ASHEVILLE-BUNCOMBE TECHNICAL COMMUNITY COLLEGE
Course Outline
Course:
SUR 122
Surgical Procedures I
Credit Hours:
(5-3-0-6)
6 Credit Hours
Class Meeting Time:
Wednesday (Didactic)
Thursday (Lab)
12:00-4:50
3:30-6:20
Course Description: This course introduces a comprehensive study of surgical procedures in the
following specialties: general, gastrointestinal, obstetrical/gynecology, urology, otorhinolaryngology,
orthopedic, and peripheral vascular. Emphasis is placed on related surgical anatomy, pathology, and
procedures thereby enhancing theoretical knowledge of patient care, instrumentation, supplies and
equipment. Upon completion, students should be able to correlate, integrate, and apply theoretical
knowledge of the course topics.
Instructors:
Phone numbers:
Office hours:
Robin Keith
Office: 254-1921 ext. 892
301-2353 (cell)
e-mail: rkeith@abtech.edu
Wednesday
( 9:00am-10:50)
and
Daniel Stokoe
254-1921 ext. 7618
279-4800(cell)
dstokoe@abtech.edu
Friday
(10:00am-12:50)
PREREQUISITES:
Enrollment in the Surgical Technology Program
SUR 110, SUR 111, and BIO 163
COREQUISITIES:
SUR 123
REQUIRED TEXTS:
ABTCC Surgical Technology Handbook
AST. (2008). Surgical Technology for the Surgical Technologist: A Positive Care Approach,
(3rd ed.). Clifton Park, NY: Delmar.
AST. (2008). Study Guide to Accompany Surgical Technology for the Surgical Technologist: A
Positive Care Approach, (3rd ed.). Clifton Park, NY: Delmar.
Dennerll, J. (2007). Medical Terminology Made Easy, (4th ed.). Clifton Park, NY: Delmar.
Goldman, M. (2008). Pocket Guide to the Operating Room, (3rd ed.). Philadelphia, PA: F.A. Davis.
Pieknik, R. (2006). Suture and Surgical Hemostasis: A Pocket Guide. Philadelphia, PA: W.B. Saunders.
Rutherford, C. (2005). Differentiating Surgical Instruments. Philadelphia, PA: F. A. Davis Company.
Rutherford, C. (2010). Differentiating Surgical Supplies and Equipment. Philadelphia, PA: F. A. Davis
Company.
Snyder & Keegan. (2006). Pharmacology for the Surgical Technologist, (2nd ed.). St. Louis, MO:
Saunders Elsevier.
Snyder & Keegan. (2006). Pharmacology for the Surgical Technologist: Study Guide, (2nd ed.).
St. Louis, MO: Saunders Elsevier.
OPTIONAL TEXTS:
Allhoff, T. (2003). Surgical Mayo Setups, (1st ed.). Albany, NY: Delmar.
AORN. (2004). AORN Standards, Recommended Practices, and Guidelines. Denver, CO: AORN.
Rothrock, J. (2010). Alexander’s Care of the Patient in Surgery, (15th ed.). St. Louis, MO: Mosby
Venes, D. (2005). Taber’s Cyclopedic Medical Dictionary, (20th ed.). Philadelphia, PA: F.A. Davis.
Prepared by:
Robin Keith
Revision Date: _____September 28, 2010____
I verify that this course outline is accurate, complete and timely.
________Robin B. Keith
Chairperson
_________Ned Fowler_________
Dean
COURSE POLICIES:
The instructor reserves the right to alter course content, presentation, sequence and assignment due dates. There will
be no make-up quizzes or tests.
Open Grade Book Policy:
The Surgical Technology Program Faculty maintains an “open grade book” policy as well as an open door policy and
will make every effort to keep students aware of their progress throughout the semester. If you at any time have a
question about any grading procedure, status of your grade, or overall progress throughout the curriculum, please do
not hesitate to ask!
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Disabilities
Any student with a documented disability needing academic adjustments or accommodations is requested to speak
with the coordinator of Disability Services in the Azalea building, Annie Clingenpeel (254-1921 ext. 141 or e-mail
Aclingenpeel@abtech.edu).
ACADEMIC DISHONESTY:
You may not deceive any official of the college by cheating on any assignment, exam, or paper. This includes plagiarism,
which is the intentional theft or unacknowledged use of another’s words or ideas. Plagiarism includes, but is not limited
to, paraphrasing or summarizing another’s words or works without proper acknowledgement, using direct quotes of
material without proper acknowledgement, or purchasing or using a paper or presentation written or produced by another.
The faculty at AB-TECH may also consider presenting as original work, a paper written for one class to satisfy a
requirement in another class, may be academic dishonesty (Academic Affairs Committee 11/18/03).
CLASSROOM ATTENDANCE POLICY:
The Program Faculty believes that anytime a student is not in attendance at a didactic class, laboratory session, or clinical
rotation, he or she is not able to receive the full benefits of a presentation or experience even if competencies are
eventually met. It is also believed that regular and punctual attendance is expected of all students for them to achieve their
potential in the surgical technology program and to develop desirable personal traits necessary to obtain employment in
any Allied Health profession. These traits are among the first looked for by prospective employers. In fact, the student
should be reminded that every time they put on their uniform and go for clinical instruction they may be completing part
of an informal job interview whether they know it or not. For these reasons, full-time attendance is expected in all didactic
classes, laboratories, and clinical rotations.
1)
Proper Call-in Procedure
The student is responsible for contacting the program faculty regarding absences prior to the scheduled class time.
Faculty offices are equipped with voice mail. The extension numbers are listed in this syllabus. When calling in, please
leave your name, the time you called, the reason for your absence, and when you expect to return to class. If a phone call
to the instructor's office should go unanswered, please call the Allied Health secretary at ext. 281 and leave a message.
Her usual office hours are 8:30 AM-12 noon and 1:00-4:30 PM. Messages must not be sent through other people unless
extenuating circumstances prevail.
2)
Failure to properly report an absence will result in an unexcused class absence and the student will receive a "0"
on any test given on that day.
3)
To receive course credit, a student should attend a minimum of 90 percent of the contact hours of the class. Upon
accumulating absences exceeding 10 percent of the course contact hours, the student may be dropped from the
class with a grade of “U” at the discretion of the instructor. Being late for class is also a serious interruption of
instruction. A tardy is defined as arriving late for class (any minutes), leaving early (any minutes,) or being away
from class without permission during class hours. It is departmental and college policy that three tardies are the
equivalent of one full day’s absence from class or clinic. For every third tardy, the student will have one full day’s
absence counted for the course. A tardy of more than thirty minutes will be considered an absence. Students are
reminded that they must be in the classroom at the time of the scheduled course. Students are not permitted to
interrupt class with their tardiness. Late students will not be permitted classroom entry until the first class break,
provided they are present at that time. Tests missed due to tardiness will NOT be made up. Classroom door will be
locked on the hour. Students arriving after this time will be considered tardy, not be able to turn in homework,
or make up tests.
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4) The student is also responsible for adhering to the ABTCC Guidelines for Classroom Conduct. Please see
the most current version of the ABTCC Student Events Calendar and Handbook.
TOBACCO FREE CAMPUS POLICY STATEMENT
Asheville-Buncombe Technical Community College is committed to providing students and employees with
a safe and healthy environment. It is the policy of Asheville-Buncombe Technical Community College that
tobacco use is not permitted on A-B Tech’s campuses. A-B Tech is tobacco-free.
PROLONGED ILLNESS
Students must notify the appropriate classroom or clinical instructor each day of an absence until it is
established exactly how long the student will be out. Any student who misses more than three consecutive
school days of class and/or clinic must obtain proper documentation for the missed time before they will be
allowed to return to classes or clinic.
HOLIDAYS AND VACATIONS
Surgical Technology students are committed to one year of full-time study. Within this time, students are eligible for
holidays recognized by the College and vacation time during semester breaks. The student should consult the academic
calendar that is published in the College Catalog and Student Calendar for the dates of recognized holidays and semester
breaks. The student is reminded that up to three inclement weather days may made up at the end of fall or spring
semester and semester breaks should be planned accordingly.
APPOINTMENTS
Medical, dental, and other appointments should not be scheduled during didactic and clinical times. Appointments
scheduled during these times will create a tardy or unexcused absence unless extenuating circumstances prevail.
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EVALUATION CRITERIA
Homework
Midterm, Quizzes/Tests, Presentation
Lecture Final (Comprehensive)
Lab Practical Final
TOTAL
10%
60%
30%
Pass/Fail
100%
LAB PRACTICAL FINAL
Failure to pass the lab practical final examination with a minimum score of 70% will result in the student receiving a
grade of “D” in SUR 122 and therefore the student’s inability to progress to summer semester. This is to ensure the
safety of the surgical patients that students are exposed to during spring clinical rotations. Students are given
opportunities to come to lab and practice with and without an instructor. It is the student’s responsibility to read their
instrumentation and surgical technology textbooks and to take advantage of open lab times to identify supplies,
instruments, and equipment. The student may have one re-test on the lab practical final should they fail the first attempt
provided an instructor and the lab are available prior to the last day of class. If a student misses the final identification
exam for any reason, that absence will constitute the student’s first attempt. Bear in mind that items will not be duplicated
from the previous test, will be greatly reduced from the first practical’s amount of items, and may therefore prove more
difficult.
GRADES
90-100 =A
80-89 =B
70-79 =C
60-69 =D
BELOW 60 =F
CLASS PRESENTATIONS
Two students will present to the class for 15-20 minutes, a presentation on an assigned procedure they have done or
have an interest in within the content for this course. The presentation includes: An oral report, operation report,
procedure board, and reference sheet. The operation report is to be used as a guide for the procedure board. The oral
report should identify: pathology, anatomy and physiology, relevant information to the procedure, and the sequence
of events for this procedure. The procedure board should function as a reference tool by its self. This is your
opportunity to be creative and artistic, insuring that the oral presentation and procedure board explain in depth your
procedure of choice. A reference sheet must be turned in at the end of the presentation. Presentation and
procedure boards count towards your 60% test grade total.
HOMEWORK- IS DUE ONE WEEK AFTER IT IS ASSIGNED UNLESS OTHERWISE SPECIFIED AT
THE BEGINNING OF CLASS. INCOMPLETE OR LATE HOMEWORK WILL NOT BE ACCEPTED.
TESTS/QUIZZES- MAY BE GIVEN AT ANY TIME! BE PREPARED! READ, READ, READ!
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SURGICAL PROCEDURES I
SUR 122
COURSE OBJECTIVES: Upon completion of this course, the student will:
1. Demonstrate knowledge of anatomy, physiology, and pathophysiology for the following surgical areas:
Endoscopic Surgery
Otorhinolaryngological Surgery
General Gastrointestinal Surgery
Orthopedic Surgery
Obstetric and Gynecological Surgery
Peripheral Vascular Surgery
Genitourinary Surgery
2. Differentiate between instrumentation used in the following surgical areas:
Endoscopic Surgery
Otorhinolaryngological Surgery
General Gastrointestinal Surgery
Orthopedic Surgery
Obstetric and Gynecological Surgery
Peripheral Vascular Surgery
Genitourinary Surgery
3. Recognize prepping and draping principles for the following surgical patient population:
Endoscopic Surgery
Otorhinolaryngological Surgery
General Gastrointestinal Surgery
Orthopedic Surgery
Obstetric and Gynecological Surgery
Peripheral Vascular Surgery
Genitourinary Surgery
4. Recognize and discuss supplies, instrumentation, equipment, medications and anesthesia necessary for the following
types of surgery:
Endoscopic Surgery
Otorhinolaryngological Surgery
General Gastrointestinal Surgery
Orthopedic Surgery
Obstetric and Gynecological Surgery
Peripheral Vascular Surgery
Genitourinary Surgery
5. Communicate effectively in sharing clinical experiences in their diaries as well as with their peers during open
discussion time, respecting confidentiality principles.
6. Demonstrate ability to synthesize all of the above surgical procedure components by presenting one procedure to the
class utilizing computer skills, creativity skills, speaking skills, and critical thinking skills to convey material to their
peers.
GENERAL EDUCATION OBJECTIVES: Incorporated into course objectives
1. Communicate effectively in oral presentations, sharing clinical experiences, and performing writing assignments.
2. Apply knowledge to assess, plan, implement, and evaluate surgical procedures to improve future experiences.
3. Demonstrate basic computer skills with student presentations.
Learning activities that reinforce learning activities:
a. Sharing/communicating clinical experiences
b. Written homework assignments (Objective List Question Completion), Procedure Sheets, Journals, and Operation
Report Summaries
c. Oral/Written/Power Point two person presentation on Surgical Procedure of choice on this semester’s content
d. Integration of surgical peri-operative process learning content with hands-on in tri-weekly clinical experience
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SUR 122
SURGICAL PROCEDURES I
CONTENT OUTLINE
I.
Introduction to the course and Lab
A.
General information
1.
Introduction to course and lab
2.
Course and lab objectives
3.
Course and lab policies
4.
Clinical Preparation
II.
Endoscopic Surgery
A.
General surgery
1.
Diagnostic laparoscopy
2.
Operative laparoscopy
3.
GI scope procedures
4.
Biliary scope procedures
B.
Obstetric and Gynecologic Scopes
1.
Diagnostic and operative laparoscopy
2.
Diagnostic and operative hysteroscopy
C.
Genitourinary
1.
Diagnostic and operative cystoscopy
2.
Nephroscopy / ureteroscopy
D.
Orthopedic
1.
Diagnostic and operative arthroscopy
E.
Otorhinolaryngologic
2.
Microlaryngoscopy
2.
Triple endoscopy
III.
General Gastrointestinal Surgery
A.
Anatomy, physiology and pathophysiology related to
1.
Abdominal wall,
2.
Digestive system
3.
Hepatic and Biliary systems
4.
Pancreas and Spleen
5.
Thyroid and Breast
B.
General surgery diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
C.
Preoperative interventions in General Gastrointestinal Surgery (Procedure Specific)
1.
Medications and Anesthesia
2.
Prep and position
3.
Basic supplies, equipment and instrumentation
D.
Intraoperative interventions in General Gastrointestinal Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
E.
Postoperative interventions in General Gastrointestinal Surgery (Procedure Specific)
7
IV.
Obstetric and Gynecological Surgery
A.
Anatomy, physiology and pathophysiology related to the female reproductive system
B.
Obstetric and Gynecological diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
C.
Preoperative interventions in OB GYN Surgery (Procedure Specific)
1.
Medications and Anesthesia
2.
Prep and position
3.
Basic supplies, equipment and instrumentation
D.
Intraoperative interventions in OB GYN Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
E.
Postoperative interventions in OB GYN Surgery (Procedure Specific)
V.
Genitourinary Surgery
A.
B.
C.
D.
E.
VI.
Anatomy, physiology and pathophysiology related to the Genito-urinary system
Genitourinary diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
Preoperative interventions in Genitourinary Surgery (Procedure Specific)
1.
Medications and Anesthesia
2.
Prep and position
3.
Basic supplies, equipment and instrumentation
Intraoperative interventions in Genitourinary Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
Postoperative interventions in Genitourinary Surgery
Orthopedic Surgery
A.
Anatomy, physiology and pathophysiology related to the Orthopedic Surgery
B.
Orthopedic diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
C.
Preoperative interventions in Orthopedic Surgery (Procedure Specific)
1.
Medications and Anesthesia
2.
Prep and position
3
Basic supplies, equipment and instrumentation
D.
Intraoperative interventions in Orthopedic Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
E.
Postoperative interventions in Orthopedic Surgery
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VII.
E.
VIII.
Otorhinolaryngologic Surgery
A.
Anatomy, physiology and pathophysiology related to the Ear, Nose, and upper Aerodigestive tract
B.
Otorhinolaryngologic diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
C.
Preoperative interventions in OHN Surgery (Procedure Specific)
1. Medications and Anesthesia
2. Prep and position
3. Basic supplies, equipment and instrumentation
D.
Intraoperative interventions in OHN Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
Postoperative interventions in OHN Surgery
Peripheral Vascular Surgery
A.
Anatomy, physiology and pathophysiology related to the peripheral vascular system
B.
Peripheral Vascular diagnostic interventions
1.
Diagnostic exams
2.
Preoperative testing
C.
Preoperative interventions in Peripheral Vascular Surgery (Procedure Specific)
1.
Medications and Anesthesia
2.
Prep and position
3
Basic supplies, equipment and instrumentation
D.
Intraoperative interventions in Peripheral Vascular Surgery (Procedure Specific)
1.
Draping
2.
Operative sequence
3.
Dressing and Drains
E.
Postoperative interventions in Peripheral Vascular Surgery
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SUR 122
SURGICAL PROCEDURES I
TENTATIVE SYLLABUS BASED UPON AVAILABILITY
OF GUEST LECTURERS AND LEARNING AIDS
WEEKLY COURSE OBJECTIVES
WEEK #
1
DAY/DATE
TOPICS
WED 1-12
RESOURCES
Introduction to course and clinical policies and procedures
Surgical Technology Student Handbook
AB TECH Student Handbook
SUR 122 & SUR & SUR 123 Course and content outlines, syllabi
Clinical Rotation Schedule, AB-TECH Operation report sheets
SCPER (Student Clinical Practice Evaluation Report),
The student will be able to verbalize class rules, clinical and lab policies,
course and clinical objectives, class, lab, and clinical rules, grading and
attendance policies. The students will have all necessary supplies to begin
clinical training and will verbalize their understanding of their clinical
responsibilities and schedule.
Objectives
RESOURCES
OBJECTIVES
Weekly review of clinical experiences
Anatomy & Physiology of Gastrointestinal System
Pathology of GI System
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
Care of Endoscopes
RESOURCES
Objectives
TEXT AST CH. 14 and pg. 150-151
Rutherford CH. 1
Snyder & Keegan Ch. 6
AORN REC. PRAC. Endoscopes—Use and Care
Endoscopic Minimally Invasive Surgery
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the GI system.
The student will discuss preoperative patient care related to diagnostics,
Anesthesia, medications, supplies, instrumentation, and equipment.
The student will discuss how the advances in minimally invasive
surgery has affected surgical practice and the responsibilities of
the surgical technologist. The student will demonstrate how to set
up and troubleshoot endoscopic equipment to include laparoscopic
cart and scopes used in General surgery in lab and clinical.
HOMEWORK #1 GENERAL SURGERY
AST STUDY GUIDE CH 14 PGS. 270-271 (STOP AT #31)
& RESUME AT #34 ON PG 273 AND GO TO PG 288
10
2
WED 1-19
Weekly review of clinical experiences
GI Endoscopic Procedures & Operative Sequence
choledochoscopy, colonoscopy, ERCP, esophagoscopy, sigmoidoscopy
GI Laparoscopic Procedures & Operative Sequence
Appendectomy, herniorrhaphy, cholecystectomy, Nissen
Fundoplication
Procedure Specific: Instrumentation
Procedure Specific: Positioning, prepping, & draping
RESOURCES
Objectives
TEXT AST CH. #14
Dennerll Unit #1
Rutherford CH #1
The student will share clinical experiences this week.
The student will identify the names and uses of instrumentation
used in general surgery procedures. The student will demonstrate
knowledge of GI related positioning, prepping, and draping in the lab or
hospital. The student will recognize dressings and drains used in this
surgical specialty. The student will recognize operative sequence for
endoscopic and laparoscopic procedures in clinical.
HOMEWORK #1 GENERAL SURGERY DUE
Operation Report #1 Herniorrhaphy (Inguinal/Scrotal) Due
Case Study Laparoscopic Cholecystectomy Due
3
WED 1-26
Weekly review of clinical experiences
GI Open Procedures & Operative Sequence
Laparotomy, hemorrhoidectomy, appendectomy, herniorrhaphy,
cholecystectomy, bowel resection, colostomy, modified radical
mastectomy
Procedure Specific: Instrumentation
RESOURCES
TEXT AST CH. # 14
Objectives
The students will discuss and share their experiences this week.
The student will identify the names and uses of instrumentation
used in general surgery procedures. The student will demonstrate
knowledge of GI related positioning, prepping, and draping in the lab or
hospital. The student will recognize operative sequence for open GI
procedures in clinical.
Operation Report #2 Laparoscopic Appendectomy Due
______________________________________________________________________________________________
11
4
WED 2-2
RESOURCES
Objectives
Weekly review of clinical experiences
PRESENTATION #1 (GYN) Cesarean Section
Anatomy & Physiology of Female Reproductive System
Pathology of Female Reproductive System
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
TEXT AST CH. # 15
Rutherford CH # 2
Dennerll Unit 7
Snyder & Keegan Ch. 6 and 11
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the female
reproductive system. The student will discuss preoperative patient care
related to diagnostics, anesthesia, medications, supplies, instrumentation,
and equipment. The student will recognize dressings and drains used in this
surgical specialty.
HOMEWORK #2 OBSTETRICAL & GYNECOLOGICAL
AST STUDY GUIDE CH 15 PGS. 302-303 & –307-316
Operation Report #3 Breast Lumpectomy Due
5
WED 2-09
RESOURCES
Objectives
Weekly review of clinical experiences
OB-GYN Procedures & Operative Sequence
Colposcopy, hysteroscopy, laparoscopy, LAVH
D & C, D & E, Tubal Ligation, A & P Repair, TAH w/ BSO, Vaginal
Hysterectomy
Procedure Specific: Instrumentation
TEXT AST CH. # 15
Rutherford CH # 2
Dennerll Unit 7
The students will discuss and share their experiences this week.
The student will identify the names and uses of instrumentation
used in obstetrical & gynecological surgery procedures. The student will
demonstrate knowledge of OB-GYN related positioning, prepping, and
draping in the lab or hospital. The student will recognize operative
sequence for OB-GYN procedures in clinical.
HOMEWORK #2 OB/GYN DUE
Operation Report #4 D & C/Hysteroscopy Due
Case Study LAVH Due
12
6
WED 2-16
RESOURCES
Objectives
Weekly review of clinical experiences
PRESENTATION #2 (GU) Hydrocelectomy or Spermatocelectomy
Anatomy & Physiology of Genitourinary System
Pathology of Genitourinary System
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
TEXT AST CH. # 20
Rutherford CH# 3
Dennerll Unit # 6
Snyder & Keegan Ch. 6, 7 and 11 (Irrigants), and pg 206
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the genitourinary and
male reproductive system. The student will discuss preoperative patient
care related to diagnostics, anesthesia, medications, supplies,
instrumentation, and equipment. The student will recognize dressings and
drains used in this surgical specialty.
HOMEWORK #3 GENITOURINARY
AST STUDY GUIDE CH 20 PGS. 403-404 &411-416
Operation Report #5 Vaginal Hysterectomy Due
7
WED 2-23
Weekly review of clinical experiences
Genitourinary Procedures & Operative Sequence
Cystoscopy, ureteroscopy, nephroscopy
Circumcision, TURP, Suprapubic prostatectomy,
orchiopexy/orchidopexy, nephrectomy
Procedure Specific: Instrumentation
RESOURCES
TEXT Price CH. # 20
Rutherford CH# 3
Dennerll Unit # 6
Objectives
The students will discuss and share their experiences this week.
The student will identify the names and uses of instrumentation
used in genitourinary surgery procedures. The student will
demonstrate knowledge of genitourinary procedures related to
positioning, prepping, and draping in the lab or hospital. The student will
recognize operative sequence for genitourinary procedures in clinical.
HOMEWORK #3 DUE
Operation Report #6 Cesarean Section Due
Case Study Prostatectomy Due
13
8
WED 3-2
RESOURCES
Objectives
Weekly review of clinical experiences
PRESENTATION #3 (Ortho) Knee Arthroscopy
Anatomy & Physiology of Upper Extremities
Pathology of Upper Extremities
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
Upper Extremity Surgical Procedures & Operative Sequence:
Removal of ganglion cyst, carpal tunnel, shoulder arthroscopy,
Closed reduction upper extremity, ORIF upper extremity
Procedure Specific: Instrumentation
TEXT AST CH. # 21
Rutherford CH# 4
Dennerll Unit # 5
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the upper
extremities. The student will discuss preoperative patient
care related to diagnostics, anesthesia, medications, supplies,
instrumentation, and equipment. The student will recognize dressings and
drains used in this upper extremity surgical procedures. The student will
identify the names and uses of instrumentation used in upper extremity
surgical procedures. The student will demonstrate knowledge of
upper extremity procedures related to positioning, prepping, and draping in
the lab or hospital. The student will recognize operative sequence for
upper extremity procedures in clinical.
HOMEWORK #4 ORTHOPEDIC SURGERY
AST STUDY GUIDE CH 21 PGS. 425-426 &433-440
Operation Report #7 TURP Due
14
9
WED 3-09
RESOURCES
Objectives
10
WED 3-16
RESOURCES
Objectives
MIDTERM EXAMINATION
Weekly review of clinical experiences
Anatomy & Physiology of Lower Extremities
Pathology of Lower Extremities
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
Lower Extremity Surgical Procedures & Operative Sequence:
Bunionectomy, hammer toe correction, ORIF Ankle Fracture
Procedure Specific: Instrumentation
TEXT- AST CH. # 21
Rutherford CH# 4
Dennerll Unit # 5
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the lower
extremities. The student will discuss preoperative patient
care related to diagnostics, anesthesia, medications, supplies,
instrumentation, and equipment. The student will recognize dressings and
drains used in lower extremity surgical procedures. The student will
identify the names and uses of instrumentation used in lower extremity
surgical procedures. The student will demonstrate knowledge of
lower extremity procedures related to positioning, prepping, and draping in
the lab or hospital. The student will recognize operative sequence for
lower extremity procedures in clinical.
Operation Report #8 Orchiectomy Due
Case Study Carpel Tunnel Due
Weekly Review of Clinical Experiences
Lower Extremity Surgical Procedures & Operative Sequence:
Total Knee Replacement and Total Hip Replacement
Above often called “Arthroplasties” not Replacements
Lumbar Laminectomy (overview A & P, pathology, & operative
sequence)
Procedure Specific: Instrumentation
Guest Speaker: Daniel Wankel of Smith, Nephew, & Richards
TEXT Same As Above
The student will identify the names and uses of instrumentation used in
lower extremity surgical procedures. The student will demonstrate
knowledge of lower extremity procedures related positioning, prepping, and
draping in the lab or hospital. The student will recognize operative sequence
for lower extremity procedures in clinical.
HOMEWORK # 4 DUE
Operation Report # 9 Diagnostic Shoulder Arthroscopy Due
Case Study Lumbar Laminectomy Due
15
11
WED 3-23
RESOURCES
Objectives
Weekly review of clinical experiences
Anatomy & Physiology of Ear, Nose, & Throat
Pathology of Ear, Nose, and Throat
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
Otorhinolaryngological Surgical Procedures & Operative Sequence:
Microlaryngoscopy, Triple Endoscopy (laryngoscopy, bronchoscopy,
esophagoscopy), & Sinuscopy
Procedure Specific: Instrumentation
TEXT AST CH. # 17
Rutherford CH# 6
Dennerll Unit # 8
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the ear, nose,
and throat. The student will discuss preoperative patient
care related to diagnostics, anesthesia, medications, supplies,
instrumentation, and equipment. The student will recognize dressings and
drains used in otorhinolaryngological surgical procedures. The student will
identify the names and uses of instrumentation used in
otorhinolaryngological surgical procedures. The student will demonstrate
knowledge of otorhinolaryngological procedures related to positioning,
prepping, and draping in the lab or hospital. The student will recognize
operative sequence for otorhinolaryngological procedures in clinical.
HOMEWORK #5 OTORHINOLARYNGOLOGICAL SURGERY
AST STUDY GUIDE CH #17 PGS. 351-352 & 355-358
Operation Report #10 ORIF Distal Radius Due
12
WED 3-30
RESOURCES
Objectives
Weekly Review of Clinical Experiences
PRESENTATION #4 (ENT) Parathyroidectomy
Otorhinolaryngological Surgical Procedures & Operative Sequence:
Myringotomy w/tubes, tonsillectomy & adenoidectomy, septoplasty,
thyroidectomy, tracheotomy/tracheostomy
TEXT AST CH. # 17
Rutherford CH# 6
Dennerll Unit # 8
The student will identify the names and uses of instrumentation used in
Otorhinolaryngological surgical procedures. The student will demonstrate
knowledge of otorhinolaryngological procedures related to positioning,
prepping, and draping in the lab or hospital. The student will recognize
operative sequence for otorhinolaryngological procedures in clinical.
HOMEWORK #5 DUE
Operation Report #11 Hammertoe Correction Due
Case Study Thyroidectomy Due
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13
WED 4-06
Weekly review of clinical experiences
Anatomy & Physiology of Peripheral Vascular System
Pathology of Peripheral Vascular System
Diagnostic and Pre-operative Testing
Medications & Anesthesia
Basic Supplies, Instrumentation, Equipment
Positioning, Prepping & Draping (Overview)
Dressings, drains, and post-operative care
Peripheral Vascular Surgical Procedures & Operative Sequence:
Vascular Access (Broviac, Hickman, Vas Cath)
Procedure Specific: Instrumentation
RESOURCES TEXT AST CH. # 23
Rutherford CH # 8
Dennerll Unit # 2
Snyder & Keegan CH 9, 16
Objectives
The students will discuss and share their experiences this week.
The student will recognize anatomy and pathology of the, peripheral
vascular system. The student will discuss preoperative patient care related
to diagnostics, anesthesia, medications, supplies, instrumentation, and
equipment. The student will recognize dressings and drains used in
peripheral vascular surgical procedures. The student will
identify the names and uses of instrumentation used in
peripheral vascular surgical procedures. The student will demonstrate
knowledge of vascular access procedures related to positioning,
prepping, and draping in the lab or hospital. The student will recognize
operative sequence for vascular access procedures in clinical.
HOMEWORK # 6 PERIPHERAL VASCULAR SURGERY
AST STUDY GUIDE CH 23 PGS. 472-473 &476-482
Operation Report #12 Tracheotomy Due
WEDNESDAY APRIL 13th IS SPRING BREAK WEEK
_____________________________________________________________________________
14
WED 4-20
RESOURCES
Objectives
Weekly review of clinical experiences
PRESENTATION #5 (PV) Endovascular AAA
Peripheral Vascular Surgical Procedures & Operative Sequence:
Angioscopy, AV Fistula, Carotid Artery Endarterectomy
Lower Extremity Bypass (Ax-Fem, Fem-Fem, Fem-Pop, Fem-Tib)
Procedure Specific: Instrumentation
TEXT AST CH. # 23
Rutherford Ch # 8
Dennerll Unit 2
The student will demonstrate knowledge of procedures related to
positioning, prepping, and draping in the lab or hospital. The student will
recognize operative sequence for peripheral vascular surgical procedures in
clinical.
HOMEWORK # 6 PERIPHERAL VASCULAR SURGERY DUE
Operation Report # 13 T & A Due
Case Study Carotid Endarterectomy (CAE) Due
17
15
WED 4-27
Weekly Review of Clinical Experiences
Peripheral Vascular Surgical Procedures & Operative Sequence:
Aneurysmectomy (AAA) & Aorto-bifemoral Bypass
Endovascular Aortic Aneurysm Repair Review
RESOURCES TEXT AST CH. #23
Rutherford CH # 8
Dennerll Unit # 2
Objectives
The student will demonstrate knowledge of procedures related to
positioning, prepping, and draping in the lab or hospital. The student will
recognize operative sequence for peripheral vascular surgical procedures in
clinical.
OPERATION REPORT #14 AV (ARTERIOVENOUS ) FISTULA DUE
16
WED 5-4
REVIEW FINAL EXAMINATIONS WRITTEN AND LAB
TUESDAY MAY 10TH COMPREHENSIVE FINAL EXAM
TIME 10:00AM - 1:00PM RHO 243
ALL CLINICAL PAPERWORK MUST BE TURNED IN THIS DAY TO AVOID
A GRADE OF ZERO ON SUR 123 PAPERWORK
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SUR 111 LAB SECTIONS WD-2
SUR 122 contains a 3 hour lab meeting Thursdays between 3:30 and 6:20 PM. This is a 3 hour lab that is to
be used to reinforce what has been learned and practiced in the classroom and the clinical area. These labs
have been scheduled at the clinical sites to make the best use of available equipment and at the OR skills lab
(RHO 412 on campus). Two instructors using lecture, video presentations, guest lecturers, and hands on
demonstration/return demonstration will teach these labs. The main emphasis will be on reinforcement of
proper equipment usage, advanced principles of surgical technology and use of advanced equipment in
surgical procedures.
The Practical exam for this lab component will be done in the Surgical Technology Skills lab and will
consist of identification and naming of equipment, instrumentation, anatomical sites, positions, and a variety
of other important devices used by the surgical team. This Lab Practical identification exam will be pass or
fail. Failure to achieve a minimum score of 70% warrants failure and arrangements must be made to re-test
within the same week. The re-test will consist of fewer items and it should be noted there will be no overlap
of items from the first administration of the exam. Therefore, it is possible that the second attempt may
prove more difficult. Failure of the second attempt of the final lab identification warrants a “D” in SUR 122
for the semester and the student cannot progress to summer semester. Arrangements may be made for the
student to be re-admitted with the chairperson the following year providing all re-admission requirements
are met and seats are available. See the Re-admission Policy in the ABTECH Surgical Technology Student
Handbook.
When doing clinical skills training in the lab whether during official class lab time or open lab time the lab
should be considered an OR and appropriate surgical attire should be worn. There will be no eating or
drinking in the surgical skills lab.
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THIS IS A TENTATIVE SCHEDULE
OF LAB SECTION WD-1 FOR SUR 122
SESSION #
DAY/DATE/TIME
TOPICS COVERED
SITE
1
THU 1-13-10
Basic review
All students invited
Skills Lab
2
THU 1-20-10
Laparoscopic Room
Mission Campus
3
THU 1-27-10
Laparoscopy & stapling
Paula Podwell, Ethicon
Skills Lab
4
THU 2-03-10
Urology/GYN
GYN/GU, Team Leader
St. Joseph’s Campus
5
THU 2-10-10
Gen/Gyn/Urology
Skills Lab
Skills: 13-2 Study Guide Intraop cholangiogram, 14-1 Clean Set up, and 15-1 GYN Surgery
6
TUE 2-17-10
Positioning Equipment
St. Joseph’s Campus
7
THU 2-24-10
Procedural Positioning
Skills Lab
8
THU 3-03-10
Total Lab Review
Skills Lab
9
THU 3-10-10
Ophthalmology
Ambulatory Surgery Center
10
THU
3-17-10
11
THU
3-24-10
Orthopedics/Neurosurgery
Memorial campus
12
THU
3-31-10
Orthopedics/Neurosurgery
Memorial campus
THU
4-07-10
Orthopedics/Neurosurgery
Skills Lab
13
THU
4-14-10
14
THU
4-21-10
15
THU 4-28-10
Cardiothoracic/Open Heart
Mission Campus
16
THU 5-05-10
Final Lab Practical ID
Skills Lab & RHO 243
Ophthalmology/ENT
Skills Lab
Discussion: Skill: 16-1 Ophthalmic Surgery
SPRING BREAK
Vascular/Thoracic Surgery
Skills Lab
Skill: 13-1 Study Guide Seldinger Technique
INSTRUMENT TESTS WILL BE ADMINISTERED FOR EACH SURGICAL SPECIALTY. QUESTIONS
WILL BE FROM YOUR INSTRUMENT BOOK, TEXTBOOK AND ON INSTRUMENTS THAT WE HAVE
AVAILABLE IN THE LAB. IT IS YOUR RESPONSIBILITY TO REVIEW INSTRUMENTS.
READ YOUR INSTRUMENT BOOK AND TEXTBOOKS AND BE PREPARED! TEST SCORES ARE
PART OF THE 60% OF YOUR OVERALL GRADE FOR SUR 122
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