SGT 121. Orientation and Introduction to Surgery. Approved: February 4, 2011

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1 SGT 121 Orientation and Introduction to Surgery Approved: February 4, 2011 EFFECTIVE DATE: Fall 2011

2 Course and Contact Information COURSE PREFIX AND NUMBER COURSE TITLE CONTACT PERSON DATE OF PROPOSAL Additional Course Information SGT 121 Orientation and Introduction to Surgery Dr. Robert Goodrich November, 2010 Purpose of submitting this course package: If this is a new course or a course to be deleted, skip this table. If this course is being modified, check all boxes that have been updated to the right. New X_ Modification Deletion Course Prefix _X_ Course Number Course Title Course Description Prerequisite / Corequisite Goals _X Competencies Objectives _X Learning Units Textbook/Software/ Materials Assessments Writing Across the Curriculum Format only Catalog Course Description: SGT 101 Orientation & Intro to Surgery (2 Credit hours). A course designed to provide the student with the skills, knowledge and language necessary to define and evaluate the responsibilities of the OR team and the foundation of good patient care. Credit Hours: 2.0 Lecture Hours: 2.0 Lab Hours: 0 Prerequisite(s) HES 113 Co-requisite(s) SGT 122, SGT 122L Does this course need a separately scheduled lab component? Yes Does this course require additional fees? If so, please explain. _X Yes Program fees _X No No

3 SGT 101 Articulation: Is this course or an equivalent offered at other colleges and/or universities in Arizona? X_No Yes (Identify the college, subject, prefix, number and title: Intended Course Outcomes By the end of the semester, students will be able to: 1. Demonstrate knowledge of the standards of practice for surgical technologist. 2. Describe the responsibilities of individual or team members. 3. Define the principles of asepsis. 4. Explain universal precautions. 5. Exhibit therapeutic communication. 6. Assist in sterilization/disinfecting of equipment and supplies. 7. Delineate the infection process 8. Outline the immune response. Course Competencies and Objectives By the end of the semester, students will be able to: Competency 1 The student will be able to summarize the history of surgical technology and the roles of a surgical technologist today. Objective 1.1 Demonstrate principles of communication in the surgical setting. Objective 1.2 Relate awareness of aseptic principles to the surgical technologist s role in the care of the surgical patient Objective 1.3 Trace the development of surgical technology. Objective 1.4 Recognize members of the surgical team and their roles. Objective 1.5 Compare and contrast the various roles of the surgical technologist. Objective 1.6 Interpret the components of a job description for the surgical technologist. Objective 1.7 Summarize the different types of health care facilities. Objective 1.8 Analyze a typical hospital organizational structure. Objective 1.9 Classify hospital departments and their relationship to surgical services. Competency 2 The student will be able to discuss training, certification and employment procedures of a surgical technologist, including tasks and responsibilities of the non-sterile and sterile surgical technologist. Objective 2.1 Detail the process of certification for the surgical technologist Objective 2.2 Discuss career opportunities available to the surgical technologist Objective 2.3 List personal attributes for success as a surgical technologist Objective 2.4 Describe the differences among certification, licensure, and registration Objective 2.5 Identify the duties of the surgical technologist Objective 2.6 Explain the difference between delegation and assignment Competency 3 The student will study the various learning resources available, how to conduct research on the Internet as it applies to surgical technology and the application of theory to practice. Objective 3.1 Compare and contrast the art and science of surgery. Objective 3.2 Identify three characteristics of adult learners. Objective 3.3 Name five educational resources available for the learner. Objective 3.4 Define the difference between androgogeny and pedagogy. Objective 3.5 Describe how adult learning principles apply to patient teaching.

4 and moral behavior necessary for proper patient care. Objective 4.1 Evaluate major concepts inherent in professional practice law. Objective 4.2 Interpret the legal responsibilities of the surgical technologist and other surgical team members. Objective 4.3 Analyze the American Hospital Association s Patient Care Partnership. Objective 4.4 Describe the need for professional liability insurance policies. Objective 4.5 Explain the key elements related to developing a surgical conscience. Objective 4.6 Annotate the resources that aid the surgical technologist in interpreting and following professional standards of conduct. Objective 4.7 Develop an increased sensitivity to the influence of ethics in professional practice. Objective 4.8 Illustrate the role of morality during ethical decision making. Objective 4.9 Cite examples of ethical situations and problems in the health professions. Competency 5 The student will be able to understand the basic differences among morals, ethics and laws in order to provide appropriate care of a surgical patient. Objective 5.1 Elucidate sources of the law Objective 5.2 Describe common hospital policies Objective 5.3 List common areas of negligence in the operating room Objective 5.4 Define criminal liability Objective 5.5 Explain and give examples of an incident report Objective 5.6 Describe informed consent Objective 5.7 Illustrate the advance directive and the living will Objective 5.8 Discuss why documentation is important Objective 5.9 Define the relationship between ethics and the law Objective 5.10 Cite several ethical conflicts Competency 6 The student will be able to discuss the legal, regulatory and ethical issues involved in providing medical services and ways to minimize liability due to negligence or malpractice. Objective 6.1 Define negligence as it applies to caregivers. Objective 6.2 Discuss informed consent. Objective 6.3 Describe the importance of patient care documentation. Objective 6.4 List several methods of documentation of patient care. Objective 6.5 Identify three potential events that could lead to litigation. Objective 6.6 Illustrate the role of JCAHO in the promotion of patient safety. Competency 7 The student will be able to describe the role of the surgical technologist including the importance of maintaining environmental awareness of the surgical team, conditions affecting the patient and anticipation of the surgeon s needs intraoperatively. Objective 7.1 Assess the patient s response to illness and hospitalization. Objective 7.2 Demonstrate awareness that all surgical patients have the right to the highest standards and practices in asepsis. Objective 7.3 Distinguish and assess the physical, spiritual, and psychological needs of a patient. Objective 7.4 Distinguish and assess cultural and religious influences on the surgical patient. Competency 8 The student will be able to identify special needs groups, including pediatric, obese, diabetic, immunocompromised, disabled, and geriatric and demonstrate the same quality standard of care for all surgical patients. Objective 8.1 Compare and contrast the surgical care considerations for pediatric patients and patients who are obese, diabetic, pregnant, immunocompromised, disabled, geriatric or experiencing trauma. Objective 8.2 Evaluate the unique physical and psychological need of each special population. Objective 8.3 Compare and contrast the intraoperative considerations for pediatric patients

5 relate to postoperative wound healing. Objective 8.4 Elucidate the role of the surgical technologist for the surgical care of each special population. Competency 9 The student will be able to apply critical thinking skills to obtain pertinent information about a patient and determine if he or she has any special needs that must be addressed. Objective 9.1 Describe patient-centered care Objective 9.2 Discuss Maslow s hierarchy of needs and its relationship to patient care Objective 9.3 Define patient-centered care Objective 9.4 Demonstrate how the surgical technologist can meet specific patient physiological needs Objective 9.5 Annotate patient environmental needs and how to meet them Objective 9.6 List the needs of specific patient groups Objective 9.7 Define the psychosocial needs of the patient Objective 9.8 Practice therapeutic communications Objective 9.9 Describe the differences of special needs patients Objective 9.10 Discuss the importance of culturally appropriate patient care Competency 10: The student will be able to identify a patient s hierarchy of needs, the various kinds of situations that alter these needs and how to best deal with them. Objective 10.1 Describe Maslow s hierarchy of needs. Objective 10.2 Cite some characteristics of diversity in a patient population. Objective 10.3 List the key elements of a patient-centered approach. Objective 10.4 Illustrate how the patient may perceive care. Competency 11 The student will be able to identify the basic rules of emergency and disaster preparedness, fire and radiation safety, patient safety and patient rights, medication safety, and the care and handling of specimens and instruments. Objective 11.1 Describe how to send an emergency signal and how to respond to it. Objective 11.2 Explain the electrical and fire safety plan for an OR. Objective 11.3 Demonstrate how to reduce the risk of surgical fires. Objective 11.4 Cite basic patient safety standards. Objective 11.5 Illustrate the steps to admitting a patient to the OR. Objective 11.6 Define the JCAHO five Do Not Use abbreviations. Objective 11.7 Describe the electrolyte functions and regulators. Objective 11.8 Demonstrate the procedure for safe administration of blood and blood products, and specimens. Objective 11.9 Explain how to correctly maintain a count of sponges, sharps and instruments. Objective illustrate the resuscitation protocol. Competency 12 The student will be able to identify the various types of health-care facilities, how they are organized, run and staffed, and the functions of their various departments and employees Objective 12.1 Describe different kinds of health-care facilities Objective 12.2 Discuss how hospitals are administered Objective 12.3 Define hospital policy Objective 12.4 Cite the process of accreditation Objective 12.5 List common hospital ancillary services and describe their functions Objective 12.6 Annotate an organizational chart and explain its significance in an organization Objective 12.7 Identify operating room staff members and their duties Competency 13 The student will be able to identify and discuss the titles and functions of the various members and departments of a hospital. Objective 13.1 Define the role of the perioperative management team. Objective 13.2 Describe the relationship between the perioperative environment and other

6 Objective 13.3 Illustrate the role of intradepartmental surgical services committees. Objective 13.4 Facilitate mediation in conflict resolution. Competency 14 The student will be able to Identify and discuss the various elements such as body language and behavior that have effect on whether teamwork is successful or not. Objective 14.1 Describe the meaning of content and tone in communication Objective 14.2 Demonstrate body language and describe its meaning Objective 14.3 Discuss the significance of touch in communication Objective 14.4 Role-play situations to demonstrate assertive behavior Objective 14.5 Delineate the dimensions of assertive behavior Objective 14.6 Use active listening skills Objective 14.7 Discuss types of problem behavior and how to cope with them Objective 14.8 Define sexual harassment and discuss how to confront it Objective 14.9 Illustrate the qualities of good teamwork Objective Explain how poor teamwork results in poor patient care Objective Discuss how to approach problem behavior in the workplace Objective Characterize three approaches to conflict solving and give examples Competency 15 The student will be able to describe the different types of anesthesia, how and why each type is used, who administers them, the effect they have on the human body and the surgical technologist s role and duties in their usage. Objective 15.1 Define the types of anesthesia care providers and their training Objective 15.2 Describe the information that is obtained in the preoperative assessment and explain why this information is necessary Objective 15.3 List the categories of the American Society of Anesthesiologists classification system and give an example of a patient in each category. Objective 15.4 Explain why preoperative fasting is important Objective 15.5 List and describe biophysical monitoring devices and procedures Objective 15.6 Explain inhalation anesthesia Objective 15.7 Differentiate among analgesia, sedation, unconsciousness, and amnesia Objective 15.8 Differentiate among levels of consciousness Objective 15.9 Explain why gas scavenging is necessary Objective List the physiological requirements for surgery Objective Describe the physiology of nerve transmission and the way the body responds to stimuli Objective Discuss intravascular fluid balance and the way in which it is achieved during surgery Objective Illustrate the surgical technologist s possible tasks during a cardiopulmonary arrest in surgery Objective Explain the circulating surgical technologist s role during an episode of malignant hyperthermia Objective Identify the role of the scrub when assisting the surgeon during injection of local anesthesia Objective Recognize early signs of central nervous system toxicity Objective Illustrate the risks of anesthetics, including cardiovascular and central nervous system complications Description of Possible Course Assessments (Essays, multiple choice, etc.) Are the exams standardized for this course? Midterm Final Other (Please specify): Essays, participation, multiple choice Are exams required by the department? _X_Yes No If Yes, please specify:

7 Where can faculty members locate or access the required standardized exams for this course? Student Outcomes: Identify the general education goals for student learning that is a component of this course. The student is being prepared for this component of the National Board Check all that apply: 1. Communicate effectively. a. Read and comprehend at a college level. b. Write effectively in a college setting. Method of Assessment Repetitive testing for comprehension of material and writing 2. Demonstrate effective quantitative reasoning and problem solving skills. 3. Demonstrate effective qualitative reasoning skills. Class discussion and examinations Teacher s Guide Course Materials and Equipment Textbook(s) Title The Surgical Technologist: A Positive Care Approach, 3 rd Ed. plus study guide Author(s) Association of Surgical Technologists, Inc. Publisher Delmar ISBN Title Surgical Technology Principles and Practice, 4 th Ed. plus accompanying workbook Author(s) Fuller, Joanna Publisher Elsevier Saunders, 2005 ISBN Title Alexander s Care of the Patient in Surgery Author Rothrock, Jane Publisher Mosby Elsevier, 2007 ISBN Software Equipment Title Berry & Kohn s Operating Room Technique, 11 th Ed. Author(s) Phillips, Nancymarie Publisher Mosby Elsevier, 2007 ISBN Preoperative Surgical Procedures Interactive CD-ROM. Thompson Delmar Learning. Other

8 Learning Units Learning Unit Topic 1: Orientation to Surgical Technology Competency: 1, 2, 3 Objectives: 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 3.1, 3.2, 3.3, 3.4, 3.5 Activities/ Assignments: Read chapter 1 of the Surgical Technology for the Surgical Technologist (AST) text book. and chapter 1 of the Surgical Technology Principles and Practice (Fuller) text book, read chapter 1 of Berry & Kohn s Operating Room Technique (B & K). Begin Surgical Conscience essay. Learning Unit Topic 2: Law & Ethics Competency: 4, 5, 6 Objectives: 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 5.1, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.9, 5.10, 6.1, 6.2, 6.3, 6.4, 6.5, 6.6 Activities/ Assignments: Read chapter 2 of the AST text, chapter 3 of the Fuller text, and chapter 3 of B & K. Learning Unit Topic 3: The Surgical Patient Competency: 7, 8, 9, 10, 11 Objectives: 7.1, 7.2, 7.3, 7.4, 8.1, 8.2, 8.3, 8.4, 9.1, 9.2, 9.3, 9.4, 9.5, 9.6, 9.7, 9.8, 9.9, 9.10, 10.1, 10.2, 10.3, 10.4, 11.1, 11.2, 11.3, 11.4, 11.5, 11.6, 11.7, 11.8, 11.9, Activities/ Assignments: Read chapters 3 and 4 of the AST text, chapter 2 of the Fuller text, chapter 7 of B & K and chapter 2 of Alexander s Care of the Patient in Surgery Learning Unit Topic 4: Hospital Administration and Organization Competency: 12, 13 Objectives: 12.1, 12.2, 12.3, 12.4, 12.5, 12.6, 12.7, 13.1, 13.2, 13.3, 13.4 Activities/Assignments: Read chapter 4 of the Fuller text and chapter 6 of the B & K text. Learning Unit Topic 5: Communication & Teamwork Competency: 14 Objectives: 14.1, 14.2, 14.3, 14.4, 14.5, 14.6, 14.7, 14.8, 14.9, 14.10, 14.11, Activities/ Assignments: Read chapter 6 of the Fuller text. Begin Ethical Dilemma paper. Learning Unit Topic 6: Anesthesia Competency: 15 Objectives: 15.1, 15.2, 15.3, 15.4, 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11, 15.12, 15.13, 15.14, 15.15, 15.16, Activities/ Assignments: Read chapter 12 of the Fuller text and do chapter 12 of the Fuller workbook. Course Assessment Information Description of Possible Course Assessments (Essays, multiple choice, etc.) Exams standardized for this course? No Midterm Final Other (Please specify): Multiple choice Are exams required by the department? Yes No If Yes, please specify: Sequential quizzes and exams Where can faculty members locate or access the required standardized exams for this course?