The Surgical Technologist | 485 Celebration and Service R oy Z acharias, cst, fast PRESIDENT’S MESSAGE C ongratulations to surgical technologists all over the world for a successful celebration of our profession! If you follow AST’s Facebook page I am sure that you had the pleasure of enjoying the many pictures posted featuring the festivities that took place. Every year we are seeing additional celebrations and an increased acknowledgement and recognition for the profession. Higher levels in administration and management are beginning to support and participate in the festivities more than ever before. This is the first year that I also noticed more military installations participating in the weekly celebration, and I know that many Board of Directors took the opportunity to As Thanksgiving rapidly approaches, I challenge each and every member of AST to give back to your community and to those who are less fortunate. 486 | The Surgical Technologist | NOVEMBER 2014 participate and support surgical technology nationwide and e ve n a c ro ss the ocean. There were celebrations with individual surgical technology programs, attendance at various state assembly workshops video conferencing with students in various states, as well as one video conference with students from the Operating Department Practioners in England. AST President Roy Zacharias, CST, FAST, and then-Board of Director Other board memDon Braziel, CST, FAST, tour Children’s Hopsital in Denver in May bers organized celbefore volunteering their time helping patients with arts and crafts. ebrations at their individual hospitals. Thank you to and fellowship with our friends and everyone that participated. Start plan- families. Those of us in the surgical ning for next year! technology profession naturally graviAs we prepare for the holiday sea- tate toward actions of sacrifice, giving son, thoughts of family and Thanks- and protecting. As Thanksgiving rapgiving enter into the picture. I am sure idly approaches, I challenge each and many of you are already making plans every member of AST to give back to for holiday festivities, which includes your community and to those who are sharing beautifully prepared meals less fortunate. I know that there are many state assemblies and individual members that give back on a regular basis and I commend you for your unselfish efforts. As we continue to provide leadership in operating rooms, surgical centers and academia, it also is important that we support our communities and each other on a humanitarian level. Every year at AST’s national conference, the AST Board of Directors partners with the leadership of the ASA, the NBSTSA and the ARC/STSA to give back to the community in the host city. Last year we also opened it up to individual members who were given the opportunity to participate in efforts to support the Denver community. There are many opportunities to give back year round whether it be assisting with a shelter, food bank or simply visiting with an elderly or less fortunate member of your community that may be alone. If you live in a military community there is always the opportunity to invite service members over for a home-cooked meal. If you know of a fellow surgical technologist that may be struggling, find a way to bring a ray of light into their life. As members of AST the more we establish ourselves as leaders in the community through volunteerism, we will open the door for our profession to become better known and supported. STATEMENT OF OWNERSHIP, MANAGEMENT, AND CIRCULATION 1. Publication title: The Surgical Technologist 2. Publication number: 018-510 3. Filing date: October 10, 2014 4. Issue frequency: monthly 5. No. of issues published annually: 12 6. Annual subscription price: $40 (US) $55 (F) 7. Complete mailing address of known office of publication: 6 West Dry Creek Circle, Littleton, CO 80120 8. Complete mailing address of the headquarters or general business office of publisher: 6 West Dry Creek Circle, Littleton, CO 80120 9. Full names and complete mailing addresses of publisher, editor, and managing editor: Publisher Karen Ludwig, 6 West Dry Creek Circle, Littleton, CO 80120; Managing Editor/Editor Jodi Licalzi, 6 West Dry Creek Circle, Littleton, CO 80120 10. Owner: Association of Surgical Technologists, 6 West Dry Creek Circle, Littleton, CO 80120 11. Known bondholders, mortgages, and other security holders: none 12. The purpose, function and nonprofit status of this organization, and exempt status for federal income tax purposes, have not changed during the preceding 12 months. 13. Publication Name: The Surgical Technologist 14. Issue date for circulation data: October 1, 2014 15. Extent and nature of circulation: Average number of copies each issue during preceding 12 months: A. Total number of copies: 36,663; B. Paid and/or requested circulation: (1) Paid/Requested Outside-County Mail Subscriptions (include advertiser’s proof and exchange copies): 36,135; (2) Paid In-County Subscript ions (include advertiser’s proof and exchange copies): 0; (3) Sales through Dealers and Carriers, Street Vendors, Counter Sales, and Other Non-USPS Paid Distribution: 0; (4) Other Classes Mailed through the USPS: 0; C. Total Paid and/or Requested Circulation 36,135; D. Free Distribution by Mail (samples, complimentary, and other free): (1) Outside-County: 498; (2) In-County: 0; (3) Other Classes Mailed through the USPS: 0; E. Free distribution outside the mail (carriers or other means): 52; F. Total free distribution: 550; G. Total distribution: 36,685; H. Copies not distributed: 292; I. Total: 36,977. Percent paid and/or requested circulation: 99%. Actual number of copies of a single issue published nearest to the filing date: A. Total number of copies: 37,302; B. Paid and/or requested circulation: (1) Paid/Requested Outside-County Mail Subscriptions (include advertiser’s proof and exchange copies): 36,810; (2) Paid In-County Subscriptions (include advertiser’s proof and exchange copies): 0; (3) Sales through Dealers and Carriers, Street Vendors, Counter Sales, and Other Non-USPS Paid Distribution: 0; (4) Other Classes Mailed through the USPS: 0; C. Total Paid and/or Requested Circulation: 36,810; D. Free Distribution by Mail (Samples, complimentary, and other free): (1) Outside-County: 492; (2) In-County: 0; (3) Other Classes Mailed through the USPS: 0; E. Free distribution outside the mail (carriers or other means): 50; F. Total free distribution: 542; G. Total distribution: 37,352; H. Copies not distributed: 250; I. Total: 37,602. Percent paid and/or requested circulation: 99%. I certify that the statements made by me above are correct and complete. Jodi Licalzi, editor/managing editor. As a CSFA, I probably make twice the amount I did as a CST! Echo H, CST, CSFA, Austin, Texas I have been certified as a surgical assistant for a little more than a year and started doing cases right away after earning my certification. The financial increase has been significant. There is plenty of money to be made as a surgical assistant. Before becoming a CSFA, I was a CST for 15 years. I hesitated to make the investment in education and time. Looking back after a transition period, all I can say is, “Why didn’t I do this sooner?” Meridian Institute of Surgical Assisting gave me the tools I needed to begin a career as a surgical assistant. It is a fantastic program and really helped me understand the role of a surgical assistant. I felt well prepared for the CSFA exam. The content covered in the academic portion at Meridian is very comprehensive. I studied for about a month before taking the exam, and I passed the exam on the first try! If you are considering a career as a surgical assistant, make the commitment and contact Meridian. M eridian I nstitute Of S u r g i c a l A s s i s t i n g www.meridian-institute.edu Phone 877-954-1500 NOVEMBER 2014 | The Surgical Technologist | 487 AST News and Current Events AT A GL ANCE IN THE NEWS AWARDS STAYING SAFE AMID INFECTIOUS DISEASES TRIBAL COUNCIL RECOGNIZES AST’S NEW INSTRUCTOR RECIPIENT With the most-recent Ebola outbreak making its way into the United States, the American College of Surgeons has released its standards for surgical protocol when dealing with possible or confirmed Ebola cases. Since the infection is potentially fatal, all operating room personnel needs to be aware of patients who may have Ebola or tests positively for the disease. This protocol is taken from the Centers for Disease Control Recommendations and applied to the OR arena. As of October 13, 2014, the CDC has advised using a buddy system when removing protective gear after caring for infected patients to ensure exposure is contained. View ACS’ protocol at https://www.facs.org/ebola/ surgical-protocol. To view AST standards for safe practices, go to www. ast.org – About Us – Standards of Practice. New Instructor of the Year recipient Tommy Hays, CST, CSFA, was recently honored by the Cherokee Nation Tribal Council for his award from AST. The Tribal Council also presented Hays with an Outstanding Achievement Award for his commitment and efforts toward the Cherokee GET NOTICED EARN THE RECOGNITION YOUR STATE DESERVES State Assembly L eadership Achievement Award Application Active state assemblies are the future of the Association of Surgical Technologists’ strength and success. AST gives special recognition to those state assemblies that demonstrate outstanding leadership within their states. Although the application must be submitted by the President, please contribute your input to ensure that all your state has accomplished in 2014 is acknowledged. The deadline is January 31, 2015. For eligibility requirements and to download the application, visit www.ast.org – State Assemblies – State Assembly Awards. 488 | The Surgical Technologist | NOVEMBER 2014 AST’s New Instructor of the Year Tommy Hays, CST, CSFA, stands with AST President Roy Zacharias, CST, FAST, at the Instructors Workshop in Denver in May. Nation WW Hastings Hospital’s surgical technology program. In an article recognizing this honor, Hays said, “It was a total shock to receive this award. I got noticed for something that I created from the ground up. It’s a humbling feeling.” To read the entire article, visit http://anadisgoi.com/ archive/565-cherokee-nation-surgical-tech-named-newinstructor-of-the-year Announcement Don Braziel, CST, FAST, was appointed to the office of Secretary by the AST Board of Directors following the resignation of Glen Mullins. WRITE FOR US SHARE YOUR STORY We’re looking for more techs to share how you found your calling and entered the surgical profession! Did tragedy inspire you to get into the medical field, or was being involved in the medical world just always something you wanted to do? Or perhaps becoming a surgical technologist was a second calling or a way to raise your Governor McAuliffe Signs Virginia Surgical Technologist and Surgical Assistant Legislation From left: Senator George Barker, sponsor of the legislation; Hunter Jamerson, AST and ASA lobbyist; Cathy Sparkman, AST Director of Government Affairs; Governor Terry McAuliffe; Sandra Luthie, CST, FAST; and Frances Dargan, CST, CSFA, and Virginia Commonwealth State Assembly President. Senate Bill 328 was signed into law by Governor McAuliffe on April 3, 2014. The bill was the subject of a compromise with the Virginia Hospital Association, which had opposed and defeated prior legislative initiatives in 2011, 2012 and 2013. However, in 2014, the strength of our grassroots, sponsor and legislative professionals passed the bill in 2014. The law establishes registration for Certified Surgical Technologists, Certified Surgical First Assistants and Certified Surgical Assistants. Only Certified Surgical Technologists, grandfathered surgical technologists (those practicing as surgical technologists in the six months immediately preceding July 1, 2014) and military program graduates are entitled to regis- ter as surgical technologists with the Virginia Board of Medicine. Certified Surgical First Assistants, Certified Surgical Assistants, grandfathered practitioners (those practicing as surgical assistants in the six months immediately preceding July 1, 2014) and military program graduates are entitled to register with the Board of Medicine as surgical assistants. Regulations to implement registration have been adopted by the Board and are currently being reviewed by the Department of Planning and Budget, the Secretary of Health and Human Resources and the Governor. Applications for registration will be available when the regulations are approved, published and in effect. NOVEMBER 2014 | The Surgical Technologist | 489 family. Any way it happened, we want you to share your story while inspiring your peers and future techs! We are now accepting submissions for our popular Finding My Calling feature. FMC articles should be around 500 words and include a photo of yourself. Please submit your FMC articles to [email protected] GIVE BACK INTERESTED IN MEDICAL MISSIONS? Ever considered being a part of a medical mission trip? Maybe you feel like you should give back to the less fortunate or maybe you just like reaching out to those in need, but are unsure how to jumpstart your plans to participate in a medical mission trip. There’s a resource to help you get started on your mission. Operation Giving Back is a program of the American College of Surgeons and was created for the volunteer surgeon. OGB recognizes the team nature of surgical care delivery and the critical contributions of all surgical professionals. OGB attempts to include information relevant to all members of the surgical team. Their resources page for the surgical team offers lists of how to get active in serving on medical missions. To view this list, visit our website, www.ast.org, and click on About Us – Medical Missions. MEMBERSHIP MA XIMIZE YOUR MEMBERSHIP As a member of AST, did you know that you enjoy: • Continuing education (CE) credits archived free of charge • Seamless, automatic transfer of CE credits to NBSTSA for certification renewal • Twelve free continuing education opportunities that can be applied for four-year certification renewal (20% of renewal requirement) • Substantial discounts on continuing education opportunities and the national certification exam • Monthly Journal examining issues relevant to the profession • Career-focused Standards of Practice • National legislative lobbying and monitoring that helps preserve the right to practice 490 | The Surgical Technologist | NOVEMBER 2014 • Discounted education events that include targeted forums and an annual national conference For more information about external discounts available to AST members, please visit www.ast.org and click General Membership Information. AST CE Online Resource Center AST OFFERS A VARIET Y OF OPTIONS TO STAY CONNECTED WITH YOUR PROFESSION AND UP TO DATE ON PROCEDURES AST Member CE Credit Package Deals • Package 1: 21 CE Credit Package for $35 (2007) • Package 2: 18 CE Credit Package for $30 (2008) • Package 3: 10 CE Credit Package for $15 (2009 - Neurosurgical Specialty) • Package 4: 10 CE Credit Package for $15 (2009 - Orthopedic Specialty) • Package 5: 12 CE Credit Package for $19 (2010 - General) • Package 6: 12 CE Credit Package for $19 (2010 – General) • Package 7: 17 CE Credit Package for $29 (2011 – General) • Package 8: 8 CE Credit Package for $13 (2012 - General) • Package 9: 17 CE Credit Package for $29 (2013 - General) • Package 10: 22 CE Credit Package for $37 (2013 – General • Package 11: 22 CE Credit Package for $37 (2013 - General) • Package 12: 13 CE Credit Package for $21 (2013 - General) • Package 13: 17.5 CE Credit Package for $29 (2013 - General) In addition, three free online CE credits are offered annually. Over a four-year period, members can earn 12 free credits. For the three credits offered this year, turn to page 513. The beauty of accessing and paying for credits online, is that the credits automatically post to your record. No waiting for confirmation, you can instantly see how many credits you have earned and how many you need to stay current in your certification! To access our online credit packages or our free CE articles for credits, visit our CE Credit Online Resource Center by logging on to www.ast.org and clicking “Earn CE Now.” CONFERENCE START PL ANNING 2015 – San Antonio May 14-16, 2015, with preconference May 12-13 AST will be heading south as we converge for our annual gathering in San Antonio. Our location is so prime that you can walk out the hotel and be on the picturesque River Walk, featuring an array of restaurants and shops. Also within in walking distance from the hotel, is the historic Alamo. It was founded in 1718 as the first mission in San Antonio, serving as way station between East Texas and Mexico. Whether you’re experiencing the nightlife on The River Walk or exploring the area’s many missions, San Antonio provides history, culture and dining opportunities fit for the whole family. Conference Hotel: San Antonio Marriott Rivercenter 101 Bowie Street San Antonio, TX 78205 2016 – San Diego June 2-4, 2016, with preconference May 31-June 1, 2016 Nicknamed “America’s Finest City,” San Diego has so many attractions, it’s ideal to visit and bring your family, too! From its zoo and Sea World to the USS Midway Museum and old town and Balboa Park, there is something for everyone to enjoy. Not to mention great beaches to visit and watch for amazing marine life. Conference Hotel: Sheraton San Diego Hotel & Marina 1380 Harbor Island Drive San Diego, CA 92101 SOCIAL MEDIA PINS FOR SAN ANTONIO We’re already making it easy for you to plan your trip to Texas for next year’s annual conference. Check out our Pinterest page to get the lowdown on the eateries, shops and things to do while visiting San Antonio and the Riverwalk. We’ve pinned city maps, transportation maps, hotel information and popular places to eat and drink along the Riverwalk and near the Alamo. While you’re pinning, check out our professional interest board, teaching tools and our popular humor board. Follow us at http://pinterest.com/assosurgtechs/ Correction In reference to a news brief that ran in the September 2014 edition of The Surgical Technologist, surgical technology programs are accredited by the Commission on Accreditation of Allied Health Education Programs, also known as CAAHEP, and not the Accreditation Review Council on Education in Surgical Technology and Surgical Assisting, also known as ARC/STSA. We regret the error. Surgical Technologist Technologist| |491 491 | |TheTheSurgical NOVEMBER AUGUST 2014 2014 Call for 2015 Speakers Speak Up Do you work with a doctor who would make a good speaker at AST’s annual national conference? We are in need of speakers for our 2015 lineups. We are always looking to raise the bar and offer event attendees the best speakers available share their experiences in the medical field and inspire our members! We are specifically in need for the following specialty tracks for San Antonio: • Orthopedic/Neuro/Ophthalmology • OB/GYN • General/Plastic/Genitourinary • Cardiovascular Know a surgeon who would be a good fit? Encourage them to check out our Speaker Profile Packet on our Conference page on our website, www.ast.org. Help AST continue to provide informative and timely educational sessions by spreading the word to the surgeons who you work with and encourage them to take an active part of a strong and ever-growing organization! 7:30am: Registration 8am–3pm: Accreditation Fundamentals for Educators (AFE) ARC STSA Board of Directors 6CEs Noon–1pm: Lunch (on own) 3pm–5pm: Site Visitors Training (SVT) Advanced* ARC STSA Board of Directors 2CEs SVT Workshop Prerequisites: *Must have attended Beginning Site Visitor Training and completed at least one site visit in the last twelve months prior to attending Advanced Site Visitor Training. • IF registration and hotel info: Please visit: http://tinyurl.com/ASTIF2015 The AFE workshop fulfills the 1/1/09 ARC STSA policy that requires all new program directors to attend an AFE workshop within one year of their appointment. 492 | The Surgical Technologist | NOVEMBER 2014 ARC STSA Registration Fees $ q AFE 100 q SVT Advanced Free Date: Member/Cert/License no: Name: Title: Institution/Employer: Address: City: State: Zip: Phone: Phone 2: Email: q Check for payment enclosed and made out to ARC/STSA Please send registration and check/money order to: ARC STSA, 6 W Dry Creek Circle, Suite 110, Littleton, CO 80120 18TH ANNUAL FEBRUARY 6–7, 2015 CONRAD SAN JUAN CONDADO PLAZA SAN JUAN, PUERTO RICO SPONSORED BY AST, ARC/STSA AND NBSTSA FRIDAY, FEBRUARY 6, 2015 10 am–5 pm AST Registration 8 am–Noon Accreditation Fundamentals for Educators (AFE) Separate registration at www.arcstsa.org 1–5 pm ARC/STSA Site Visitor’s Training (SVT) Separate registration at www.arcstsa.org 4 CEs Prerequisite: Status as current site visitor or AFE attendance and CAAHEP Site Visitor online training 5:15–5:30 pm Welcome!!! AST 5:30–7:20 pm Don’t Let Your Work Stress You Out 7:30–8:30 pm Reception 4 CEs 2 CEs Richard Paul SATURDAY, FEBRUARY 7, 2015 9 CEs 8–9:50 am The Interplay Between Essential Functions & Functional Abilities for Students Robin Jones, MPA, COTA/L, ROH 2 CEs 10–11:50 am Update Revision of Surgical Rotation Case Requirements Kevin Craycraft, CST, FAST; Gemma Fournier, CST, RN, FAST, MSN 2 CEs Noon–12:50 pm Lunch PLEASE CHOOSE ONE CLASS SECTION FROM EACH TIME PERIOD : Time This continuing nursing education activity was approved by the Association of periOperative Registered Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. AORN recognized this activity as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC Commission on Accreditation approved or endorsed any product included in the presentation. Register online at www.ast.org on the opening page. Click on Instructors Forum registration. Mail completed registration to: AST, 6 West Dry Creek Circle, Ste 200, Littleton, C0 80120 Fax completed registration to: 303-694-9169 Novice Educator Track Advanced Educator Track Clinical Educator & Preceptor Track ARC/STSA & NBSTSA 1–1:50 pm Is Your Test the Best? Chris Keegan, CST, MS, FAST Building a Bridge: From Student to Certified Surgical Technologist Joseph Charleman, CST, CSFA, CRCST, LPN, MS & Anbalagan George, CST, MD Creating & Fostering Amazing Relationships With Your Clinical Sites Cindy Mask, CST, AA, BAAS, FAST Blackboard: Exams at a Distance Rebekah Travis, CST 2–2:50 pm Time Management As A Program Director and Faculty Member Libby McNaron, CST, CSFA, RN, CNOR, MSN, FAST Electronics In The Classroom Michelle Gay, CST, BS Collecting Clinical Data Dave Lufkin, CST NBSTSA Update Ron Kruzel, CST, MA, CAE, NBSTSA CEO Kari Allen, NBSTSA Web Based Testing Coordinator 3–3:50 pm Six PAC Tiffany Howe, CST, CSFA, MBA True Colors: A Personality Perspective Don Traverse, CST, MS, FAST Preceptors Training Students: A Collaborative Approach Audrey Gabel, CST, CRCST, AAS NBSTSA Update Ron Kruzel, CST, MA, NBSTSA CEO Kari Allen, NBSTSA Web Based Testing Coordinator 4–4:50 pm Standards of Practice or Standards vs Practice Libby McRae, CST Surgical Technologists and Nurses: Working Together in Education Tonya LaForge, CST, RN, CNOR, MSN Social Media: The Right and Wrong JoLane Buss, CST Successfully Completing the ARC/STSA Annual Report (2-hour presentation) ARC/STSA 5–5:50 pm Teaching Generation X, Y & Sometimes Z Grant Wilson, CST, MEd I Get an iPad in the Surgical Technology Program? Nicole Claussen, CST, MS, FAST Culturally Competent Care in the OR Kelly Miller, CST, CHES, PhD 7 am–6 pm Registration 7 am–5 pm Exhibits Attendance is limited to 200. Confi rmation will be emailed prior to the forum, and onsite registration will be available on a spaceavailable basis. All cancellations must be received in writing by January 30, 2015. Accommodations: Conrad San Juan Condado Plaza, 999 Ashford Avenue, San Juan, Puerto Rico 00907, 787-721-1000. Rates: $180 per night, single or double occupancy plus 11% tax. Hotel reservation deadline: January 12, or until room block is full. Separate registration is required for Accreditation Fundamentals for Educators (AFE Workshop) and Site Visitor Training. Register at www.arcstsa.org. Register by phone: 800-637-7433, ext 2514 (8 am-5 pm MT) INSTRUCTORS FORUM FEES (INCLUDES INSTRUCTORS FORUM EDUCATION SESSIONS, FRIDAY RECEPTION AND SATURDAY LUNCH) Date Member/Cert no Name (please print) Name of Institution/College/Program Circle title: CST, CSFA CST CSA SA–C State Zip Work phone $ $ $ MC AmEx No Credit card billing address (if same as above, leave blank) State x $35 Money order/check enclosed for $ VISA Email City Nonmember: $300 Total: Address Home phone $ Guest lunch ticket: Other City AST member: $275 Zip Total amount charged: $ (No purchase orders accepted) Name that appears on card NOVEMBER 2014 | Expiration date The Surgical Technologist Signature | 493 Hear Ye, Hear Ye T erri C rosson, cst S TAT E A SSEMBLY H ear ye, Hear ye” was a cry that newsmen shouted out in the streets to inform people of current news. Today, we have social media to herald news whether we want it cried out or not. Although social media, such as Twitter and Facebook, can be a way of sharing information, networking or announcing current or future events for our state assemblies, there are also other ways to cry out such news. Newsletters can be beneficial to state assemblies. Like many “older” readers, I enjoy an actual book or paper in my hand. It is substance, and unlike an electronic device, I feel connected to it. A good newsletter should be entertaining yet informative, and it should be relative to matters that affect and interest a CST. The Georgia State Assembly has an awesome newsletter, if I do say so myself! I cannot take the credit for its success. The success goes to the many wonderful contributors and an excellent editor. Without each, a newsletter can be lacking content and incomprehensible. A good newsletter should be entertaining yet informative, and it should be relative to matters that affect and interest a CST. The newsletter does not necessarily need to pertain to medical procedures, matters of sterility or education, per say. Instead, a newsletter can include advice from other CSTs, upcoming state events, news from national headquarters or heartwarming stories, in which other CSTs can relate. A common question is “Where do I get articles?” I have found that if you ask, people are much more willing 494 | The Surgical Technologist | NOVEMBER 2014 to write than to speak publicly. In Georgia, all new board members are asked to write a brief bio on themselves so members can learn more about the Board and who they are. Georgia also requires delegates who attend national conference to write an article. The article does not necessarily have to pertain to the conference; they just need to write what they are passionate about. Throughout the years, I have learned that when people write what they are passionate about the article is more enjoyable to read. After you have received articles, you need to edit them. The Georgia State Assembly is blessed to have such an amazing editor. She is a computer guru and can work wonders with the information submitted to her. I, on the other hand, am computer illiterate, and have learned to go where your strengths lie. Younger people today are much more computer savvy. If you do not have an editor, ask a member who is good with computers if they might be willing to work on a newsletter. Keep your newsletter simple. Do not try to overdo it with several types of font or formats. Be sure to recognize the newsletter’s importance in advertising upcoming events. If your state does not have a newsletter yet, try to do one annually or biannually. Your state conference is the best time to distribute your newsletter. Doing so will give members something to read and also allow you to advertise for new writers. Pursuant to Georgia’s State Assembly Bylaws, all state publications must be made available to all members. Newsletters can be published for handout or put on the state’s website. Both are nice features to make available to members. Posting notices of the newsletter’s availability on social media assists with its distributions, especially to younger CSTs. So “Hear ye, Hear ye,” give the newsletter a shot. With a few simple tips you can have an awesome newsletter to shout out what amazing things your State Assembly is doing! SAVE THE DATE! 46th AST Annual National Conference San Antonio May 12-16, 2015 AST will be heading south as we converge for our annual gathering in San Antonio. Our location is so prime that you can walk out the hotel and be on the picturesque River Walk, featuring an array of restaurants and shops. Also within walking distance from the hotel, is the historic Alamo. It was founded in 1718 as the first mission in San Antonio, serving as way station between East Texas and Mexico. Whether you’re experiencing the nightlife on The River Walk or exploring the area’s many missions, San Antonio provides history, culture and dining opportunities fit for the whole family. We can’t wait to see you there! Conference Hotel: San Antonio Marriott Rivercenter 101 Bowie Street San Antonio, TX 78205 NOVEMBER 2014 | The Surgical Technologist | 495 An amputation being performed in a hospital tent during the Battle of Gettysburg. Courtesy of the Department of the Interior, National Park Service Orthopedic Surgery during the American Civil War Ton y Forgion e , c st, l pn Surgery during the American Civil War, as portrayed in movies, was an exercise in torture. The scene from the movie “The Horse Soldiers” shows where the actor, William Holden, had to amputate the infected leg of a union soldier. The surgery took place on the hay-strewn floor of a horse stall and the only method of anesthesia that was available was a bottle of whiskey and four strong soldiers to hold the patient down. The film’s portrayal was far from reality. T he use of anesthetic agents in surgery was first successfully introduced in 1846 at the Massachusetts General Hospital (MGH) when Dr William Morton used ether as an anesthetic while doctors John C Warren and Henry J Bigelow performed a neck dissection on a patient. The patient reported a complete absence of pain during the procedure. Dr Warren was quoted as saying, “Gentlemen, this is no humbug.” The use of anesthetics had a profound effect on the number of future surgical procedures. At MGH, during the years of 1839-1846 there were a total of only 39 surgical procedures performed. However, during the 10 years following, the number of surgical procedures increased to 189 cases. LEARNING OBJEC TIVES s s s s s NOVEMBER 2014 Learn about the battlefield conditions doctors had to deal with during the Civil War Identity the three categories doctors established to help treat patients Examine what caused the majority of injuries during the battle Discuss the various methods used by surgeons to mend gunshot wounds Read about the influential people who made anesthesia, orthopedic surgery and prosthetics what they are today | The Surgical Technologist | 497 patients. Once they graduated they had to find jobs working with a practicing surgeon who would agree to take them on as his apprentice. They were exposed to patients during this time and began assisting the surgeon with surgeries. Once they acquired an adequate number of years working with a surgeon, they were able set up their own medical practice. The 19th century has been described as the “medical dark ages.” Surgeons during this time had no standards for what caused infections, effective sterilization techniques and proper sanitary conditions. Before the start of the Civil War many surgeons never had treated a gunshot wound. When the war started, surgeons were immediately faced with a lack of supplies, a lack of proper shelter and clothing and overcrowded conditions. “Hospitals were sometimes overwhelmed by the major battle casualties. The limited number of surgeons worked around the clock.” Dr John Collins Warren, (1778-1856) who co-founded Mass General Hospital with Dr James Jackson in 1811, was the surgeon at the first public demonstration of surgical anesthesia in 1846. The 19th century has been described as the “medical dark ages.” Surgeons during this time had no standards for what caused infections, effective sterilization techniques and proper sanitary conditions. MEDICAL TRAINING Medical training during the 19th century consisted of students attending a two-year program. In the first year, students attended lectures. The second year also 1consisted of lectures, and in many cases, the lectures were the same as the year before. Medical students received no laboratory training and had no hands-on clinical experience with 498 | The Surgical Technologist | NOVEMBER 2014 FIELD HOSPITAL CONDITIONS To further compound the dire situation, many of those who were wounded on the battlefield remained there long after hostilities ended. This unfortunate condition was documented in a communication in August 1862 after the Second Battle of Manassas from the Surgeon General William Hammond to the Secretary of War Edwin Stanton: “Up to this date, 600 wounded still remain on the battlefield … . Many have died of starvation; many more will die in consequence Of exhaustion, and all have endured torments which might have been avoided.” To try to rectify this deplorable situation, Hammond selected Jonathan Letterman as the new medical director of the Army of the Potomac. Letterman established the Ambulance Corps. This service consisted of able-bodies soldiers who were assigned to three ambulances for a regiment of approximately 1,000 soldiers. The horse-drawn ambulances could carry a total of four soldiers on stretchers to field hospitals. The field hospitals were established in any available building and/or field that were considered to be a safe distance from the battlefield. The ride, though sometimes only a few miles, was extremely bumpy and painful for the wounded individuals. However, the wounded soldiers were not any better than A Re-enactment of the October 16, 1846, ether operation. they were before they were removed from the battlefield. The field hospitals were overcrowded, lacked proper hygiene and sanitary conditions and held an inadequate supply of clothing, food and water. CASUALTIES DURING THE WAR The following table breaks down the total casualties during the armed conflict.x Casualties Confederate bayonet or saber stokes. The gunshot wounds produced large gaping wounds that resulted in massive soft tissue damage and shattered bones. Of all the injuries recorded, 70% involved extremities that usually included bone damage. The Minié bullet was to blame for this type of destruction. The Minié was developed by Claude-Etienne Minié and introduced in 1849. It was cylindrical in shape with a hollow base, weighed 1.05 ounces and was extremely accurate, although it was considered a slow-moving bullet, traveling only 950 feet per second when fired. Union Battle Deaths 94,000 110,070 Diseases 164,000 250,152 Total 258,000 360,222 Most of the battle casualties were from small arms ammunition, resulting in 94% of the casualties inflicted. Artillery wounds accounted for 5.5%, and only 0.4% was caused by TREATING ORTHOPEDIC INJURIES Casualties during the Civil War were broken down into three categories. The first involved injuries that did not require any surgical intervention. These patients were treated in a more conservative method. For an upper arm injury, the surgeon would apply a Velpeau sling. Patients with lower extremity injuries who did not need surgery would be placed in a Buck’s traction. Soldiers would need to remain in traction for a number of weeks to allow their broken bones to heal. NOVEMBER 2014 | The Surgical Technologist | 499 ADVANCEMENT OF ARTIFICIAL LIMBS The after-effects of the Civil War produced a vast demand for artificial limbs. It was reported that around 35,000 survivors were amputees.1 One soldier who was in need of a prosthetic was James Edward Hanger. James was a sophomore studying engineering at Washington College when the war started. At that time, he left college to enlist, joining a cavalry unit. During his second day as a soldier, in June 1861, a Union cannonball struck his left leg below the knee while he was camped out at a stable. The incident smashed his left leg. He was badly wounded and was captured and taken to a Union hospital where a surgeon had to amputate his leg. James Hanger became the first documented amputation of the Civil War.2 A few months later, James was exchanged in a prisoner swap and was sent home. Once at home, James isolated himself in his room much to the worry of his family. He kept asking for wood, leather and rubber and slowly developed an artificial leg with two articulating joints. A patent record for patent number 155, was noted by the Confederate Patent Office on March 23, 1863.2 His success with this limb led him to start his own company, the JE Hanger Company out of Richmond, VA. His unique design caught the attention of the Virginia legislature who commissioned him to provide artificial limbs for returning Virginia veterans.2 Today, the company is still in existence as the Hanger Orthopedic Group, Inc. It is a multimillion-dollar corporation with centers in 45 states.2 Reference 1. Oatman-Stanford, H. War and Prosthetics. How Veterans Fought for the Perfect Artificial Limb. October 2012. Collectors Weekly. http://www. collectorsweekly.com/articles/war-and-prosthetics/ Accessed October 2014. 2. James Edward Hanger. Find a Grave. http://www.findagrave.com/cgibin/fg.cgi?page=gr&GRid=86673541 Accessed October 2014. 500 | The Surgical Technologist | NOVEMBER 2014 The second injury category involved the first attempts at saving limbs. The surgeon would remove the tissue in the immediate area of the gunshot wound, as well as damaged bone in an effort to allow healing to take effect. However, according to Julian Kuz, the resulting instability and pain would prevent soldiers from being able to walk. The final category for treating broken bones was to amputate the affected limb. During this time, there was no viable method for the reduction of broken bones in field hospitals. Each potential case was reviewed by a panel of surgeons who would make a decision regarding whether or not to amputate. The procedure was performed by a senior surgeon who was separate from the decision-making panel. The military medical corps felt this method would eliminate needless amputations. Records indicate that there were at least 50,000 amputations performed during the war. Of all the injuries recorded, 70% involved extremities that usually included bone damage. The Minié bullet was to blame for this type of destruction. ... It was cylindrical in shape with a hollow base, weighed 1.05 ounces and was extremely accurate, although it was considered a slow-moving bullet, traveling only 950 feet per second when fired. The procedure, by today’s standards, was primitive. The surgeon would probe the wound with his fingers or a blunt instrument, and a tourniquet would be applied to reduce the loss of blood. The surgeon would use a Lister amputation knife and cut through the skin, underlying tissue and muscles to expose the bone. He would use an amputation saw to remove the bone, and retraction would be supplied by the hands of his assistants. A file was used to smooth sharp edges of the bone. Bleeding was controlled by tying off the ends of the blood vessels with cotton or silk thread. The muscles and tissue were then sewn over the end of the amputated extremity and the skin edges were loosely approximated together. The average length of time for an Private Charles Myer, Amputation of the Right Thigh, a photograph by U.S. Army medical photographer Wiliam Bell (1830–1910) showing a leg amputee. Courtesy of the Smithsonian American Art Museum NOVEMBER 2014 | The Surgical Technologist | 501 amputation was 10 to 15 minutes. There were three different techniques utilized for amputations: the oval technique, the circular incision and the flap operation. Most surgeons used the flap technique because it provided a cushion for future fittings for a prosthetic device. When the patient was strong enough to travel, they were sent to a military hospital or returned to their home for recuperation. OPEN REDUCTION INTERNAL FIXATION According to Kuz, during the Civil War the first attempts to perform an open resection internal fixation of fractured bones were performed by Dr Benjamin Howard. He has been credited with performing three of the four recorded such cases. To further complicate his efforts, he performed the surgery while the wounded soldier was still on the battlefield. Dr Howard felt there was too much pain experienced by wounded soldiers as they were transported to the field hospital. He Alfred A Stratton lost both his arms at age 19 on June 18, 1864, by a cannon shot during also felt that there was the potential the American Civil War. The amputation was performed by AS Coe. Stratton died as a for further damage if soldier’s brofather of two at the age of 29. ken bones were not stabilized. He proposed his method would help prevent, “Such painful and dangerous motion of the fractured ends of the bone en route to adequate access, and then he “removed all the detritus general hospital.” and loose fragments … .” Dr Howard then matured His method consisted of enlarging the wound for the ends of the fractured bones by using a metacarpal The after-effects of the Civil War produced a vast demand for artificial limbs. It was reported that around 35,000 survivors were amputees.1 502 | The Surgical Technologist | NOVEMBER 2014 ating Room Nurse for the International Medical Surgical Response Team (IMSuRT), a federally mandated disaster team. In addition, he earned a Bachelor’s degree in history from the University of Massachusetts at Boston. Tony spent 20 years demonstrating his interest in history as a Civil War reenactor. REFERENCES 1. Bull, W; Bull, M. Something in the Ether: A Bicentennial History of Massachusetts General Hospital, 1811 – 2011. Memoires Unlimited, April 2011. 2. Cohen, D. Orthopedics at War. www.CivilWarMedicine\OrthopedicsatWar.html Accessed September 2014. 3. Freemon, FB; Gangrene and Glory: Medical Care during the American Civil War,” University of Illinois Press. Chicago. 2001. 4. Hammond to Stanton, September 7, 1862. Secretary of War Correspondence, National Archives. Reproduced in MSH. Surgical Volume (3): 394. Instrument case for amputation during Civil War. Courtesy of Naval History & 5. Howard, B, MD. “The Application of Sutures to Heritage Command Bone in Recent Gun-Shot Fractures.” Medico-Chirugicall Transactions, 1865; 245-253. 6. Billings, JS, MD. Letter to his wife from the field hospital in Gettysburg. saw to remove the ends of the bone that created “the least Pennsylvania. possible shortening compatible with clean-fitting surfaces.” 7. Kuz, J, MD; Bengtson, B, MD. Orthopedic Injuries of the Civil War. Kennesaw Mountain Press. Kennesaw, 1996. Using a device of his own making, Dr Howard drilled two pairs of holes through the proximal and distal bones and passed a suture of stout annealed iron wire to reduce and secure the bone edges. The amount of bone that Dr Howard had to excise was considerable, yet effective. Though an open reduction internal fixation procedure is a standard orthopedic operation today, Dr Howard’s methods were not embraced by the medical profession. His colleagues objected to placing a foreign substance into a wound. Orthopedics was not officially recognized until 1887 when the American Orthopedic Association was founded. However, the foundations of this specialty were practiced by many pioneering surgeons who recognized the importance of restoring proper function to patient’s broken bones, foundations that still influence today’s orthopedic protocols. 8. ABOUT THE AUTHOR Tony Forgione, CST, LPN, has almost 40 years of experience as a surgical technologist. His career has spanned from the US Navy to the Massachusetts General Hospital, where he continues to work. Tony is also the Supervisory Oper- NOVEMBER 2014 | The Surgical Technologist | 503 Orthopedic Surgery during the American Civil War 371 N O V E M B E R 2 0 1 4 1 CE credit - $6 1. The use of anesthetic agents in surgery was first successfully introduced in _________. a. Vermont b. New Hampshire c. Massachusetts d. Maine 8. Who has been credited with performing three of the four open resection internal fixation of fractured bones? a. Dr Henry J Bigelow b. Dr John C Warren c. Dr Benjamin Howard d. Surgeon General William Hammond 4. What was one of the three techniques used for amputations? a. Rounded b. Oval c. Inward d. Full 5. The average length of time for an amputation procedure performed during the Civil War was: a. 10-15 minutes b. 15-20 minutes c. 20-25 minutes d. 30 minutes 2. During the Civil War, most of the battle casualties were from ____________. a. Gunshot wounds b. Bayonet stokes c. Saber stokes d. Cannonball injuries 9. Orthopedics was officially recognized in ____. a. 1907 b. 1888 c. 1887 d. 1901 10. What substance was used in the firstnoted painless procedure? a. Whiskey b. Ether c. Chloroform d. Opium 6. The Minié bullet, which was blamed for most of the extremity injuries, was introduced in ____. a. 1859 c. 1855 b. 1880 d. 1849 3. How many estimated surviving soldiers were amputees following the war? a. 25,000 b. 35,000 c. 45,000 d. 55,000 7. During the first ether-induced procedure noted, which operation was performed? a. Abdominal dissection b. Neck dissection c. Arm amputation d. Foot amputation ORTHOPEDIC SURGERY DURING THE AMERICAN CIVIL WAR 371 NOVEMBER 2014 1 CE CREDIT - $6 NBSTSA Certification No. a b c d AST Member No. 1 ■ ■ ■ ■ ■ My address has changed. The address below is the new address. 2 ■ ■ ■ ■ Name 3 ■ ■ ■ ■ Address 4 ■ ■ ■ ■ 5 ■ ■ ■ ■ 6 ■ ■ ■ ■ 7 ■ ■ ■ ■ 8 ■ ■ ■ ■ 9 ■ ■ ■ ■ 10 ■ ■ ■ ■ State City Telephone ■ Check enclosed ■ Check Number ■ Visa ■ MasterCard ■ American Express Credit Card Number Expiration Date 504 | The Surgical Technologist | CE EXAM NOVEMBER 2014 Zip Make It Easy Takea CE Exams b cOnline d 11 ■ ■ ■ ■ You must have a credit card to ■ test ■ online. ■ We ■accept 12purchase ■ ■and American ■ 13Visa,■MasterCard Express. Your credit card ■ ■ ■ ■ will 14 once you ■ ■ ■ pass 15only■be charged the test and then your credits ■ ■ ■ ■ 16 will be automatically recorded ■ account. ■ ■ ■ 17to your ■ on ■ ■ account ■ on 18 Log to your AST homepage to ■ ■ ■ take 19the ■ advantage of this benefit. ■ ■ ■ ■ 20 CE EXAM Earn CE Credits at Home You will be awarded continuing education (CE) credits toward your recertification after reading the designated article and completing the test with a score of 70% or better. If you do not pass the test, it will be returned along with your payment. Send the original answer sheet from the journal and make a copy for your records. If possible use a credit card (debit or credit) for payment. It is a faster option for processing of credits and offers more flexibility for correct payment. When submitting multiple tests, you do not need to submit a separate check for each journal test. You may submit multiple journal tests with one check or money order. Members this test is also available online at www.ast.org. No stamps or checks and it posts to your record automatically! Members: $6 per credit (per credit not per test) Nonmembers: $10 per credit (per credit not per test plus the $400 nonmember fee per submission) After your credits are processed, AST will send you a letter acknowledging the number of credits that were accepted. Members can also check your CE credit status online with your login information at www.ast.org. 3 WAYS TO SUBMIT YOUR CE CREDITS Mail to: AST, Member Services, 6 West Dry Creek Circle Ste 200, Littleton, CO 80120-8031 Studying for the CST Exam? There’s an App for That The only ASTauthored study guide with more than 1,400 questions has gone mobile! AST recently published its first app – AST Study Guide – and it’s available in the iTunes Store and Google Play. The app includes six tests to review and utilize while preparing for the CST examination sponsored by the National Board of Surgical Technology and Surgical Assisting. Now, all the study tips are conveniently in the palm of your hand. Study with confidence whenever and wherever you are! Fax CE credits to: 303-694-9169 E-mail scanned CE credits in PDF format to: [email protected] For questions please contact Member Services [email protected] or 800-637-7433, option 3. Business hours: Mon-Fri, 8:00a.m. - 4:30 p.m., MT NOVEMBER 2014 | The Surgical Technologist | 505 THE MILITARY EDITION FINDING MY CALLING From Tanker to Tech Michael Sells, cst, rn I n the spring of 1995, I finished my enlistment in the United States Army and found myself in scary and unfamiliar territory. After three years of living in Friedberg, Germany, and training as an M1A1 Armored Crewman and M978 HEMTT Fuel Truck Driver I was suddenly jobless, penniless and hopeless. I joined the military at 19 as a way to “get out of town” for a few years. I was positive I didn’t want to make a career out of the military, but I could see the many benefits that would come out of the experience. I was a pretty good high school student, but I was not ready to spend another four years in college. I figured that I would come out of the military a more mature, capable and experienced man. I also would have the Army College Fund and GI Bill to help me pay for college as well as all the other benefits veterans receive. What I couldn’t foresee was how the job I choose in the military would not translate into any marketable skills in the civilian workforce. I also couldn’t foresee how difficult going back to school was going to be once I was discharged from the military. Even though I had accomplished my goal of becoming more mature and mentally ready to attend col- 506 | The Surgical Technologist | NOVEMBER 2014 lege, I was no closer to knowing what I wanted to do with my life than before I enlisted. And, after spending several years out of school, the thought of going back was less appealing than it was when I was finishing high school. Luckily, I had a family member who saw potential in me that I didn’t see. After milling around for a few months working odd jobs, my wife’s Aunt Peggy intervened. She asked me the tough questions I knew the rest of my wife’s family was wondering. “What are you going to do for the rest of your life?” and “How are you going to support my niece?” As I sat there stunned and silent, she proceeded to drill me just like my recruiter did four years earlier. As a nurse, Aunt Peg was familiar with all of the allied health careers. She started asking basic questions about my interests. She asked me if I thought I would enjoy taking X-rays of people. She asked if I would like helping people after injuries or with their activities of daily living. She asked me if I might like working on an ambulance and treating emergent patients. All of these jobs sounded interesting, but none of them resonated in my heart as something I could see myself doing long term. It wasn’t until Aunt Peg asked, “Well, have you ever thought about working in surgery,” that my attention was grabbed. The light switch was flipped on, a beautiful chord was strum in my heart and my excitement level rose to a height I hadn’t felt in a long time. My answer was, “No, but how can I do that?” She began to inform me of the basics of what a surgical technologist does. Two weeks later, I was at a program conference at Marshalltown Community College in Marshalltown, Iowa, learning about the role of the surgical technologist. After that program conference, I immediately got accepted into the program and one week af ter t hat was registered for classes. I remember the excitement I felt after seeing my first surgery. For two weeks I replayed the story of all of the cool things I had seen to ever ybody I came into contact with. I remember the smile on my face and the excitement in my heart as I did my clinical rotations. I had never been so excited to get up in the morning, and I remember the pride I felt as I crossed the stage to receive my diploma. It has been almost 20 years since I left the military and found myself talking with Aunt Peg about what I wanted to do with the rest of my life. Not in my wildest dreams could I expect the life that surgical technology would give me. After completing school, I worked seven years as a Certified Surgical Technologist at Mercy Medical Center in Cedar Rapids, Iowa. I worked my way up from an entry level off-shift position to become a member of the general, urology and vascular call team. There was nothing I loved more that scrubbing in on an open abdominal case or a ruptured aortic aneurysm. After five years though, I found myself wanting new challenges. I decided to work a weekend position and go back to school to get my nursing license. In 2001, I completed nursing school and worked as a neurology surgical nurse for four years. I loved the challenges of nursing and the patient interaction, and I was fortunate enough that I was still able to scrub cases about 20 percent of the time. After working six months as a nurse, I accepted an opportunity to train a nursing student. I quickly realized where my true talents lie. I consider myself to be an efficient and skilled Registered Nurse and Certified Surgical Technologist, but I feel that I am a gifted instructor. In 2007, I accepted a position at Kirkwood Community College in I have been blessed throughout my life and am honored with the experiences I have been given. Serving my country in the military is something I will never forget, and the transition to civilian life is something that only a veteran can truly appreciate and sympathize with. Cedar Rapids, Iowa, as the clinic coordinator for surgical technology. My first day in front of the class felt like home. I have heard horror stories from many of my colleagues on how hard their first year as an educator was, but I never felt that. Training students to be surgical technologists is my life’s passion. Seeing how excited students get makes me remember my experiences and renews my love for surgical technology with every class. I love that no two groups of students are the same and I continue to grow as in instructor in meeting individual academic needs. I love my position as an educator because I am still growing professionally and learning how to manage issues with students, clinic sites and clinic preceptors. I am honored to be able to train the next generation of surgical technologists and appreciate every clinical preceptor who helps train our students. I have been blessed throughout my life and am honored with the experiences I have been given. Serving my country in the military is something I will never forget, and the transition to civilian life is something that only a veteran can truly appreciate and sympathize with. One of the saving graces to of military experience is knowing that the values and professionalism traits I acquired while in the military are qualities I will never lose. Those qualities served me well as a practicing surgical technologist and continue to serve me well as an instructor. I am honored to call myself a veteran. NOVEMBER 2014 | The Surgical Technologist | 507 THE MILITARY EDITION continued since I no longer could join them in the fight. Even though my retention officer wanted me to consider other positions, I knew that Ralph Dunlap being a 68 Delta was what n 2006, I joined the I needed to do. Two weeks United States Army as a later, I found out that I was 19 Delta cavalry scout. headed to Fort Sam HousAs a 19 Delta, I became part ton in San Antonio, Texas, of a team including nine to start my training as a 68 Delta surgical technologist. When other people to protect the training started, everyone looked at me like I was just a grunt head of our regiment, our and I wouldn’t be able to do a job. As far as they knew, all I Colonel and Command could do was shoot a gun, and maybe because I’m a pretty Sergeant Major. In Novembig guy – 6’1 and 240 pounds is not your typical-looking OR ber 2007, I was deployed to tech. For most cases, I’m the biggest guy in the room. I went on and finished in the top 10% of my class and got to choose Iraq. I was so excited to serve my country and permy phase two destination, so I chose Hawaii. I mean, who form my duties as a cavalry scout. During my deployment, my wouldn’t want to live in Hawaii right?! I spent nine weeks at team and I experienced many explosions at close range, which Tripler Army Medical Center and they were amazing and I resulted in injuries that impaired my abilities to perform my learned so much. job at the time. When we got back from Iraq in 2009, my My real journey started at my first duty station outside Command Sergeant Major told me that due to my injuries, I of school, which was Brooke Army Medical Center (BAMC) no longer could perform the duties for which I was trained. in San Antonio, Texas. At BAMC, I started in orthopedic I either had to get out of the military, or train for a new job. I loved the military and serving my country, so getting out sports then moved around experiencing different services for wasn’t an option at the time. the remainder of my orientation. After training at BAMC for about four months, I discovered that my favorite services were I did a lot of research and found that being a 68 Delta neuro and vascular. After being trained by one of the best (surgical technologist) was what I wanted to do. I loved the neuro techs around, I soon took over the service and was runidea of being part of team healing my wounded comrades ning the show. After a year, I was moved to the weekend shift where After a year, I was moved to the I got to experience lots of trauma cases. I learned so much from weekend shift where I got to working that shift because I had to experience lots of trauma cases. learn to rely on my team members and trust their knowledge. That I learned so much from workweekend crew was probably the ing that shift because I had to best team I’ve worked with so far. In 2012, it was time for me to learn to rely on my team memonce again move duty stations. I bers and trust their knowledge. chose to return to where I began my hands-on training: Tripler That weekend crew was probably Army Medical Center. I am curthe best team I’ve worked with rently the lead heart tech and have set the standard for them in the so far. Heart Room. I’ve designed and put Forced Decision Turns Out to be the Best One I 508 | The Surgical Technologist | NOVEMBER 2014 together several instrument sets that are very specific to our service. When training new techs, I noticed that staying organized in such a complicated service can be hard, so I created a master guide for all our new technologists to use. This guide informs them of every procedure step by step, as well as how to set up the room, every surgeon’s glove size, pager number and any other important information they may need. I let another hospital in the area have a copy of my book, which they now use for their heart procedures. After my book successfully helped our teams run a service smoothly, I had an idea to try to publish the heart book. My beautiful wife said why not make it for every service so that it can be useful to more people in the OR setting. So I started designing a book to publish for my fellow surgical technologists and OR nurses, and after three years in this job, I’m now a heart tech with a published book called “Perioperative Workbook.” In this career I have been awarded multiple coins for excellent performance. It easy to do when you really love what you’re doing everyday. The career switch I was forced to make has changed my life for the better. It has given me a second chance at having a good life once I get out of the military, and I no longer have to be in harm’s way and can be around for my three beautiful children. The Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC STSA) is pleased to announce the launch of our 2015 Scholarship Program in service to the Surgical Technology and Surgical Assisting student and educator communities. Annually, since 2005, the ARC STSA Board of Directors has awarded multiple scholarships of up to $1,000 in at least two separate categories, Student Scholarship and Educator Scholarship. In 2015, the ARC STSA will award a total of up to $5,000 in combined scholarships. All eligible applicants are strongly encouraged to apply before the February 27th deadline. For eligibility requirements and to apply visit arcstsa.org today! Scholarship recipients will be announced at the 2015 AST National Conference in San Antonio, TX and will be posted on our website, arcsta.org, by July 3, 2015. NOVEMBER 2014 | The Surgical Technologist | 509 Twitter Retweet GET CONNECTED Staying connected with AST and your fellow peers in surgical technology has never been easier. Join in on ongoing conversations or send us a private message on our Facebook page. Follow us on Twitter and Instagram. Take a break and peruse our Pinterest page, especially our humor section, with content pulled StumbleUpon Digg specially for you, the tech! It’s never been so easier to stay in the know and embrace the power of the surgical technology community! Association of Surgical Technologists Skype AST “LIKE” US Technorati is on Pinterest. Follow us. ON FACEBOOK YouTube LinkedIn http://pinterest.com/assosurgtechs/ 510 | The Surgical Technologist Google | NOVEMBER 2014 Google Talk 2015 CALL FOR CANDIDATES AST is seeking the services of dedicated individuals interested in becoming part of AST’s leadership including national officers and members of AST national committees. In 2015, there will be six vacancies on the AST Board of Directors. Candidates for the Board of Directors, including officers, will be elected by the House of Delegates at the AST Annual National Conference in San Antonio, May 12-16, 2015. AST Board of Directors Eligibility: President - Two-Year Term All candidates for the Board of Directors must be active (CST with currency or CST, CSFA) members of AST for a minimum of three years immediately preceding nomination. Candidates for the offices of President, Vice President and Treasurer must have served a minimum of one full term during the previous six years on the Board of Directors. Candidates for the Board of Directors must have served at least one complete term on a national committee, whether standing or special (ad-hoc), the NBSTSA, ARC/STSA or a complete two-year term as a director in a state assembly within the last eight years. Vice President - Two-Year Term Treasurer - Two-Year Term Board of Directors - Two-Year Term Board of Directors - Two-Year Term Board of Directors - Two-Year Term If you would like to run for elected office or be considered for a national committee appointment, you will need to complete a Consent to Serve form and a Curriculum Vitae. These forms can be downloaded from the AST website at http://www.ast. org. Click on About Us; then click on either Elected Offices or Appointed Offices to see detailed descriptions and download the required forms. If you have any other questions, you can contact Charlotte Stranahan, Administrative Coordinator at [email protected] or 800-637-7433, ext 2501. Completed forms need to be returned to the Credentials Committee, AST Board of Directors, 6 West Dry Creek Circle, Ste 200, Littleton, CO 80120, by January 15, 2015. NOVEMBER 2014 | The Surgical Technologist | 511 Awareness in the Workplace C ar a Stan, meetings, marketing & publications manager M ost of you are aware that National Surgical Technologist Week was the third full week of September. The NBSTSA welcomed overwhelming posts from many of you via social media about how you and/or your workplace celebrated this special week. It was inspiring to see pictures of surgical teams, giveaways and all the tasty treats made to recognize the importance of your role in the OR. However, despite these encouraging posts, we also heard from surgical technologists about how their hospitals did nothing to recognize National Surgical Technologist’s Week and how their role in the OR is often overlooked. Here are some tips to help you raise awareness and recognition in your workplace. Begin Early It’s never too early to start preparing for next year’s NSTW! Get ahead of the game by ordering low-cost products and free promotional materials from the AST and the NBSTSA and make sure you’re your administration is aware of the dates well ahead of time. (NSTW is always the third full week of September.) Get together with your co-workers and start planning potlucks or even after-hours events. Posters and Informative Materials The NBSTSA can provide free materials emphasizing the importance of having a Certified Surgical Technologist (CST) in the operating room team. Posters and brochures can be displayed in your workplace break room and common areas. Also, be sure to talk to your manager about setting up a time to educate hospital staff and administration about how CSTs reduce costs and save lives in the OR, and provide them with these types of materials. Contact the NBSTSA to take advantage of promotional materials by emailing your request to [email protected]. CST- and CSFA-logo Wear Create brand awareness for yourself! Take pride in your certification and don’t be afraid to show it off. The NBSTSA online store has items that will enable you to let your workplace know you are certified and are proud of it. Find items such as lunch bags and scrub hats, lapel pins and badge holders, and more! No matter how you do it, stand up for yourself and your chosen profession, and continue to spread the word about the importance of certified professionals! Get More If you would like to see how other facilities or surgical techs celebrated, we invite you to our Flickr page https:// flic.kr/ps/2UQMo6 or to “like” our Facebook page at www.facebook.com/The NBSTSA. 512 | The Surgical Technologist | NOVEMBER 2014 Advance Your Knowledge, Update Your Skills and Earn CEs NEW FREE CE OPPORTUNITIES FOR 2014! Log onto www.ast.org and click on the “Earn CE” menu to access the library of CEs. Click on the numbers and take the tests for free: #313 Radiation Risk (1 CE credit); #339 Taking Control of Infection Control (1 CE credit); #343 Single-site Laparoscopic Total Hysterectomy (1 CE credit). Credits are awarded after passing the tests. Whenever. Wherever. AST is making continuing education more accessible—more convenient—and even FREE. Now you can look, listen and learn from our quality education presentations that have been archived from national conferences and advanced specialty forums. Specialty topics range from orthopedics, OB/GYN, general and neurosurgery. You will actually see the medical professionals and slides as they were presenting their information. Each presentation is coded by specialty. Topics include Intrauterine Repair for Spina Bifida, Pelvic and Acetabular Surgery, Infertility, Drug Abuse During Pregnancy, ACL Surgery, Issues in Patient Care, Advances in Spine Surgery, Epithelial Ovarian Cancer, and Preventing Preterm Delivery. Any or all are free to watch and study. Whenever you’re ready, take the examination—there is absolutely no charge. If you pass, you will be offered the opportunity to purchase the accompanying CE credit and register it with AST at a very affordable price. LOG ON TO THE AST CONTINUING EDUCATION NOVEMBER 2014 RESOURCE CENTER TODAY AT: | | 513 www.ast.org. The Surgical Technologist UPCOMING PROGRAMS AST MEMBERS: Keep your member profile updated to ensure that you receive the latest news and events from your state. As an AST member you can update your profile by using your login information at www.ast.org. You may also contact Member Services at memserv@ ast.org or call 1-800-637-7433. AST business hours are Monday-Friday, 8 am - 4:30 pm, MST. ALABAMA Montgomery: February 28, 2015. Alabama State Assembly. Title: Share the Vision. Location: Virginia College, 6200 Atlanta Hwy, Montgomery, AL 36117. Contact: Grant Wilson, PO Box 731, Scottsboro, AL 35768, 256-574-9850, surgeryinstructor@yahoo. com. 6 CE credits, pending approval by AST. COLORADO Denver: November 8. Colorado State Assembly. Title: COSA Fall Workshop 2014. Location: Presbyterian St. Luke’s Medical Center, 1719 E 19th Ave, Denver, CO 80218. Contact: Paul Beale, 2251 S Zang Court, Lakewood, CO 80228, 303-716-5738, [email protected]. 7 CE credits, pending approval by AST. GEORGIA Athens: March 14, 2015. Georgia State Assembly. Title: Surgery in “Dawg” Country. Location: Athens Technical College – 514 | The Surgical Technologist | NOVEMBER 2014 Building F, 800 US Hwy 29 N, Athens, GA 30601. Contact: L. Gene Burke, PO Box 424, Gainesville, GA 30503, 706-771-4191, [email protected]. 7 CE credits, pending approval by AST. HAWAII Honolulu: November 1. Hawaii State Assembly. Title: Annual Business Meeting/ Elections and Workshop. Location: Straub Clinic & Hospital, Otis Building Room 101, 888 South King Street, Honolulu, HI 96813. Contact: Tammy Gieseke, 1043 Spencer St, Apt 7, Honolulu, HI 96822, 808-321-2680, [email protected]. 6 CE credits, pending approval by AST. IDAHO Boise: November 1. Idaho State Assembly. Title: Minimally Invasive: DaVinci, bariatric. Location: St Luke’s, 190 E Bannock St, Boise, ID 83712. Contact: Monica Preciado, 9547 N Finucane Dr, Hayden, ID 83835, 208-7622097, [email protected]. 7 CE credits, pending approval by AST. ILLINOIS La Grange: March 7, 2015. Illinois State Assembly. Title: Annual Seminar and Business Meeting. Location: Adventist La Grange Memorial Hospital, 5201 S Willow Springs Road, La Grange, IL 60525. Contact: Stacie Chaney, 73 Fir St, Park Forest, IL 60466, 708209-7433, [email protected]. 4-5 CE credits, pending approval by AST. INDIANA Indianapolis: November 8-9. Indiana State Assembly. Title: ISA – AST Fall Conference. Location: Franciscan St. Francis Health, 8111 S Emerson Ave, Indianapolis, IN 46237. Contact: Christina McCoy, PO Box 421673, Indianapolis, IN 46242, 317-910-7794, [email protected]. 10-12 CE credits, pending approval by AST. LOUISIANA Baton Rouge: November 1. Louisiana State Assembly. Title: Fall Workshop. Location: Baton Rouge Community College – Frazier Campus, 555 Julia St, Baton Rouge, LA 70801. Contact: Brock Holtzclaw, 14317 Parkview Dr, Prairieville, LA 70769, 225-588-9800, [email protected]. 6 CE credits, pending approval by AST. MARYL AND Baltimore: March 21, 2015. Maryland State Assembly. Title: MDSA Spring Meeting/ Elections and Workshop. Location: Franklin Square Hospital Center Conference Room D-F, 9000 Franklin Square Dr, Baltimore, MD 21237. Contact: Judith Arrindell or Sandra Araujo, PO BOX 23737, Baltimore, MD 21203, 443-992-1062 or 301-807-6052, [email protected] or [email protected]. 7 CE credits, pending approval by AST. Baltimore: September 19, 2015. Maryland State Assembly. Title: MDSA Fall Meeting. Location: Franklin Square Hospital Center Conference Room D-F, 9000 Franklin Square Dr, Baltimore, MD 21237. Contact: Judith Arrindell or Sandra Araujo, PO BOX 23737, Baltimore, MD 21203, 443-9921062 or 301-807-6052, [email protected] or [email protected]. 7 CE credits, pending approval by AST. Baltimore: March 19, 2016. Maryland State Assembly. Title: MDSA Spring Meeting/ Elections and Workshop. Location: Franklin Square Hospital Center Conference Room D-F, 9000 Franklin Square Dr, Baltimore, MD 21237. Contact: Judith Arrindell or Sandra Araujo, PO BOX 23737, Baltimore, MD 21203, 443-992-1062 or 301-807-6052, [email protected] or [email protected]. 7 CE credits, pending approval by AST. MINNESOTA St. Paul: March 21, 2015. Minnesota State Assembly. Title: Spring Minnesota State Assembly Meeting. Location: Regions Hospital - Auditorium, 640 Jackson St, St Paul, MN 55101. Contact: Tamie Maki, 8120 157th Lane NW, Ramsey, MN 55303, 612570-0399, [email protected]. 7 CE credits, pending approval by AST. Bloomington: September 26, 2015. Minnesota State Assembly. Title: Fall Minnesota State Assembly Meeting. Location: Ramada Bloomington MN, 2300 E American Blvd, Bloomington, MN 55425. Contact: Sara Vodnick or Sarah Wendell, 3550 E 46th St #103, Minneapolis, MN 55406, 651-785-5073 or 920-265-8442, svodnick@ yahoo.com or [email protected]. 7 CE credits, pending approval by AST. MISSOURI St Louis: March 13-15, 2015. Missouri State Assembly. Title: 16th Annual State Convention and Student Day. Location: Mercy Hospital St Louis – Von Gontard Conference Center, 615 S New Ballas Road, St Louis, MO 63141. Contact: Nicole Claussen, 500 Forum Dr, Rolla, MO 65401, 517-980- 5124, [email protected]. 13 CE credits, pending approval by AST. MONTANA Helena: November 1. Montana State Assembly. Title: Thinking Outside the Box. Location: St. Peter’s Hospital, 2475 Broadway, Helena, MT 59601. Contact: Lori Heinen, 712 Riverview Dr E, Great Falls, MT 59404, 406-781-3973, [email protected]. 6-7 CE credits, pending approval by AST. NEBRASK A Lincoln: February 28, 2015. Nebraska State Assembly. Title: Nebraska State Assembly Winter Workshop and Annual Meeting. Location: Saint Elizabeth Regional Medical Center, 555 S 70th St, Lincoln, NE 68510. Contact: Cynthia Kreps, 2950 S 11th St, Lincoln, NE 68502, 402-525-8565, ckreps@ southeast.edu . 6 CE credits, pending approval by AST. NEW HAMPSHIRE/VERMONT Concord: November 1. New Hampshire/ Vermont State Assembly. Title: Annual Meeting. Location: Concord Hospital, 250 Pleasant St, Concord, NH 03301. Contact: Michael Koban, 1 Medical Center Dr, Lebanon, NH 03756, 603-748-2180 or 603653-3100, [email protected]. 6 CE credits, pending approval by AST. NEW YORK Syracuse: April 17-18, 2015. New York State Assembly. Title: NYAST Spring Conference and Student Scrub Bowl 2015. Location: Crouse Hospital - Marley Education Center, 765 Irving Ave, Syracuse, NY 13210. Contact: Beth Applegate-Debo, 32 Gifford Dr, Syracuse, NY 13219, 315-439-4387, [email protected]. 6 CE credits, pending approval by AST. OKLAHOMA Tu l s a : N o v e m b e r 1 . O k l a h o m a S t a t e Assembly. Title: ADVANCES. Location: Tulsa Technology Center, Lemley Campus, Health Science Center, 3420 S Memorial Dr, Tulsa, OK 74145. Contact: Bobbie Decker, 6244 S 69th East Pl, Tulsa, OK 74133, 918-691-7149, [email protected]. 7 CE credits, pending approval by AST. RHODE ISL AND East Greenwich: November 8. Rhode Island State Assembly. Title: Mass Casualty – “What would you do?” Location: New England Institute of Technology, 1 New England Tech Blvd, East Greenwich, RI 02818. Contact: Ben Bradley, PO Box 162, Bradford, RI 02808, 401-789-5463, [email protected]. 4 CE credits, pending approval by AST. SOUTH DAKOTA Rapid City: November 8. South Dakota State Assembly. Title: AST South Dakota State Assembly and AORN Fall Workshop. Location: Rapid City Regional Hospital, 353 Fairmont Blvd, Rapid City, SD 57701. Contact: Angie Burton, PO Box 383, Piedmont, SD 57769, 605-391-9065, [email protected]. 6 CE credits, pending approval by AST. Sioux Falls: April 18, 2015. South Dakota State Assembly. Title: SDSA Spring Seminar. Location: Southeast Technical Institute, 2320 N Career Ave, Sioux Falls, SD 57107. Contact: Joyce Van Zee, 5617 S Anthony Ave, Sioux Falls, SD 57106 , 605-310-1791, joyce. [email protected]. 6 CE credits, pending approval by AST. TEXAS Fort Worth: March 7-8, 2015. Texas State Assembly. Title: Texas State Assembly Fort Worth 2015. Location: Radisson Hotel Fort Worth – Fossil Creek, 2540 Meacham Blvd, Fort Worth, TX 76106. Contact: Patty Sooter, PO Box 3557, Fort Worth, TX 76113, 214-4608949, [email protected]. 12 CE credits, pending approval by AST. NOVEMBER 2014 | The Surgical Technologist | 515 State Assembly Annual Business Meetings Members interested in the election of officers & the business issues of their state assembly should ensure their attendance at the following meetings. AL ABAMA Montgomery: February 28, 2015 Annual meeting & elections H AWA II Honolulu: November 1 Annual meeting & elections IND I A N A Indianapolis: November 8-9 Annual meeting & elections MINNE S O T A Bloomington: September 26, 2015 Annual meeting & elections NEB R A S K A Lincoln: February 28, 2015 Annual meeting & elections R H O D E I S L A ND East Greenwich: November 8 Annual meeting & elections COLOR ADO Denver: November 8 Annual meeting & elections ID A H O Boise: November 1 Annual meeting & elections M A R Y L A ND Baltimore: March 21, 2015 Annual meeting & elections MI S S O UR I St Louis: March 13-15, 2015 Annual meeting & elections SOUTH DAKOTA Rapid City: November 8 Annual meeting & elections GEORGIA Athens: March 14, 2015 Annual meeting & elections IL L IN O I S La Grange: March 7, 2015 Annual meeting & elections M A R Y L A ND Baltimore: March 19, 2016 Annual meeting & elections MONTANA Helena: November 1 Annual meeting & elections NE W H A MP S HIR E / V ER M O N T Concord: November 1 Annual meeting & elections OKL AHOMA Tulsa: November 1 Annual meeting & elections TEXAS Fort Worth: March 7-8, 2015 Annual meeting & elections ▲ ‘Approved’ indicates a continuing education program that has been approved by AST for CE credit. ▲ ‘Accredited’ indicates a formal, college-based surgical technology or surgical assisting program that has been accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Future Program Approvals: A Date Request Form must be submitted to AST 120 days prior to the workshop date. For complete information on all required forms, refer to the AST Policies for the Approval of State Assembly Continuing Education Programs and the Application for Approval of Continuing Education Programs State Assembly (application is due at least 10 business days before the workshop date) at www.ast.org, under State Assemblies tab, submenu Meeting Forms. The completed Date Request Form must be submitted before the first of the current month to be published in the next month’s issue of The Surgical Technologist. A confirmation email as receipt received will be sent upon approval. For assistance, call 800-637-7433, ext 2516 or email [email protected] Earn the Recognition Your State Deserves State Assembly Leadership Achievement Award Application Active state assemblies are the future of the Association of Surgical Technologists’ strength and success. AST gives special recognition to those state assemblies that demonstrate outstanding leadership within their states. Although the application must be submitted by the President, please contribute your input to ensure that all your state has accomplished in 2014 is acknowledged. The deadline is January 31, 2015. For eligibility requirements and to download the application, visit www. ast.org – State Assemblies – State Assembly Awards. 516 | The Surgical Technologist | NOVEMBER 2014 GET PUBLISHED! We are in need of Finding My Calling articles for future editions of The Surgical Technologist. Share your journey about how you became a tech with your coworkers and peers around the nation. Inspire others as you write about your trials, hardships, obstacles and good fortunes as you made your way into the surgical world. FMC articles should be around 500 words and include a photo of yourself to accompany the article. Send your FMC article to [email protected]. The Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA), a private, 501(c)(3) not-for-profit accreditation services body is seeking a highly qualified individual with exceptional leadership abilities, as well as a strong background in accreditation, non-profit organizational management, training, marketing and budget administration. A Bachelor’s Degree in healthcare, communication, management or related field, or an Associate Degree plus equivalent experience is required. A Master’s Degree is preferred. Significant experience in surgical technology and/or surgical first assisting education and program direction is required. Excellent interpersonal skills, strong written and verbal communication skills, and computer literacy are necessary. Job responsibilities also require some travel. This position reports to the Executive Director. The mission of the ARC/STSA is to provide recognition for the quality of the education programs in its system to the public promoting quality patient care. The ARC/STSA provides programmatic accreditation services in surgical technology and surgical assisting in collaboration with CAAHEP. The ARC/STSA office is located in Littleton, Colorado, approximately 10 miles south of Denver. Applications should include a cover letter, resumé and salary history. No relocation compensation is provided. Applications may be sent by mail or e-mail. Application deadline is December 31, 2014. Mail or e-mail resumé with cover letter, including salary history and requirements to: Keith Orloff, CST, FAST - Executive Director ARC/STSA 6 West Dry Creek Circle #110 Littleton, Colorado 80120 [email protected] ARC/STSA is an Equal Opportunity Employer NOVEMBER 2014 | The Surgical Technologist | 517 SHARE THE VALUE OF AST Recruit your friends and colleagues and earn free membership. EARN TWO MONTHS FREE MEMBERSHIP FOR EVERY NEW MEMBER YOU SIGN UP TO JOIN AST! For each new member you recruit at the $80-membership level, you will receive a twomonth extension on your membership! HERE’S HOW: > R ecruit a valid new member at the one-year membership rate of $80. >M ake sure that each person you recruit provides AST with your name and AST member number when filling out their application. >W hen AST receives the recruited member’s application, we will extend your membership by two months for each person you recruit. > R ecruit two members at the $80-level and we’ll extend your membership by four months! And so on, and so on, and so on! Bonus membership months are not applicable to members who recruit themselves, students or retired/disabled members. No substitutions permitted. Your membership must be current to receive bonus months. Potential members MUST supply your name and membership number in order for you to receive bonus membership months. If a person’s membership has lapsed for more than a year, they are considered a new member. For more information on this amazing offer, call our Member Services team at 1.800.637.7433 or visit our website at www.ast.org. AST 518 | The Surgical Technologist | Association of Surgical Technologists NOVEMBER 2014 JUNE 2013 | The Surgical Technologist | 518 Trocar Incision Closure Device Suture Passer • Closes Trocar Incision Sounds • Secures Hernia Mesh ! nt for W E N laceme use p ct re e single e r i D nsiv s! expe system •Facilitatesfasciaclosureandfeaturesaflush portforcleaning. H Am iqh q u eri can ality ! Re usa mad ble e! ! •Micro-polished,precision-pointed,frontloading,spring-actiontipwithplatformfor punctureandsuturegrasping. •Bariatriclength.Otherstylesavailable. www.surgicalinstruments.com/trocar-closure We are an approved vendor to most healthcare facilities and systems. [email protected] surgicalinstruments.com NOVEMBER 2014 1-800-600-0428 | The Surgical Technologist | 519 FEBRUARY 2012 WRITE A CE THE VOLUME 44 NO 2 T E C H N O L O G I S T Official JOurnal Of the assOciatiOn Of surgical technOlOgists, inc. A Crash Course in Microbiology We are always looking for CE authors and surgical procedures that haven’t been written about or the latest advancements on a commonplace surgery. You don’t have to be a writer to contribute to the Journal. We’ll help you every step of the way, AND you’ll earn CE credits by writing a CE article that gets published! Here are some guidelines to kick start your way on becoming an author: 1. A n article submitted for a CE must have a unique thesis or angle and be relevant to the surgical technology profession. 2. The article must have a clear message and be accurate, thorough and concise. 3. It must be in a format that maintains the Journal’s integrity of style. 4. It must be an original topic (one that hasn’t been published in the Journal recently.) How to Get Started The process for writing a CE can be painless. We are here to assist you every step of the way and make sure that you are proud of your article. • Write to [email protected], and state your interest in writing, and what topic you would like to author. • Submit an outline of your proposed topic for review. Once the outline is returned to you for approval, begin writing your manuscript. Getting your outline approved will save you time and effort of writing a manuscript that may be rejected. • Submit manuscript, as well as any art to illustrate your authored topic. You will be notified upon receipt of receiving the manuscript and as well as any changes, additions or concerns. Things to remember: • Length: Continuing education articles should run a minimum of 2,000 words and a maximum of 5,000 words. • References: Every article concludes with a list of ALL references cited in the text. All articles that include facts, history, anatomy or other specific or scientific information must cite sources. • Copyright: When in doubt about copyright, ask the AST Editor for clarification. • Author’s Responsibility: All articles submitted for publication should be free from plagiarism, should properly document sources and should have attained written documentation of copyright release when necessary. AST may refuse to publish material that they believe is unauthorized use of copyrighted material or a manuscript without complete documentation. Don’t delay! Become an author today. Write to us at [email protected] Other Topics • Finding My Calling – We encourage surgical techs to share their stories about how they found their calling and entered this profession. Inspire others with your story about how you fell in love with this profession. Finding My Calling articles should be a minimum of 500 words and include a photo of the author. • On a Mission – Served on a medical mission? Share your experiences with your fellow surgical techs and show everyone how you made a difference, and how the trip made a difference in your life. On a Mission articles should be a minimum of 500 words and include photos of your mission trip. • Other Topics – Want to write an article that isn’t presented here? Be our guest! We welcome other article topics as long as they are relevant and timely to the profession. 520 | The Surgical Technologist | NOVEMBER 2014 JOIN AST AND SAVE $100 ON THE CST® NATIONAL CERTIFYING EXAM Now it pays even more to be a member of AST—especially for students. 2014 CERTIFYING EXAM FEES Member price: $190 Nonmember price: $290 Your savings begin right away when you apply for the special student membership rate, $45 (a $35 savings). Save $10 with the member discounted price of the examination study guide, $55 and save $100 when you take the national certifying examination. Enjoy the benefits of membership in the premier national professional organization for surgical technologists. Join online at www.ast.org; by phone at 800-637-7433; or by mail (fill in the application below). CST is a registered trademark of the National Board of Surgical Technology and Surgical Assisting. Application Form ❑ ❑ Benefits include: ✔ student rate discounts ✔ scholarship opportunities ✔ access to the most up-to-date information about the profession ✔ insurance discounts ✔ education and employment opportunities ✔ access to a website that connects you to nearly 34,000 other surgical technology professionals 6 West Dry Creek Circle, Suite 200, Littleton, CO 80120-8031 Yes, I would like to save $10 and order the Certifying Exam Study Guide at $55 (plus $7.50 shipping). Savings for current and joining AST members only. NONMEMBERS: Certifying Exam Study Guide $65 (plus $7.50 shipping) Name______________________________________________________________________________ Address_______________________________________________________________________________________________ City _____________________________________________________________________ State ____________ ZIP ________________________ E-mail ______________________________________________________ Phone ____________________________________________________ School _________________________________________________________________________________Graduation Date _____________________ I am paying by ❑ Check enclosed ❑ VISA ❑ MasterCard # ______________________________________________________________ Expiration Date _________________ NOVEMBER 2014 | The Surgical Technologist | 521 Total enclosed ________________________ Signature ______________________________________________________________________________________________________________________________________ 10 16 12 7 1 3 2 11 15 4 14 13 What We Do Best OUR NAME SHOWS UP ON ONLY THE BEST RESOURCES. It’s better to do a few things really well. And when it comes to surg tech education, AST leads the way. There’s a good reason behind our leadership in educational resources—we can tap into some of the best and most innovative practitioners who want to share their expertise and talents with their colleagues and future practitioners. Our members are surgical technologist writers and editors whose mission is to enhance patient care and to advance the profession through education. Take a look at the quality resources we have created—and wait for the others that are 522 | The Surgical Technologist | NOVEMBER 2014 in the pipeline. AST members receive discounted pricing as a benefit of membership. Call 800-637-7433 to order or order through our online store at www.ast.org. (Note: Not all products listed are pictured). AST Association of Surgical Technologists Mail to: AST, 6 W Dry Creek Cir, Ste 200, Littleton, CO 80120 Fax: 303-694-9169 Phone: 800-637-7433 5 Books Nonmember $55 $65 $149 $169 1 Surgical Technologist Certifying Exam Study Guide, 3rd ed 2 Surgical Technology for the Surgical Technologist, 4th ed 3 Surgical Technology for the Surgical Technologist, Study Guide/Lab Manual $64 $71 4 First Assistant Certifying Exam Study Guide $45 $55 5 Patient Skin Prep Charts for the Surgical Technologist $17.99 $17.99 6 Core Curriculum for Surgical Technology $175 $175 7 Core Curriculum for Surgical Assisting $100 $100 8 Surgical Technologist Journal— Subscription included $40 Member Nonmember $33 $44 18 6 Member DVDs, CDs 9 Asepsis and Sterile Technique CD 10 Basic Surgical Instrumentation $175 $175 11 Intraoperative Case Management $175 $175 12 Introduction to Asepsis and Sterile Technique $175 $175 13 Postoperative Case Management $175 $175 14 Preoperative Case Management $175 $175 15 Surgical Case Management Series (6 DVDs) $875 $875 16 Surgical Positioning, Prepping and Draping $175 $175 17 Surgical Technology Lecture Series, PowerPoint $33 $44 18 Wound Closure Techniques (DVD/CD 2-disc set) $45 $50 QTY AMT QTY AMT 8 Name Address City State ZIP Phone E-mail Institution Address City State ZIP O.R. Supervisor Subtotal: E-mail Visa Number MasterCard American Express Exp Date Shipping and handling: (call 800-637-7433 for shipping charges) Total: Signature AST MERCHANDISE RETURN POLICY We value you as a member/customer, and it is important to us that you are completely satisfied with each purchase. For that reason, we ask that upon receipt of shipment you carefully inspect all merchandise for damage. Damaged merchandise presented for return, must be accompanied by a copy of the original shipment receipt. Returns must be completed within 15 days of purchase. Merchandise returns to AST beyond 15* days from the date of purchase, must be currently stocked by AST at the time of the return to be accepted. A 15% restocking fee and proof of purchase is required. Electronic products are not returnable if the seal or packaging is broken. Defective electronic products may only be exchanged for replacement copies of the original item. Electronics must be exchanged within 15 days, include original shipment receipt and must include the original license agreement. All returned merchandise must be in saleable condition and customer is responsible for shipping and handling charges. Please call us prior to any return. You may reach us during our business hours, 8-4:30 pm (MST), Association of Surgical Technologists, NOVEMBER 2014 The Surgical Technologist 523 Membership Services, 800-637-7433, or 303-694-9130. *Institutions and bookstores 60 days, merchandise returns only. No returns after 90 days. | | CONTINUING EDUC OPPORTUNITIES AST has even more continuing education opportunities available in print and online. We will be adding more continuing education credits on a continual basis, and the lists that are published in the Journal will be rotating on a quarterly basis so that we can provide more CE credits in a range of specialties. Choose any nine articles and we will be happy to send them out free of charge. Return the answer sheets provided with the appropriate processing fee—only $6 per credit (not per test) for members, $10 per credit (not per test) for nonmembers. AST automatically records the returned CE credits for AST members. Other ar ticles, as well as archived conference and forum presentations, are easily accessible on the AST Web site, http:// ceonline.ast.org. And there are three free CE opportunities for AST members to earn continuing education credits online—be sure to check them out. To order please visit: http:// ceonline.ast.org/articles/index. htm or contact Member Services at memser [email protected] or fax requests to 303-694-9169 or call Member Services at 800637-7433 and press #3. Returned CE tests cost: Members $6 per CE Nonmembers $10 per CE, plus $400 Nonmember Fee 524 | The Surgical Technologist | NOVEMBER 2014 # Article Title ORTHOPEDIC 2 10 15 27 38 48 53 56 57 66 70 72 74 76 79 83 96 99 101 108 112 115 118 120 124 155 158 166 173 174 175 176 181 185 190 191 192 201 215 216 229 Arthroscopic meniscectomy using the transpatellar tendon approach The surgical technologist during arthroscopic menisectomies The evolution of total hip replacement Surgical management of the arthritic patient: An overview Latissimus dorsi free flap grafts in lower extremity reconstruction Bunion of the great toe: The Silver bunionectomy Surgical considerations in upper extremity amputation injuries The surgical treatment of osteomyelitis w/ antibiotic-impregnated PMMA beads The Russell-Taylor interlocking nail system Arthroscopic Bankart Repair of the Shoulder Hemilaminectomy with Lumbar Diskectomy Anterior Cruciate Ligament: History, Anatomy, and Reconstruction Total Elbow Arthroplasty Procedure Spinal Stabilization: An Anterior Approach Free Fibula Graft to the Hip for Avascular Necrosis Meniscal Repair in the Knee Bone Grafting in Fracture Management Bilateral Patellar Tendon Rupture Endoscopic Automated Percutaneous Lumbar Diskectomy Arthritis and Total Knee Replacement Internal Fixation of Posterior Spine with Interbody Fusion Small Joint scopes and Distal Radial Fractures Arthroscopic Anterior Cruciate Ligament Reconstruction Interposition Distraction Arthroplasy of the Elbow Surgical Removal of Spinal Cord Tumors Total Hip Arthroplasty The Diagnosis and Treatment of Carpal Tunnel Syndrome Rotator Cuff Surgery From Bonesetter to Orthopaedic Surgeion: A History of the Specialty of Orthopaedics Open Tibial Shaft Fractures: Current Management Child Abuse! Or Something Else? Osteogenesis Imperfecta Factors Surrounding Total Shoulder Arthroplasty Osteoporosis unveiled: Answers to Your Questions IntraDiscal electrothermal therapy: A novel approach to lumbar disc degeneration & herniation Posterior Spinal Surgery The Illizarov Technique Fat Embolism: A Complication of Long Bone Fracture Posterior Spinal Surgery: 20th Century Advances Bone Healing Anterior Cervical Fusion Anterior Cervical Corpectomy, Fusion and Stabilization CE 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 CATION ORDER FORM ❏ Member ❏ Nonmember Certification No.__________________________________________________________________ Name____________________________________________________________________________________ Address________________________________________________________________________________ # 268 275 297 304 312 314 316 317 321 Article Title Total Knee Arthroplasty Avascular Necrosis of Femoral Head: Diagnosis to Treatment Wrist Fusion: Fighting back against Rheumatoid Arthritis Ulnar Collateral Ligament Reconstruction Management and Prevention of Infection in Orthopedic Surgical Procedures Total Knee Arthroplasty Acquired Adult Flatfoot Deformity Hip Arthroscopy: Treating Femoroacetabular Impingement Birmingham Hip Resurfacing NEUROSURGICAL CE 2 1 2 2 2 1 1 1 1 City_____________________________________ State____________ZIP______________________ Telephone____________________________________________________________________________ __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. 12 17 31 Ligamentum flavotomy - alternative to laminectomy in herniated disc L-5 Laminectomy Superficial temporal artery to middle cerebral artery anastomosis for occlusive cerebrovascular disease 1 1 2 45 77 102 113 119 128 129 130 143 148 154 163 167 182 198 199 200 203 207 209 209 212 220 245 255 262 269 Cranioplasty: The evolution of materials The Frontal Lobes: Key to Moral Thinking Stereotactic-Guided Craniotomy for Resection of a Cerebral AVM Stereotactic-CT Biopsy Microvascular Decompression for Control of Essential Hypertension The Frontal Lobes: Movement and Morality Part 1: Basic Anatomy and Function The Frontal Lobes: Movement and Morality Part II:Neuroanatomy and Neuropsychology Converge Transphenoidal Approach to Pituitary Tumors The Eyes Have It: A Guide to a Critical Portion of the Neurlogical Trauma Examination Contemporary Management of Extensive Tumors of the Cranial Base Gamma Knife Stereotactic Radiosurgery: A Noninvasive Option to Intracranial Surgery The Vargus Nerve Bradykinin Selectively Opens Blood-Tumor Barrier in Experimental Brain Tumors Operative Solutions to Axial Lumbar Pain Cerebral artery aneurysm clipping: Anatomy, approach & technique explored High grade astrocytoma in the adult: Biology, pathology, diagnostics, & treatment High grade astrocytoma in the adult: Biology, pathology, diagnostics, & treatment, Pt. 2 Human stem cell research medical panacea or moral nightmare The Autonomic Nervous System General principles & instrumentation for cranial neurosurgery General principles & instrumentation for cranial neurosurgery, pt. 2 Creutzfeldt-Jakob Disease Glioblastoma multiforme: From biology to treatment Intracranial Stereotactic Navigation: Cost analysis & patient outcomes reviewed Microvascluar decompression for control of trigeminal neuralgia Cauda Equina Lipoma Resection with Spinal Cord Untethering in an Adult Type II Odontoid Process Fractures 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) __________________ ___________________________________________________________________ Test No. Title (please print) To order please visit: http://ceonline.ast.org/articles/index.htm or email Member Services at: [email protected] or fax requests to 303-694-9169 or call Member Services at 800-637-7433 and press #3 NOVEMBER JUNE 2014 | The Surgical Technologist | 525 ADVERTISERS INDEX CL ASSIFIEDS NOVEMBER 2014 THE VOLUME 46 NO 11 T E C H N O L O G I S T ARC/STSA ................. 492, 509 FTCC .............................. 526 OFFICIAL JOURNAL OF THE ASSOCIATION OF SURGICAL TECHNOLOGISTS, INC. Orthopedic Surgery DURING THE AMERICAN CIVIL WAR OR Specific ...................... 528 CERTIFIED SURGICAL TECHNOLOGIST Enthusiastic and surgically conscious CST seeks to obtain a challenging position in a reputable facility. Hours of experience in a variety of cases including Neurosurgery, Orthopedics, General, Colo/Rectal, Plastic, ENT, GYN, and Genitourinary. #1054 Highly motivated and reliable Certified Surgical Technologist in Southern California eager to implement medical skills and surgical knowledge while advancing career. Over cases performed at Orthopedic Surgery Center Newport Beach and UCI Medical Center. Also has sterile processing experience. #1055 Certified Surgical Technologist seeks position as surgical technologist at hospital or surgery center. Case experience includes general, genitourinary, gynecology, ophthalmology, orthopedics and plastics. #1056 Interested facilities can request these resumes by emailing [email protected]. Please include contact name, facility and email address. 526 | The Surgical Technologist | NOVEMBER 2014 Meridian ......................... 487 Millenium Surgical ............ 519 Look ing for Positions To view more job postings or to place a classified ad, please visit Innomed ......................... 527 www.ast.org Ruhof ............... 482, 483, 484 RadioLucent Small Bone Clamp Radiolucent Retractors Can be kept in place while using image intensification or taking an x-ray Carbon fiber material is strong, lightweight, completely radiolucent, can be steam sterilized, and helps to prevent from marring component surfaces Browne-type Deltoid Retractors Carbon fiber material is strong, lightweight, completely radiolucent, can be steam sterilized, and helps to prevent from marring component surfaces. PROUDLY MADE IN THE USA PCL Retractor PRODUCT NO: PRODUCT NO’S: 1828 1670-01R [Browne-type Deltoid – Small] Overall Length: 7" Blade Width: 45mm Overall Length: 11.5" Chandler Retractor 1670-02R [Browne-type Deltoid – Large] Blade Width: 57mm Overall Length: 11.5" Cobb Elevators 2820-R [PCL] Modified Narrow Hohmann Retractor Overall Length: 8" Prong Width: 5mm | 10mm Gap | 5mm 3220-02R [Chandler] Overall Length: 9.125" Blade Width: 19mm 4535-R [Modified Narrow Hohmann] PRODUCT NO’S: 3436 [1/2"] Overall Length: 11” 3438 [1"] Overall Length: 11” Modified Blunt Hohmann Retractor Ultra hard titanium nitride coating helps to extend blade life by increasing surface hardness, prolonging sharpness, and resisting chemicals and corrosion. 4550-R [Modified Blunt Hohmann] Blade Width at Widest: 24.5mm Overall Length: 10.75" PROUDLY MADE IN THE Blade Width: 18mm Overall Length: 10" Standard Hohmann Retractor USA 4558-R [Standard Hohmann] Blade Width: 16mm Overall Length: 9.625" 6130-R [Cobra] Overall Length: 12" Handle Length: 7" Blade Width at Widest: 33mm Cheng Screw Removal and Bone Trephine Set Designed by Edward Cheng, MD Cobra Retractor 7110-R [Narrow Bent Hohmann] Overall Length: 9.75" Handle Length: 7" Blade Width: 19mm Depth from Bend: 4.75" A standard 1.6mm (.062") threaded K-wire is used to help facilitate grasping and removal of a core bone sample Cannulated handle assembly allows the passing of the threaded K-wire. (K-wire not included.) Narrow Bent Hohmann Retractor 7450-02R [2" Standard Blade] Blade Depth: 2" Handle Length: 6" 7450-03R [3" Standard Blade] Blade Depth: 3" Handle Length: 6" Standard Blades for Self-Retaining Hip Retractor System 7450-04R [4" Standard Blade] Blade Depth: 4" Handle Length: 6" PROUDLY PRODUCT NO’S: 1426-00 [Complete Set with Case] MADE IN THE USA Trauma/Spine Deep Tissue Retractor Designed to help maximize exposure with 90° arms and deep tissue blades Dodson Extremity Skin Saver Available in configurations of 4 or 7 teeth to help maximize exposure. Designed by Mark A. Dodson, MD Designed to help protect the patient's skin when removing a disposable tourniquet PROUDLY MADE IN THE MADE EXCLUSIVELY FOR INNOMED IN USA GERMANY PRODUCT NO: PRODUCT NO’S: 1862 [4 Teeth] 1863 [7 Teeth] 8628 Overall Length: 4.75" Width: 1.5" Lip: .5" ISO 9001:2008 • ISO 13485:2003 Scan to Launch Our Website FREE TRIAL ON MOST INSTRUMENTS © 2014 Innomed, Inc. 103 Estus Drive, Savannah, GA 31404 www.innomed.net [email protected] 912.236.0000 Phone 912.236.7766 Fax NOVEMBER 2014 Innomed-Europe Tel. +41 41 740 67 74 Fax +41 41 740 67 71 | The Surgical Technologist | 527 1.800.548.2362 Specifically designed for a variety cases Maximize Space With our two-tier back table and drape, create one sterile field with multiple levels to increase your usable work space. Drape Create a sterile field with our standard or heavy-duty onepiece patented drape. Clear plastic window in rear allows for light penetration and improved visibility. Protected by U.S. Patent No. 6,019,102 Visibility Arrange and organize trays easily - without the need for stacking. Time Improve setup efficiency and workflow during large surgical cases. BIG CASE Back Tables Set at 15" above main surface Set at 12" above main surface 38" max. height 29" min. height Table has a 9" vertical travel to reach a maximum height of 38". TEL 800.937.7949 • 4000 SE Columbia Way • Vancouver, WA 98661
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