North Carolina Association For Hospital Central Service Professionals I Heard It Through The Steamline July 2002 President’s Message Volume 13, Issue 3 Chapter Newsletter of the Year – 1993, 1995, 1996, 1997, 1999, 2000, 2001 Here we are at the mid-point of 2002. I used to hear my grandparents say things like “where did the time go” or “time really flies” and I thought they were nuts. Now I can’t keep up and I understand what they were saying. It seems like just yesterday that I joined the Board of Directors of our association and now I’m supposed to be the President. (I’m not exactly sure how that happened.) Well, you better keep reminding me because I’m a little forgetful and a lot scared so I need all the help I can get. Special Interest Articles: • This issues inservice is on Basic Medical Terminology • Eating right – No Guilt Strawberry Shortcake • Spotlight on Our Award Recipients Individual Highlights: Presidents Message 1 Inservice 2 Treasurers Report 5 Program Planning 5 Recipe For Your Health 5 Region 3 Report 6 Spotlight 7 Board of Directors 8 Inservice Answers 8 Editorial Board 2002 - 02003 Paul Hess, Editor New Hanover Regional Medical Center Janet Aultman Pam Caudell Durham Regional Hospital Cheryl Edgar Carolina Medical Center why we serve as your Board and Officers. Third, be an active part of this great group of people. No where else will you find a more caring bunch of people whom truly understand the frustrations that you encounter each and every day. Let’s work together to make the North Carolina Association for Hospital Central Service Professionals an even better and stronger organization in the years ahead. Seriously, I am looking forward to great things for our organization in the coming months and years. We have seen Thanks for your confidence many changes in our profession over the last few years and I and support. don’t think that we have seen the last of them. So buckle your seat belt real tight and hang on, the ride is going to be a Patricia Allred, RN, thriller. Healthcare in the U.S. will never be what it was when we got on board this roller coaster many years ago, but if we are willing to keep rolling along we will survive. There have been many times over these last few years when I have heard “I can’t do that,” “I don’t know what that is,” “We don’t do it that way,” “What’s a computer?” The truth is now we’re doing it that way and we can’t imagine not doing it that way. The things we feared 10 years ago are common place today; they are the things we look at now and say “We’ve always done it that way.” We have mastered so many “new fangled” things and we will keep on mastering whatever they throw at us because you can do anything you put your mind to. I’ve always heard that if you want something done you should look for the busiest person you can find and it will get done. (Boy, can folks find a lot of “other related duties” for SPD to do or what?) Since I have been associated with the Sterile Processing Department I can truly say I’ve seen a “onearmed paper hanger” at work. You are to be commended for your dedicated, professional service to the patients of your individual facilities. Sterile Processing is truly the lifeblood of any hospital and the staff is its heart. As we embark on this adventure together I have some things I would ask of you. First, please feel free to contact me with problems or issues that may be troubling you. Second, let this association work for you. That’s what it’s here for and CNOR, CSPDT President I Heard It Through The Steamline Page 2 of 8 “The Basics of Medical Terminology” By Paul A. Hess, RN, BSN, CRCST contains the essential meaning of the word. An example of this was seen above in the term pericarditis. The root of the word - card - refers to Whats in a word? Answer: the heart, so any prefix or When we use medical suffix added to the root terminology, quite a lot! (card) will only function to add to the specificity of Often we will be presented with that word. An example of a word that describes an this would be the prefix operation or diagnostic brady, which means slow. procedure that looks foreign to If "brady" is added to the us, well at least in this country. root "card", the term That’s because it probably is. bradycard - which Most medical terminology is roughly means slow heart comprised of a prefix, a root - is created. Then, if the and a suffix. Some words may suffix ia - which means also contain linking or abnormal state - is added combining vowels. to "bradycard", the When combined they can say a medical term bradycardia lot. Medical terminology has it’s is formed. The translation beginnings in the Latin or Greek of bradycardia (bradylanguages. card-ia) is slow - heart abnormal state, or the “An example of a word with abnormal state of a slow three of the above parts is the heart rate.”1 medical term pericarditis, which means inflammation of Linking or combining the outer layer of the heart. vowels combine two or Pericarditis can be divided into more root words. “An three parts: example of this is the term peri - card - itis sternocleidomastoid, Once divided into its essential parts, pericarditis can be translated: the prefix peri translates to surrounding, the root card translates to heart, and the suffix itis translates to inflammation. Hence, pericarditis is an inflammation of the area surrounding the heart, or an inflammation of the outer layer of the heart, anatomically known as the pericardium. Medical terms always consist of at least one root although they may contain more. The root of a word is that part which which is a muscle that has attachments at the sternum, the clavicle, and the mastoid. The term sternocleidomastoid can be divided into three parts (three roots, in this case): stern - o - cleid - o mastoid. Notice that there are vowels between the three roots. These are linking or combining vowels, which serve to make a term easier to pronounce. The vowel used most of the time is o, but other vowels such as i and a are also used. Combining vowels are often used between roots and suffixes or roots and other roots, but they are NOT used between prefixes and roots.”2 Ready to try a few? Let’s start with some root words. An obvious one is abdonin which refers to the abdomin. If we were to add the vowel -o - and the suffix -plasty which means plastic or surgical repair. We end up with abdominoplasty or a surgical or plastic repair of the abdomen. Getting any easier? In medical terminology, adjectives will appear most often in compounds and will be joined as a prefix to either nouns or verbs. Suffixes most likely will be verbs, may be added to make the entire word into nouns as well. Here is a short list of root, prefix and suffix words that we frequently see in our daily duties. You can also see where we get other words which may be familiar. We’ll have fun with them later in the post test. Root Terms abdonin = abdomen acetabul = acetabulum (hip socket) angi = vessel ankyl = crooked; stiff; bent arthr = joint ather = yellowish; fatty plaque axill = armpit bi = life bil = bile blephar = eyelid brachi = arm bronch = bronchus carcin = cancer cardi = heart cephal = head chol = gall; bile choledoch = common bile duct chondr = cartilage colp = vagina crani = cranium (skull) cutane = skin derm = skin diaphor = sweat diverticul = diverticulum duoden = duodenum ectop = located away from usual place encephal = brain endocrin = endocrine enter = intestines epididym = epididymis epiglott = epiglottis episi = vulva epitheli = epithelium erythr = red esophag = esophagus femor = femur (upper leg bone) fibr = fibrous tissue, fibers gastr = stomach gingiv = gum gyn = woman hem = blood hemat = blood hepat = liver herni = hernia humer = humerus (upper arm bone) hydr = water hyster = uterus jejun = jejunum lacrim = tear duct, tear lamin = lamina (thin; flat plate or layer) lapar = abdomen laryng = larynx lingu = tongue lip = fat lith = stone; calculus lymph = lymph macr = abnormal largeness mamm = breast mast = breast Page 3 of 8 maxill = maxilla (upper jawbone) meat = meatus (opening) mening = meninges menisc = meniscus (crescent) myel = bone marrow; spinal cord narc = stupor nas = nose nephr = kidney neur = nerve ocul = eye olig = scanty; few onc = tumor oo = egg; ovum oophor = ovary orchi = testis; testicle orch = testis; testicle oste = bone ot = ear ov = egg pancreat = pancreas papill = nipple path = disease part = bear; give birth to; labor pector = chest pelv = pelvis; pelvic bone phac =lens of the eye phag = eat; swallow phleb = vein phot = light physi = nature plasm = plasma pleur = pleura pneum = lung; air pod = foot proct = rectum prostat = prostate gland pseud = fake; false pub = pubis puerper = childbirth pulmon = lung pupill = pupil pyel = renal pelvis pylor = pylorus (pyloric sphincter) py = pus pyr = fever; heat radic = nerve root radicul = nerve root radi = radius (lower arm bone) rect = rectum ren = kidney retin = retina rhin = nose rhytid = wrinkles rhiz = nerve root salping = fallopian (uterine) tube sarc = flesh; connective tissue scapul =scapula (shoulder bone) scler = Sclera scoli = crooked, curved I Heard It Through The Steamline - Inservice cont. sept = septum son = sound spir = breathe; breathing staphyl = grape like clusters synovi = synovia; synovial membrane thorac = thorax (chest) thromb = clot toxic = poison trache = trachea tympan = eardrum; middle ear urin = urine; urinary tract uter = uterus valvul = valve vas = vessel; duct ven = vein ventricul = ventricle vertebr = vertebra; spinal or vertebral column viscer = internal organs vulv = vulva Prefix Terms a = without or absence of ab = from; away from ad = to; toward an = without or absence of ante = before anti = against bi = two brady = slow cata = down contra = against de = from; down from; lack of dia = thorough; complete dis = to undo; free from dys = difficult; labored; painful; abnormal ecto = outside; outer endo = within epi = on; upon; over ex = outside; outward hemi = half hyper = above; excessive hypo = below; incomplete; deficient in = in; into; not infra = under; below inter = between intra = within mal = bad meso = middle micro = small multi = many neo = new nulli = none pan = all; total para = beside; beyond; around per = through peri = surrounding (outer) poly = many; much pre = before; in front of retro = back; behind semi = half sub = under; below tachy = fast; rapid trans = through; across; beyond tri = three ultra = beyond; excess uni = one Suffix Terms algia = pain ase = enzyme atresia = absence of a normal body opening; occlusion; closure centesis = surgical puncture to aspirate fluid cidal = killing clast = break clysis = irrigating; washing coccus (pl. cocci) = berry shaped ( a form of bacterium) crine = separate; secrete crit = to separate cyte = cell desis = surgical fixation; fusion drome = run; running ectasis = stretching out; dilatation; expansion ectomy = excision or surgical removal ectopia = displacement emesis = vomiting emia = blood condition er = one who esis = condition gen = substance or agent that produces or causes genesis = origin; cause genic = producing; originating; causing gram = record; x-ray film graph = instrument used to record graphy = process of recording; xray filming ia = condition of diseased or abnormal state ism = state of itis = inflammationl lysis = loosening; dissolution; separating lytic = destroy; reduce megaly = enlargement metry = measurement ologist = one who studies and practices (specialist) ology = study of oma = tumor; swelling opia = vision (condition) I Heard It Through The Steamline opsy = to view oorhagia = rapid flow of blood orrhaphy = suturing; repairing orrhea = flow; excessive discharge ostomy = creation of an artificial opening otomy = cut into or incision paresis = slight paralysis pathy = disease penia = abnormal reduction in number pepsia = digestion pexy = surgical fixation; suspension phagia = eating; swallowing phobia = abnormal fear of or aversion to specific objects or things phonia = sound or voice phoria = feeling plasia = formation; development; a growth plasm = growth; substance; formation plasty = plastic or surgical repair plegia = paralysis pnea = breathing porosis = passage praxia = in front of; before ptosis = dropping; sagging; prolapse salpinx = fallopian tube sarcoma = malignant tumor schisis = split; fissure sclerosis = hardening scopy = visual examination scopic = visual examination sepsis = infection sis = state of spasm = sudden involuntary muscle contraction stasis = control; stop stalsis = contraction stenosis = constriction; narrowing thorax = chest There are many, many more Greek and Latin roots, prefix and suffix terms. Space does not allow us to list them all. Please refer to the footnotes & additional resources for further reading. 1 The Patients Guide to Healthcare Information on the Internet. http://www3.bc.sympatico.ca/me/patie ntsguide/medterms.htm 2 Ibid Additional Resources MedWord.com http://www.medword.com/basics.html Basic Medical Terminology Post Test Please mark or circle your answers. 1) An “ectopic” pregnangy is a “pregnancy away from it’s usual place” IE. Outside the uterus. T F Beginning in January of 2003, the NCAHCSP will no longer provide a certificate of completion to NONMEMBERS without assessing a fee. The Board of Directors has decided that this is a benefit of being a member of the Association. As a member, you can continue to send your completed inservice quiz to the above address for the cost of a stamp. The fee for membership for those of us that work in the field of Central Services, is $15.00 per calendar year. In other words, if someone were to join today, their membership will be through the end of 2002. Thereafter, a renewal application will be sent with the first mailing of the year. On July 1st, members that have not renewed will be dropped from the roster. Page 4 of 8 2) Neuralgia can be translated as “nerve tissue pain.” T F 3) Hydrocephalous can be loosely translated as “water on the head” T F 4) In the word hemicolectomy the word “hemi” is the suffix. T F 5) An “-otomy” is a visual examination of the system referred to in the root word. T F 6) An “-ectomy” is an excision of the system referred to in the root word. T F 7) An “-oscopy” is a surgical opening into the system referred to in the root word. T F 8) “Hemostasis” means to control bleeding. T F 9) A “proctologist” is a physician that specializes or studies diseases of the stomach. T F 10) A “sonogram” is a sound record. T F Answers are on page 6 To receive 1.0 Contact Hours toward re-certification from NICHSPDP, complete the inservice “quiz” after reading the article. Send the entire page with the completed “quiz” to: This in-service has expired and can no longer be submitted for credit. who will issue a certificate. You must score 70% or better to be issued a certificate. Be sure to include the information in the fields below. NICHSPDP will allow us to give CEU credit for this inservice for one year after publication. Please be aware that this inservice will expire in July 2003. Print Your name CLEARLY as you want it to appear on the certificate. Enter the address where you want the certificate to be sent. Name: Street: City State Zip Page 5 of 8 I Heard It Through The Steamline remember that if you do not renew your membership by July 1st, your name will be dropped from the membership and mailing lists. Program Planning Public Relations July 26th , 2002 Plan to attend the next meeting to be held on July 26th at the Hawthorne Inn in WinstonSalem, NC. Our tentative program will include Jim Crenshaw on “Thinking Outside the Box. Kimberly Clark will have a presentation on “Packaging” and IMS will present on “Rigid Scopes”. Membership Report At the beginning of our Annual Meeting and Vendor Exhibition on May 1st we had a total of 195 renewing members. Please Recipe for your health: 3) 4) 5) Check It Out! Take a look at the article in the April 2002 issue of Managing Infection Control titled "The Heros Behind the Scenes Central Sterile Profiles" by Drew Whitney. The lead segment is a fine profile of our own Barney Branch of Duke University Hospital. No Guilt Strawberry Shortcake 1 large Angel Food Cake Custard: 1 8oz pkg. fat free cream cheese 1 14oz. Can fat free sweetened condensed milk 1 12oz. Container fat free whipped topping, thawed Glaze: 1 cup sugar or sugar substitute 3 tbsp. Cornstarch 3 tbsp. Strawberry gelatin powder 2 cups fresh strawberries, sliced 1) 2) What do you think about having a cookbook of member submitted recipes as an item for sale? I know that there are quite a few outstanding cooks among our membership and I personally would love to sample their recipes. I have a few of my own that I am proud to share. Let us know what you have in mind. We have thought about a contest to obtain submissions to include in the cookbook. Certification Information The next NICHSPDP certification exam will be held on October 19, 2002. The application deadline for this exam is September 6th 2002. Visit the NICHSPDP website at http://www.sterileprocessing.org for more information. NICHSPDP is the ONLY sterile processing certification program accredited by the National Commission for Certifying Agencies. North Carolina test sites include Ashville, N. Wilkesboro, Winston-Salem, Concord, Raleigh, Greenville and Jacksonville. NCAHCSP.org Website has been “hit” a total of 326,991 times since we went online in November 1996. The most recent new visiting countries have been from Croatia (Hrvatska), Iceland, Philippines and Tanzania. If you have not seen the Association Web Page you can go to http://www.ncahcsp.org. Recipe courtesy of: Cheryl Edger Slice cake into 3 layers Mix together cream cheese, condensed milk and whipped topping in a bowl. Use an electric mixer and you’ll get a smooth custard. Stir together sugar, cornstarch and gelatin in a medium saucepan. Add 1 cup of water. Cook stirring over medium heat until it boils and thickens. Set aside until completely cool. Fold in strawberries. Place one layer of cake in a large clear bowl. Top with a layer of glaze and 1/3 of the custard. Top with a layer of cake and repeat layers. Top with remaining custard. Refrigerate before serving. Yield: 12 servings; Nutrient Analysis Per Serving: Calories: 338.4 Total Fat: 0.2gm Calories from fat: 0.7% Cholesterol: 5mg Sodium: 391mg Roadside Wisdom – Signs seen along life’s highway. Use the past as a springboard, not a hammock! Treasurer's Report I Heard It Through The Steamline Page 6 of 8 Get your copy of the newly released Region Three Report May 22, 2002 Conference in San Antonio for October is coming together well. The registrations are ahead of last year for this time. The Programs and Brochures will be out this coming week. Only one booth vacant for the exhibition and a few tables open. The only thing that is missing is YOU!!!! Come and join the fun and educational opportunities. Skee Japp is heading the History Committee for our thirty-fifth year. If you have any history of ASHCSP or your local chapter, please send it to Skee at jappskee@aol.com. Some exciting things are happening in the areas of education for Central Service Professionals. I will send more as things develop. Encourage members to join ASHCSP for tech $35.00 and manager $75.00. Support your National Organization. If you have any updates or news, please keep me in the loop. Submitted by Dottie Conroy, RN, BS ASHCSP Region 3 Director Recommended Practice for Central Service Sterilization! Content covers sterilization area environment, high and low temperature steam sterilization processes, EO sterilization, dry heat, and recalls when evidence of sterilization failure occurs. Catalog no. WS-013833 $30.00 non-member / $20.00 ,member Discount Qty Discount Percent 11 15 % 51 20 % 101 25 % For the above contact: American Hospital Association One North Franklin, 27th Floor Chicago, Illinois 60606 To place your order by phone, call (800) 242-2626 Order 24 hours by fax (312) 422-4505 Conference Make sure to save the date for this year...ASHCSP's 35th Annual Conference, ASHCSP: Meeting the Challenge - Advancing the Profession will be held at the Omni Hotel in San Antonio, Texas, October 19 - 22, 2002! Page 7 of 8 I Heard It Through The Steamline Spotlight on: Betty Morgan, Carolyn Batts and Pam Caudell The following are the text of the presentations made at our Annual Meeting in Myrtle Beach. 2002 Joe Stanley Memorial Award “This award was established in 1993 in memory of Joe Stanley who was a member of the NCAHCSP Board of Directors before his untimely death. The Joe Stanley Memorial Award is presented annually by the NCAHCSP for excellence in education in the Central Service Department. The recipient came to the Central Service six years ago. Since that time, the recipient has earned the title of lead technician, has become certified on her own, and is a preceptor for new personnel in the department. The nominee has initiated and/or attended more than thirty meetings or inservices during the past year. To quote the supervisor who nominated this person for the Joe Stanley award: "I don't know how other departments exist if they don't have Lead Tech such as the one I have. Her co-workers, the OR staff, the patients and I, have been blessed that she sought employment at our facility and has chosen Instrument Tech as her profession." It is a pleasure to present the Joe Stanley Memorial Award to Betty Morgan, Forsyth Medical Center, Winston-Salem, NC. 2002 Ray Manning, Sr. Achievement Award “This award is presented annually by the NCAHCSP for outstanding achievement in the field of Central Service. The 2002 Ray Manning, Sr. Achievement Award is being presented today to a person who has demonstrated all the qualities that managers seek when looking for that special person to work in the Central Services Department. The recipient goes far beyond the job description as a Certified Central Sterile Supply Technician to assure that the CSS Department operates efficiently and effectively. The recipient of this year's achievement award is an advocate of great customer service and believes that our jobs as Certified CSS Technicians are gauged by how well we provide professional service to doctors, nurses and the patient. The nominee's hard work, numerous accomplishments and dedication to the CSS Department is why she was nominated for this award. It is my pleasure, on behalf of the NCAHCSP, to present the Ray Manning, Sr. Achievement Award to Carolyn Batts, Craven Regional Medical Center, New Bern, NC.” 2002 2002 Bill Dennis Memorial Merit Award “Bill Dennis was an active member of our Association for many years. He had served as President of the NCAHCSP as well as the ASHCSP. Bill was most recently re-elected as President of the ASHCSP. Bill served our profession in an exemplary manner as a resource, educator and as a Director. Last January, Bill was called home by Our Lord. The NCAHCSP has chosen to honor the memory of Bill Dennis by renaming the annual Merit Award the Bill Dennis Memorial Merit Award. This years recipient of the first re-named Bill Dennis Memorial Merit Award has been an active member of the NCAHCSP and the ASHCSP. They have welcomed assignments with enthusiasm, often without being given any forewarning of it’s magnitude. This person has welcomed these responsibilities with a dedication that they have shared both with the Association and their employer. They have demonstrated their excellence through their efforts to advance our profession by being a resource, a leader, and an educator. I am very happy to present the first annual Bill Dennis Memorial Merit Award to Pamela Caudell.” Betty Morgan Carolyn Batts Pamela Caudell REMEMBER to renew your membership! The deadline is July 1st! I Heard It Through The Steamline Page 8 of 8 Mission Statement North Carolina Association for Hospital Central Service Professionals N.C. Baptist Hospital Medical Center Blvd. Winston-Salem, NC 27157 E-MAIL: phwilmnc@ncahcsp.org North Carolina Association for Hospital Central Service Professionals will establish itself statewide as the leading educational organization through innovative programs that enhance the development of the Central Service Professionals. NCAHCSP Board of Directors 2002-2003 President - Patricia Allred, RN, CNOR 02-03 Mercy Hospital, Inc. Supervisor, Central Processing 2001 Vail Avenue Charlotte, NC 28207 (704) 379-5991 (704) 379-5400 Fax e-mail patricia.allred@carolinas.org President Elect - Tammy Holdren, RN 02-03 Forsyth Memorial Hospital Supervisor, Perioperative Services, Central Processing 3333 Silas Creek Parkway Winston-Salem, NC 27103 (336) 718-5606 (336) 718-9844 Fax e-mail tjholdren@novanthealth.org Past President- Pamela Caudell, RN, CNOR 02-03 Durham Regional Hospital Manager, Central Sterile Supply 3643 N. Roxboro Street Durham, NC 27704 (919) 470-4156 (919) 470-8149 Fax e-mail caudelph@drh.duhs.duke.edu We’re on the Web! See us at: www.ncahcsp.org Post Test Answer Key 1. T 2. T 3. T 4. F 5. F 6. T 7. F 8. T 9. F 10. T Secretary – Harriet Pratt Mercy Hospital, Inc. Central Processing 2001 Vail Avenue Charlotte, NC 28207 (704) 379-5385 (704) 379-5400 Fax e-mail harriet.pratt@carolinas.org Treasurer - Mary Jo Perkins 01-02 (336) 716-5269 Fax Janet Aultman 01-03 e-mail jflute@aol.com Susan Avery 01-03 Halifax Regional Medical Center Supervisor, Central Sterile Supply 250 Smith Church Road Roanoke Rapids, NC 27870 (252) 535-8255 (252) 535-8465 Fax e-mail savery@halifaxrmc.org Ruby Blackwell, RN 01-03 Forsyth Memorial Hospital Director, Central Processing 3333 Silas Creek Parkway Winston-Salem, NC 27103 (336) 718-5070 (336) 718-9267 Fax e-mail rpblackw@cmihealth.org Diane M. Fink, RN 01-03 Northeast Medical Center Manager, Sterile Processing 920 Church Street North Concord, NC 28025 (704) 783-1441 (704) 783-3181 Fax e-mail dfink@northeastmedical.org Cheryl Edger LPN, CSPDT 01-03 Supervisor, Sterile Processing Carolina Medical Center P. O. Box 32861 Charlotte, NC 28232-2861 (704) 355-0830 Office (704) 355-2120 Fax e-mail ccedgar@bellsouth.net Paul A. Hess RN, BSN, CRCST 02-04 Manager OR Support Services, Central Sterile Processing New Hanover Regional Medical Center 2131 South 17th Street P.O. Box 9000 Wilmington, NC 28402- 9000 (910) 343-2142 (910) 343-4400 Fax e-mail paul.hess@nhhn.org Louise Rahilly RN 02-04 Cape Fear Valley Medical Center Materials Services Project Coordinator P.O. Box 2000 Fayetteville, NC 28304 (910) 609-6199 (910) 609-7706 Fax Frank Sizemore 02-04 North Carolina Baptist Hospitals, Inc. Manager, Central Service. Medical Center Blvd. Winston-Salem, NC 27157- 1122 (336) 716-6270 (336) 716-5269 Fax e-mail fsizemor@wfubmc.edu Geneva Thomas, CRCST 02-04 1999 South Hawthorne Road Winston-Salem, NC 27103 (336) 718-6856 e-mail cglane@novanthealth.org