Division: Health Careers
Department: Allied Health & Human Services
Subject Code: SURG
Course #: 220
Course Title: Surgical Clinical Externship II
HARRISBURG AREA COMMUNITY COLLEGE
FORM 335
Course Form 335 must be updated at least every five years per AP 765 to include, at a
minimum, the following elements. [§335.2]
1.
Digital Description:
Credit hours:
Lecture hours:
Lab hours:
6.0
0.0
24.0
BL: [__]⅓[__]½ [__]⅔[___] Other (Indicate fraction or percent)
2.
Catalog Description:
A practicum that further develops clinical proficiency. Students are assigned to affiliated
agencies where they practice skills related to surgical techniques and principles with the
goal of scrubbing independently for common surgical procedures. They participate as
members of the surgical team, building on skills developed in SURG 210. Liability
insurance is required.
3.
Prerequisites: BIOL 105, 221, 121, 122
SURG 110, 101, 105, 111, 210
Corequisites:
Minimum Grade Required
C
SURG 112
Other:
4.
Learning Outcomes
[These outcomes are necessary to enable students to attain the essential
knowledge and skills embodied in the program’s educational objectives.]
Upon successful completion of the course the student will be able to:
 Assemble the instruments, supplies and accessory items necessary for hernia
repair; surgery of the breast; thyroid and parathyroid; gallbladder and
biliary tree; liver, pancrease and spleen; upper and lower gastrointestinal
tract; gynecological surgery; genitourinary surgery
 Assist the surgical team during surgical procedures as an independent
practitioner. Theses procedures include but are not limited to : abdominal
hysterectomy, vaginal hysterectomy, mastectomy, colon resection, knee
arthroscopy, bunionectomy, simple open reduction of fracture , laparoscopic
cholecystectomy
Division: Health Careers
Department: Allied Health & Human Services
Subject Code: SURG
Course #: 220
Course Title: Surgical Clinical Externship II

5.
Demonstrate the ability to anticipate the needs of the surgeon during routine
surgical procedures
Planned Sequence of Learning Activities
[These must be designed to help students achieve the learning outcomes.]
I. Scrubbing
A. Expanded role as surgical scrub technologist identified with emphasis on anticipation
B. Assist the surgeon in the role of second assistant.
C. Assist the surgeon in the role of first assistant (facility dependent)
D. Continue to scrub on surgical procedures. Independent scrubbing on the following
procedures (but not limited to):
1. Hernia repair
2. Breast biopsy
3. Mastectomy
4. Axillary dissection
5. Thyroidectomy
6. Laparoscopic hernia repair
7. Laparoscopic cholecystectomy, appendectomy , tubal ligation
8. Abdominal hysterectomy
9 Vaginal hysterectomy
10. Laparsocpic assisted hysterectomy
11. Colon resection
12. Amputations: BKA, AKA
13. Knee arthroscopy
14. Bunionectomy
15. Simple open reduction of a fracture
16. C-Section
17. Laparoscopic Bowel resection
18. Colon resection
II. Case Preparation
A. The student continues to pick instruments and supplies required for surgical
procedures.
B. The student continues to prepare the operating room for surgery.
III. Anesthesia
A. Orientation to the anesthesia department
B. Identification of the roles and responsibilities of the Anesthesiologist and Certified
Registered Nurse Anesthetist (CRNA).
C. Follow an anesthesiologist or CRNA for one day
1. Assist with the preparation of the patient for anesthesia.
2. Assist the anesthetist with intubation.
3. Observe regional anesthetics.
D. Spend one half day in the PACU
1. Observe the registered nurse performing duties in the PACU.
Division: Health Careers
Department: Allied Health & Human Services
Subject Code: SURG
Course #: 220
Course Title: Surgical Clinical Externship II
IV. Ambulatory Surgery/Preop holding area-student to spend one half day
A. Orientation to the ambulatory surgery/short procedure unit/holding area.
B. Orientation to the outpatient admission/discharge procedures.
C. Observe the registered nurse performing duties in the preop holding area.
D. Observe preoperative interviews by anesthesia care provider and operating room
nurse.
E. Assist with the transport and preparation of the ambulatory surgical patient (facility
dependent)
V. Anticipation
A. Work closely with experienced surgical technologist in the scrub role to learn
organizational
skills.
B. Scrub on all assigned cases.
VI. Documentation
A. Complete clinical experience records/clinical logs according to school policy.
B. Complete self evaluation forms according to school policy.
C. Participate in evaluation sessions with preceptor.
D. Complete case preparation records according to school policy.
VII. Mentoring Program
A. Introduction to SUR 110 Students
B. Assist in demonstrations of aseptic technique, scrubbing, gowning, and gloving, case
preparation, instrument handling and mock operations.
3. Communicate effective stress management techniques to new students.
4. Model professional behaviors for new students.
5. SURG 110 student may shadow student.
VIII. Communication
A. Meet with program director/clinical instructor as established by instructor.
6.
Assessment of Student Learning
[Methods of assessment should be appropriate for Learning Outcomes listed above.]
Assessment of student learning outcomes for the course, as required by AP 765, is part of
regular curriculum maintenance and/or improvement. The specific plan has been
determined by the pertinent faculty involved and is kept on file in the division office.
Clinical evaluation, clinical log, case preparation records
7.
List of Texts, References, Selected Library Resources or other Learning Materials
(code each item based on instructional use): C-Lecture/Laboratory, A-Lecture, BLaboratory, LC-Lecture/Clinical, CLN-Clinical, I-Online,
BL-Blended, V-Videocourse, D-Independent Study, P-Private Lessons,
E-Internship, F-Cooperative Work-Study, FE-Field Experience. [These resources must be
easily accessible to students.]
CLN- Fuller, J. Surgical Technology Principles and Practices, current edition, Elsevier
Division: Health Careers
Department: Allied Health & Human Services
Subject Code: SURG
Course #: 220
Course Title: Surgical Clinical Externship II
CLN - Rothrock, J. Alexander’s Care of the Patient in Surgery, current edition, Mosby
CLN - Nemitz, R. Surgical Instrumentation current edition, Saunders
8.
Prepared by Faculty Member: Amy Kennedy
Date: 8/2009
9.
Approved by Department Chairperson: Brad Leidich
Date: 10/19/09
10.
Approved by Academic Division Dean: Brad Wolf
Date: 10/21/09
This course meets all reimbursement requirements of Chapter 335, subchapters A /
B.
This course was developed, approved, and offered in accordance with the policies,
standards, guidelines, and practices established by the College. It is consistent with
the college mission.
If the course described here is a transfer course, it is comparable to similar courses
generally accepted for transfer to accredited four-year colleges and universities.
11.
Director, Curriculum Compliance: Catherine A. Lencioni Date: 10/26/09
12.
Provost & VP, Academic Affairs: Ronald R. Young
13.
Original Date of course approval by the college: 1/28/02
14.
Date(s) of subsequent reviews [Indicate change: Learning Outcomes; textbook(s)]: 10/27/03
12/1/04
Review and updated: 10/26/07; 1/11/08; 1/16/09
Date: 10/30/09