CTHSS Surgical Technology Programs CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: SURGICAL PROCEDURES Department Head/Instructor Karen Dempsey Clinical Instructor Office hours Office location Terry Kennedy Office phone E-mail (203) 397-4031 Ext 386 Contact hours: Monday – Friday 7:00am – 3:00pm M-F 7:30am-7:50am; 2:30pm-3:00pm; by appointment 229D Karen.dempsey@ct.gov / terry.kennedy@ct.gov Course Description: The theory part of this course is designed as an introduction to the various types of surgical procedures done in an operating room. It will provide the student with the knowledge of common surgical procedures in the different surgical specialties. The clinical portion of this course is to facilitate their learning process in the classroom as well as in the clinical setting with the various surgical procedures by providing hands on practice and enhancement of their individual skills. I. Basic Surgical Procedures Desired Outcome: The learner will gain knowledge of basic surgical procedures and be able to efficiently scrub these cases in the clinical setting. Performance Objectives: 1. Describe and identify the anatomy and physiology related to each procedure. 2. Discuss the pathophysiology treated by surgical intervention. 3. Explain the diagnostic exams and preoperative testing for the different procedures. 4. Describe for each procedure the following: special considerations, anesthesia options, positioning, skin prep, draping, incision, supplies, equipment, instrumentation, procedural steps, counts, dressings, specimen care and postoperative destination. 5. Discuss postoperative patient care considerations. 6. Identify complications that may occur postoperatively. 7. Identify wound classification and management. Course Outline I. Core A. Endoscopic 1. General surgery a. Choledochoscopy b. Colonoscopy c. Endoscopic retrograde cholangiopancreatoscopy (ERCP) d. Esophagoscopy e. Sigmoidoscopy 2. Obstetric and gynecologic a. Colposcopy b. Hysteroscopy 3. Otorhinolaryngologic a. Microlaryngoscopy b. Triple endoscopy 4. Genitourinary a. Cystoscopy b. Nephroscopy c. Ureteroscopy B. General surgery 1. Colectomy 2. Colostomy 1 CTHSS Surgical Technology Programs CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: SURGICAL PROCEDURES 3. Endoscopic inguinal herniorrhaphy 4. Inguinal herniorrhaphy (male) 5. Laparoscopic appendectomy 6. Laparoscopic cholecystectomy 7. Modified radical mastectomy with axillary node dissection 8. Open cholecystectomy with cholangiogram C. Obstetric and gynecologic 1. Cesarean section 2. Laparoscopic assisted vaginal hysterectomy (LAVH) 3. Laparoscopy 4. Laparoscopic oophorectomy 5. Total abdominal hysterectomy with bilateral salpingo-oophorectomy 6. Vaginal hysterectomy D. Otorhinolaryngologic 1. Myringotomy 2. Septoplasty 3. Sinuscopy 4. Tonsillectomy and adenoidectomy (T&A) 5. Thyroidectomy 6. Temporomandibular joint (TMJ) arthroplasty E. Genitourinary 1. Nephrectomy 2. Orchiopexy/orchidopexy 3. Suprapubic prostatectomy 4. Transurethral resection of the prostate (TURP) F. Orthopedic 1. Bunionectomy with hammer toe correction 2. Carpal tunnel release 3. Knee arthroscopy 4. Lumbar laminectomy 5. Open reduction internal fixation (ORIF) of the femur 6. Shoulder arthroscopy II. Specialty A. Endoscopic 1. Cardiothoracic a. Bronchoscopy b. Mediastinoscopy 2. Neurosurgical a. Ventriculoscopy B. Ophthalmic 1. Cataract extraction 2. Entropion/ectropion repair 3. Recession and resection (R&R) C. Oromaxillofacial 1. LeFort I D. Plastic and reconstructive 1. Breast reconstruction 2. Rhytidectomy 3. Skin grafting E. Cardiothoracic 1. Thoracoscopy 2. Thoracostomy 3. Thoracotomy-pulmonary wedge resection F. Peripheral vascular 1. Angioscopy 2. Aortofemoral bypass 3. Arteriovenous (AV) fistula/shunt creation/insertion 4. Carotid endarterectomy G. Neurosurgical 1. Cervical discectomy 2. Craniotomy-aneurysm repair 3. Craniotomy-hematoma evacuation 4. Craniotomy-tumor excision 5. Lumbar discectomy 6. Ventriculoperitoneal (VP) shunt placement 2 CTHSS Surgical Technology Programs CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: SURGICAL PROCEDURES XIII. Intermediate Surgical Procedures Desired Outcome: The learner will gain knowledge of intermediate surgical procedures and be able to efficiently scrub these cases in the clinical setting. Performance Objectives: 1. Describe and identify the anatomy and physiology related to each procedure. 2. Discuss the pathophysiology treated by surgical intervention. 3. Explain the diagnostic exams and preoperative testing for the different procedures. 4. Describe for each procedure the following: special considerations, anesthesia options, positioning, skin prep, draping, incision, supplies, equipment, instrumentation, procedural steps, counts, dressings, specimen care and postoperative destination. 5. Discuss postoperative patient care considerations. 6. Identify complications that may occur postoperatively. Course Outline I. Core A. General surgery 1. Common bile duct exploration (CBDE) 2. Gastrectomy 3. Laparoscopic Nissen fundoplication 4. Lumpectomy (breast) with sentinel node biopsy 5. Vagotomy/pyloroplasty B. Obstetric and gynecologic 1. Cervical cone biopsy 2. Ectopic pregnancy resolution 3. Endometrial ablation 4. Vulvectomy C. Otorhinolaryngologic 1. Caldwell-Luc 2. Tracheotomy/tracheostomy 3. Tympanoplasty II 4. Uvulopalatopharyngoplasty (UPPP) D. Genitourinary 1. Cystectomy 2. Hypospadias repair 3. Marshall Marchetti Krantz procedure 4. Ureteropyelolithotomy 5. Urethrovesical angle repositioning 6. Vasovasotomy E. Orthopedic 1. Bipolar hip replacement 2. Femoral rodding 3. Lower extremity amputation (below the knee/above the knee-BK/AK) 4. Metacarpal phalangeal joint (MPJ) arthroplasty 5. Tenorrhaphy 6. Triple arthrodesis II. Specialty A. Ophthalmic 1. Enucleation 2. Keratoplasty (corneal transplant) 3. Scleral buckle B. Oromaxillofacial 1. LeFort II 2. Odontectomy 3. Open reduction internal fixation (ORIF) maxillary/mandibular fractures 4. Orbital fracture reduction/stabilization C. Plastic and reconstructive 1. Abdominoplasty 2. Cleft lip/palate repair 3. Microvascular pedicle graft D. Cardiothoracic 1. Cervical rib resection 2. Coronary angioplasty 3. Decortication of the lung 4. Pacemaker insertion 5. Pericardectomy E. Peripheral vascular 1. Femoropopliteal bypass 2. Greenfield filter insertion 3. Popliteal in-situ graft 4. Venous access device implantation F. Neurosurgical 1. Cranioplasty 2. Rhizotomy XIV. Advanced Surgical Procedures Desired Outcome: The learner will gain knowledge of advanced surgical procedures and be able to scrub these cases in the clinical setting. 3 CTHSS Surgical Technology Programs CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: SURGICAL PROCEDURES Performance Objectives: 1. Describe and identify the anatomy and physiology related to each procedure. 2. Discuss the pathophysiology treated by surgical intervention. 3. Explain the diagnostic exams and preoperative testing for the different procedures. 4. Describe for each procedure the following: special considerations, anesthesia options, positioning, skin prep, draping, incision, supplies, equipment, instrumentation, procedural steps, counts, dressings, specimen care and postoperative destination. 5. Discuss postoperative patient care considerations. 6. Identify complications that may occur postoperatively. Course Outline I. Core A. General surgery 1. Abdominoperineal resection (Miles resection) 2. Esophagectomy 3. Liver transplant 4. Whipple procedure B. Obstetric and gynecologic 1. Micro-tubal reanastomosis 2. Uterine balloon therapy 3. Wertheim procedure (pelvic exenteration) C. Otorhinolaryngologic 1. Laryngectomy 2. Mastoidectomy 3. Radial neck dissection 4. Tympanoplasty D. Genitourinary 1. Adrenalectomy 2. Cystectomy with creation of ileal conduit 3. Insertion of penile implants 4. Kidney transplantation 5. Ureteral reimplantation E. Orthopedic 1. Anterior cruciate ligament (ACL) reconstruction 2. Limb reattachment 3. Open reduction internal fixation (ORIF) pelvic fracture 4. Total hip arthroplasty 5. Total knee arthroplasty II. Specialty A. Ophthalmic 1. Vitrectomy B. Oromaxillofacial 1. Craniofacial reconstruction 2. LeFort III C. Cardiothoracic 1. Aortic/mitral valve replacement 2. Coronary artery bypass graft (CABG) 3. Lung transplantation 4. MID-CABG 5. Pneumonectomy 6. Aortic arch aneurysm repair 7. Ventricular aneurysm repair 8. Ventricular assistive device (VAD) insertion 9. Batista procedure 10. Lung volume reduction procedure D. Peripheral vascular 1. Abdominal aortic aneurysmectomy with graft insertion E. Neurosurgical 1. Acoustic neuroma resection 2. Anterior thoracic/lumbar discectomy 3. Arteriovenous malformations (AVM) repair 4. Posterior fossa craniectomy 5. Spinal fixation 6. Spinal tumor excision 7. Stereotactic procedures 8. Transsphenoidal hypophysectomy III. Special considerations A. Geriatric patient B. Immunocompromised patient C. Mentally challenged patient D. Pediatric patient E. Physically impaired patient F. Trauma patient 4 CTHSS Surgical Technology Programs CERTIFICATE PROGRAM IN SURGICAL TECHNOLOGY COURSE: SURGICAL PROCEDURES Course Evaluation: Exams, quizzes, lab practical, research papers Course Grade: The course grade for students in Health Education will be weighted according to the following activities and assignments: 10 % Projects: This category include broad based assessment of class discussion and participation as well as presentations (Oral or written) and role playing. 10 % Clinical Lab: This category includes but is not limited to clinical practice, mock surgery and informal/formal demonstration of surgical techniques for proficiency. 70 % Course Assessments and/or Written Assignments: This category may include but is not limited to the following informal (writing samples, journals, performance assessments, role playing, projects, discussion, in class assignments) and formal assessments (end of course assessments). 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. 5