Certificate Program in surgical technology

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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
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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
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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
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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.
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