Course: SUR 134 Surgical Procedures II
This is a web-enhanced course. A web-enhanced course is a combination of Moodle and traditional classroom. The Moodle component is meant to enhance your learning experience. You will need access to the internet for this course. The Learning Resource Center (LRC) and testing center have computer lab areas for students who do not have access to the internet at home.
Credit Hours: (5-0-0-5) 5 Credit Hours
SUR 134 IS A 5 CONTACT/5 CREDIT HOUR COURSE. THE SCHEDULED LECTURE SESSIONS ARE
WED 8:30 AM TO 11:50 AM AND 1:00 PM TO 4:50 PM IN RHODODENDRON 412
Course Description:
This course provides a more comprehensive study of intermediate and advanced surgical specialties that students are exposed to in the second clinical rotation. Emphasis is placed on related surgical anatomy, pathology, and procedures that enhance theoretical knowledge of patient care, instrumentation, supplies, and equipment. Upon completion, the students should be able to correlate, integrate, and apply theoretical knowledge of the course topics to the clinical environment.
Instructors: Robin Keith Daniel Stokoe
Phone numbers: Office: (828) 398-7892 (828) 398-7618
E-mail: robinbkeith@abtech.edu
danieljstokoe@abtech.edu
Summer Office Hours: TH (1:00pm-3:00pm) & F (9:00am-12:00p)
PREREQUISITES: Enrollment in the Surgical Technology Program
SUR 122 and SUR123
COREQUISITIES: SUR 135 & SUR 137

REQUIRED TEXTS:
These textbooks will be used throughout the Surgical Technology Program:
ABTECH Surgical Technology Handbook
AST, T. (2008). Study Guide to Accompany Surgical Technology for the Surgical Technologist: A Positive care Approach, (3 rd
ed.). Clifton Park, NY: Delmar.
AST. (2008). Surgical Technology for the Surgical Technologist: A Positive Care Approach, (3 rd
ed.).
Clifton Park, NY: Delmar.
Dennerll, J. (2009). Medical Terminology Made Easy, 4 th
ed. Clifton Park, NY: Delmar.
Goldman, M. (2008). Pocket Guide to the Operating Room, (2 nd ed.). Philadelphia, PA: F.A. Davis.
Rutherford, C. (2010). Differentiating Surgical Equipment and Supplies. Philadelphia, PA: FA Davis.
Rutherford, C. (2005). Differentiating Surgical Instruments. Philadelphia, PA: F. A. Davis.
Snyder & Keegan. (2006). Pharmacology for the Surgical Technologist, (2 nd
ed.). Philadelphia, PA: W. B.
Saunders.
These are optional texts which can be used throughout the Surgical Technology Program:
Allhoff, T. (2003). Surgical Mayo Setups, (1 st
ed.). Albany, NY: Delmar.
AORN. (2012). AORN Standards, Recommended Practices, and Guidelines. Denver, CO: AORN.
Rothrock, J. (2010). Alexander’s Care of the Patient in Surgery, 14 th
ed.). St. Louis, MO: Mosby.
Venes, D. (2009). Taber’s Cyclopedic Medical Dictionary, (21 th ed.). Philadelphia, PA: F.A. Davis.
Prepared by: ___Robin B. Keith__ Revision Date : May 2, 2012
I verify that this course outline is accurate, complete and timely
___Robin Keith
Chairperson
__Dolly Horton_
Dean
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COURSE POLICIES:
The instructor reserves the right to alter course content, presentation, or sequence. There will be no makeup tests or quizzes.
Homework is due the week after it is assigned unless otherwise indicated on the syllabus. Late or incomplete homework will not be accepted and the student will receive a zero homework grade on that day . Homework and clinical paperwork is due at the beginning of class every Wednesday morning.
Failure to arrive on time will result in you not being able to turn in homework and paperwork on time, therefore, you will receive a grade of zero on ALL paperwork that was due. You are expected to arrive to class prepared and ready to start at 8:30am. Arriving before 8:30 will ensure that you are able to be prepared. The classroom door will be shut and locked at 8:30am. The classroom will be accessible to you after the first class break.
Open Grade Book Policy:
The Surgical Technology Program Faculty maintains an “open grade book” policy as well as an open door policy and will make every effort to keep students aware of their progress throughout the semester.
Individual student grades are available to all students on Moodle. If you at any time have a question about any grading procedure, status of your grade, or overall progress throughout the curriculum, please do not hesitate to ask!
Academic Dishonesty
You may not deceive any official of the college by cheating on any assignment, exam, or paper. This includes plagiarism, which is the intentional theft or unacknowledged use of another’s words or ideas.
Plagiarism includes (but is not limited to) paraphrasing or summarizing another’s words or works without proper acknowledgement, using direct quotes of material without proper acknowledgement, or purchasing or using a paper or presentation written or produced by another. The faculty at A-B Tech may also consider presenting as original work a paper written for one class to satisfy a requirement in another class to be academic dishonesty. This also includes forging of preceptor signatures on clinical evaluations.
Approved by the Academic Affairs Committee on November 18, 2003
DISABILITIES
Any student with documented disabilities that need academic adjustments or accommodations, needs to contact Judith Harris, Coordinator of Disabilities Services at ext. 141 or Jharris@abtech.edu
.
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CLASSROOM ATTENDANCE POLICY:
The Program Faculty believes that anytime a student is not in attendance at a didactic class, laboratory session, or clinical rotation, he or she is not able to receive the full benefits of a presentation or experience even if competencies are eventually met. It is also believed that regular and punctual attendance is expected of all students for them to achieve their potential in the surgical technology program and to develop desirable personal traits necessary to obtain employment in any Allied Health profession. These traits are among the first looked for by prospective employers. In fact, the student should be reminded that every time they put on their uniform and go for clinical instruction they may be completing part of an informal job interview whether they know it or not. For these reasons, full-time attendance is expected in all didactic classes, laboratories, and clinical rotations.
1) Proper Call-in Procedure :
The student is responsible for contacting the program faculty regarding absences prior to the scheduled class time.
Faculty offices are equipped with voice mail. The extension number is listed in this syllabus. When calling in, please leave your name, the time you called, the reason for your absence, and when you expect to return to class. Messages must not be sent through other people unless extenuating circumstances prevail. Recognize that ALL absences will result in the student being issued a grade of zero on all paperwork due that day excluding SCPER forms for clinical, unless the student turns these items in “prior” to class start. Proper documentation must be provided to substantiate an “excused” absence.
“Excused” absences will be considered should the student end up in a situation where they are near exceeding the 10% attendance policy. An excused absence could be the difference in being allowed to continue in the program.
2) Failure to properly report an absence equals an unexcused absence. This will result in disciplinary measures being taken. The student will be placed on course probation. It is up to the student to ensure that this does not happen.
3) Emergency situations are dealt with on a case by case basis. Documentation is required to substantiate an
“emergency situation”.
4) To receive course credit, a student should attend a minimum of 90 percent of the contact hours of the class. Upon accumulating absences exceeding 10 percent of the course contact hours, the student may be withdrawn from the class with a grade of “U” at the discretion of the instructor . Being late for class is also a serious interruption of instruction. A tardy is defined as arriving late for class (any minutes), leaving early (any minutes,) or being away from class without permission during class hours. It is departmental and college policy that three tardies are equivalent to one full day’s absence from class or clinic. For every third tardy, the student will have one full day’s absence counted for the course. These accumulated absences due to tardiness will count toward the 10% point for that course. Students will not be permitted classroom entry if they are tardy at the beginning of class until the first class break period. Understand that this may result in you, the student missing a test if you miss the first part of the class. It should be noted that there are only 10 scheduled classes for this course and therefore missing 1 of the 10 classes will put the student in jeopardy of being withdrawn from the course for missing 10 percent of the class meetings.
5) The student is also responsible for adhering to the ABTECH Guidelines for Classroom Conduct. See the
most current version of the ABTECH Student Events Calendar and Handbook.
PROLONGED ILLNESS
Students must notify the appropriate classroom instructor each day of an absence until it is established exactly how long the student will be out. Any student who misses more than three consecutive school days of class and/or clinic must obtain proper documentation for the missed time before they will be allowed to return to classes or clinic.
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HOLIDAYS AND VACATIONS
Surgical Technology students are committed to one year of full-time study. Within this time, students are eligible for holidays recognized by the College and vacation time during semester breaks. The student should consult the academic calendar that is published in the College Catalog and Student Calendar for the dates of recognized holidays and semester breaks.
APPOINTMENTS
Medical, dental, and other appointments should not be scheduled during didactic and clinical times. Appointments scheduled during these times will create a tardy or an unexcused absence unless extenuating circumstances prevail.
EVALUATION CRITERIA
Quizzes/Tests
Homework
60%
10%
Final (Comprehensive) 30%
TOTAL 100%
GRADES 90-100 =A
80-89 =B
70-78 =C
60-68 =D
BELOW 60 =F
HOMEWORK - IS DUE ONE WEEK AFTER IT IS ASSIGNED UNLESS OTHERWISE SPECIFIED AT
THE BEGINNING OF CLASS. INCOMPLETE OR LATE HOMEWORK WILL NOT BE ACCEPTED.
TESTS/QUIZZES- MAY BE GIVEN AT ANY TIME! BE PREPARED! READ, READ, READ!
Testing is primarily web-based, rigorous, highly demanding, and detailed. A solid foundation of knowledge is required to generate the quick responses that will be expected of you with all testing. Quick response time is a hallmark of a successful and competent surgical technologist.
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SURGICAL PROCEDURES II
SUR 134
COURSE OBJECTIVES: Upon completion of this course, the student will:
1.
Demonstrate knowledge of anatomy, physiology, and pathophysiology for the following specialty surgical areas:
Plastics & Reconstructive Surgery Oral & Maxillofacial Surgery
Neurosurgery Thoracic Surgery
Ophthalmic Surgery Cardiac Surgery
2.
Differentiate between instrumentation used in the following specialty surgical areas:
Plastics & Reconstructive Surgery Oral & Maxillofacial Surgery
Neurosurgery Thoracic Surgery
Ophthalmic Surgery Cardiac Surgery
3.
Recognize prepping and draping principles for the following surgical patient population:
Plastics & Reconstructive Surgery Oral & Maxillofacial Surgery
Neurosurgery Thoracic Surgery
Ophthalmic Surgery Cardiac Surgery
4.
Identify supplies, instrumentation, and equipment necessary for the following specialty surgical areas:
Plastics & Reconstructive Surgery Oral & Maxillofacial Surgery
Neurosurgery Thoracic Surgery
Ophthalmic Surgery Cardiac Surgery
5.
Communicate effectively in sharing clinical experiences in written and spoken form during open discussion, respecting confidentiality principles.
GENERAL EDUCATION OBJECTIVES: Incorporated into course objectives:
1. Communicate effectively in oral presentations, sharing clinical experiences, and
perform writing assignments.
2. Apply knowledge to assess, plan, implement, and evaluate surgical procedures to
improve future experiences.
3. Demonstrate basic computer skills with student presentations.
Learning activities that reinforce learning activities: a. Sharing/communicating clinical experiences with peers b. Oral/written/power point two person presentation on surgical procedure of choice
relevant to course content c. Integration of surgical procedures with hands-on tri-weekly clinical experience
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SUR 134 SURGICAL PROCEDURES II
CONTENT OUTLINE
I. Introduction to the course and Lab
A. General information
1.
2.
Introduction to course
Course objectives
3.
4.
Course policies
Class Presentations
II. Plastics & Reconstructive Surgery
A. Anatomy, physiology, and pathology related to the skin & underlying
tissues
B. Diagnostics and Preoperative testing
C. Anesthesia & Medications
D. Positioning, prepping, and draping
E. Basic supplies, equipment and instrumentation
F. Dressings, Drains, and Post-operative Care
G. Plastics & Reconstructive Procedures
III.
Neurosurgery
A.
Anatomy, physiology and pathophysiology related to
1.
2.
Cranium
Vertebral column
3.
4.
Spine-Cervical, thoracic, lumbar head injuries
B.
C.
Neurosurgical infections
Neurosurgical Procedures
IV.
Ophthalmic Surgery
A. Anatomy of the EYE
1. Orbit
2. Extrinsic Muscles
3. Lacrimal system
4. Globe
B. Ophthalmic Surgical Pathology
C. Special Considerations in Ophthalmic Surgery
D. Ophthalmic Procedures
V. Oral & Maxillofacial Surgery
A. Anatomy, physiology and pathophysiology related to Oral &
Maxillofacial surgery
B. Diagnostics exams & Pre-operative Testing
C. Anesthesia & Medications
D. Supplies, Instruments, & Equipment
E. Positioning, Prep, & Draping
F. Dressings, Drains, & Post-operative Care
G. Oral & Maxillofacial Procedures
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VI. Thoracic Surgery
A. Anatomy, physiology and pathophysiology related to the Chest
1. Thorax
2. Trachea
3. Bronchial Tree
4. Lungs
B. Thoracic surgery
1. Diagnostic exams
2. Preoperative testing
C. Thoracic Surgical Procedures
VII. Cardiac Surgery
A. Anatomy, physiology and pathophysiology related to the Heart
B. Cardiac Surgical Interventions
1. Diagnostic exams
2. Preoperative testing
C. Minimally invasive Cardiac Surgery
D. Cardiopulmonary bypass procedures
E. Cardiothoracic surgical procedures
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SUR 134
SURGICAL PROCEDURES II
TENTATIVE SYLLABUS
WEEKLY COURSE CONTENT
WEEK # CLASS # DAY/DATE TOPICS RESOURCES OBJECTIVES
1 1 WED 5-23 Introduction to course and clinical policies and procedures
RESOURCES SUR 134 Course and content outlines, syllabi
SUR 135 Clinical Rotation Schedule, AB-TECH Operation report sheets,
SCPER (Student Clinical Practice Evaluation Report) Discussed
Spring semester)
Weekly Review of Clinical Experiences
Introduction to Plastics & Reconstructive Surgery
TEXT AST CH. #19
Rutherford CH # 9
Dennerll Unit #8
Skin & Underlying Tissue anatomy and physiology
Pathologic conditions requiring Plastic & Reconstructive intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
PROCEDURES
Excision of Nevi
Blepharoplasty
Rhytidectomy
Skin Grafting
Breast Augmentation/Reconstruction
Abdominoplasty
HOMEWORK#1 Key Terms pgs. 385-386, 389 (from #5 on) -394 Study
Guide
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2 2 WED 5-30 Weekly review of clinical experiences
Neurosurgery I
RESOURCES TEXT AST CH. # 24
Rutherford CH # 5
Dennerll Unit # 3
Neurosurgical anatomy and physiology
Pathologic conditions requiring Neurosurgical intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
HOMEWORK #1 DUE
HOMEWORK #2 Key Terms pgs. 491-493 (stop at #24), 501-505
Study Guide
3 3 WED 6-6 Weekly review of clinical experiences
Neurosurgery II
RESOURCES TEXT AST CH. # 24
Rutherford CH # 5
Dennerll Unit # 3
PROCEDURES
Carpal Tunnel Release
Craniotomy for: aneurysm, tumor excision, & hematoma
Cervical Discectomy
Lumbar discectomy
Ventroperitoneal Shunt
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4 4 WED 6-13 Weekly Review of Clinical Experiences
Ophthalmic surgery
RESOURCES TEXT AST CH. #16
Rutherford CH # 7
Dennerll Unit # 8
Snyder & Keegan CH 10
Ophthalmic anatomy and physiology
Pathologic conditions requiring ophthalmic intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
PROCEDURES
Strabismus correction
Entropian/ectropian repair
Recession & Resection (R&R)
Cataract Extraction
Vitrectomy
Retinal Detachment
HOMEWORK #2 DUE
HOMEWORK #3 Key terms pg. 329, (start at #4) and continue to 339
Study Guide
5 5 WED 6/20 Weekly Review of Clinical Experiences
Oral & Maxillofacial Surgery
RESOURCES TEXT AST CH. # 18
Rutherford CH # 9
Dennerll Unit 8
Oral & Facial Anatomy & Physiology
Pathologic conditions requiring oral/maxillofacial intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
PROCEDURES
Orbital Fracture
Zygomatic Fracture
Arch Bars
ORIF mandible
Le Fort I, II, III
HOMEWORK #3 DUE
HOMEWORK #4 Key Terms pgs. 367-338, 371 (start at #5) and continue to 376 Study Guide
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6 6 WED 6-27 Thoracic Surgery
RESOURCES TEXT AST CH. # 22
Rutherford CH # 8
Dennerll Unit 2
Snyder & Keegan CH 9
Thoracic anatomy and physiology
Pathologic conditions requiring thoracic intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
PROCEDURES
Mediastinoscopy
Bronchoscopy
Thoracoscopy
Chest Tube Insertion
Thoracotomy for: Wedge Resection, Lobectomy, Pneumonectomy
Thoracic Aneurysm Repair
HOMEWORK #4 DUE
HOMEWORK #5 Key Terms pgs. 451-452, 457 (start with #6)
go to 462 Study Guide
7 7 WED 7-11 Review of Clinical Experiences
Cardiac Surgery I
RESOURCES TEXT AST CH. # 22
Rutherford CH # 8
Dennerll Unit 2
Snyder & Keegan CH 9
Cardiac anatomy and physiology
Pathologic conditions requiring cardiac intervention
Diagnostics & Pre-operative Testing
Medications & Anesthesia
Positioning, Prepping, & Draping
Basic supplies, equipment & instrumentation
Dressings, drains, & post-operative care
PROCEDURES
Coronary Angiography
PTCA
Minimally Invasive and Off Pump bypass procedures
HOMEWORK #5 DUE
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8 8 WED 7-18 Weekly Review of Clinical Experiences
Cardiac Surgery II
RESOURCES TEXT AST CH. # 22
Rutherford CH # 8
Dennerll Unit 2
PROCEDURES Coronary artery bypass grafting (CABG)
Ventricular aneurysmectomy
Aortic Valve Replacement
Mitral Valve Repair/Replacement
HOMEWORK #6 STUDY GUIDE 26-27 (1-12)
9 9 WED 7-25 Weekly review of clinical experiences
PAE PROGRAM ASSESSMENT EXAM
Geriatric surgery considerations
Pediatric surgery considerations
Ambulatory surgery considerations
RESOURCES TEXT AST CH. #4
HOUSEKEEPING/CATCH- UP IF NEEDED
COMPREHENSIVE FINAL EXAMINATION REVIEW
HOMEWORK #6 DUE
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