1. science
2. medicine
3. surgery

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
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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
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presoaks
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• Decreases spills and potential cross-contamination
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As seen here, instrument remains
wet to the touch for days after
application.
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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
Board@ast.org
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: exhibits_advertising@ast.org. 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.
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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.
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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.
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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
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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 publications@ast.org
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
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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
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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.
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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
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City
Nonmember: $300
Total:
Address
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$
Guest lunch ticket:
Other
City
AST member: $275
Zip
Total amount charged: $
(No purchase orders accepted)
Name that appears on card
NOVEMBER 2014
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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
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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
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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
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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
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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.
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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.
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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
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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
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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-
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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
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CE EXAM
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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
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you do not need to submit a separate check
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Members this test is also available online
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After your credits are processed, AST will
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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:
memserv@ast.org
For questions please contact Member Services memserv@ast.org or 800-637-7433, option 3.
Business hours: Mon-Fri, 8:00a.m. - 4:30 p.m., MT
NOVEMBER 2014
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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-
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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
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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
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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
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The Surgical Technologist
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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
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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
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is on Pinterest. Follow us.
ON FACEBOOK
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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
cstranahan@ast.org 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
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The Surgical Technologist
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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 mail@nbstsa.org.
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.
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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:
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| 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,
profalliance@comcast.net. 7 CE credits,
pending approval by AST.
GEORGIA
Athens: March 14, 2015. Georgia State
Assembly. Title: Surgery in “Dawg” Country.
Location: Athens Technical College –
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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,
lburke@augustatech.edu. 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,
hawaiistateassembly@yahoo.com. 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, IDSAST.secretary@gmail.com. 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, stacie.chaney@live.com. 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,
joechris1831@att.net. 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,
Holtzclawb@mybrcc.edu. 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,
jarrin7248@aol.com or araujos@kvfd.org. 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, jarrin7248@aol.com
or araujos@kvfd.org. 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,
jarrin7248@aol.com or araujos@kvfd.org. 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, makiramsey@comcast.net. 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 sawendell1@gmail.com. 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, nclaussen01@gmail.com. 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,
gfmtgirl@yahoo.com. 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, michael.k.koban@hitchcock.org.
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,
b.debo@verizon.net. 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,
bobbiedecker@sbcglobal.net. 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, bbradri@verizon.net. 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, angiekburton@yahoo.com. 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.
vanzee@southeasttech.edu. 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, pattysooter@aol.com. 12 CE credits,
pending approval by AST.
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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 stateassembly@ast.org
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.
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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 publications@ast.org.
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
keith.orloff@arcstsa.org
ARC/STSA is an Equal Opportunity Employer
NOVEMBER 2014
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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
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Association of Surgical Technologists
NOVEMBER 2014
JUNE 2013
|
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|
518
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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 publications@ast.org, 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 publications@ast.org
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
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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
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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 v@ast.org 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
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#
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
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1
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1
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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:
memserv@ast.org
or fax requests to 303-694-9169
or call Member Services at 800-637-7433
and press #3
NOVEMBER
JUNE 2014
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|
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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 publications@ast.org.
Please include contact name, facility and email address.
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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
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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
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© 2014 Innomed, Inc.
103 Estus Drive, Savannah, GA 31404
www.innomed.net info@innomed.net
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