CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY Department Head/Instructor Instructor Office hours Office location Karen V. Dempsey Office phone E-mail (203) 397-4031 Ext. 386 Contact hours: Monday – Friday 7:30am – 3:00pm Course Description: Terry M. Kennedy M-F 7:30am-7:50am; 2:00pm-3:00pm; by appointment 229D karen.dempsey@ct.gov / terry.kennedy@ct.gov This course is designed to introduce the student to the first steps of developing a surgical conscience, of understanding the legal and ethical concepts and responsibilities of a Surgical Technologist. The course also provides the student with methods to respond professionally and interpersonally with others in all types of communication skills while working in the role of a Surgical Technologist. The student will also learn safety guidelines for their environment and the workplace. I. Professional Responsibility and Relations Desired Outcome The learner will be able discuss the reasons for surgical intervention and describe the organizational structure of hospitals and out-patient surgical centers. The learner will also develop an understanding of their role as a surgical technologist. Performance Objectives 1. State the primary goal of surgical intervention 2. Match the reasons for surgical interventions with their correct descriptions. 3. List the three main types of hospitals and describe the facilities where surgery can be performed. 4. Describe a typical hospital organizational chart and match the position described for surgical services with their correct descriptions. 5. List the hospital departments that interact with the surgical suite to provide continuity of care. 6. List the members of the surgical team, distinguish between sterile and non-sterile members and match the surgical team members with their correct functions. 7. List areas of employment for the Surgical Technologist, ways of receiving training and complete a statement concerning the job description of the Surgical Technologist. 8. Select the job responsibilities and functions of the Scrub Role and the Circulator role. 9. List the limitations of the Surgical Technologist. Content Outline 1. Primary goal of surgical intervention 2. Reasons for surgical intervention a. Diagnostic b. Palliative c. Prophylactic d. Restorative 3. Three main types of hospitals 4. 1 a. Nonprofit b. Proprietary c. Tax-supported Facilities where surgery can be a. performed b. Hospital based units c. Satellite surgery center CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY d. Freestanding ambulatory surgery center e. Office based surgery center f. Ambulatory care center/surgicenter g. Clinic 5. Typical hospital organizational chart 6. Typical hospital organizational a. structure for surgical services b. Director of Surgical Services c. Outpatient Surgical Services Clinical Manager d. Operating Room Clinical Manager e. Assistant Clinical Manager f. Post-Anesthesia Recovery Unit Clinical Manager g. Business Manager h. Staff Nurses i. Surgical Technologist j. Patient Care Associates k. Clerical Personnel 7. Hospital departments on which the surgical suite depends to give continuity of patient care a. Direct patient care b. Indirect patient care 8. Members of the surgical team a. Surgeon a. Assistants to Surgeon b. Scrub Person c. Anesthesia Provider d. Circulator e. X-ray Technician, Pathologist or Specialist 9. Sterile and unsterile surgical team members a. Sterile members a. Sterile b. Sterile field b. Unsterile members 10. Surgical team members and their Functions a. Surgeon b. Assistants to surgeon a. Physician’s Assistant b. Non-physician first assistant c. Second assistant to surgeon c. Anesthesia provider d. Scrub role e. Circulator 11. Ways of receiving training and areas of employment for Surgical Technologists 12. Job description of the Surgical Technologist a. Job title b. Nature of position c. Duties d. Responsibilities e. Skills required 13. Job responsibilities of the Scrub role and Circulator role a. Preoperative b. Intraoperative c. Postoperative 14. Limitations of the Surgical Technologist 15. Critical Thinking a. Management skills i. Assessment ii. Planning iii. Implementation iv. Evaluation v. Predicted outcome b. Procedural management i. Patient factors ii. Surgeon’s factor iii. Procedural factors iv. Unanticipated factors - Pathology/comorbidity - Unintended injury - Hemorrhage - Anesthesia related II. Interpersonal Relationships and Communication Skills Desired Outcome The learner will to be able to apply effective interpersonal relationship and communication skills as they relate to surgical technology. Performance Objectives 1. Distinguish among the types of relationships. 2. Select factors needed for good relationships. 3. Arrange, in order, Maslow’s Hierarchy of Human Needs. 4. List the causes of stress in the operating room, the impact of stress on the body and methods of 2 CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY coping with stress. 5. Select true statements concerning psychosocial stress in the patient and within the surgical team 6. Match means of communications with their correct descriptions. 7. State the purposes of communication among hospital team members. 8. List the essential components of effective communication. 9. List the effective listening skills utilizing components of communication. 10. Describe effective speaking skills. 11. Identify means of communication that enable other hospital departments to relate to the surgical suite and assure continuity of patient care and safety. 12. Select true statements concerning the importance of effective communication for patients undergoing surgery. 13. Match techniques for therapeutic communication. 14. Match blocks to therapeutic communications to their examples. 15. Select communication requirements of the surgical team during surgery. Content Outline 1. Types of Relationships a. Social b. Professional c. Therapeutic 2. Factors needed for good relationships a. Effective communication b. Recognizing and meeting your needs c. Recognizing and meeting others’ needs d. Behaving in the correct manner 3. Maslow’s Hierarchy of human needs a. Physiological b. Security c. Social d. Ego e. Self-actualization 4. Causes of stress in the OR, the impact of stress on the body and methods of coping with stress. a. Stress b. Stressors c. Physical wear and tear d. Physical response to stress 5. Psychosocial stress in the patient and among surgical team members a. Patient’s reactions to fear and anxiety b. Stress may be especially acute in children c. Elderly experience confusion, depression, and many need extra care d. Surgical team members need to look for these signs and act accordingly 6. Goals of communication a. To give information b. To obtain information c. To express feelings d. To solve problems e. To persuade others to change 7. Means of communication a. Verbal b. Nonverbal 8. Purposes of communication among hospital team members a. Accurate records b. Promotion of employee relations c. Promotion of teamwork d. Provision of continuity of care e. Identification of patient f. Ensure legal aspects 9. Essential components of effective communication a. Sender b. Sender c. Receiver d. Feedback 10. Effective listening skills utilizing components of communication a. Defer judgment b. Listen for whole message c. Pay attention d. Listen completely e. Paraphrase what was heard 11. Effective speaking skills a. Assess b. Plan c. Present d. Listen e. Evaluate 12. Means of communication that enable other hospital departments to relate to the surgical 3 CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY suite and assure continuity of patient care and safety a. Records b. Requisitions c. In-service programs d. Computers e. Verbal 13. Importance of effective communication for patients undergoing surgery a. Basis of continuum of care b. Stress and anxiety create need for communication c. Patients’ verbal and nonverbal responses d. Effective communication 14. Techniques for therapeutic communication a. Use of broad open statements b. Use of general leads c. Giving information to patient d. Sharing observations with patient e. Acknowledging patient’s feelings f. Reflecting to encourage the patient g. Selective reflecting h. Use of silence i. Clarifying j. Validating 15. Blocks to therapeutic communication a. Using clichés b. Giving approval c. Requesting an explanation d. Belittling the patient’s feelings e. Expressing disapproval f. Defending g. Changing the subject 16. Communication requirements of the surgical team during surgery III. Legal and Ethical Responsibilities Desired Outcome The learner will be able to complete statements concerning surgical conscience and ethics and match areas of legal responsibility to their correct definitions. Performance Objectives 1. Discuss accountability for personal actions and obligations. 2. Match common areas of legal responsibility in surgery affecting the surgical technologist. 3. List operating room incidents that could lead to litigation 4. Match the criteria used to establish negligence in court cases involving the surgical team. 5. Match the terms related to credentialing to their correct definitions. 6. Discuss surgical conscience. 7. Complete the statements concerning ethics. 8. List ways of making ethical decisions as a surgical technologist. 9. List resources that help a surgical technologist interpret and follow professional standards of conduct. 10. List items in the surgical technologist’s code of ethics. 11. Complete the statements concerning standards of professional practice. 12. Select the true statements concerning the Patient’s Bill of Rights. Content Outline 1. Accountability for personal actions and obligations. 2. Common areas of legal responsibility in surgery affecting the surgical technologist. a. Guiding medical principles i. Aeger primo ii. Doctrine of reasonable man iii. Primum non nocere iv. Respondent superior v. Res ipsa loquitor b. 3. 4 Accountability and liability i. Assault ii. Battery iii. Liability iv. Corporate liability v. Personal liability vi. Product liability c. Law and tort terms d. Negligence terms Operating room incidents that could lead to litigation CTHSS-SURGICAL TECHNOLOGY PROGRAM 4. 5. 6. CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY Criteria used to establish negligence in court cases involving the surgical team a. Damage b. Dereliction/failure to meet standards c. Foreseeability of harm d. Proximate cause of injury or damage e. Standard of due care Terms related to credentialing a. Credentialing b. Accreditation c. Certification d. Licensure e. Registration Surgical conscience a. professional honesty b. conscientiousness c. Honesty in actions d. Respect for others e. moral integrity f. strict aseptic technique g. confidentiality h. nondiscriminatory treatment of patient i. commitment to cost containment j. Barriers - stress - peer apathy 7. Ethics a. Autonomy b. Beneficence c. Fidelity d. Justice e. Nonmalificence 8. Making ethical decisions as a surgical technologist a. Identify moral aspects of care b. Gather relevant facts c. Clarify and apply personal values d. Understand ethical theories and principles e. Interdisciplinary resources f. Propose alternative actions g. Apply code of ethics 9. Resources that help a surgical technologist interpret and follow professional standards of conduct a. Continuing education b. Colleagues c. Medical journals d. World wide web 10. Items in the surgical technologist’s code of ethics 11. Standards of professional practice 12. Patient’s Bill of Rights IV. Environmental Safety Desired Outcome The learner will be able to follow evacuation and personal safety guidelines for conducting yourself safely at school and at work. Performance Objectives 1. Discuss ways of developing good safety attitude. 2. Complete statements concerning personal safety guidelines. 3. List the general steps and guidelines for reporting defective equipment. 4. List expectations for a safe environment at school and work. 5. State the purpose of a MSDS. 6. Match the MSDS sections to the information each contains. 7. Match hazard placards and label symbols to their hazards. 8. Identify hazards using the NFPA 704 hazard triangles. 9. Match methods by which hazardous materials can enter the body. 10. Complete the statements concerning the principles of body mechanics. 11. List the basic types of emergencies. 12. Discuss severe weather guidelines. 13. Arrange, in order, the steps to follow on receiving a bomb threat. 14. Complete statements on the guidelines for general evacuation. 15. Describe the disabled person’s fire evacuation responsibilities. 16. Identify components of fire by labeling the sides of a fire tetrahedron. 5 CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY 17. Match the extinguisher pictograph to the extinguishers intended purposes. 18. Match fire extinguisher symbol shapes to fire classification letters. 19. Match the extinguisher pictograph to the extinguishers intended purposes. 20. List the characteristics of fires appropriate for handling with a portable fire extinguisher. 21. Arrange, in order, the general steps in using a fire extinguisher. 22. List fire prevention guidelines. 23. Complete statements concerning electrical safety. 24. Select the true statements concerning basic equipment safety. Content Outline 7. Ways of developing a good safety attitude a. Focus on the task b. Stay alert c. Do the job right d. Prioritize e. Think, then act f. No fooling around g. Take responsibility for actions h. Avoid unnecessary risks 8. Personal safety guidelines a. Know emergency numbers b. Comply with safety rules c. Be alert d. Be familiar with the location of fire-fighting and first aid equipment e. Use proper tools for the job f. Follow instructions g. Wear persona protective equipment h. Use and store potentially hazardous materials correctly i. Tag and report defective equipment j. Use proper body mechanisms k. Conduct self in a safe manner l. Keep work area clean 9. General steps and guidelines for reporting defective equipment a. Usually inspect equipment for use b. Immediately report defective equipment c. Tag the equipment for repair d. Remove the equipment from operation 10. Expectations for a safe environment at school or work h. Adequate lighting i. Clean air j. Comfortable ergonomic seating k. Working emergency alarm system l. Clearly marked exits m. Clear, barrier for walkways n. Posted safety rules o. Posted evacuation rules p. q. r. 11. 12. 13. 14. 15. 16. 6 Mandatory training Personal protective equipment (PPE) Designated smoking and nonsmoking areas s. MSDS Purposes of a Material Safety Data Sheet a. Inform user about the material hazards and uses b. Level of protective gear needed c. First aid treatments d. How to respond to accidents MSDS sections of information a. Chemical name b. Hazardous ingredients c. Physical characteristics d. Fire and explosion data e. Reactivity f. Usage, handling and storage g. Special protection and precautions Hazard placards and label symbols a. Corrosive b. Explosive c. Flammable d. Harmful to food e. Infectious f. Oxidizing g. Poisonous h. Radioactive Hazards using the NFPA 704 hazard triangles a. NFPA 704 hazard triangle b. Health, fire and reactivity hazards and ratings c. Other specific hazards and their abbreviations and symbols Methods by which hazardous materials can enter the body a. Ingestion b. Absorption c. Inhalation Principles of body mechanics a. Use body correctly CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY d. Class D – yellow star 25. Extinguisher pictographs 26. Characteristics of fires appropriate for handling with a portable fire extinguisher a. Fire is contained b. Flames not higher than person’s head c. Heat does not prevent person from getting close d. Size of fire allows person to stand upright e. Fire cannot block person’s only escape route f. Not a lot of smoke g. Fire is not near other fuels 27. General steps in using a fire extinguisher a. Identify fire b. Pull pin c. Aim extinguisher d. Squeeze e. Sweep 28. Fire prevention guidelines 29. Electrical safety a. Fuses b. Circuit breakers c. Grounding d. Ground fault 30. Basic equipment safety a. Remove rings b. Secure hair c. Personal protective equipment d. Use equipment and tools as intended e. Never use equipment without training f. Inspect equipment prior to use g. Disconnect power equipment before maintenance h. Turn power switches off before plugging or unplugging i. Never pull cord to disconnect j. Hands should be dry k. Keep cords out of the way of traffic l. Do not leave or store equipment in aisles b. c. 17. 18. 19. 20. 21. 22. 23. 24. Good body mechanics Techniques for good body mechanics d. Good posture e. Correct standing posture f. Correct standing posture g. Correct lying posture h. Moving correctly i. Lifting correctly Basic types of emergencies a. Fires b. Mechanical failures c. Bomb threats d. Severe weather e. Natural disasters f. Accidents g. Health problems Severe weather safety guidelines a. Before severe weather occurs b. During severe weather Steps to follow on receiving a bomb threat a. Answer the call b. Obtain information c. Alert superiors d. Follow evacuation plans e. Do not return to the building Guidelines for general evacuation procedures in a fire emergency a. Upon discovery of a fire b. At the sound of an alarm Disabled person’s fire evacuation responsibilities a. Pre-emergency responsibilities b. Evacuation responsibilities Components of fire a. Oxygen b. Fuel c. Heat d. Chemical chain reaction Fire classification by fuel source a. Class A b. Class B c. Class C d. Class D Fire extinguisher symbol shapes a. Class A – green triangle b. Class B – red square c. Class C – blue circle 7 CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY V. Workplace Safety Desired Outcome The learner will able to follow basic health care workplace safety guidelines, including Standard Precautions and those safety guidelines for workplace violence, hazard communications, protection from blood borne pathogens, radiation, electrosurgery and laser use. Performance Objectives 1. Describe OSHA regulations required of employees. 2. Discuss OSHA and its role in workplace health and safety. 3. Discuss OSHA risk factors for violence to health care workers. 4. Name the four main components to any effective safety and health program that also apply to preventing workplace violence. 5. List the responsibilities of management and employees in creating an effective workplace violence prevention program. 6. Complete statements concerning OSHA-recommended engineering controls and workplace adaptation can effectively prevent or control workplace violence hazards. 7. Complete statements concerning OSHA-recommended administrative and work practice controls to help prevent workplace violence. 8. List records that are important to the success of a workplace violence prevention program. 9. Select true statements concerning hazard communications and information on a chemical label. 10. Describe personal protective equipment (PPE) and their protective requirements. 11. Describe major types of reactions to latex and methods of preventing latex allergy. 12. Discuss blood borne pathogens including the following: concern to operating room professionals; the types of hepatitis; comparison of the human immunodeficiency virus and the hepatitis B virus. 13. List examples of devices that can cause sharps injuries, discuss causes of suture needle and scalpel injuries and guidelines for handling sharps. 14. Explain the differences between Universal Precautions and Standard Precautions. 15. Describe the three types of ionizing radiation, their characteristics and radiation safety practices. 16. Discuss safeguards for preventing electrical and fire hazards in the operating room. 17. Describe the different laser classes and their characteristics. 18. Discuss laser hazards especially those concerning the eyes and skin as well as the precautions for using lasers safety. 19. Demonstrate maneuvering a wheelchair and stretcher safely. Content Outline 1. OSHA regulations required by employer a. Written policies and procedures b. CDC guidelines c. Protection from high noise levels d. Adequate ventilation e. Radiation exposure minimized f. Fire and electrical safety standards g. Laser safety training 2. OSHA and its role in workplace safety and health a. Federal law b. U.S. Labor Department c. Major requirements for employer and employee d. 3. 4. 8 Records kept on employee occupational injuries and illnesses OSHA risk factors for violence to health care workers Four main components to any effective safety and health program that also apply to preventing workplace violence a. Management commitment and employee involvement b. Work site analysis c. Hazard prevention and control d. Safety and health training CTHSS-SURGICAL TECHNOLOGY PROGRAM 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY Responsibilities of management in creating an effective workplace violence prevention program Responsibilities of employees in creating an effective workplace violence prevention program OSHA-recommended engineering controls and workplace adaptation can effectively prevent or control workplace violence hazards OSHA-recommended administrative and work practice controls to help prevent workplace violence Records that are important to the success of a workplace violence prevention program Hazard communications a. Employer development hazardous communications program b. Hazardous communications standard c. “Right to Know” Information found on a chemical label a. Chemical name b. Chemical ingredient c. Name, address and phone number of manufacturer d. Procedure for use, handling, storage and disposal e. How to handle spills f. Signal works that identify chemical hazardous levels g. Critical first aid instruction-type of fire extinguishers h. Personal protective equipment i. Other information about the chemical Basic healthcare workplace safety guidelines Personal protective equipment a. Employer development hazardous communications program b. Hazardous communications standard c. “Right to Know” Types of reactions to latex a. Irritation dermatitis b. Delayed cutaneous hypersensitivity c. Immediate reaction Ways of preventing latex allergies a. Nonlatex gloves b. Powder hand rashes c. Report hand rashes d. Appropriate work practices e. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 9 Learn to recognize the symptoms of latex allergies Blood borne pathogens Five different types of hepatitis a. Hepatitis A b. Hepatitis B c. Hepatitis C d. Hepatitis D e. Hepatitis E Blood borne pathogens and their concern to operating room professionals a. Hepatitis B virus b. Hepatitis C virus c. HIV d. AIDS Chart comparing HIV and HBV a. Transmission b. Incubation c. Symptoms d. Prognosis Devices that can cause sharp injuries a. Wire sutures b. Hollow injection needles c. Guide wires d. Stylets e. Drain trocars f. Laparoscopic trocar g. Orthopedic drill bits h. Urethra suspension needle i. Needle point cautery j. Sharps Common causes of suture needles and scalpel injuries Guidelines for handling sharps and sharp boxes Blunt needle categories a. Least blunt needles b. Intermediate blunt needles c. Extremely blunt needles Guidelines for safe blunting suturing techniques Differences between Universal Precautions and Standard Precautions Standard Precautions Substances included in Standard Precautions that require hand protection a. Blood b. Sputum c. Urine d. Feces e. Nasal secretions f. Vomitus g. Spinal fluid CTHSS-SURGICAL TECHNOLOGY PROGRAM 28. 29. 30. 31. 32. 33. 34. 35. CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY h. Semen i. Cerebrospinal fluid j. Synovial fluid k. Pleural fluid l. Peritoneal fluid m. Pericardial fluid n. Amniotic fluid o. Nonintact skin p. Mucous membrane Instances that require hand washing a. At the beginning of the shift b. Before and after prolong patient contact c. Before invasive procedures d. Before contact with susceptible patients e. Before and after touching wounds f. After contact with body substances g. Anytime in doubt h. At the end of the shift CDC Guidelines for proper hand washing Workplace issues a. Keep hair short or restrained b. Keep fingernails short and clean c. Minimum jewelry d. No necklaces or hoop earrings e. Do not wear eyebrow, nose, tongue or other body piercing jewelry Characteristics of radiation a. Mild effects b. Delayed effects c. Serious effects d. Universal symbol Three types of ionizing radiation a. Alpha b. Beta c. Gamma Radiation safety practices a. Patient safety b. Personnel safety Conditions that require immediate notification of the health care facility radiation safety officer a. Radioactive contamination b. Deliberate misuse c. Known or suspected personnel contamination d. Accidents Compressed gases and their traditional U.S. cylinder colors a. Oxygen – green b. Nitrous oxide – blue c. Carbon dioxide – gray 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 10 d. Nitrogen – black e. Helium – brown f. Cyclopropane – orange g. Air – yellow Flammable anesthetic gases a. Cyclopropane b. Diving/ether c. Ethyl/ether d. Ethyl/chloride e. Ethylene Common fire ignition sources in the operating room a. High intensity light cords b. Electrosurgical/cautery equipment c. Lasers Types of burns a. Thermal b. Electrical c. Chemical d. Radiation Possible health care related causes of patient thermal burns a. Equipment malfunction b. Pooling of prep solution c. Alcohol sponges d. Phenol use e. Hyperthermia unit f. Physical fire Static electricity Grounding operating room electrical equipment Safeguards for preventing electrical and fire hazards in the operating room a. Personnel safeguards b. Environmental safeguards Laser classes a. Class I b. Class II c. Class III d. Class IIIb e. Class IV Specular and diffuse laser beam reflections a. Specular reflectance b. Diffuse reflectance Laser viewing hazards a. Intrabeam of direct beam b. Intrabeam of specularly reflected from a flat surface c. Intrabeam of specularly reflected from curved surface d. Extended source of viewing of a normally diffuse reflection Laser beam hazards to the eye and skin CTHSS-SURGICAL TECHNOLOGY PROGRAM a. b. c. d. e. CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY Thermal burn to the eye Thermal-acoustic damage to the eye Photochemical damage Other hazards Skin hazards 47. Precautions for safety using lasers a. Patient safety precautions b. Personal safety precautions c. Environmental safety precautions VI. Instrumentation Desired Outcome: The learner will be able to identify instrumentation and the uses of each as well as determine instruments used in different surgical procedures. Course Objectives: 1. Identify the classifications, names, parts, materials, finishes and uses of basic surgical instrumentation. 2. Understand the relationship between instrument type and usage. 3. Apply knowledge of basic surgical instrumentation to specific surgical procedures. Content Outline I. Instruments A. Classifications 1. Cutting/dissecting 2. Grasping/holding 3. Clamping/occluding 4. Retracting/exposing 5. Probing 6. Suturing 7. Viewing 8. Dilating 9. Aspirating 10. Accessory B. Parts 1. Tip 2. Jaw 3. Box lock 4. Shank 5. Ratchet 6. Finger rings C. Materials 1. Stainless steel 2. Titanium 3. Alloys D. Finishes 1. Bright, mirror 2. Satin, dulled 3. Ebonized II. Care and handling A. Intraoperative 1. Passing techniques 2. Safety precautions B. Prior to reuse 1. Cleansing methods a. Washer/sterilizer b. Ultrasonic cleaner c. Terminal sterilization 2. Lubrication 3. Preparation for sterilization a. Check function and integrity b. Set assembly Course Evaluation: Exams, quizzes, homework and classroom activities. Course Grade: The course grade for students in Surgical Technology will be weighted according to the following activities and assignments: 10 % Project: This category include broad based assessment of class discussion and participation as well as presentations (Oral or written) and role playing. 10 % Quizzes: This category may include but is not limited to formal assessment which incorporates in class or take home assignments 11 CTHSS-SURGICAL TECHNOLOGY PROGRAM CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: INTRODUCTION TO SURGICAL TECHNOLOGY 70% Course Assessments: This includes all forms of testing assessments. All students must achieve a grade of at least 75% on the course assessment. Students who retake the formal assessment will receive an average of the two grades. Make-ups due to absences will follow the policies of both attendance and grading. 10 % Common Assessment: Common assessments given at the end of this course will count 10% of the total grade. All students must achieve a grade of at least 75% on the common assessment. Students who retake the common assessment will receive an average of the two grades. Make-ups due to absences will follow the policies of both attendance and grading. Texts for this Course Surgical Technology For the Surgical Technologist 978-1-4180-5168-6 Caruthers Right of Revision Statement: The Eli Whitney Technical School, the Surgical Technology Program, Department Head and instructors reserve the right to revise the syllabus at any time. 12