COURSE INFORMATION Course Prefix/Number: SUR 103 Course Title: Surgical Procedures I Lecture Hours/Week: 2.0 Lab Hours/Week: 6.0 Credit Hours/Semester: 4.0 VA Statement/Distance Learning Attendance Textbook Information Student Code and Grievance Policy Attendance Statement (3-30-4000.1) COURSE DESCRIPTION This course is a study of a system-to-system approach to surgical procedures and relates regional anatomy, pathology, specialty equipment, and team responsibility. Patient safety, medical/legal aspects, and drugs used in surgery are emphasized. COURSE COMPETENCIES Surgical procedures discussed in this course are general, hernias, liver and biliary, GYN, thyroid, breast, eyes and plastic surgeries. Upon completion of this course the student will be able to: Module 1: Gastrointestinal Surgery Define the abdominal regions Describe the tissue layers of the anterior abdominal wall Recognize and name specific abdominal incisions Associate specific incisions with exposure to abdominal organs Describe the surgical anatomy of the gastrointestinal (GI) system Use appropriate terminology to describe GI surgical techniques Identify common open and endoscopic procedures of the GI system Describe basic resection and anastomosis of the GI system Identify common open and endoscopic procedures of the GI system Describe basic resection and anastomosis of the GI system Module 2: Repair of Hernias Differentiate between types of hernias Describe the operative principles of hernia repair Identify the anatomy associated with hernia repairs Correlate physiology to conditions requiring surgical intervention Recognize the surgical technologists considerations with hernia treatment SUR 103 1 of 5 Revised 1/2017
Module 3: Surgery of the Liver, Biliary Tract, Pancreas, and Spleen Describe the structures of the biliary system, the liver, the pancreas, and the spleen Describe the relationship between the liver and the portal vein in liver cirrhosis Recognize instruments required for biliary, hepatic, pancreatic, and splenic surgery Identify the need for insertion of a T-tube (biliary system) Identify and describe priorities for an emergency procedure (splenectomy) Describe methods of hemostasis used during liver and spleen surgery Module 4: Obstetrics and Gynecology Describe the primary features of reproductive anatomy. Discuss common gynecological diseases and conditions that may require surgery. Identify gynecological Instruments and equipment. Identify common diagnostic procedures in reproductive medicine. Describe the principles and techniques of hysteroscopy. Explain the rationale for using electrolytic or nonelectrolyic distention fluid in hysteroscopy. Explain the importance of maintaining aseptic technique during vaginal procedures. Apply the principles and techniques of gynecological surgery during a variety of procedures. Describe the appropriate psychological support of a patient undergoing an obstetrical or a gynecological procedure. Describe the process of meiosis. Define diploid and haploid. Describe the difference between spermatogenesis and oogenesis. Name the hormones necessary for the formation of gametes, and state the function of each. Describe the functions of the ovaries, fallopian tubes, uterus, and vagina. Describe the structure and function of the myometrium, and endometrium. Describe the structure of the mammary glands and the function of the hormones involved in lactation. Describe the menstrual cycle in terms of the hormones involved and the changes in the ovaries and the endometrium. Module 5: Thyroid and Parathyroid Surgery Identify anatomy relevant to surgery of the thyroid and parathyroid glands Correlate physiology to disease states requiring surgical intervention Identify procedural considerations Identify tissue layers and surgical sequences for thyroid and parathyroid surgery Module 6: Breast Surgery List and compare diagnostic tests for breast cancer Discuss supportive communication to the patient undergoing breast surgery Recognize and identify instruments and supplies required for breast surgery Describe techniques used in breast surgery to remove a tissue mass Describe techniques used in tissue-conserving breast surgery Describe the structure of the breast Module 7: Ophthalmic Surgery Recognize the anatomy of the eye. Recognize the immediate postoperative care and possible complications of the SUR 103 2 of 5 Revised 1/2017
ophthalmic procedure. Summarize in related terms the pathology that prompts surgical intervention of the eye. Summarize the surgical steps of ophthalmic procedures. Indicate the names and uses of ophthalmic instruments, supplies, and drugs. Indicate the names and uses of special equipment. Interpret the purpose and expected outcomes of the ophthalmic procedure. Determine any special preoperative ophthalmic diagnostic procedures/tests. Determine any special preoperative preparation procedures. Determine the intraoperative preparation of the patient undergoing an ophthalmic procedure. Assess any specific variations related to the preoperative, intraoperative, and postoperative care of the ophthalmic patient. Module 8: Plastic and Reconstruction Recognize the relevant anatomy and physiology of the skin and its underlying tissues. Recognize the immediate postoperative care needs and possible complications of the plastic/reconstructive procedures. Summarize in related terms the pathology that prompts plastic/reconstructive surgical intervention. Summarize the surgical steps of the plastic/reconstructive procedures. Give examples of plastic/reconstructive instruments, supplies, and drugs and there uses. Give examples the names and uses of special equipment related to plastic and reconstructive surgery. Interpret the purpose and expected outcomes of the plastic/reconstructive procedures. Determine any special preoperative plastic/reconstructive diagnostic procedures/tests. Determine any special preoperative preparation procedures related to plastic/reconstructive surgical procedures. Determine the intraoperative preparation of the patient undergoing a plastic/reconstructive procedure. Assess any specific variations related to the preoperative, intraoperative, and postoperative care of the plastic/reconstructive patient. METHODS OF INSTRUCTION Methods of instruction include course management system (D2L); discussion boards; instructordeveloped PowerPoint presentations; YouTube video clips; online reference resources; discussions; email; and textbook supplements. MINIMAL STANDARDS Students must have a final average of 80% or better in this course to continue in the Surgical Technology Program. COURSE REQUIREMENTS In order to successfully complete SUR 103, the student is required to fulfill the following requirements: Complete all reading assignments prior to class sessions. Students are responsible for all material in assigned reading. SUR 103 3 of 5 Revised 1/2017
Successfully complete all competency-based exams, quizzes, projects and assignments with a minimum average grade of 80%. EVALUATION STRATEGIES/GRADING PROCEDURES Exams There will be an exam for each Module. For each module, you will be notified in class the day the lecture is complete when the exam will be administered. Students should make every effort to take the exam on the assigned day. Students will have the opportunity to make-up 1 exam per course. Future missed exams may result in a 0 unless extenuating circumstances have been discussed with the instructor ahead of time. The student should be prepared to take the exam in the assessment center the day they return to school unless extenuating circumstances have been discussed with the instructor ahead of time. Exams will be averaged to equal 50% of your final grade. Grades will be based on performance on written competency based tests, class/home work, projects and quizzes. Exam material will come from text book, lecture material, handouts and class discussion. Evaluation of Performance Module Exams... 50% Classwork/Homework... 10% Projects... 20% Final Exam... 20% Grade Scale Grade Range A 93 100 B 85 92 C 80 84 D 75 79 F Below 75 COURSE REQUIREMENTS Late Arrivals/Early Departures Attendance in a class meeting requires being in the classroom and prepared for class at the time the class is scheduled to begin and remaining in the classroom until the instructor concludes the class session. Students are expected to arrive to class meetings at or before the scheduled start time and stay for the entire class session. Three (3) late arrivals and/or early departures will equal one (1) absence. Students are required to phone the instructor for all absences and late arrivals. Academic Integrity The policies stated in the York Technical College Handbook will be enforced. Any student violating these policies will be subject to academic discipline. Other Requirements Students are expected to attend all lecture and lab sessions of SUR 103. If an absence is unavoidable, the student must contact the instructor prior to the class and/or lab session. Failure to follow this policy will result in a zero for any missed work. If a student is absent more than two SUR 103 4 of 5 Revised 1/2017
(2) consecutive days, a doctor's statement is required. SUR students are responsible for explaining EACH absence. The student may apply to be considered for re-admission if all other grades and lab performance are satisfactory according to York Tech policy. Refer to the York Technical College Catalog and Handbook. Students should realize the direct relationship that exists between good grades and class attendance. ENTRY LEVEL SKILLS A student entering SUR 103 should have appropriate entrance scores for the Surgical Technology Program and the ability to read, comprehend, and communicate effectively. PREREQUISITES SUR-101, SUR-102 CO-REQUISITES SUR-104, SUR-110 DISABILITIES STATEMENT Any student who feels s/he may need an accommodation based on the impact of a disability should contact the Special Resources Office (SRO) at 803-327-8007 in the 300 area of Student Services. The SRO coordinates reasonable accommodations for students with documented disabilities. SUR 103 5 of 5 Revised 1/2017