NEWSLETTER---THE SURGICAL REGISTER
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Summer 2007

The TNAST Newsletter's coinside with the meetings that we sponsor across the state. We do hope that you take the time to read what our association is all about. Remember, you must be a member of AST and be on the TN state roster provided to us  by AST to receive this newsletter.

President’s Message

Chris Lee, CST, AAS

Memphis, TN

Hi Everyone,

I would like to take a moment and introduce myself. My name is Christopher Lee, CST, and I had the honor of being elected your president at our last convention in March. I am excited about having the chance to serve in this capacity and am looking forward to working with a great group of people on our Board this year and making this an even better organization for all of us. I was at a local hospital recently, talking to some of the staff about membership and upcoming events, and wound up having a conversation with a recent graduate who asked me "Where does my membership dues go besides getting a magazine each month?". This question got me to thinking about all the things that our membership dues pay for both individually and as a profession.

In addition to being 90% tax-deductible as a business expense, our dues help publish the aforementioned magazine, which does have printing costs including paper, ink, computer graphics software, and an editor to ensure that it has the content and look we expect from our professional journal. Our membership dues also pay for a fantastic updated website (if you haven’t checked it out lately, you really should.) which puts most of the information we as members would need at the click of a mouse. They ensure that there is someone on the other end of the phone when we call our national organization with a question or concern, and also pay for the computers and software that maintain our CEUs.

Our dues pay for marketing materials, brochures and pamphlets that both state and national organizations use to promote our profession. These materials are also available to any member who requests them. They provide continuing education opportunities for our members by helping plan and prepare forums, workshops and our national conference. They ensure our representation as a profession to other organizations such as AORN and the American College of Surgeons and enable us to participate in national patient safety initiatives such as the National Council on PeriOperative Safety.

Our dues help pay legislative expenses not only in Tennessee, but also in many other states that are in various stages of the legislative process. The laws that are passed as a result serve to protect our patients as well as define and protect our profession. They can serve as a guide for our future legislative efforts just as ours have been a model for others.

And our membership dues also serve to develop our greatest resource: our students. In addition to the Core Curriculum for Surgical Technology, the definitive guide to Surgical Technology curriculums for all CAAHEP programs, our dues have helped write, edit, and publish the only Surgical Technology Textbook written for Surgical Technologists BY Surgical Technologists. They have helped produce videos, study guides, CDs and other instructional materials used in classrooms across the country. Through AST’s support of the Foundation for Surgical Technology, our dues serve to "pay it forward" by funding scholarships and awards that are given to not only students, but instructors continuing their education as well as monies for several mission trips around the world. Our state organization also uses dues to help fund scholarships that are awarded exclusively to Tennessee students. Dues help offset the costs of students attending our National Conference. Enabling hundreds of students to experience the excitement of being around fellow practitioners and fostering future leaders to one day take up the mantle of responsibility and ensure our continued success.

So in closing, I suppose my response to the aforementioned question would be "your membership dues are everywhere, you just have to know where to look".

 

 

2007 TNAST Convention A Big Success!

Donna Henderson, CST/CFA

Nashville, TN

 

The 2007 Tennessee Association of Surgical Technologists annual convention was held the first weekend in March at the Nashville Airport Marriott. 182 people were in attendance with 70 being students. The meeting began with a welcome from President, Shirley Abram, followed by the posting of colors from the Nashville Fire Department and Gary Summer and Rick Lee singing the National Anthem. Chuck Lane delivered the keynote address to the large crowd of interested surgical technologist. The convention registration included 2 lunches, 4 breaks and CEU’s!!Throughout the 2 day meeting 27 different speakers were heard in 2 different tracks. Members were able to go back and forth between the speaker rooms to hear the topics of choice. A variety of exhibitors were in attendance on Friday afternoon all making an education contribution to the TNAST. A special thanks to Debbie Uchida and Lori Brown for their hard work on the 2nd annual scrub bowl. 6 teams participated in the event with Nashville Technology Center as the winner.Tennessee has a wonderful line of merchandise for sale. We will be working on how to market things on the WEB page. For now items will be on sale during the National Convention and the other regional meetings in June.The business of the TNAST was held during the 2 business meetings. Nominations for the open offices were taken during the first business session. Voting took place on day 2 and the results given to the members during the second business session. The board was equested to report to the membership the process by which they report hospitals in violation of the law. Donna Henderson and Chuck Lane will be working with Tracy O’Neill to follow through with this for the members. The delegates for the AST National Convention were voted on and are as follows.Lori Brown,Erma Macon,Margie LeMaster,Chris Lee,Glen Mullins,Dennis Stover.

Also representing Tennessee as a delegate will be Donna Henderson, Past National President and Chuck Lane current AST Board Member.The evaluations were positive. Everyone enjoyed the flow of the meeting and had time to network with fellow surgical technologists. Once again another successful meeting with lots of membership teamwork!!!

Mark Your Calendars!!!!!

Donna Henderson, CST/CFA

Nashville, TN

Rita Reagan, CST

Cookeville, TN

Pardon Me Boys…Is that the Chattanooga Choo Choo….

 

The 2008 TNAST Annual Convention will be held in Chattanooga, TN at the downtown Marriott Friday February 29-March 1. The full service hotel is located in the heart of downtown Chattanooga and offers a rate of $119 plus tax and occupancy. Overnight guests and daily guests will be able to park for $6.00 per day. The event will offer a large variety of CEU’s for you to choose from with 16 available for members in attendance.

Registration includes lunches, breaks, exhibitors and door prizes!! Keep the date open and look for registration information on the TNAST Web site by September 2007.

"See you at the Station!"

2007 Legislation In Tennessee

Donna Henderson, CST/CFA

Nashville, TN

Chuck Lane, CST, BSOM

Cordova, TN

Last years legislation had us running an uphill battle! As a state assembly we had to abandon our proactive efforts and defend the law that went into place June 2006.

The TNAST Board of Directors and AST hired Tracy O’ Neill for another year. The strategy for this year was for us to come into session and add the scope of practice and put polish on the grandfather part of the law in place. Ben Price, AST Government and Public Affairs representative and Tracy O Neill worked with the Tennessee Board of Regents to put together wording that best reflected a generalized scope of practice. The Tennessee Board of Regents agreed to take the lead this year with Tracy doing the foot work on the bills. TNAST grassroots members are known to the Tennessee House of Representatives and Senators. This year our help was not needed due to the previous year’s reputation and diligence. It is with pleasure that we announce to you that both of our bills passed in the house and senate this past week. We are waiting on notification that the Governor has signed them into law!



Help!

Articles needed

for newsletter!

If interested please send e-mail or write to:

 

 

New Robot Developed for Neurosurgery

Chris Lee, CST, AAS

Memphis, TN

Canadian scientists and engineers have developed a robot with a keen sense of touch that will let doctors perform microscopic operations on the brain using the most vivid visuals yet.A melding of brain surgery and rocket science, the neuroArm allows Neurosurgeons to do their riskiest work on patients within an MRI machine, giving a clear, 3-D picture of even the smallest nerves.It is expected to be used in its first operation this summer at Calgary’s Foothills Hospital, site of the University of Calgary medical school’s research facility.

 

The $24 million robot was created in conjunction with the company that built the robotic arm for NASA space shuttles. It will let doctors use surgical techniques on conditions such as brain tumors that human surgeons are simply not dexterous enough to do, said Garnette Sutherland, a University of Calgary Neurosurgeon who heads the project. "There’s been tremendous collaboration, so we now have a whole host of scientists and engineers working with doctors and nurses to help make neurosurgery better."The neuroArm is controlled from a cockpit-like room, where the surgeon grasps handles that let him feel pressure and texture, preventing blood vessels and delicate tissue from being damaged during operations. Years of training and practice give surgeons the steadiest hands, but they can not match the neuroArm, which can be adjusted to remove any unwanted movement. That stands to lengthen the careers of some neurosurgeons, who can become shakier with age, Sutherland said.

The operator watches through a stereoscopic viewer, which provides depth perception, and can glance at a large MRI picture on a nearby computer screen. A doctor can even hear the robot work with microphones located near the surgical instruments. A touch-screen allows a 3-D graphic picture of the arms to be manipulated in any direction."The goal of this is to make difficult surgeries easier or impossible surgeries possible," robotics engineer Alex Greer said. Sutherland and his team will begin clinical testing of the machine for Canadian health regulators in the coming weeks.

 

Source: www.washingtonpost.com accessed 4/21/07

Chiari Malformation

Jackie Neighbors, CST/CFA

Soddy Daisy, TN

Chiari malformations (CMs) are structural defects in the cerebellum, that part of the brain that controls your balance. Normally the cerebellum and parts of the brainstem sit in an indented space at the lower end of the skull, above the foramen magnum (this is a funnel-like opening to the spinal canal). When any part of the cerebellum is found to be located below the foramen magnum, this is called a Chiari malformation. Sometimes CMs can develop when the bony space is smaller than normal, causing the cerebellum and brainstem to be pushed downward into the foramen magnum and into the upper spinal canal. The resulting pressure placed on the cerebellum and brainstem may affect functions that are controlled by these areas and block the flow of cerebrospinal fluid (CFS), the clear fluid that surrounds and cushions the brain and spinal cord, to and from the brain.

 

An exact cause is unknown. Some of our scientists believe that the condition is usually the result of a structural defect that occurs in fetal development. CMs may also be genetic. As some other research shows the condition may appear in more than one family memberThe severity of the disorder and the parts of the brain that protrude down into the spinal canal classify CMs. Type I invloves the extension of the cerebellar tonsils (the lower Part of the cerebellum) into the foramen magnum, without involving the brainstem. Normally only the spinal cord passes through this opening. Type I may not cause any symptoms and is the most common CM. Type II, sometimes called classic CM, involve the extension of both cerebellar and brainstem tissue into the foramen magnum. Type II is usually accompanied

by a myelomeningocele (this is a form of spina bifida that occurs when the spinal canal and backbone do not close before birth, causing the spinal cord and its protective membrane to protrude through a sac-like opening in the back. Partial or complete paralysis of the area below the spinal opening is a usually result of the myelomeningocele. The term Arnold-Chiari malformation (named after two pioneering researchers) is specific to Type II malformations. Type III is the most serious form of CM. Both the cerebellum and brainstem protrude or herniate, through the foramen magnum into the spinal cord. A portion of the brain’s 4th ventricle, the cavity that connects the upper parts or the brain and circulates CSF, may also protrude through the hole. Type III causes severe neurological defects. Type IV involves an incomplete or underdeveloped cerebellum

 

Many persons with a Type I CM do not have symptoms and may not know they even have the condition. Patients with other CM types may complain of neck pain, balance problems, muscle weakness, numbness or other abnormal feelings in the arms/legs, dizziness, hearing loss, insomnia, depression, vision problems and headaches made worst by coughing or straining. Hand coordination and fine motor skills may also be affected

 

Many people with CMs have no symptoms and their malformations are only discovered during the course of diagnosis or treatment for other disorders. The doctor can perform a physical exam by checking patient’s memory, touch, reflexes, and sensation, motor skills (functions controlled by the spinal cord) and balance (a function controlled by the cerebellum). Regular x-rays, CT scan, and MRI are also used.

 

Some CMs are asymptomatic and do not interfere with a person’s activities of daily living. In other cases, medications may ease certain symptoms, such as pain. Surgery is the only treatment available to correct functional disturbances or halt the progression of damage to the central nervous system. Most patients who have surgery see a reduction in their symptoms and/or prolonged periods of stability. A posterior fossa decompression surgery is performed on adult CM patients to create more space for the cerebellum and to relieve pressure on the spinal column. This surgery involves making an incision at the back of the head and removing a small portion of the bottom of the skull and sometimes including the upper cervical laminectomy. The surgeon may then make an incision in the dura (the covering of the brain) to examine the brain and spinal cord. Additional tissue of the surgeon’s choice may be added the dura to create more space for the flow of CSF.

 

Congratulations To

Tennessee’s 20 Year Members

We would like to recognize the following members who have demonstrated their commitment to the profession and organization for over 20 years. We are very proud to count you among our members and thank you for being the foundation that our association continues to grow from. Congratulations!

  • Shirley Abram, CST
  • Bettye E. Allen, CST
  • Earnestine Bell, CST
  • Harry M. Blackford, CST
  • Richard M. Blackwell, CST
  • Wilma D. Blankenship, CST
  • Sue W. Cagle, CST
  • Mary A. Claxton, CST
  • Merry M. Crow, CST
  • Molly K. Davis, CST
  • Diane M. Ederer, CST
  • Candace Frazer, CST/CFA
  • Marjorie A. Gainer, CST
  • Barbara A. Gay, CST
  • Mary S. Holloman, CST
  • Kathy S. Hubbard, CST
  • Mary N. Huffines, CST
  • Sandra K. Jubin, CST
  • Karen A. Keen, CST
  • Marjorie A. LeMaster, CST
  • Erma J. Macon, CST
  • Martha F. McDaniel, CST/CFA
  • Elizabeth McDevitt, CST
  • Joyce A. Mitchell, CST
  • Charlotte L. Montague, CST
  • Leslie Mumallah, CST
  • Jackie H. Neighbors, CST/CFA
  • Linda G. Perkins, CST
  • Debra L. Poe, CST
  • Judy W. Pruitt, CST
  • Patricia A. Quarles, CST
  • Vanessa S. Reine, CST
  • Robin R. Robinett, CST
  • Mary R. Rule, CST
  • Sylvia J. Russom, CST
  • Claudia B. Sanders, CST
  • Janet H. Seiber, CST
  • Clara D. Shoemake, CST
  • Retina Sorrells, CST
  • Carrie M. Tarrance, CST
  • Dianne D. Taylor, CST
  • R. Berneice Walters, CST
  • Rebecca D Whittaker, CST
  • Foundation Needs Your Help

    Chuck Lane, CST, BSOM

    Cordova, TN

    The Foundation for Surgical Technology needs your help. Tennessee is one of several states who donate money to the Foundation for Surgical Technology student scholarships, and to help fund Surgical Technology professionals going back to get there degree. The Foundation also helps fund professionals who go on mission trips to help surgeons operate on citizens of third world countries.

     

    If interested please contact Karen Ludwig at AST, 1-800-637-7433.

    Instructors Workshop Scheduled

    Tennessee will hold its first instructors workshop in Murfreesboro later this summer. Diana Holter, the Surgical Technology Program Director at Miller-Motte Technical College and Mike Ford, Program Director at Tennessee Technology Center, Murfreesboro, worked to together to organize the workshop. The event will take place at Tennessee Technology Center on August 11, 2007. Topics and speakers are still being finalized, but 6 CEU’s will be available.

    Costs:

    • Members $30
    • Non-members $40

     

    Contacts:

    • Diana Holter
    • Phone: 931-553-0071
    • 1820 Business Park Dr.
    • Clarksville, TN 37040
    •  

      • Mike Ford
      • Phone: 615-898-8010
      • 1303 Old Fork Parkway
      • Murfreesboro, TN 37129
      •  

        New Board Members Perspective

        Toren Bell, CST, SA-C

        Nashville, TN

         

        Hello my name is Toren Bell; I have been working in the OR since 1994. I spent 6 years scrubbing at a level I trauma center in Phoenix, Arizona. I have been working as a first assistant in Nashville, TN since 2000. I have been a member of AST for the last 12 years. Currently I am working as a private assistant for a neurosurgeon in Nashville. This is my first term serving in the position of Board Member in the Tn AST. It has given me a different view of how much work is done behind to ensure that surgical technologist maintains the highest educational, ethical and moral values. The board of directors spends much of their time organizing the educational conferences and working on legislation that will ensure us a secure place in the operating room. I encourage all those who are working as a surgical technologist to work just as hard showing the hospitals, doctors, and other staff members that we are a professional group of people, that belong in the O.R. Thanks you for all that you do.


 


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