Surgical Case Study
Surgical Technology Program
Student Name: _____________________________
The student will be provided with basic
patient information and is expected to
complete the following case study.
Date: _________________________
8. Probable preoperative diagnosis:
1. Procedure name:
9. How was the diagnosis determined?
2. Definition of procedure:
3. What is the purpose of the procedure?
10. Discuss the relevant anatomy.
4. What is the expected outcome of the
procedure?
11. List the general and procedure-specific
equipment that will be needed for the
procedures.
5. Patient age:
6. Gender:
7. Additional pertinent information:
12. List the general and procedure-specific
instruments that will be needed for the procedures.
Miscellaneous
14. Operative Preparation:
13. List the basic and procedure specific supplies that
will be needed for the procedure.
Pack
Basin
Gloves
Blades
Drapes
15. What type of anesthesia will likely be used?
Why?
Drains
Dressings
Suture-Type of suture, needle (if applicable), and
anticipated tissue usage
16. List any special anesthesia equipment that may
be needed.
Pharmaceuticals
17. Patient position during surgery:
18. What supplies will be necessary for positioning?
23. List the procedural steps and describe the
preparatory and supportive actions of the STSR
during each step (use additional space if necessary).
(SEE TABLE ON BACK OF SHEET)
24. What is the postoperative diagnosis?
19. What type of shave/skin preparation will be
necessary (if any)?
25. Describe the immediate postoperative care.
20 Define the anatomic perimeters of the prep.
26. What is the patient’s long-term prognosis?
21. List the order in which the drapes will be
applied, and describe any specific variations.
27. What are the possible complications?
22. List any practical considerations.
28. What is the most valuable information you
obtained from preparing this surgical case study?
Question 23 Grid
Operative Procedure
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Technical Considerations
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