Surgical Technology Mississippi Curriculum Framework
Mississippi Administrative Code
Mississippi Administrative Code
Surgical Technology Mississippi Curriculum Framework Program CIP: 51.0909 Surgical Technology/Technologist
2023
Published by: Mississippi Community College Board Division of Workforce, Career, and Technical Education 3825 Ridgewood Road Jackson, MS 39211 Phone: 601- 432-6155 Email: [email protected]
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Faculty Writing Team Members Kristie Pilgrim, East Central Community College LeAnn Shirley, East Central Community College Dottie Binkley, Hinds Community College Jamie Tidwell, Hinds Community College Kimberly Evans, Hinds Community College Shea Coleman, Holmes Community College Leah Mitchell, Holmes Community College Alicia Thornton, Itawamba Community College Paul Ford, Meridian Community College Melissa Ladner, Mississippi Gulf Coast Community College Venelsa Hanshaw, Mississippi Gulf Coast Community College Tammy Allhoff, Pearl River Community College Crystal McMillian, East Mississippi Community College Cathy Wilburn, Northwest Mississippi Community College
Administrator Writing Team Members Dr. Donna Everett, Dean of Healthcare, East Central Community College Jamonicia Johnson, Dean of Health Sciences, East Mississippi Community College Ginger Meriwether, Director of Health Science, Holmes Community College Kathy Elliott, Dean of Health Science, Hinds Community College Angie Nelson, Chair of Health Professions, Mississippi Gulf Coast Community College Dr. James Collum, Dean of Career and Technical Education FCC, Pearl River Community College Tonya Vaughn, Dean of Health Science Instruction, Itawamba Community College Dr. Stephanie Mullins, Dean of Health Sciences, Northwest Mississippi Community College
Business and Industry Contributing Team Members Jessica Elliott, National secretary of the Association of Surgical Technologists Amy Alfonso, Patient Care Manager of Surgery, Forrest General Hospital Heather Sullivan, North Mississippi Medical Center Jared Davis, MD, MBA Associate Prof of Surgery, University of Mississippi Medical Center
Office of Curriculum And Instruction Team Members Dr. Scott Kolle, Director of Curriculum and Instruction, Mississippi Community College Board Dr. LaToya Sterling, Curriculum Specialist, Office of Curriculum and Instruction, Mississippi Community College Board Dr. Sheriece Robinson, Curriculum Specialist, Office of Curriculum and Instruction, Mississippi Community College Board Eboni Mangum, Curriculum Specialist, Office of Curriculum and Instruction, Mississippi Community College Board
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The Office of Curriculum and Instruction (OCI) was founded in 2013 under the Division of Workforce, Career, and Technical Education at the Mississippi Community College Board (MCCB). The office is funded through a partnership with The Mississippi Department of Education (MDE), who serves as Mississippi’s fiscal agent for state and federal Career and Technical Education (CTE) Funds. The OCI is tasked with developing statewide CTE curriculum, programming, and professional development designed to meet the local and statewide economic demand. Copyright© 2023 by Mississippi Community College Board For information, please contact [email protected]
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Contents Adoption of National Certification Standards ................................................................................................................. 5 Industry Credentials, Certifications, And Professional Licensure ............................................................................... 6 Industry Job Projection Data ....................................................................................................................................... 6 Articulation .................................................................................................................................................................. 6 Dual Enrollment........................................................................................................................................................... 6 Research Abstract ......................................................................................................................................................... 7 Revision History: ........................................................................................................................................................... 8 Program Description...................................................................................................................................................... 9 Suggested Course Sequence ........................................................................................................................................ 10 Surgical Technology Courses........................................................................................................................................ 14 SUT 1113
Fundamentals of Surgical Technology ................................................................................................. 14
SUT 1217
Principles of Surgical Technique ......................................................................................................... 16
SUT 1223
Medical Terminology for Surgical Technologists ................................................................................. 25
SUT 1314
Surgical Anatomy ............................................................................................................................... 26
SUT 1413
Surgical Microbiology ......................................................................................................................... 28
SUT 1518
Basic and Related Surgical Procedures ................................................................................................ 30
SUT 1528
Specialized Surgical Procedures .......................................................................................................... 35
SUT 1539
Advanced Surgical Procedures ............................................................................................................ 40
SUT 1614
Basic and Related Surgical Procedures (Lecture) ................................................................................. 45
SUT 1624
Specialized Surgical Procedures (Lecture) ........................................................................................... 48
SUT 1634
Advanced Surgical Procedures (Lecture) ............................................................................................. 51
SUT 1703
Certification and Role Transition ........................................................................................................ 55
SUT 1714, SUT 1724, SUT 1735
Clinical Practice I, II, III ......................................................................................... 56
Recommended Instruments, Supplies and Equipment ................................................................................................. 58 Recommended Instructional Aids ................................................................................................................................ 60 Curriculum Definitions and Terms................................................................................................................................ 61 Course Crosswalk ........................................................................................................................................................ 62 General Education Recommendations for The Associate Degree .................................................................................. 64
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Adoption of National Certification Standards The following national certifications have been adopted for the Surgical Technology curriculum: National Board of Surgical Technology and Surgical Assisting or National Center for Competency Testing (NCCT) The National Board of Surgical Technology and Surgical Assisting (NBSTSA), formerly the LCC-ST was established in 1974 as the certifying agency for surgical technologists. NBSTSA is solely responsible for all decisions regarding certification; from determining eligibility to maintaining, denying, granting and renewing the designation. In 2005 the NBSTSA relocated its headquarters to Littleton, Colorado. The NBSTSA is governed by a ten (10) member Board of Directors composed of: Seven Certified Surgical Technologists (CST’s), and Certified Surgical First Assistant (CST/CSFA), ▪ One public member ▪ One surgeon; as appointed by the American College of Surgeons (ACS) ▪ One surgical technology educator. The National Commission for Certifying Agencies (NCCA) reviews and grants accreditation to the NBSTSA for its administration of both the CST and CSFA certifications. The purpose of NBSTSA is to determine, through examination, if an individual has acquired both theoretical and practical knowledge of surgical technology or surgical first assisting. In addition, through the acquisition of continuing education credits or by re-examination, CST’s certified after August 31, 1977 and all CST/CSFAs are required to stay up to date with changes in the medical field. Certification as a Surgical Technologist or Surgical First Assistant demonstrates that the individual meets the national standard for knowledge that underlies surgical technologist and surgical first assistance practice. Certified individuals possess mastery of a broad range of skills related to surgical procedures, aseptic technique and patient care. Because certification is voluntary, the choice to become certified exhibits pride in the profession, the desire to be recognized for mastery of scientific principles, as well as an ongoing commitment to quality patient care. Certification is a means for upward mobility, a condition for employment, a route to higher pay, and a source of recognition nationwide. Approved candidates who take and pass the CST examination are authorized to use the initials CST as long as they maintain certification currency. Approved candidates who take and pass the CSFA examination are authorized to use the initials CSFA as long as they maintain certification currency. CST’s certified prior to September 1, 1977, may voluntarily comply with The National Board of Surgical Technology and Surgical Assisting (NBSTSA) continuing education or re-examination requirements. CST, CSFA, and CST/CSFA are federally registered trademarks and service marks owned by NBSTSA. The National Center for Competency Testing (NCCT) is an independent credentialing organization that has tested healthcare professionals and instructors throughout the United States since 1989. NCCT provides multiple qualifying paths for certification.
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Industry Credentials, Certifications, And Professional Licensure See the “Industry Credentials, Certifications, and Professional Licensure” https://www.mccb.edu/assessment
Industry Job Projection Data A summary of occupational data is available from the Mississippi Department of Employment Security. https://mdes.ms.gov/information-center/labor-market-information/
Articulation Check with the local community college CTE administration for articulation agreements.
Dual Enrollment See the “Procedures Manual for Dual Enrollment and Accelerated Programs” http://www.mississippi.edu/cjc/dual_enrollment.asp
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Research Abstract In the spring of 2023, the Office of Curriculum and Instruction (OCI) met with the different industry members who made up the advisory committees for the Surgical Technology program. An industry questionnaire was used to gather feedback concerning the trends and needs, both current and future, of their field. Program faculty, administrators, and industry members were consulted regarding industry workforce needs and trends. Industry advisory team members were asked to give input related to changes to the curriculum framework. Specific comments were related to soft skills such as being a team player, problem solver, critical thinker, being at work every day and on time, and having the willingness to learn. Occupation-specific skills were stated: knowing the basic fundamentals of sterile surgical procedures, surgical knowledge, sterile techniques, and surgical conscience. Based on industry visits, the need for clinical hour breakouts were needed to offer flexibility in clinical hour scheduling. Therefore, colleges now have 2 options for clinical course scheduling. A breakdown of the clinical course sequences are listed below. Both options are equal in overall student learning outcomes, semester credit hours, and clinical hours. Please see course pages for student learning outcome details.
Clinical and Lecture Combination Option 1 Course Number SUT 1518 SUT 1528 SUT 1539
Course Name
Semester Hours
Lecture Hours
Clinical Hours
Total Contact Hours
Basic and Related Surgical Procedures (Lecture & Clinical )
8
4
12
240
Specialized Surgical Procedures (Lecture & Clinical)
8
4
12
240
Advanced Surgical Procedures (Lecture &Clinical)
9
4
15
285
Total
25
12
39
765
Clinical and Course Separation Option 2
Course Name
Semester Hours
Lecture Hours
Clinical Hours
Total Contact Hours
Basic and Related Surgical Procedures (Lecture)
4
4
0
60
SUT 1714
Clinical I
4
0
12
180
SUT 1624
Specialized Surgical Procedures (Lecture)
4
4
0
60
SUT 1724
Clinical II
4
0
12
180
SUT 1634
Advanced Surgical Procedures (Lecture)
4
4
0
60
SUT 1735
Clinical III
5
0
15
225
Total
25
12
39
765
Course Number SUT 1614
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Revision History: 2012, Revised, Research and Curriculum Unit, Mississippi State University 2017, Revised, Office of Curriculum and Instruction, Mississippi Community College Board 2023, Revised, Office of Curriculum and Instruction, Mississippi Community College Board
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Program Description Surgical Technology is an instructional program that prepares an individual to serve as a member of the surgical team to work with surgeons, anesthesiologists, certified registered nurse anesthetists, registered nurses, physician’s assistants and other surgical personnel in delivering patient care and assuming appropriate responsibilities before, during, and after surgery. This program includes the education of all aspects of surgical technology including the role of first scrub, second assistant and assistant circulator. This program of study leads to a technical certificate in surgical technology. Students who complete the technical certificate courses and the general education core may be awarded an Associate of Applied Science degree. For outcomes assessment, upon successful completion of the program, students must take certification exams as designated by their individual institutions. Qualifying exams are those provided by the National Board of Surgical Technology and Surgical Assisting (NBSTSA) or the National Center for Competency Testing, (NCCT) NBSTSA offers the Certified Surgical Technologist (CST) credential. NCCT offers the Tech in Surgery - Certified (TS-C) credential. Both certifications are nationally recognized and are cited by the U.S. Department of Labor as beneficial certifications for those looking to work in this field. Industry standards are based on the Core Curriculum for Surgical Technology.
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Suggested Course Sequence Technical Certificate Required Courses (Option 1) Contact Hour Breakdown
SCH Breakdown Semester Credit Hours
Course Name
SUT 1113
Fundamentals of Surgical Technology
3
3
0
0
45
SUT 1217
Principles of Surgical Technique
7
3
8
0
165
SUT 1314*
Surgical Anatomy*
4
4
0
SUT 1413
Surgical Microbiology
3
3
0
0
45
SUT 1518
Basic and Related Surgical Procedures (Lecture & Clinical )
8
4
0
12
240
Specialized Surgical Procedures (Lecture & Clinical )
8
4
0
12
240
SUT 1539
Advanced Surgical Procedures (Lecture & Clinical )
9
Lab
4
Clinical
Certification Name
Course Number
SUT 1528
Lecture
0
Certification Information
Lecture
60
15
285
National Board of Surgical Technology and Surgical Assisting© or National Center for Competency Testing (NCCT)©
Instructor Approved electives 7 Total 49 25 8 39 1080 *Institutions requiring an AAS exit point may substitute Anatomy and Physiology I &II in place of Surgical Anatomy.
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Technical Certificate Required Courses (Option 2)
SCH Breakdown
Contact Hour Breakdown
Semester Credit Hours
Lecture
Certification Contact Hours Name
Course Number
Course Name
Lab
Clinical
SUT 1113
Fundamentals of Surgical Technology
3
3
0
0
45
SUT 1217
Principles of Surgical Technique
7
3
8
0
165
SUT 1314*
Surgical Anatomy*
4
4
0
SUT 1413
Surgical Microbiology
3
3
0
0
45
SUT 1614
Basic and Related Surgical Procedures (Lecture)
4
4
0
0
60
SUT 1714
Clinical I
4
0
0
12
180
SUT 1624
Specialized Surgical Procedures (Lecture)
4
4
0
0
60
SUT 1724
Clinical II
4
0
0
12
180
SUT 1634
Advanced Surgical Procedures (Lecture)
4
4
0
0
60
Clinical III
5
0
0
15
225
Instructor Approved electives
7
Certification Information
60 National Board of Surgical Technology and Surgical Assisting© or National Center for Competency Testing (NCCT)©
SUT 1735
Total
49 25 8 39 1080 *Institutions requiring an AAS exit point may substitute Anatomy and Physiology I & II in place of Surgical Anatomy.
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General Education Core Courses – Surgical Technology To receive the Associate of Applied Science Degree, a student must complete all of the required coursework found in the Career Certificate option, Technical Certificate option and a minimum of 15 semester hours of General Education Core. The courses in the General Education Core may be spaced out over the entire length of the program so that students complete some academic and Career Technical courses each semester or provided primarily within the last semester. Each community college will specify the actual courses that are required to meet the General Education Core Requirements for the Associate of Applied Science Degree at their college. The Southern Association of Colleges and Schools (SACS) Commission on Colleges Standard 2.7.3 from the Principles of Accreditation: Foundations for Quality Enhancement1 describes the general education core. Section 2.7.3
In each undergraduate degree program, the institution requires the successful completion of a general education component at the collegiate level that (1) is substantial component of each undergraduate degree, (2) ensures breadth of knowledge, and (3) is based on a coherent rationale. For degree completion in associate programs, the component constitutes a minimum of 15 semester hours or the equivalent. These credit hours are to be drawn from and include at least one course from the following areas: humanities/fine arts, social/behavioral sciences, and natural science/mathematics. The courses do not narrowly focus on those skills, techniques, and procedures specific to a particular occupation or profession. General Education Courses SCH Breakdown Course Number
Course Name
Semester Credit Hours
Humanities or Fine Arts
3
Psychology or Sociology*
3
Lecture
Lab
Total Contact Hours
Contact Hour Breakdown
Certification Information
Lecture
Certification Name
Lab
Math Elective* OR Natural Science with lab Elective* ENG 1113* English Composition I*
3/4 3
BIO 1514* OR BIO 2514*
Principles of Anatomy and Physiology I with lab* OR Anatomy and Physiology I with lab*
4
BIO 1524* OR BIO 2524*
Principles of Anatomy and Physiology II with lab* OR Anatomy and Physiology II with lab*
4
TOTAL 20/21 *Requirements as specified by the National Board of Surgical Technology and Surgical Assisting 1 Southern Association of Colleges and Schools Commission on Colleges. (2018). The principles of accreditation: Foundations for quality enhancement. Retrieved from: https://sacscoc.org/app/uploads/2019/08/2018PrinciplesOfAcreditation.pdf 2 Association of Surgical Technologists. (2022). Core Curriculum for Surgical Technology Seventh Edition.
Retrieved from: https://arcstsa.org/wp-content/uploads/2022/03/Core_Curriculum_for_Surgical_Technology_7ed_3-18-22.pdf
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Electives listing SCH Breakdown
Course Number
Course Name
SUT 1703
Certification and Role Transition
SUT 1314
SUT 1223
Semester Credit Hours
Contact Hour Breakdown Total Contact Hours
Lecture
Lab
Clinical
3
3
0
0
45
Surgical Anatomy
4
4
0
0
120
Medical Terminology for Surgical Technologists
3
0
0
0
45
Lecture
Lab
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Externship
Surgical Technology Courses Course Number and Name:
SUT 1113
Description:
This is a basic introductory course including hospital and surgical suite organization and environment, history, legal responsibilities, terminology, communication relationships, minimally invasive application and biomedical sciences.
Hour Breakdown:
Prerequisite:
Fundamentals of Surgical Technology
Semester Credit Hours
Lecture
Lab
Contact Hours
3
3
0
45
Instructor Approved
Student Learning Outcomes: 1. Interpret a job description for a surgical technologist. a. Using the Internet, trace the history, development, education, certification, and the professional role of the surgical technologist. b. Explain the principles underlying the design of the surgical department c. Explain hospital and surgery organization; Summarize the components that comprise the environmental systems. d. Define and describe types of communication relationships and interpersonal relationships as they relate to operating room personnel. e. Interpret the moral, and legal responsibilities of the surgical technologist, including HIPAA; understand the influence of ethics in professional practice and describe the types of sentinel events and summarize the intentions of risk management. f. Analyze the procedures and legal concepts of obtaining informed consent. 2. Interpret various word parts of medical terms. a. Identify various medical terms relating to surgery including abbreviations and symbols. b. Pronounce various medical terms relating to surgery including abbreviations and symbols. c. Spell various medical terms relating to surgery including abbreviations and symbols. 3. Discuss principles of environmental safety procedures. a. Apply knowledge in the OR to include electricity, fire, radiation, and laser principles. b. Explain the information included in Material Safety Data Sheets. c. Demonstrate proper body mechanics as applied to the surgical environment. 4. Apply computer knowledge to the educational process and safe patient care practices in the operating room. a. Describe the basic components of a computer system. b. Evaluate basic electronic medical records (EMR) systems used. c. Evaluate safe practice for implementing information technology. 5. Describe best practices in securing protected health information (PHI). National Board of Surgical Technology and Surgical Assisting I. Peri-Operative Care A. Pre- Operative Preparation 1. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies).
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II. Additional Duties A. Administrative and Personnel 2. Utilize computer technology for: a. surgeon’s preference card. b. interdepartmental communication c. continuing education. d. research. 3. Follow hospital and national disaster plan and protocol (e.g., safety drills, mass casualty drills, and biologic hazard). 4. Recognize safety and environmental hazards (e.g., fire, chemical spill, laser, smoke). 6. Apply ethical and legal practices related to surgical patient care. 7. Use interpersonal skills (e.g., listening, diplomacy, responsiveness) and group dynamics. 12. Understand basic principles of electricity and electrical safety.
III. Basic Science A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. National Center for Competency Testing I. Peri-Operative Care A. Pre-Operative Preparation 1. Anticipate the needs of special populations (e.g., pediatric, geriatric, immune compromised). I. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary 2. Follow facility disaster plan protocol 3. Recognize and react to safety and environmental hazards (e.g., fire, chemical spills, laser smoke). 4. Follow cost saving measures. 5. Provide culturally appropriate care to patients from different backgrounds. 6. Precept to perioperative personnel when needed. 7. Perform transition of care as per hospital policies and procedures (e.g., breaks, lunch, end of shift, on call). 8. Record and report unusual events appropriately (e.g., sentinel events, incident reports). 9. Maintain par levels of supplies. 10. Act as an advocate for the patient.
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Course Number and Name:
SUT 1217
Description:
This course is a comprehensive study of aseptic technique, safe patient care, anesthesia, pharmacology, and surgical techniques.
Hour Breakdown:
Prerequisite:
Principles of Surgical Technique
Semester Credit Hours
Lecture
Lab
Contact Hours
7
3
8
165
Instructor Approved
Student Learning Outcomes: 1. Identify perioperative routines and documentation. a. Explain pre-operative, intra-operative, and post-operative routines. b. Conduct pre-operative, intra-operative, and post-operative routines. c. Analyze laboratory reports in relationship to patient diagnosis and intervention. d. Identify the documents found in a surgical patient’s chart. e. Discuss the purposes and types of informed consent. f. Review patient chart for completeness. g. Summarize the purpose of documentation. h. Demonstrate participation in the Surgical Safety Checklist process. 2. Identify the roles and duties of the surgical team a. Discuss the roles and duties of all surgical team members. b. Demonstrate the functions of the surgical technologist in the following roles: 1. First scrub surgical technologist 2. Second scrub surgical technologist 3. Assisting circulating surgical technologist 3. Identify the procedures for the identification of the surgical patient admitted to the surgical suite. a. Identify the purpose of patient identification. b. Describe the patient identification procedure according to the patient situation. c. Identify the purpose and process for identifying the correct surgical site. d. Demonstrate the process of patient identification. e. Demonstrate the process for identifying the correct surgical site and, procedure and “Time Out”. 4. Identify the procedures for transporting, positioning, prepping, and draping of the surgical patient. a. Explain transporting, positioning, prepping, and draping. b. Describe the different transporting methods and when each would be required. c. Define and differentiate various positions and aids used during each position. d. Define safety precautions necessary when transporting, positioning or prepping patients. e. Define various prepping agents. f. Define anatomical areas and boundaries included in prepping sites. g. Describe the characteristics of draping materials. h. Describe the types of draping materials and their usage. i. Explain the selection of drapes concerning anatomical regions, furniture and equipment. j. Explain the application of drapes to patient, equipment and furniture. k. Define various surgical positions to include safety measures. l. Define surgical positioning aids.
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m. Demonstrate transporting, positioning, prepping, and draping. n. Demonstrate the principles of asepsis when draping the patient, furniture and equipment. o. Demonstrate differentiation and identification of surgical prep areas. p. Demonstrate differentiation of surgical positions. 5. Discuss the concepts of asepsis and sterile technique. a. Explain surgical conscience as it applies to the surgical technologist and other personnel in the operating room. b. Describe the terms related to asepsis and sterile technique. c. Discuss the principles and concepts of aseptic technique. d. Evaluate sources of contamination e. Demonstrate the application of aseptic technique. f. Demonstrate practices for correction of contamination. 6. Identify the principles associated with establishing and maintaining the sterile field. a. Explain the steps involved with preparing an operating room. b. Describe the preparation and usage of a surgeon’s preference card c. Describe the concepts that are applied for opening sterile supplies. d. Explain the steps for organizing the back table and Mayo stand. e. Identify special circumstances that require adjusting the normal routine for establishing the sterile field. f. Discuss the concepts that apply to the maintenance of the sterile field g. Demonstrate opening sterile supplies. h. Demonstrate setting up the sterile field and reasoning behind multiple ways to set up. 7. Management of the Sterile Field and the intraoperative phase. a. Discuss the concepts that apply to the maintenance of the sterile field. b. Explain the duties of the surgical technologist and other team members in maintaining the sterile field. c. Explore special considerations that require the surgical technologist to make adjustments to maintain the sterile field. d. Define various types of specimens to include handling and documentation. e. Demonstrate sharps safety. f. Demonstrate fire safety precautions during the intraoperative surgical phase. g. Demonstrate correctly passing instruments. h. Demonstrate methods for monitoring the sterile field. i. Demonstrate transfer of care. 8. Describe Hand Hygiene and surgical scrub. a. Discuss the considerations that are important to maintaining hand and skin integrity b. Discuss the concepts for performing the medical hand wash. c. Discuss the concepts of the various techniques of performing a surgical scrub as related to infection control. d. Demonstrate various techniques of performing a surgical scrub. 9. Describe OR and sterile attire. a. Discuss types and purpose of surgical attire including accessories. b. Describe the types of surgical gowns and gloves and when they are required. c. Describe the accessory attire required during specific or specialized procedures. d. Demonstrate the principles included in donning or doffing surgical attire. e. Apply the principles of asepsis to gowning and gloving self and other team members. f. Apply the principles of asepsis while donning accessory attire during specific procedures. 10. Describe Specimen Care and Handling. a. Describe specimen types. b. Discuss methods of obtaining specimens. c. Identify specimen collection containers.
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d. Describe the procedures for handling the transfer of specimens. e. List required labeling components. f. Discuss the procedures for managing a specimen. g. Demonstrate techniques for handling and labeling various types of specimens. 11. Identify categories, grades, manufacturing characteristics, functions, and names of instruments. a. Explain categories, grades, functions, and names of instruments and instrumentation. b. Demonstrate the care, handling, and uses of instruments. c. Apply knowledge of surgical instrumentation to specific surgical specialties. d. Discuss perioperative handling and care of instrumentation. e. Identify proper transportation and storage of instrumentation. 12. Identify surgical furniture, supplies and equipment. a. Explain OR furniture, surgical supplies and equipment including their purpose and usage. b. Demonstrate the applications, usage, handling and care of furniture, supplies and equipment. c. Discuss the basic concepts related to robotics. 13. Identify purpose and items included in surgical counts. a. Describe the purpose of surgical counts. b. Describe the types of documentation. c. Identify the items that must be counted. d. Describe the methods for counting. e. Discuss the frequency and timing of surgical counts. f. Explain the intraoperative sequence of completing surgical counts. g. Identify when additional counts are deemed necessary. h. Demonstrate the identification of items included in surgical counts. i. Demonstrate surgical counts. 14. Identify principles of surgical hemostasis and wound closure materials. a. Define terminology related to hemostasis and sutures. b. Identify requirements of suture packaging. c. Describe the characteristics of suture needles. d. Identify the factors that must be considered when choosing a suture needle. e. Explain the principles of handling suture including needles. f. Identify the various types of suture techniques. g. Describe the techniques for cutting suture material. h. Explain categories and usage of wound closure materials. i. List the desired characteristics of suture materials. j. Describe factors that must be considered when selecting suture material. k. Describe the various types of wound closure accessories. l. Differentiate between various methods of hemostasis. m. Demonstrate handling, selection, and usage of wound closure materials. n. Demonstrate the surgical technologist's role in hemostasis. o. Demonstrate proper suture selection, preparation, handling, and cutting techniques. p. Demonstrate proper placement, handling, loading, passing, and disposable of surgical suture. 15. Describe the types of surgical dressings. a. Describe the types of surgical dressings. b. Discuss the functions of surgical dressings. c. Discuss the application of surgical dressings. d. Demonstrate the preparation and application of surgical dressings. 16. Discuss the concepts for the breakdown of the sterile field. a. Discuss the steps that are taken to break down the sterile field. b. Demonstrate breaking down a sterile field.
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17. Identify the drugs and anesthesia used in the care of the surgical patient. a. Identify the principles and concepts for the use and administration (methods of administration) surgical drugs and anesthetic agents. b. Discuss patient factors considered during selection of methods, types and medications used for anesthesia. c. Define equipment and devices used during preparation and administration of drugs and anesthesia. d. Convert temperature, lengths, weights, and capacities to the metric system. e. Apply general terminology to medication use. f. Define medications including usage and precautions used intra-operatively. g. Discuss care, preparation, handling and labeling of medications and solutions used intra-operatively. h. Calculate medical conversions and dosages. i. Analyze the immediate postoperative care of the surgical patient. j. Identify possible complications of anesthesia. k. Describe the emergency procedures carried out in the OR setting. National Board of Surgical Technology and Surgical Assisting I. Peri-Operative Care A. Pre-Operative Preparation. 1. Review Surgeon’s preference card. 2. Verify availability of surgery equipment (e.g. reserve equipment for surgery) 3. Prepare and maintain operating room environment according to surgical procedure (e.g. temperature, light, suction and furniture). 4. Utilize preoperative documentation (e.g. informed consent, advanced directives, allergies, and laboratory results). 5. Obtain and apply additional equipment (e.g. pneumatic tourniquet, sequential compression devices, and thermoregulatory devices). 6. Don personal protective equipment. 7. Obtain instruments, supplies, and equipment and verify readiness for surgery. 8. Check package integrity of sterile supplies. 9. Open sterile supplies/ instruments while maintaining aseptic techniques. 10. Perform surgical scrub (e.g., initial, waterless) 11. Assemble, inspect, and set up sterile instruments and supplies for surgical procedures. 12. Gown and glove sterile team members. 13. Participate in “Time Out”. 14. Drape patient. 15. Transport patient to and from operating room utilizing correct patient positioning. 16. Transfer patient to operating room table. 17. Apply patient safety measures (e.g., safety strap, protective padding, and x-ray safety.) 18. Apply patient monitoring devices. 19. Position the patient. 20. Prepare surgical site (e.g., hair removal, surgical preparation) 21. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies). 22. Don gown and gloves. 23. Perform medical hand wash. 24. Secure cords/tubing to drapes and apply light handles. 25. Drape specialty equipment (e.g., c-arm, Da Vinci, microscope).
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B. Intra-Operative Procedure 1. Provide intra-operative assistance under the direction of the surgeon. 2. Perform counts with circulator at appropriate intervals. 3. Identify Instruments by: a. Function b. Application c. Classification 4. Prepare bone and tissue grafts (e.g., allograft, auto graft, synthetic). 5. Anticipate the steps of surgical procedures. 6. Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical). 7. Specify methods of operative exposure. 8. Place and secure retractors. 9. Verify with surgeon the correct type and/ or size implantable devices. 10. Pass instruments and supplies during surgery 11. Irrigate, suction, and sponge operative site. 12. Monitor and maintain aseptic technique throughout the procedure. 13. Assemble, test, and operate specialty equipment during surgery. 14. Utilize specialty equipment: a. Microscope. b. Computer navigation systems. c. Thermal ablation. d. Robotic technology e. Laser technology (e.g., helium, argon, CO2 beam coagulators). f. Ultrasound technology (e.g. harmonic scalpel) g. Phacoemulsification) h. Endoscopic technology. i. Power equipment and fracture sets. j. Minimally invasive and radiologic intervention equipment. 15. Verify, mix, and label all medications and solutions. 16. Minimize intra-operative cross contamination. 17. Follow Standard and Universal precautions. 18. Monitor medication and solution use. 19. Prepare drains, catheters, and tubing for insertion. 20. Verify, prepare, and label specimen(s). 21. Observe patient’s intra-operative status (e.g. Monitor color of blood, blood loss, patient position). 22. Apply thermal surgical techniques and safety precautions (e.g., cryo-surgery, laser surgery, electrical surgery unit (ESU . 23. Prepare suture materials. 24. Cut suture material as directed. 25. Identify appropriate usage of sutures/needles and stapling devices. 26. Provide assistance with stapling devices. 27. Perform appropriate actions during an emergency. 28. Initiate preventative actions in potentially hazardous situations. 29. Connect and activate drains to suction apparatus. 30. Prepare and apply sterile dressings.
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31. Assist in the application of casts, splints, braces, and similar devices C. Post-Operative Procedure 1. Report abnormal post-operative findings (e.g., bleeding at surgical site, Hematoma, rash) 2. Transfer patient from operating table to stretcher. 3. Remove drapes and other equipment (e.g., suction, cautery, non-disposable items) from patient. 4. Perform room clean up after surgery. 5. Dispose of contaminated waste and drapes after surgery in compliance with Standard Precautions. 6. Dispose of contaminated sharps after surgery in compliance with Standard Precautions. 7. Report use of local anesthetic. 8. Complete terminal cleaning of operating room. 9. Transport laboratory specimens. 10. Participate in case debrief (e.g., following sentinel event). II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card as necessary. 2. Utilize computer technology for: a. Surgeon’s preference cards. b. Interdepartmental communication. c. Continuing education. d. Research. B. Equipment Sterilization and Maintenance 1. Operate cleaning and sterilizing devices (e.g., ultrasonic washers, autoclave, and cart washer). 2. Troubleshoot equipment malfunctions. 3. Decontaminate and clean instruments and equipment. 4. Inspect, test, and assemble instruments and equipment. 5. Package and sterilize instruments and equipment. 6. Perform quality assurance functions (e.g. biological monitoring of sterilization methods). 7. Maintain equipment records and logs (e.g.., Sterrad, biological, laser log, sterilizers). 8. Sterilize instruments for immediate use (e.g., short cycle). III. Basic Science A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure(a-n) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-n) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries d. Malignancies B. Microbiology 1. Apply principles of surgical microbiology to operative practice: a. infection control procedures (e.g. aseptic technique). b. principles of tissue handling (e.g., Halsted principles, tissue manipulation methods, traction/counter traction). C. Surgical Pharmacology 1. Apply principles of surgical pharmacology to operative practice:
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a. Medications and solutions used during the intraoperative phase b. anesthesia related agents and medications. c. blood and fluid replacement. d. complications from drug interactions (e.g., malignant hyperthermia). e. methods of anesthesia administration (e.g., general, lock, block). f. types, uses, action, and interactions of drugs and solution (e.g., hemostatic agents, antibiotics, IV solutions). g. weights, measures, and conversations. 2. Maintain awareness of maximum dosage.
National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub with various techniques. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon.
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7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency. II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment.
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6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
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Course Number and Name:
SUT 1223
Description:
A study of medical terminology as it relates to the practice of surgical technology.
Hour Breakdown:
Semester Credit Hours
Lecture
Clinical
Contact Hours
3
3
0
45
Prerequisite:
Medical Terminology for Surgical Technologists
Instructor Approved
Student Learning Outcomes: 1. Combine prefixes, word roots, and suffixes to create medical terms. 2. Identify common abbreviations. 3. Differentiate between the Joint Commission's "Use Instead" and "Do Not Use" abbreviations lists. 4. Correctly define, spell, pronounce, and write medical terms.
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Course Number and Name:
SUT 1314
Description:
Emphasis is placed on the structure and function of the human body as related to surgery, as well as the application of the principles of surgical anatomy to participation in clinical experience.
Hour Breakdown:
Semester Credit Hours
Lecture
4
4
Prerequisite:
Surgical Anatomy
Lab
Contact Hours 60
Instructor Approved
Student Learning Outcomes: 1. Explain the integrated structures and function of body systems including cells, tissues, organs, and systems as they relate to physiologic integrity. a. Identify the basic organizational structures of the human body, including body planes, general organization, and terms of reference. b. Analyze the basic structure of cells and relate cellular components to integrated cell function c. Analyze the types of tissue that makeup organs and the characteristics of each d. Compare and contrast organs of the body. e. Analyze the different body systems for composition and function 2. Locate and describe the basic function(s) and structure of the following systems: a. Integumentary b. Muscular c. Skeletal d. Nervous e. Sensory f. Endocrine g. Circulatory h. Lymphatic i. Respiratory j. Digestive k. Genitourinary l. Reproductive (male and female) m. Ventricular 3. Compare and contrast the various surgical pathologies of each body system. a. Relate pathophysiology to surgical intervention. b. Analyze the relationship between cell pathology and disease. c. Examine hemodynamic disorders, inflammation, and disease. National Board of Surgical Technology and Surgical Assisting III Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-m) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-m)
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4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries d. Malignancies
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Course Number and Name:
SUT 1413
Description:
This is an introduction to pathogenic microorganisms related to surgery and their effect on wound management and infection. It includes principles of sterilization and disinfection.
Hour Breakdown:
Semester Credit Hours
Lecture
3
3
Prerequisite:
Surgical Microbiology
Lab
Contact Hours 45
Instructor Approved
Student Learning Outcomes: 1. Correlate the impact of microbiology in relationship to the practice of sterile technique and infection in the operative setting. a. Discuss the history of Microbiology. b. Identify the name and functions of various parts of the compound microscopes. c. Compare and contrast the structure and characteristics of different cells. d. Compare and contrast the structure and characteristics of different types of microorganisms. 2. Explain the relationship between humans and pathogenic and nonpathogenic bacteria. a. Discuss the Centers for Disease Control (CDC) Standard Precautions Guidelines and Recommendations as applied to the surgical suite. b. Distinguish between the various pathogenic organisms and their effect on the various body systems. c. List the means of controlling the transmission of infections. d. Analyze the various immune responses that occur in the body as defenses against invasion by pathogens. e. Select ways the body resists pathogens. f. Describe the purpose of disinfection of the surgical environment. g. Discuss the concepts for the breakdown of the sterile field. 3. Identify and discuss the process of infection. a. Relate the infections process to surgical practice. b. Distinguish between the different microbial relationships. c. Identify portals of entry and portals of exit for infectious microbes. d. Correlate the infectious disease process with possible causative agents. 4. Discuss wound management. a. Discuss the types of wounds. b. Evaluate the classifications of wounds. c. Evaluate the stages of wound healing. d. Describe the complications that interrupt normal wound healing. e. Analyze the factors that influence wound healing. f. Describe the various types of wound closure accessories Identify the factors that must be considered when choosing suture material. 5. Discuss physical and chemical methods used to protect patients and workers from invasion by pathogenic microbes. a. Describe the physical methods of antimicrobial control and an application of each. b. Describe ways in which chemicals kill or inhibit bacterial growth. 6. Identify the techniques of sterile processing.
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a. List methods and principles of sterilization and the advantages and disadvantages of each. b. Discuss monitoring methods. c. Describe the methods and principles of disinfection, cleaning, sterilization, and preparation of materials. d. Analyzing the requirements for sterilizing items. e. Analyzing the requirements for sterile storage and distribution. f. Demonstrate sterilization and/or disinfection of surgical supplies. National Board of Surgical Technology and Surgical Assisting I. Basic Science B. Microbiology 1. Apply principles of surgical microbiology to operative practice: a. Classification and pathogenesis of microorganisms. b. Infection control procedures (e.g., aseptic technique). c. Principles of tissue handling (e.g. Halsted principles, tissue manipulation methods, traction/counter traction). d. Stages of and factors influencing wound healing (e.g., condition of patient, wound type) e. Surgical wound classification. 2. Identify and address factors that can influence an infectious process.
29
Course Number and Name:
SUT 1518
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, techniques, and safe patient care in surgical specialty areas of diagnostic, minimally invasive surgery (MIS), general, gynecological, obstetrical, and urological procedure. This course requires clinical experience in area hospital surgical suite and related departments.
Hour Breakdown:
Semester Credit Hours
Lecture
Clinical
Contact Hours
8
4
12
240
Prerequisite:
Basic and Related Surgical Procedures
Instructor Approved
Student Learning Outcomes: 1. Discuss the relevant anatomy, indications for surgery, and patient preparation for diagnostic, minimally invasive surgery (MIS),general, gynecological, obstetrical, and urological procedures. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain diagnostic procedures. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Discuss equipment, supplies, and instruments for diagnostic, minimally invasive surgery, general, gynecological, obstetrical, and urological procedures. a. Identify instruments to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. c. Demonstrate preparation use, care, and handling of instruments, equipment, and supplies needed during surgical specialties. 3. Discuss surgical procedures and possible complications for diagnostic, minimally invasive surgery, general, gynecological, obstetrical, and urological procedures. a. Explain the steps during surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. d. Demonstrate the sequence of procedures by anticipating the needs of the surgeon in each of the following roles in the clinical setting: (1) First Scrub Surgical Technologist (2) Second Scrub Surgical Technologist (3) Assisting Circulating Surgical Technologist 4. Discuss safe patient care practices during phases of surgical procedures. a. Define safe patient care practices. b. Demonstrate knowledge of safe patient care and practices within the surgical environment in the clinical setting. c. Exhibit critical thinking skills. 5. Clinical Rotation Case Requirements a. Describe the different roles and duties of a student during clinical rotations. b. Develop professional competency by performing in the scrub role during arranged clinical rotations.
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c. Define sufficient documentation for verification of role during clinical rotations to include observation, first scrub (FS), and second scrub (SS). d. Discuss duties during student roles while participating in clinical rotations. e. Define criteria for required 120 scrubbed cases required for graduation. f. Demonstrate procedural proficiency during performance as a student on scrubbed cases. g. Demonstrate proper documentation to include role and specialty of surgical procedures. National Board of Surgical Technology and Surgical Assisting I. Peri-Operative Care A. Pre-Operative Preparation 1. Review Surgeon’s preference card. 2. Verify availability of surgery equipment (e.g. reserve equipment for surgery) 3. Prepare and maintain operating room environment according to surgical procedure (e.g. temperature, light, suction and furniture). 4. Utilize preoperative documentation (e.g. informed consent, advanced directives, allergies, and laboratory results). 5. Obtain and apply additional equipment (e.g. pneumatic tourniquet, sequential compression devices, and thermoregulatory devices). 6. Don personal protective equipment. 7. Obtain instruments, supplies, and equipment and verify readiness for surgery. 8. Check package integrity of sterile supplies. 9. Open sterile supplies/ instruments while maintaining aseptic techniques. 10. Perform surgical scrub (e.g., initial, waterless) 11. Assemble, inspect, and set up sterile instruments and supplies for surgical procedures. 12. Gown and glove sterile team members. 13. Participate in “Time Out”. 14. Drape patient. 15. Transport patient to and from operating room utilizing correct patient positioning. 16. Transfer patient to operating room table. 17. Apply patient safety measures (e.g., safety strap, protective padding, and x-ray safety. 18. Apply patient monitoring devices. 19. Position the patient. 20. Prepare surgical site (e.g., hair removal, surgical preparation) 21. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies). 22. Don gown and gloves. 23. Perform medical hand wash. 24. Secure cords/tubing to drapes and apply light handles. 25. Drape specialty equipment (e.g., c-arm, Da Vinci, microscope). B. Intra- Operative Procedure 1. Provide intra-operative assistance under direction of the surgeon. 2. Perform counts with circulator at appropriate interval. 3. Identify Instruments by: a. Function b. Application c. Classification 4. Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic.)
31
5. Anticipate the steps of surgical procedures. 6. Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical). 7. Specify methods of operative exposure. 8. Place and secure retractors. 9. Verify with surgeon the correct type and /or size of implantable devices. 10. Apply thermal surgical techniques and safety precautions (e.g., cryo-surgery, laser surgery, and electrical surgery unit (ESU). 11. Identify appropriate usage of sutures, needles and stapling devices. III Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-n) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-n) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency.
32
B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency.
33
II. Additional Duties A. Administrative and Personnel 2. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
34
Course Number and Name:
SUT 1528
Specialized Surgical Procedures
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, techniques, and safe patient care in surgical specialty areas of ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. This course requires clinical experience in area hospital surgical suite and related departments.
Hour Breakdown:
Prerequisite:
Semester Credit Hours
Lecture
Clinical
Contact Hours
8 Instructor Approved
4
12
240
Student Learning Outcomes: 1. Explain the relevant anatomy, indications for surgery, and patient preparation for ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain the diagnostic interventions that are utilized for obtaining a diagnosis. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Explain equipment, supplies, and instruments for ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. a. Identify instruments, to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. c. Demonstrate preparation, use, care, and handling of instruments, equipment, and supplies needed during surgical specialties. 3. Explain surgical procedures and possible complications for ear, nose, throat, eye, plastics, orthopedics and oral and maxillofacial surgery. a. Explain the correct order of steps taken during the surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. d. Demonstrate the sequence of procedures by anticipating the needs of the surgeon in each of the following roles in the clinical setting: (1) First Scrub Surgical Technologist (2) Second Scrub Surgical Technologist (3) Assisting Circulating Surgical Technologist 4. Discuss safe patient care practices during phases of surgical procedures. a. Define safe patient care practices. b. Demonstrate knowledge of safe patient care and practices within the surgical environment in the clinical setting. c. Exhibit critical thinking skills. 5. Clinical Rotation Case Requirements a. Describe the different roles and duties of a student during clinical rotations. b. Develop professional competency by performing in the scrub role during arranged clinical rotations.
35
c. Define sufficient documentation for verification of role during clinical rotations to include observation, first scrub (FS), and second scrub (SS). d. Discuss duties during student roles while participating in clinical rotations. e. Define criteria for required 120 scrubbed cases required for graduation. f. Demonstrate procedural proficiency during performance as a student on scrubbed cases. Demonstrate proper documentation to include role and specialty of surgical procedures. National Board of Surgical Technology and Surgical Assisting I. Peri-Operative Care A. Pre-Operative Preparation 1. Review Surgeon’s preference card. 2. Verify availability of surgery equipment (e.g. reserve equipment for surgery) 3. Prepare and maintain operating room environment according to surgical procedure (e.g. temperature, light, suction and furniture). 4. Utilize preoperative documentation (e.g. informed consent, advanced directives, allergies, and laboratory results). 5. Obtain and apply additional equipment (e.g. pneumatic tourniquet, sequential compression devices, and thermoregulatory devices). 6. Don personal protective equipment. 7. Obtain instruments, supplies, and equipment and verify readiness for surgery. 8. Check package integrity of sterile supplies. 9. Open sterile supplies/ instruments while maintaining aseptic techniques. 10. Perform surgical scrub (e.g., initial, waterless) 11. Assemble, inspect, and set up sterile instruments and supplies for surgical procedures. 12. Gown and glove sterile team members. 13. Participate in “Time Out”. 14. Drape patient. 15. Transport patient to and from operating room utilizing correct patient positioning. 16. Transfer patient to operating room table. 17. Apply patient safety measures (e.g., safety strap, protective padding, and x-ray safety. 18. Apply patient monitoring devices. 19. Position the patient. 20. Prepare surgical site (e.g., hair removal, surgical preparation) 21. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies). 22. Don gown and gloves. 23. Perform medical hand wash. 24. Secure cords/tubing to drapes and apply light handles. 25. Drape specialty equipment (e.g., c-arm, Da Vinci, microscope). B. Intra-Operative Procedure 1. Provide intra-operative assistance under direction of the surgeon. 2. Perform counts with circulator at appropriate interval. 3. Identify Instruments by: a. Function b. Application c. Classification 4. Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic.)
36
5. Anticipate the steps of surgical procedures. 6. Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical). 7. Specify methods of operative exposure. 8. Place and secure retractors. 9. Verify with surgeon the correct type and/or size of implantable devices. 10. Pass instruments and supplies during surgery. 11. Apply thermal surgical techniques and safety precautions (e.g., cryo-surgery, laser surgery, and electrical surgery unit (ESU . III Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure (a-n) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-n) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries
National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations.
37
21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency.
38
II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
39
Course Number and Name:
SUT 1539
Advanced Surgical Procedures
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, techniques, and safe patient care in surgical specialty areas of neurosurgery, cardiothoracic, peripheral vascular, employability skills, and allhazards preparation. This course requires clinical experience in area hospital surgical suites and related departments and a comprehensive final examination.
Hour Breakdown:
Prerequisite:
Semester Credit Hours
Lecture
Clinical
Contact Hours
9 Instructor Approved
4
15
285
Student Learning Outcomes: 1. Discuss the relevant anatomy, indications for surgery, and patient preparation for neurosurgery, cardiothoracic, and peripheral vascular. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain the diagnostic interventions that are utilized for obtaining a diagnosis. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Discuss equipment, supplies, and instruments for neurosurgery, cardiothoracic, and peripheral vascular. a. Identify instruments, to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. c. Demonstrate use, care, and handling of instruments, equipment, and supplies needed during surgical specialties. 3. Explain surgical procedures and possible complications for neurosurgery, cardiothoracic, and peripheral vascular. a. Explain the correct order of steps taken during the surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. d. Demonstrate the sequence of procedures by anticipating the needs of the surgeon in each of the following roles in the clinical setting: (1) First Scrub Surgical Technologist (2) Second Scrub Surgical Technologist (3) Assisting Circulating Surgical Technologist 4. Discuss safe patient care and practices during phases of surgical procedures. a. Define safe patient care practices. b. Demonstrate knowledge of safe patient care and practices within the surgical environment in the clinical setting. c. Exhibit critical thinking skills. 5. Clinical Rotation Case Requirements a. Describe the different roles and duties of a student during clinical rotations. b. Develop professional competency by performing in the scrub role during arranged clinical rotations.
40
c. Define sufficient documentation for verification of role during clinical rotations to include observation, first scrub (FS), and second scrub (SS). d. Discuss duties during student roles while participating in clinical rotations. e. Define criteria for required 120 scrubbed cases required for graduation. f. Demonstrate procedural proficiency during performance as a student on scrubbed cases. g. Demonstrate proper documentation to include role and specialty of surgical procedures. 6. Identify factors that promote effective transition from the role of student to the role of employee. a. Complete a student case log. b. Complete an application, and sit for national certification exam. c. Demonstrate professional conduct d. Exhibit sound communication skills to include oral, written, and electronic. e. Demonstrate interpersonal relations with other health care professionals. f. Exhibit critical thinking skills. 7. Identify desirable characteristics of a surgical technologist. a. Identify effective behaviors in relationship with team members. b. Discuss conflict resolution in the workplace. c. Describe characteristics of an effective leader and team member. 8. Explore employment and employee responsibility. a. Complete an application and documentation for employment and resignation. b. Discuss appropriate behaviors in a job interview. c. Discuss a typical hospital orientation program. d. Discuss “on call” and “call back” responsibilities. National Board of Surgical Technology and Surgical Assisting I. Peri-Operative Care A. Pre-Operative Preparation 1. Review Surgeon’s preference card. 2. Verify availability of surgery equipment (e.g. reserve equipment for surgery) 3. Prepare and maintain operating room environment according to surgical procedure (e.g. temperature, light, suction and furniture). 4. Utilize preoperative documentation (e.g. informed consent, advanced directives, allergies, and laboratory results). 5. Obtain and apply additional equipment (e.g. pneumatic tourniquet, sequential compression devices, and thermoregulatory devices). 6. Don personal protective equipment. 7. Obtain instruments, supplies, and equipment and verify readiness for surgery. 8. Check package integrity of sterile supplies. 9. Open sterile supplies/ instruments while maintaining aseptic techniques. 10. Perform surgical scrub (e.g., initial, waterless) 11. Assemble, inspect, and set up sterile instruments and supplies for surgical procedures. 12. Gown and glove sterile team members. 13. Participate in “Time Out”. 14. Drape patient. 15. Transport patient to and from operating room utilizing correct patient positioning. 16. Transfer patient to operating room table. 17. Apply patient safety measures (e.g., safety strap, protective padding, and x-ray safety. 18. Apply patient monitoring devices.
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19. Position the patient. 20. Prepare surgical site (e.g., hair removal, surgical preparation) 21. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies). 22. Don gown and gloves. 23. Perform medical hand wash. 24. Secure cords/tubing to drapes and apply light handles. 25. Drape specialty equipment (e.g., c-arm, Da Vinci, microscope). B. Intra-Operative Procedure 1. Provide intra-operative assistance under direction of the surgeon. 2. Perform counts with circulator at appropriate interval. 3. Identify Instruments by: a. Function b. Application c. Classification 4. Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic.) 5. Anticipate the steps of surgical procedures. 6. Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical). 7. Specify methods of operative exposure. 8. Place and secure retractors. 9. Verify with surgeon the correct type and /or size of implantable devices. 10. Pass instruments and supplies during surgery. 11. Apply thermal surgical techniques and safety precautions (e.g., cryo-surgery, laser surgery, and electrical surgery unit (ESU . III. Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-m) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-m) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries
National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment.
42
7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room.
43
2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency. II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
44
Course Number and Name:
SUT 1614
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, surgical techniques, and safe patient care in diagnostic, minimally invasive surgery (MIS), general, gynecology, obstetrics, and genitourinary procedures. This course prepares students for clinical experience.
Hour Breakdown:
Semester Credit Hours
Lecture
Clinical
Contact Hours
4
4
0
60
Prerequisite:
Basic and Related Surgical Procedures (Lecture)
Instructor Approved
Student Learning Outcomes: 1. Discuss the relevant anatomy, indications for surgery, and patient preparation for diagnostic, minimally invasive surgery (MIS), general, gynecological, obstetrical, and urological procedures. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain diagnostic procedures. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Discuss equipment, supplies, and instruments for diagnostic, minimally invasive surgery, general, gynecological, obstetrical, and urological procedures. a. Identify instruments to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. c. Demonstrate preparation use, care, and handling of instruments, equipment, and supplies needed during surgical specialties. 3. Discuss surgical procedures and possible complications for diagnostic, minimally invasive surgery, general, gynecological, obstetrical, and urological procedures. a. Explain the steps during surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. 4. Discuss safe patient care practices during phases of surgical procedures. a. Define safe patient care practices. b. Exhibit critical thinking skills. National Board of Surgical Technology and Surgical Assisting III. Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-m) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-m) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes
45
c. Traumatic injuries
National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately.
46
16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency. II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
47
Course Number and Name:
SUT 1624
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, techniques, and safe patient care in surgical specialty areas of ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. This course prepares students for clinical experience in area hospital surgical suite and related departments.
Hour Breakdown:
Semester Credit Hours
Lecture
Clinical
Contact Hours
4
4
0
60
Prerequisite:
Specialized Surgical Procedures (Lecture)
Instructor Approved
Student Learning Outcomes: 1. Explain the relevant anatomy, indications for surgery, and patient preparation for ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain the diagnostic interventions that are utilized for obtaining a diagnosis. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Explain equipment, supplies, and instruments for ear, nose, and throat; eye; oral and maxillofacial surgery; orthopedics; and plastics. a. Identify instruments, to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. c. Demonstrate preparation, use, care, and handling of instruments, equipment, and supplies needed during surgical specialties. 3. Explain surgical procedures and possible complications for ear, nose, throat, eye, plastics, orthopedics and oral and maxillofacial surgery. a. Explain the correct order of steps taken during the surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. 4. Discuss safe patient care practices during phases of surgical procedures. a. Define safe patient care practices. b. Demonstrate knowledge of safe patient care and practices within the surgical environment in the clinical setting. c. Exhibit critical thinking skills. National Board of Surgical Technology and Surgical Assisting III. Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-m) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-m) 4. Identify the following pathologies:
48
a. Abnormal anatomy b. Disease processes c. Traumatic injuries
National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure. 5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices.
49
15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency. III. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment. 4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second. 7. Update equipment records and logs.
50
Course Number and Name:
SUT 1634
Description:
This course includes instruction in regional anatomy, pathology, instrumentation, techniques, and safe patient care in surgical specialty areas of neurosurgery, cardiothoracic, peripheral vascular, employability skills, and all-hazards preparation.
Hour Breakdown:
Semester Credit Hours
Lecture
Clinical
Contact Hours
4
4
0
60
Prerequisite:
Advanced Surgical Procedures (Lecture)
Instructor Approved
Student Learning Outcomes: 1. Discuss the relevant anatomy, indications for surgery, and patient preparation for neurosurgery, cardiothoracic, and peripheral vascular. a. Correlate the relevant surgical anatomy and physiology to the surgical procedure. b. Correlate the relevant pathophysiology to the surgical procedure. c. Explain the diagnostic interventions that are utilized for obtaining a diagnosis. d. Discuss the perioperative considerations for the planned surgical procedure. e. Identify and discuss co-related surgical procedures. f. Identify surgical specimens including handling and documentation. g. List the wound classifications and correlate to wound management. 2. Discuss equipment, supplies, and instruments for neurosurgery, cardiothoracic, and peripheral vascular. a. Identify instruments, to include usage and handling. b. Identify specialty equipment and supplies to include preparation, usage, and handling. 3. Explain surgical procedures and possible complications for neurosurgery, cardiothoracic, and peripheral vascular. a. Explain the correct order of steps taken during the surgical procedures. b. Define the surgical technologist duties during procedural steps. c. Identify possible complications and mitigation strategies. 4. Discuss safe patient care and practices during phases of surgical procedures. a. Define safe patient care practices. b. Exhibit critical thinking skills. 5. Identify factors that promote effective transition from the role of student to the role of employee. a. Complete an application, and sit for national certification exam. b. Demonstrate professional conduct c. Exhibit sound communication skills to include oral, written, and electronic. d. Exhibit critical thinking skills. 6. Identify desirable characteristics of a surgical technologist. a. Identify effective behaviors in relationship with team members. b. Discuss conflict resolution in the workplace. c. Describe characteristics of an effective leader and team member. 7. Explore employment and employee responsibility. a. Complete an application and documentation for employment and resignation. b. Discuss appropriate behaviors in a job interview. c. Discuss a typical hospital orientation program.
51
d. Discuss “on call” and “call back” responsibilities. National Board of Surgical Technology and Surgical Assisting III. Basic Sciences A. Anatomy and Physiology 1. Use appropriate medical terminology and abbreviations. 2. Demonstrate knowledge of anatomical systems as they relate to the surgical procedure. (a-m) 3. Demonstrate knowledge of human physiology as they relate to the surgical procedure. (a-m) 4. Identify the following pathologies: a. Abnormal anatomy b. Disease processes c. Traumatic injuries National Center for Competency Testing (NCCT) I. Pre-Operative Care A. Pre-Operative Preparation 1. Prepare the operating room environment and equipment according to the surgical procedure. 2. Verify the presence of surgical team members and the patient. 3. Gather specific surgical supplies, medications, and equipment based on the surgeon’s preference card (pick list). 4. Check package integrity and expiration date of sterile supplies. 5. Obtain specialized patient equipment (e.g., sequential compression devices, pneumatic tourniquet, thermoregulatory devices). 6. Assemble and test positioning equipment. 7. Don personal protective equipment (e.g., mask, eye protection). 8. Follow the principles of aseptic technique while opening supplies for the surgery. 9. Perform surgical hand scrub. 10. Don sterile gown and gloves. 11. Set up and inspect sterile instruments and supplies for surgical procedures. 12. Perform pre-operative count with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 13. Verify identity of the patient and operative site. 14. Transfer the patient to the operating room table. 15. Place the safety belt and pressure pads on the patient. 16. Assist the surgical team with gowning and gloving. 17. Assist with the draping the patient. 18. Verify and label medications and solutions at the sterile field pre-operatively 19. Perform surgical “Time Out”. 20. Initiate preventative and/or corrective actions in potentially hazardous pre-operative situations. 21. Perform appropriate actions during a pre-operative emergency. B. Intra-Operative Procedure 1. Maintain the operating room environment according to surgical procedure (e.g., temperature, lights, suction, and furniture). 2. Verify and label medications and solutions at the sterile field intra-operatively. 3. Assemble and test specialty equipment during surgery (e.g., computer navigation systems, harmonic scalpel, endoscopic technology). 4. Anticipate the need for retraction to facilitate proper operative exposure.
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5. Pass instruments and supplies as anticipated during surgery. 6. Provide intra-operative assistance when delegated by the surgeon. 7. Anticipate the need for and then implement sponging, suctioning, and irrigation. 8. Ensure aseptic technique is maintained by all OR team members throughout the surgical procedure. 9. Anticipate the need for various hemostatic agents based on the type of surgery. 10. Assemble internal stapling devices. 11. Prepare and cut suture materials as directed. 12. Verify with the surgeon and the circulating nurse the specific type and/or size of implantable devices. 13. Cauterize when directed by the surgeon (e.g., laser, cryo, ESU). 14. Obtain appropriate sutures/needles and stapling devices. 15. Handle specimens appropriately. 16. Prepare drains, catheters, and tubing for use at the end of the case. 17. Assist in the placement of wound drains. 18. Perform intra-operative counts with the circulating nurse (e.g., sutures, sharps, sponges, instruments). 19. Report the total amount of medications and solutions used during the procedure. 20. Assist with skin closure. 21. Connect and activate drains to the suction device. 22. Assemble and apply dressing material before transporting the patient to the recovery room. 23. Assist with application of casts, splints, braces, and similar devices. 24. Initiate preventative and/or corrective actions in potentially hazardous intra-operative situations. 25. Perform appropriate actions during an intra-operative emergency. 26. Provide the surgical team members the supplies and solutions required for the procedure. C. Post-Operative Care 1. Maintain the sterility of the back table and mayo stand until the patient leaves the room. 2. Observe the patient post-operatively for any bleeding and relay status to the surgical team (e.g., bleeding at surgical site, hematoma). 3. Remove the surgical drapes from the patient. 4. Cleanse the patient’s skin (e.g., blood, prep solution, body fluids). 5. Remove surgical gown, gloves, and other personal protective equipment. 6. Assist with patient transfer from the operating table to the stretcher. 7. Comply with Standard Precautions when removing and discarding of drapes and waste. 8. Dispose of all sharps after surgery in compliance with Standard Precautions and procedures. 9. Assemble the instruments for the decontamination and sterilization process. 10. Return unused supplies and equipment to the designated location. 11. Perform room turnover after surgery. 12. Initiate preventative and/or corrective actions in potentially hazardous post-operative situations. 13. Perform appropriate actions during a post-operative emergency. II. Additional Duties A. Administrative and Personnel 1. Revise surgeon’s preference card (pick list) as necessary B. Equipment Sterilization and Maintenance 1. Operate sterilizing devices according to parameters and manufacturer’s recommendations. 2. Utilize and contain liquid sterilants and disinfectants according to parameters and manufacturer’s recommendations. 3. Manually decontaminate and clean instruments and equipment.
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4. Visually inspect and assemble any equipment and instruments used during the case for future use. 5. Package, label, and sterilize instruments and equipment. 6. Perform biological and DART air removal tests per second 7. Update equipment records and logs.
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Course Number and Name:
SUT 1703
Description:
An in-depth study of the role of the surgical technologist and review for the certification examination. The course examines liability and legal issues of practice, adapting critical thinking skills to a variety of practice settings, effective team and professional behaviors, continuing education, and ethical issues. Practice on computer simulations is required.
Certification and Role Transition
Hour Breakdown:
Prerequisite:
Semester Credit Hours
Lecture
Lab
Contact Hours
3 Instructor Approved
3
0
45
Student Learning Outcomes: 1. Identify desirable characteristics of a surgical technologist. a. Examine legal and ethical issues that may affect the practice of surgical technology and appropriate actions. b. Identify effective behaviors in relationship with team members. c. Discuss conflict resolution in the workplace. d. Describe characteristics of an effective leader and team member. 2. Explore employment and employee responsibility. a. Prepare cover letters of application and resignation. b. Discuss appropriate behaviors for a job interview. c. Discuss a typical hospital orientation program. d. Discuss “on call” and “call back” responsibilities. 3. Identify factors that promote effective transition from the role of student to the role of employee. a. Complete a student case log. b. Complete an application, and sit for national certification exam. c. Utilize computer simulation to enhance critical-thinking skills. d. Discuss continuing education and certification requirements.
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Course Number and Name:
SUT 1714, SUT 1724, SUT 1735 Clinical Practice I, II, III
Description:
This course includes clinical practice and didactic instruction in a clinical affiliate. Surgical specialty areas covered include diagnostic, minimally invasive surgery, general, gynecology, obstetrics, genitourinary, ear, nose, throat, eye, oral and maxillofacial surgery, orthopedics, plastics, neurosurgery, cardiothoracic, peripheral vascular.
Hour Breakdown:
Prerequisite:
Semester Credit Hours
Lecture
Clinical
Contact Hours
4
0
12
180
5 Instructor Approved
0
15
225
Student Learning Outcomes: 1. Demonstrate use, care, and handling of instruments, equipment, and supplies in the following related surgical specialty. a. general b. obstetrics/gynecology c. genitourinary d. ear, nose, and throat e. eye f. oral and maxillofacial g. orthopedics h. plastics i. neurosurgery j. cardiothoracic k. peripheral vascular 2. Demonstrate the sequence of procedures by anticipating the needs of the surgeon in each of the following roles in the clinical setting: a. First scrub Surgical Technologist b. Second scrub Surgical Technologist c. Assistant circulating Surgical Technologist 3. Demonstrate knowledge of safe patient care and practices within the surgical environment in the clinical setting. 4. Clinical Rotation Case Requirements a. Describe the different roles and duties of a student during clinical rotations. b. Develop professional competency by performing in the scrub role during arranged clinical rotations. c. Define sufficient documentation for verification of role during clinical rotations to include observation, first scrub (FS), and second scrub (SS). d. Discuss duties during student roles while participating in clinical rotations. e. Define criteria for required 120 scrubbed cases required for graduation. f. Demonstrate procedural proficiency during performance as a student on scrubbed cases. g. Demonstrate proper documentation to include role and specialty of surgical procedures. 5. Demonstrate employability and job retention skills. a. Demonstrate professional conduct b. Exhibit sound communication skills to include oral, written, and electronic. c. Demonstrate interpersonal relations with other health care professionals. d. Exhibit critical thinking skills.
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I. Peri-Operative Care A. Pre-Operative Preparation 1. Review Surgeon’s preference card. 2. Verify availability of surgery equipment (e.g. reserve equipment for surgery) 3. Prepare and maintain operating room environment according to surgical procedure (e.g. temperature, light, suction and furniture). 4. Utilize preoperative documentation (e.g. informed consent, advanced directives, allergies, and laboratory results). 5. Obtain and apply additional equipment (e.g. pneumatic tourniquet, sequential compression devices, and thermoregulatory devices). 6. Don personal protective equipment. 7. Obtain instruments, supplies, and equipment and verify readiness for surgery. 8. Check package integrity of sterile supplies. 9. Open sterile supplies/ instruments while maintaining aseptic techniques. 10. Perform surgical scrub (e.g., initial, waterless) 11. Assemble, inspect, and set up sterile instruments and supplies for surgical procedures. 12. Gown and glove sterile team members. 13. Participate in “Time Out”. 14. Drape patient. 15. Transport patient to and from operating room utilizing correct patient positioning. 16. Transfer patient to operating room table. 17. Apply patient safety measures (e.g., safety strap, protective padding, and x-ray safety. 18. Apply patient monitoring devices. 19. Position the patient. 20. Prepare surgical site (e.g., hair removal, surgical preparation) 21. Consider patient needs (e.g., pediatrics, immunocompromised, patient allergies). 22. Don gown and gloves. 23. Perform medical hand wash. 24. Secure cords/tubing to drapes and apply light handles. 25. Drape specialty equipment (e.g., c-arm, Da Vinci, microscope). B. Intra-Operative Procedure 1. Provide intra-operative assistance under direction of the surgeon. 2. Perform counts with circulator at appropriate interval. 3. Identify Instruments by: a Function b Application c Classification 4. Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic.) 5. Anticipate the steps of surgical procedures. 6. Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical). 7. Specify methods of operative exposure. 8. Place and secure retractors. 9. Verify with surgeon the correct type and /or size of implantable devices. 10. Apply thermal surgical techniques and safety precautions (e.g., cryo-surgery, laser surgery, and electrical surgery unit (ESU . 11. Identify appropriate usage of sutures, needles and stapling devices.
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Recommended Instruments, Supplies and Equipment The following items are recommended for all surgical technology programs and the use of refurbished or demonstration equipment is encouraged. Capitalized Items 1. Bandaging simulator (1 per program) 2. Basin stand, ring stand (4 per program) 3. Board, roller/transfer (1 per program) 4. Devices, positioning (2 prone, 2 lateral, 2 sitting, 2 lithotomy, 2 supine per program) 5. Dilation and curettage set (1 per program) 6. GYN instrument tray (1 per program) 7. Minor surgical instrument set (2 per program) 8. Electrocautery unit (1 per program) 9. Laparotomy instrument set (1 per room) 10. Chest instrument set (1 per program) 11. Basic orthopedic instrument set (1 per program) 12. 2 Mannequins for mock surgery (at least one must be anatomically capable of being draped for lithotomy and orthopedic procedures.) 13. Mayo stands (3 per room) 14. Tonsil and adenoid set (1 per program) 15. Vaginal hysterectomy tray (1 per program) 16. Stretcher, patient, with brakes and side rails (1 per program) 17. 1 fully functional OR table with routine attachments: • Arm boards • Ob-gyn lithotomy attachments • Kidney position attachments • Shoulder braces • Foot board • Safety strap 18. Table, instrument (3 per room) 19. Prep table/stand (2 per room) 20. I.V. poles (2 per room) 21. Standing platforms (2 per room) 22. Hand table (1 per program) 23. Instrument containers (1 per room) 24. Surgical lights (2 per room) 25. Autoclave (1 per program) 26. Computer access (1 per 3 students) 27. Printer access, laser (1 per 2 computers) 28. Refurbished or demonstration unit for laparoscopic procedures to include 1 scope, 1 camera, and 1 monitor (1 set per program) 29. Access to fully operational laparoscopic equipment 30. Human skeleton with stand (1 per program) 32. Surgical Simulator 33. Basic Genitourinary Instruments 34. Linen Hamper (1 per room)
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35. Gastrointestinal instruments 36. Various general surgery instruments 37. Closed Case Cart (1) 38. Surgical scrub sink SUPPLIES (secure unused items from the OR to build the sterile supply area) 1. Initially one appendectomy model or similar per student for clinical readiness exams a. + 10 for practice in lab 2. One basic pack per student for clinical readiness + 6 for practice (make students refold packs for practice and keep the first year’s packs for clinical readiness for the following years practice 3. Sponges (raytecs, laparotomy pads) 4. Dressings 5. Tape 6. Grounding pads 7. Prep trays 8. Foley catheter trays 9. Syringes of different sizes and types 10. Needles of different sizes and types 11. Knife blades 12. Wide assortment of suture (mock procedures are performed as realistically as possible) 13. Empty but properly labeled medicine bottles (all local anesthetic agents, some anesthesia drugs, IV set ups, emergency drugs) [Place sign where ever these are kept stating that these are NOT real medications] 14. Access to samples of supplies related to specialty areas (ex. Cast materials) 15. Gowns 16. Masks 17. Hair covers 18. Gloves (sterile and non-sterile) 19. Sharps containers 20. Biohazardous waste boxes and liners (samples) 21. Sterilization wrappers 22. Peel Packs 23. Sample biologic and other sterilization indicators Non-Capitalized Items 1. Manual sphygmomanometer, adult (1 per 2 students) 2. Digital sphygmomanometer (1 per program) 3. Sheets, full flat (4 per stretcher or table) 4. Pillows (2 per stretcher or table) 5. Kick bucket with coasters (2 per room) 6. Pneumatic tourniquet cuffs (1 double adult, 1 upper extremity adult, 1 lower extremity adult per program) 7. Thermometer, electronic digital (1 per program) 8. Straps, restraint (1 set per room) 9. Sitting stool (2 per program) 10. Ear model (1 per program) 11. Eye model (1 per program) 12. Heart model (1 per program) 13. Model, teaching, adult (Internal Organ) (1 per program) 14. Model, knee joint (1 per program) 15. Human lumbar spine (1 per program)
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16. Laminated anatomy posters (1 set per program) 17. Laminated instrument posters (1 set per program) 18. Stethoscope, dual training (2 per program) 19. Glo-germ light kit (1 per program) 20. Scrub solution dispenser
“Other equipment items can be added when deemed appropriate by the community college industry craft committee or by industry/business training requirements.”
Recommended Instructional Aids 1. Hybrid teaching aids (Current examples may include: Apple TV, Smartboard, Laptop, digital accessories, etc.) 2. LCD/Overhead projector 3. Data Projector 4. Bookcase/display shelving (1 per program) 5. File cabinet, lockable (2 per teacher) 6. Computer table (1 per computer) 7. Computer chairs (1 per table)
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Curriculum Definitions and Terms • Course Name – A common name that will be used by all community colleges in reporting students • Course Abbreviation – A common abbreviation that will be used by all community and junior colleges in reporting students • Classification – Courses may be classified as the following: o Career Certificate Required Course – A required course for all students completing a career certificate. o Technical Certificate Required Course – A required course for all students completing a technical certificate. o Technical Elective – Elective courses that are available for colleges to offer to students. • Description – A short narrative that includes the major purpose(s) of the course • Prerequisites – A listing of any courses that must be taken prior to or on enrollment in the course • Corequisites – A listing of courses that may be taken while enrolled in the course • Student Learning Outcomes – A listing of the student outcomes (major concepts and performances) that will enable students to demonstrate mastery of these competencies The following guidelines were used in developing the program(s) in this document and should be considered in compiling and revising course syllabi and daily lesson plans at the local level: • The content of the courses in this document reflects approximately 75% of the time allocated to each course. The remaining 25% of each course should be developed at the local district level and may reflect the following: o Additional competencies and objectives within the course related to topics not found in the state framework, including activities related to specific needs of industries in the community college district o Activities that develop a higher level of mastery on the existing competencies and suggested objectives o Activities and instruction related to new technologies and concepts that were not prevalent at the time the current framework was developed or revised o Activities that include integration of academic and career–technical skills and course work, school-to-work transition activities, and articulation of secondary and postsecondary career– technical programs o Individualized learning activities, including work-site learning activities, to better prepare individuals in the courses for their chosen occupational areas • Sequencing of the course within a program is left to the discretion of the local college. Naturally, foundation courses related to topics such as safety, tool and equipment usage, and other fundamental skills should be taught first. Other courses related to specific skill areas and related academics, however, may be sequenced to take advantage of seasonal and climatic conditions, resources located outside of the school, and other factors. Programs that offer an Associate of Applied Science Degree must include all of the required Career Certificate courses, Technical Certificate courses AND a minimum of 15 semester hours of General Education Core Courses. The courses in the General Education Core may be spaced out over the entire length of the program so that students complete some academic and Career Technical courses each semester. Each community college specifies the actual courses that are required to meet the General Education Core Requirements for the Associate of Applied Science Degree at their college. • In order to provide flexibility within the districts, individual courses within a framework may be customized by doing the following: o Adding new student learning outcomes to complement the existing competencies and suggested objectives in the program framework o Revising or extending the student learning outcomes o Adjusting the semester credit hours of a course to be up 1 hour or down 1 hour (after informing the Mississippi Community College Board [MCCB] of the change)
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Course Crosswalk Course Crosswalk Surgical Technology CIP 51.0909– Surgical Technology/Technologist Note: Courses that have been added or changed in the 2023 curriculum are highlighted. Previous Current 2012 MS Curriculum Framework 2017 MS Curriculum Framework Course Course Title Hours Course Course Title Hours Number Number SUT 1113
Fundamentals of Surgical Technology
3
SUT 1216
Principles of Surgical Technique
6
SUT 1113
Fundamentals of Surgical Technology
SUT 1217
Principles of Surgical Technique
SUT 1223
Medical Terminology for Surgical Technologists
3 7
SUT 1314
Surgical Anatomy
4
SUT 1314
Surgical Anatomy
3 4
SUT 1413
Surgical Microbiology
3
SUT 1413
Surgical Microbiology
3
SUT 1518
Basic and Related Surgical Procedures
8
SUT 1518
Basic and Related Surgical Procedures
8
SUT 1528
Specialized Surgical Procedures
8
SUT 1528
Specialized Surgical Procedures
SUT 1538
Advanced Surgical Procedures
SUT 1539
Advanced Surgical Procedures
SUT 1614
Basic and Related Surgical Procedures
SUT 1624
Specialized Surgical Procedures
4 4
SUT 1634
Advanced Surgical Procedures
4
SUT 1703
Certification and Role Transition
SUT 1714
Clinical I
3 4
SUT 1724
Clinical II
4
SUT 1735
Clinical III
5
SUT 1703
Certification and Role Transition
8
3
62
8 9
Course Crosswalk Surgical Technology CIP 51.0909– Surgical Technology/Technologist Note: Courses that have been added or changed in the 2023 curriculum are highlighted. Revised 2023 MS Curriculum Framework Course Course Title Hours Course Course Title Hours Number Number SUT 1113
Fundamentals of Surgical Technology
3
SUT 1217
Principles of Surgical Technique
7
SUT 1223
Medical Terminology for Surgical Technologists
3
SUT 1314
Surgical Anatomy
4
SUT 1413
Surgical Microbiology
3
SUT 1518 SUT 1528 SUT 1539
Basic and Related Surgical Procedures Specialized Surgical Procedures Advanced Surgical Procedures
8 8 9
SUT 1614
Basic and Related Surgical Procedures
4
SUT 1624
Specialized Surgical Procedures
4
SUT 1634
Advanced Surgical Procedures
4
SUT 1703
Certification and Role Transition
3
SUT 1714
Clinical I
4
SUT 1724
Clinical II
4
SUT 1735
Clinical III
5
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General Education Recommendations for The Associate Degree i
Programs should be familiar with the general education requirements of their respective state board of higher education when transitioning to the associate degree. However, there are general education courses that can be assumed to be standard requirements to complete an associate degree. The following are recommended freshman college-level general education courses that most state boards of higher education require. • English o Includes reading skills across the curriculum. o It also includes writing skills across the curriculum. • Mathematics • Humanities, sociology, or psychology • Demonstrated proficiency in computer skills or completion of a freshman-level course. Many programs require introductory science courses as prerequisites to meet the requirements of the CCST. The following are the CCST requirements that are recommended as prerequisites. • Pharmacology • Medical Terminology • Anatomy and Physiology, I and II that includes a lab component. • Microbiology that includes a lab component.
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https://arcstsa.org/wp-content/uploads/2022/03/Core_Curriculum_for_Surgical_Technology_7ed_3-18-22.pdf (Page 7).
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