SURGICAL TECHNOLOGY PROGRAM SUMMER 2016 COURSE SYLLABUS

Transcription

1 SURGICAL TECHNOLOGY PROGRAM SUMMER 2016 COURSE SYLLABUS COURSE NUMBER AND TITLE: SRGT 2462 Clinical III COURSE (CATALOG) DESCRIPTION: A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. END-OF-COURSE OUTCOMES: As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. INSTRUCTOR: Yolanda Ramirez, CST, BAT OFFICE: U-119 (956) Anna San Pedro, CST, BAAS, MCJ U-156 (956) Robert Sanchez, CST, RN U-196 (956) OFFICE HOURS: By Appointment INSTRUCTOR ADDRESS: yolanda.ramirez@tstc.edu alsanpedro@tstc.edu robert.sanchez@tstc.edu LEARNING OBJECTIVES As outlined in the learning plan, the student will apply the theory, concepts, and skills involving specialized materials, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the particular occupation and the business/industry; demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, communicating in the applicable language of the occupation and business industry Demonstrate the preliminary routine preparation of the operating room prior to setting up a sterile field. (Scans 1A) Demonstrate the principles of aseptic technique by creating and maintaining a sterile field. (Scans 3B) Demonstrate preparation of supplies and instruments on the sterile field and methods of sterilization. (Scans 5B, 5C) 4. Demonstrate the initial steps for starting a procedure. (Scans 2A) 5. Demonstrate intra operative handling of sterile equipment and supplies. 1

2 (Scans 4A) Anticipate the needs of the surgeon in order to expedite the surgical procedures. (Scans1D, 2A) Demonstrate the ability to first scrub for the required surgical specialty. (Scans 2A) Function efficiently in a professional manner in all aspects of surgical care. (Scans 2C) 9. Perform circulating duties in a preceptorship environment. (Scans 2F, 8C) 10. Demonstrate post-operative routine. (Scans 2C) 11. Recognize legal and policy limit of individual responsibility. (Scans 8A, 8E) 12. Provide a safe, efficient, and supportive environment for the surgical patient. (Scans 2C) 13. Follow the appropriate dress code as dictated by hospital policy. (Scans 8B) 14. Maintain a clinical manual. (Scans 3D) CRITICAL THINKING LEARNING OBJECTIVES 15. The student will demonstrate the ability to identify the essential question, issue, and /or problem. 16. The student will demonstrate the ability to gather data relevant to the essential question, issue, and/or problem. 17. The student will demonstrate the ability to interpret appropriate data effectively. 18. The student will demonstrate the ability to recognize and evaluate assumptions, major alternative points of view and related theories, principles, and ideas relevant to the question, issue, and/or problem. 19. The student will demonstrate the ability to develop informed conclusions/solutions. 20. The student will demonstrate the ability to articulate implications and consequences that emerge from the conclusions/solutions. 21. The student will demonstrate the ability to communicate any or all parts of the above process in written or oral form. 2

3 II. TASK LISTING FOR COURSE (Source document: Association of Surgical Technologist, Inc., 6th core curriculum for Surgical Technology) CLINICAL TASKS: 3. Prepare and manage medications and solutions Demonstrate electrical knowledge as it relates to patient safety Demonstrate appropriate behavior in response to the needs manifested by the surgical patient Demonstrate the identification process for a surgical patient admitted to the surgical suite Demonstrate the principles of safe transportation Employ the principles of body mechanics when transferring the surgical patient Perform basic positioning Demonstrate urinary catheterization Apply knowledge of basic surgical instrumentation to specific surgical procedures Demonstrate sterile technique Demonstrate the steps of a hand wash Demonstrate the steps of the surgical scrub Demonstrate the procedure for counting instruments, sponges, sharps and other items on the field Demonstrate the aseptic principles of draping the patient, equipment, and furniture Demonstrate the handling and preservation for specific types of specimens Demonstrate surgical technologists role in hemostasis 118. Demonstrate proper suture selection, preparation, handling and cutting techniques Evaluate various applications of surgical stapling instruments and demonstrate proper assembly of stapling instrumentation Apply proper principles of sterile technique and demonstrate the application of commonly used types of surgical and specialty dressings Demonstrate basic wound care concepts and apply the principles of asepsis to the practice of sterile technique Demonstrate knowledge of biological wound cover materials Demonstrate proper technique in storing, handling, and distributing sterile supplies Demonstrate awareness of improper handling and use of sterile supplies Demonstrate methods utilized to analyze and plan for the needs of the surgical case Demonstrate the arrangement, care, handling and assembly of operating room furniture And equipment Demonstrate techniques for preparing the sterile field Demonstrate postoperative case management duties in an organized manner Demonstrate the duties of the assistant circulator including completion of documentation Demonstrate responsible and accountable behavior within the role and competencies of the Surgical technologist Demonstrate principles of communication in the surgical setting Demonstrate body language and non-verbal communication Demonstrate principles of teamwork in the surgical environment Demonstrate the key elements related to developing a surgical conscience. 3

4 COURSE OUTLINE (Instructional Units) TASKS COVERED A. Non-Sterile Pre-Operative Responsibilities 102,104,105,106,107,108,125,126 B. Sterile Pre-operative Responsibilities 109,110,111,112,113,114,115,116,117,127 C. Sterile Inta-operative Responsibilities 3, 118,119,120,121,124 D.Non-Sterile Intra-operative Responsibilities 129,130,131,132,133,134 E. Non-Sterile Postoperative Responsibilities 122,123,128 Student Learning Outcomes A. Non Sterile Pre-operative Responsibilities 1. Recognize appropriate surgical attire. 2. Employ principles involved in donning surgical attire. 3. Demonstrate methods used to access the needs for the surgical case. 4. Gather instruments, supplies, and equipment needed for a surgical procedure. 5. Assess the function, assembly, use, and care of equipment in the surgical environment. 6. Demonstrate the preliminary routine preparation of the operating room prior to setting up the sterile field. B. Sterile Pre-operative Responsibilities 1. Demonstrate initial techniques for preparing instruments and supplies on the sterile field. 2. Apply sterile technique when necessary. 3. Demonstrate the steps of the surgical hand scrub. 4. Employ sterile technique during the surgical scrub. 5. Employ sterile technique when self-gowning and/ or gloving and when assisting other team members. 6. Drape furniture and equipment needed for the surgical procedure. 7. Apply the principles of asepsis to the practice of sterile technique. 8. Demonstrate the procedures for counting instruments, sponges, needles and other items on the field. 9. Employ the techniques, timing and methods of counts. 10. Use the appropriate drapes for specific positions and surgical procedures. 11. Demonstrate the general principles of draping the patient, equipment, and furniture. 12. Demonstrate the initial steps for starting a surgical procedure. 13. Position furniture and equipment to begin the procedure. 14. Place and secure supplies on the sterile field. 4

5 C. Sterile Intra- operative Responsibilities 1. Employ basic routines of case management. 2. Demonstrate proper suture selection, preparation, handling, and cutting techniques. 3. Pass correct instruments for the procedure. 4. Anticipate the needs of the surgeon in order to expedite the procedure. 5. Demonstrate intraoperative handling of sterile equipment and supplies. 6. Prepare and manage medications and solutions D. Non Sterile Intra-operative Responsibilities 1. Initiate the beginning steps for the intraoperative phase of a surgical procedure. 2. Monitor the sterile field and assess the needs of the surgical team. 3. Provide the needs of the surgical team members. 4. Evaluate the common sources of documentation utilized in the operating room. E. Non Sterile Postoperative Responsibilities 1. Perform decontamination of the OR environment and equipment. 2. Apply the principles of sterile storage to handling of sterile supplies. 3. Demonstrate the proper technique in storing, handling, and distributing sterile. supplies. 4. Demonstrate awareness of improper handling and use of sterile supplies. 5. Perform postoperative case management duties in an organized and timely manner. 6. Apply standard precautions to the performance of postoperative case management. F. Student Learning Objectives for Critical Thinking 1. The student will demonstrate the ability to identify the essential question, issue, and/or problem. 2. The student will demonstrate the ability to gather data relevant to the essential question, issue, and/or problem. 3. The student will demonstrate the ability to interpret appropriate data effectively. 4. The student will demonstrate the ability to recognize and evaluate assumptions, major alternative points of view and related theories, principles, and ideas relevant to the question, issue, and/or problem. 5. The student will demonstrate the ability to develop informed conclusions/solutions. 6. The student will demonstrate the ability to articulate implications and consequences that emerge from the conclusions/solutions. 7. The student will demonstrate the ability to communicate any or all parts of the above process in written or oral form. 5

6 REQUIRED TEXT AND MATERIALS SRGT 2462 Clinical III Manual (Moodle) ST Clinical Log x2 Dankanich, Nancy N. Operating Room Skills. Pearson 1 st Edition. ISBN: Nemitz, Renee. Surgical Instrumentation An Interactive Approach. Elsevier, Saunders 2 nd Edition. ISBN: Rutherford, Colleen J. Differentiating Surgical Equipment & Supplies. F.A. Davis. ISBN: 10: Allhoff, Tammy. Surgical Mayo Set-Ups. Delmar, 2 nd Edition. ISBN: Goldman, Maxine A. Pocket Guide to the Operating Room. F.A. Davis Company 3rd Edition. ISBN: Hueske, Robin. PDQ for Surgical Technology. Mosby. ISBN: Fuller, Joanna Kotcher. Surgical Technology Principles and Practice. Elsevier, Saunders 6 th Edition. ISBN: Rothrock, Jane C. Alexander s Surgical Procedures. Elsevier. ISBN: COMPUTER AND SOFTWARE: Computer and internet accessibility (high speed) Microsoft Office 2007 Recommended Browser- Mozilla Firefox Adobe Reader - Download for free at Access to TSTC Moodle ( If you have trouble logging on, scroll down to Quick start guide for students. You can also call the TSTC network help services at Required Materials and Supplies Scrub uniform and lab coat with Texas State Technical College logo sleeve patch Accordion style folder, pen, pencil, pocket size note pad, personal stapler TSTC Student Name tag 6

7 GRADING CRITERIA Critical Thinking Report...30% Clinical Case Evaluations % Preceptor Evaluations % Student Performance Evaluation.. 20% Clinical Log/HW... 10% CST Exam Reviews....5% Total Percentage.100% GRADING SCALE A B C 77 and below..f Grading Policy (Must conform to department grading policy) Grading Criteria This course will require that the student review the anatomy and physiology which relates to the surgical specialty/specialties he/she is assigned to and to read the materials pertaining to the surgical procedures he/she is assigned to scrub in. It is expected that the student will: Check daily assignments prior to actual performance and preparing for assigned procedures. Complete weekly specialty assignments and objectives for the assigned surgical specialty. Scrub and/or circulate for all assigned procedures. Assist with general preparation for all procedures. Complete and submit any given assignment within the role of the learner. Successful completion of this course is determined by the student s ability to scrub and/or assist in circulating in a safe, satisfactory manner as indicated by the performance evaluation in clinical practice, by the completion of the objectives for the assigned specialty at the end of each rotation, and by submission of weekly assignment and completion. Remediation Remediation will be based upon identifying weak areas in the clinical setting using the criteria specified in the specified objectives. When weak areas are identified, the following will occur: The student will be counseled by the clinical instructor as to the weak areas and will be given specific recommendations for improvement. It is the student s responsibility to seek additional assistance from the instructor. The student will be counseled on a weekly basis as to his/her progress. Failure to improve and meet minimum standards of 78% will place the student in jeopardy of succeeding. In order to receive credit for the course, a grade of C or better must be earned. Failure to earn a passing grade will result in being dropped from the program. 7

8 CLASS PARTICIPATION / PROFESSIONALISM POLICY It is the student s responsibility to W (withdraw) from the course when he/she feels they cannot meet the class participation standard. This withdrawal process will no longer be initiated by the instructor. Students wishing to Withdraw must file a Withdrawal Form with the Admissions Office. Failure to comply will affect your standing in the Surgical Technology Program. Students must remain in constant contact with their instructor to understand what their class participation status is at any time during the term. DEPARTMENT PARTICIPATION POLICY The responsibility for class attendance rests with the student. Regular and punctual attendance in all classes is expected. TSTC reserves the right to act on individual cases of non-participation at any time. TSTC does not require faculty to take attendance; however, they have the right to do so if they choose and may set participation standards. Regular attendance is necessary for satisfaction achievement. Therefore, it is the responsibility of the student to attend clinical practicum in accordance with requirements. A student who fails to meet these class participation requirements will earn a failing grade (F) in the course. The following guidelines apply when faculty administers participation policies: An absence can be issued whenever a student does not attend regular scheduled instruction period, whether it s a theory or laboratory class. The instructor determines whether an absence is excused or unexcused. (See Clinical Attendance Policy). Failure to comply with the Clinical Participation Policy will affect your standing in the Surgical Technology Program. This is a learning and reinforcement experience of your lecture and lab materials. Your participation is mandatory. See clinical attendance policy. ACCOMMODATION STATEMENT: If you have a documented disability which will make it difficult for you to carry out classwork as outlined and/or if you need special accommodations due to a disability, please contact (956) or visit the Support Services Office in the Building EK as soon as possible to make appropriate arrangements. 8

9 COPYRIGHT STATEMENT The materials used in the course (textbooks, handouts, media files (podcast, MP3, Videos, RSS Feeds), and all instructional resources on the colleges Learning Management System (Moodle) are intended for use only by students registered and enrolled in this course, and are only to be used for instructional use, activities associated with, and for the duration of the course. By "handouts," this means all materials generated for this course, which includes but are not limited to syllabi, quizzes, exams, lab problems, in-class materials, review sheets, and any additional materials. These materials may not be retained in another medium or disseminated further. They are provided in compliance with the provisions of the Teach Act. These materials may not be reproduced, displayed, modified or distributed without the express prior written permission of the copyright holder or TSTC. For further information contact your instructor. COMMUNICATING WITH YOUR INSTRUCTOR (MYMAIL SYSTEM) The use of Your Mymail TSTC College student account will be the only way to receive official notices from the college. When communicating with instructors and/or employees of the college you are required to use your TSTC Mymail student address. If you choose to forward your to another account, please be advised that all communication from and within the college will use your Mymail student . ***Mail received from students personal account will not be accepted. "TSTC Harlingen faculty, staff, and students are asked to report all threats, perceived or real, immediately to College Police located in the Auxiliary Building. If the threat is imminent, the College Police emergency phone line at or should be called. College Police will then coordinate the proper response in accordance with State and federal laws and TSTC System/College rules and regulations." NOTE: Any changes to this Course Information Sheet will be provided in writing to the student. Tutoring Statement The Supplemental Instruction & Tutoring Program at TSTC offers free tutoring and academic support services to help you achieve your academic and career goals. You can access the most up-to-date Supplemental Instruction & Tutoring Schedule, as well as MyTSTC Video Tutor Library, by using your smart phone to scan over the QR code below or visiting our webpage at: For more information, please contact the Office of Student Success at or the Supplemental Instruction & Tutoring Program at

10 SRGT 2462 CLINICAL REQUIREMENTS See weekly clinical schedule. I. Clinical Rotation The course meets in a clinical setting (3) days a week from 6:30am 4:00pm. Students must demonstrate dependability, responsibility and promptness, when attending clinical sites. The student is to call their designated instructor upon arrival at the clinical site, and no later than 6:30 am. Students must also call their assigned clinical site prior to 6:30 am when absent or tardy (See Clinical Attendance Policy). In addition, student must also call the clinical instructor to notify of absence or tardiness and make arrangements for days missed. Students must obtain the standard level of 120 scrubbed cases under the standards of the 6 th Edition Core Curriculum in order to graduate. II. Weekly Critical Thinking Clinical Reports All reports must be submitted via Moodle by 8:00 a.m. Monday morning. No late reports will be accepted. The Clinical Report is a case study of a surgical procedure in which the student has participated during their clinical experience. The report will describe the operating room techniques according to the surgeon s preference and how these techniques were applied or used during the phases of the surgical procedure. No repeat reports will be accepted. III. Weekly Performance Forms Students must attend clinical rotations from 6:30 am 4:00 pm each clinical day in order to receive credit for the performance evaluation. The student must submit weekly performance evaluation forms (x3) on Monday morning of the following week. The forms are due prior to the commencement of Theory class. They must be filled out completely in order to be a valid form. Late or incomplete forms will receive a grade of 0. Difficulties to acquire preceptor participation are to be documented on the preceptor form and must be submitted to the clinical instructor. The clinical instructor will communicate with the preceptor to discuss the details of the incident and will resolve the situation accordingly. IV. Preceptor Evaluations Two preceptor evaluation forms are to be submitted for every 3 week rotation. It is the students responsibility to have the appointed preceptor complete and fax the evaluation form to the clinical instructor. All forms must be filled out inclusive with the preceptors signature in order to receive credit. This includes your name, the course number, date, preceptor s name, and hospital; forms that are missing the listed information will receive a grade of 0. 10

11 V. Clinical Case Log The student is responsible for maintaining and updating a clinical log throughout the semester. The student will be required to submit a complete updated clinical log to the clinical instructor each week. Documentation of surgical procedures in clinical log will be reviewed by the instructor. *See NBSTSA standard program guidelines. VI. Clinical Case Evaluation The student will be evaluated a number of times per semester by the instructor. The instructor will randomly visit clinical sites to evaluate the student and he/she is to be prepared to answer any questions pertaining to the assigned case. 11

12 ASSOCIATION OF SURGICAL TECHNOLOGISTS (AST) CORE CURRICULUM FOR SURGICAL TECHNOLOGY 6TH EDITION CLINICAL CASE REQUIREMENTS Surgical Specialty Total # of Cases Required Minimum # of First Scrub Cases Required Maximum # of Second Scrub Cases That Can Be Applied Towards 120 Cases General Surgery Surgical Specialties: Cardiothoracic ENT Ophthalmic GU Neuro Ob/Gyn Oral/Maxillofacial Orthopedics Peripheral Vascular Plastics Procurement/Transplant Diagnostic Endoscopy: Bronchoscopy Colonoscopy Cystoscopy EGD ERCP Esophagoscopy Laryngoscopy Pandenoscopy Sinoscopy Ureteroscopy Labor and Delivery diagnostic endoscopy cases may be applied toward the second scrub cases. 5 vaginal delivery cases may be applied toward the second scrub cases. TOTALS

13 ASSOCIATION OF SURGICAL TECHNOLOGISTS (AST) CORE CURRICULUM FOR SURGICAL TECHNOLOGY 6TH EDITION CLINICAL CASE REQUIREMENTS 1. The total number of cases the student must complete is Students are required to complete 30 cases in General Surgery. Twenty of the cases must be in the First Scrub Role. 3. Students are required to complete 90 cases in various surgical specialties. Sixty of the cases must be in the First Scrub Role and evenly distributed between a minimum of 5 surgical specialties. However, 15 is the maximum number of cases that can be counted in any one surgical specialty. 4. Diagnostic endoscopy cases and vaginal delivery cases are not mandatory. But up to 10 diagnostic endoscopic cases and 5 vaginal delivery cases can be counted towards the maximum number of Second Scrub Role cases. 5. Observation cases must be documented, but do not count towards the 120 required cases. 6. Counting Cases Cases will be counted according to surgical specialty. Examples: Trauma patient requires a splenectomy and repair of a LeFort I fracture. Two cases can be counted and documented since the splenectomy is general surgery specialty and the repair of LeFort I is oral-maxillofacial surgical specialty. Patient required a breast biopsy followed by mastectomy. It is one pathology, breast cancer, and the specialty is general surgery; therefore, it is counted and documented as one procedure one case. 13