NEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS. Course Prefix/Number: SURG 103 Principles and Practices of Surg. Tech. Lab

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1 COURSE IDENTIFICATION NEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS Course Prefix/Number: SURG 103 Course Title: Principles and Practices of Surg. Tech. Lab Division: Allied Health Program: Surgical Technology Credit Hours: Three (3) Clock Hours: Initiation/Revision Date: Fall 2012 Assessment Goal Per Outcome(s): 80% Instructor(s): Surgical Technology Faculty CLASSIFICATION OF INSTRUCTION Vocational COURSE DESCRIPTION This is a three credit hour laboratory course designed to provide the student with the hands-on instruction necessary to learn the perioperative skills required to enter the clinical setting and to function as a beginning surgical technologist. This course includes supervised practice and instruction on the basic concepts necessary to establish, maintain, and coordinate tasks required for good patient care in the perioperative setting in a 9:1 or 9:2 student per instructor ratio. Students will apply aseptic technique, surgical principles and surgical conscience in learning and demonstrating the skills specific to those of the first scrub, second scrub and assistant circulator roles. Upon completion of this course the student will demonstrate understanding in the cognitive, psychomotor and affective learning domains related to principles and practice of surgical technology as outlined in the Core Curriculum for Surgical Technology, 6 th Ed., as indicated by their final exam and competency scores. PREREQUISITE AND/OR COREQUISITES Successful completion of SURG 100 Introduction to Surgical Technology. Must be taken concurrently with SURG 102 Principles and Practice Lecture. TEXTS *The official list of textbooks and materials for this course are found on Inside NC. Fuller, J. (2010). Surgical Technology Principles and Practice. Textbook and Workbook set (5th ed.). St. Louis, MO: Elsevier Saunders. ISBN: and ISBN: Page 1 of 8

2 Nemitz, R. (2010). Surgical Instrumentation; An Interactive Approach. St. Louis, MO: Elsevier Saunders. ISBN: Thomas, C. L. (2009). Taber s Cyclopedic Medical Dictionary. (21st ed.). Philadelphia, PA: F. A. Davis. ISBN: Goldman, M. Pocket Guide to the Operating Room. (3 rd ed). Philadelphia, PA: F.A. Davis. ISBN: COURSE OUTCOMES & COMPETENCIES I. Pre-operative Demonstrate ability to prepare the operating room, supplies and instrumentation, equipment and furniture, self and staff, and the patient for a surgical case. II. Intraoperative- Demonstrate ability to successfully complete the tasks required for intraoperative case management. III. Postoperative Demonstrate appropriate postoperative case management duties in an organized manner. IV. Assistant Circulator Role Demonstrate duties required as the surgical technologist in the assistant circulator role. V. Disinfection and Sterilization Perform decontamination of the OR environment and processes required for sterilization of instruments. COURSE OUTLINE Perioperative Case Management Demonstrate methods utilized to analyze and plan for the needs of the surgical case. I. Pre-operative Demonstrate ability to prepare the operating room, supplies and instrumentation, equipment and furniture, self and staff, and the patient for a surgical case. 1. Donning OR attire 2. Basic hand wash 3. Body Mechanics 4. Back table a) Open sterile pack b) Arrange supplies and instruments c) Assemble a Balfour abdominal retractor 5. Open a sterile basin on ring stand 6. Instrument set a) Open wrapped set b) Open container system c) Remove instrument set from container system 7. Open sterile supplies a) Small wrapped package placed onto sterile field b) Small wrapped package secured by ST c) Peel pack 8. Pour sterile solution Page 2 of 8

3 II. 9. Surgical scrub 10. Gown and glove self 11. Mayo stand set-up a) Drape b) Arrange instruments and supplies c) Construct a sponge stick 12. Load and unload scalpel blade on scalpel handle 13. Suture and ties a) Transfer suture packets to the sterile back table b) Straighten sutures c) Cut ties in ¼, 1/3 and ½ lengths 14. Fill bulb syringe 15. Draw up medications a) Vial held by circulator b) Receive medication(s) onto sterile field c) Label medications 16. Gown and glove another person 17. Demonstrate the preparation of the operating room prior to setting up a sterile field including gathering instruments, supplies, and equipment needed for a surgical procedure 18. Identify the use of various supplies and equipment in the perioperative environment 19. Drape furniture, equipment and the patient a) Laparotomy b) Lithotomy c) Extremity leg Intraoperative- Demonstrate ability to successfully complete the tasks required for intraoperative case management. 1. Recognize, prepare and pass instruments 2. Perform a sponge, sharp and instrument count 3. Demonstrate Time Out 4. Discuss appropriate response(s) for emergency patient situations 5. Hemostasis - Suture, coagulation, instrumentation, drugs a) Wound closure including Suture and Ties b) Load and pass needle holder swaged needle: right and left handed surgeon c) Load free needle onto needle holder; thread suture; pass and reload d) Tag and cut sutures Page 3 of 8

4 III. IV. 6. Pass ties: free hand; instrument 7. Proper preparation and handling of the various tissue replacement materials and approximation devices 8. Second scrub suctioning, retraction, cutting suture, sponging 9. Different abdominal incisions 10. Preparation of supplies, equipment and instrumentation for mock surgeries of different specialties 11. Specimen care 12. Contaminated sterile attire a) Re-glove b) Re-gown Postoperative Demonstrate postoperative case management duties in an organized manner. 1. Dressings a) Assemble and apply abdominal dressings b) Assemble and apply a Montgomery strap dressing c) Connect ostomy bag to stoma site 2. Drains a) Connect Hemovac b) Connect Jackson-Pratt c) Connect chest tube to chest drainage system 3. Remove sterile gown and gloves 4. Disinfecting OR a) End of case 5. Terminal Assistant Circulator Role Demonstrate duties required in the assistant circulator role. 1. Turn and tie sterile gown 2. Transporting patient a) Prepare patient stretcher b) Transport patient from ward room to pre-op holding or OR c) Review of chart d) Patient identification 3. Discuss wound classifications and intraoperative tasks that may be associated with each class. 4. Transferring patient a) Stretcher to OR table b) OR table to stretcher 5. Taking vital signs a) Temperature b) Pulse c) Respirations d) Blood pressure 6. Electrosurgery a) Position grounding pad b) Connect Bovie pencil cord to ESU c) Complete ESU checklist Page 4 of 8

5 7. Sellick s Maneuver cricoid pressure 8. Positioning patient a) Supine b) Lateral c) Prone 9. Urinary catheterization a) Straight catheter - male and female b) Foley urinary catheterization male and female 10. Position a pneumatic tourniquet cuff arm and leg 11. Patient skin prep a) Abdomen b) Vagina c) Extremity 12. Connect suction 13. Documentation a) Lab requisition b) Pathology specimen V. Disinfection and Sterilization Perform decontamination of the OR environment and processes required for sterilization of instruments. 1. Hand wash instruments 2. Disinfect an endoscope 3. Assemble an instrument set 4. Operate Sterrad Steris System 5. Operate steam sterilizer a) Flash b) Routine 6. Packaging items for sterilization a) Peel pack b) Container system c) Envelope fold wrap d) Square fold wrap INSTRUCTIONAL METHODS 1. Discussion 2. Demonstration 3. Hands on instruction and supervised practice 4. Skills tests 5. Handouts 6. Audio-Visual 7. Guest speakers 8. Unannounced requirements, including unannounced tests, possible Page 5 of 8

6 OTHER POSSIBLE INSTRUCTIONAL MEDIA Internet, handouts, audiovisual media, textbooks, current periodicals, computer lab, on-site surgical technology lab and supervised clinical site instruction. STUDENT REQUIREMENTS AND METHOD OF EVALUATION A. Clinical Readiness Exam Skills test that examines the student s ability to scrub, gown, glove, and set-up for a routine surgical procedure while employing strict aseptic technique. The exam determines student s ability to attend clinical rotation or SURG 106. B. Lab grades will be assigned as follows: (P/F) Pass: Satisfactory completion of 80% of all objectives Fail: Satisfactory completion of less than 80% of all objectives C. 8 Week Formal Evaluations will be given to inform the student of their progress. These evaluations will be based upon performance during skills check offs, the clinical readiness exam and overall performance in the lab environment. Students will be advised in an ongoing manner of evaluation of skills testing success and required improvements with recommendations on how to accomplish success. D. The Skills Tests including the Clinical Readiness Exam and Final Mock Surgery, as well as the evaluations will be used to determine the lab grade E. Concurrent Policy Lab and clinical are concurrent and both must be passed to receive a passing grade in this course. The lab and clinical components are graded as pass/fail. If either is failed, the course is failed. If this occurs, a student cannot progress in the program. GRADE SCALE Lab grades will be assigned as follows: (P/F) Pass: Satisfactory completion of 80% of all objectives Fail: Satisfactory completion of less than 80% of all objectives ASSESSMENT OF STUDENT GAIN Assessment ideally begins during the advisement and enrollment process with the advisor and/or instructor interviewing the student to determine the proper level of placement. During the first two weeks of a semester, students are observed and/or interviewed and assignments are examined to determine needed competency development. Post assessment to determine gain in competency will be measured at the end of each unit of study. Evaluation of student performance is determined primarily from results of skills tests and homework assignments. Class participation is considered. Page 6 of 8

7 ATTENDANCE POLICY Absences that occur due to students participating in official college activities are excused except in those cases where outside bodies have requirements for minimum class minutes for each student. Students who are excused will be given reasonable opportunity to make up any missed work or receive substitute assignments from the instructor. Ultimately it is the student s responsibility to notify the instructor in advance of the planned absence or as soon as possible thereafter, and seek opportunities to gain class information and missed assignments. The instruction, information and skills practice that is done in the laboratory setting is difficult to make-up; therefore attendance is critical to student success. Skills tests must be completed successfully in order to progress through the program toward clinical placement. Unless students are participating in a school activity or are excused by the instructor, they are expected to attend class. If a student s absences exceed one-hundred (100) minutes per credit hour for the course the instructor has the right, but is not required, to withdraw a student from the course. Once the student has been dropped for excessive absences, the registrar s office will send a letter to the student, stating that he or she has been dropped. A student may petition the chief academic officer for reinstatement by submitting a letter stating valid reasons for the absences within one week of the registrar s notification. If the student is reinstated into the class, the instructor and the registrar will be notified. ACADEMIC INTEGRITY NCCC expects every student to demonstrate ethical behavior with regard to academic pursuits. Academic integrity in coursework is a specific requirement. Definitions, examples, and possible consequences for violations of Academic Integrity, as well as the appeals process, can be found in the College Catalog, Student Handbook, and/or Code of Student Conduct and Discipline. CELL PHONE POLICY Student cell phones and pagers must be turned off during class times. Faculty may approve an exception for special circumstances. NOTE: Information and statements in this document are subject to change at the discretion of NCCC. Changes will be published and made available to the students. NON-DISCRIMINATION STATEMENT Discrimination against any individual on the basis of race, color, national origin, sex, disability, age, or religion; in the admission, access to, treatment, or employment in the college s programs and activities is prohibited. The Chief Student Affairs officer, NCCC, 800 West 14 th Street, Chanute, Kansas 66720, ext. 213, has been designated to coordinate compliance with nondiscrimination requirements contained in Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and the Americans with Disabilities Act Amendments Page 7 of 8

8 Act of Information concerning the provisions of these acts, and the rights provided thereunder, are available from the compliance coordinator. NOTE: If you are a student with a disability who may need accommodation(s) under the Americans with Disabilities Act (ADA), please notify the Dean of Student Development, Chanute Campus, , ext. 213., or Ottawa Campus, ext. 305, as soon as possible. You will need to bring your documentation for review in order to determine reasonable accommodations, and then we can assist you in arranging any necessary accommodations. Page 8 of 8