MCCCD Official Course Competencies:

SGT110  2003 Fall – 2011 Summer II

Basic Surgical Procedures

1.

Apply principles of asepsis and safety in handling of instruments. (I)

2.

Load, pass, and assemble specific instruments and demonstrate hand signals. (I)

3.

Identify wound closure classifications and describe types of sutures and suturing methods. (II)

4.

Describe parts and types of needles, and demonstrate mounting, threading and passing needles. (III)

5.

Identify surgical sponges, dressings, drains, tubes, and catheters and describe their use. (IV-VIII)

6.

Apply specific surgical dressings. (V)

7.

Connect drains, tubes and catheters to appropriate collecting mechanism. (VI-VIII)

8.

Compare and contrast specific types of syringes, their uses. (IX)

9.

Draw up and receive medications onto the field. (IX)

10.

Describe the purpose and responsibility for sponge, needle, instrument counts and perform a count. (X)

11.

Explain the sequential procedure required for an incorrect sponge, needle and instrument count. (X)

12.

Demonstrate the correct procedures for positioning, prepping and draping. (XI, XII)

13.

Identify electrosurgical accessory equipment and describe specific safety procedures. (XIII)

14.

Explain the application of robotics in surgical procedures. (XIII)

15.

Describe the principles and applications of electricity and physics in the surgical setting. (XIII)

16.

Demonstrate scrub, gowning, gloving, opening sterile packs and pouring solutions. (XIV)

17.

Compare and contrast responsibilities and dual responsibilities of surgical technologist and circulator during the pre-operative, intra-operative and post-operative periods. (XV)

18.

Demonstrate sequential steps for an exploratory laparotomy during the pre-operative, intra-operative and post-operative periods to include equipment set-up. (XVI)

MCCCD Official Course Outline:

SGT110  2003 Fall – 2011 Summer II

Basic Surgical Procedures

I. Asepsis and Safety in Handling Instruments

A. Load and unload blade on handle

B. Set-up basic back table

C. Set-up basic may stand

D. Pass instruments

E. Assemble a balfour

F. Assemble an O'Sullivan-O'Connor

II. Wounds

A. Classifications

B. Sutures

1. functions

2. types

3. selection

C. Suturing methods

1. continuous

2. interrupted

D. Types of stitches

1. over and over

2. vertical mattress

3. horizontal mattress

4. subcuticular

5. purse string

6. figure of eight

E. Preparation and handling

F. Procedures

1. transfer suture material to sterile field

2. straighten sutures

3. cut sutures in lengths

III. Surgical Needles

A. Parts

B. Classification

1. overall shape

2. point

3. shaft

4. eye

C. Selection

D. Handling

E. Procedures

1. thread an eyed needle

2. thread a French-eye needle

3. pass a Keith needle

4. pass a free tie

5. pass and follow suture

6. tag and cut suture after placement

F. Load a needle holder

IV. Surgical Sponges

A. Uses

B. Characteristics

C. Types

1. laparotomy

2. ray-tec

3. dissectors

4. neurosurgery

D. Procedures-sponge stick

V. Dressings

A. Functions

B. Layers

C. Specialty

1. thyroid collar

2. montgomery strap

3. collodian spray

4. ostomy bags

5. bile bags

6. transparent adhesive

D. Packings

E. Procedures

1. apply routine post-operative dressing

2. apply an ostomy bag to stoma site

3. apply montgomery strap dressing

4. apply a thyroid collar

VI. Tubes

A. definitions

B. uses

C. placement and securement

D. drainage mechanisms

E. special tubes

1. gastrointestinal

2. cantor

3. miller-abbott

F. Endotracheal and tracheotomy

G. Chest

1. function

2. underwater seal drainage

H. Procedures

1. chest tubes/pleur-vac

2. chest tubes/2 bottle

3. t-tube/bile bag

VII. Wound Drains

A. Definitions

B. Uses

C. Placement/securement

D. Drainage mechanisms/collection devices

VIII. Catheters

A. Definitions

B. Characteristics

C. Sizing

D. Procedures

1. measuring and recording

2. connecting drainage bags

IX. Syringes

A. Uses

B. Characteristics

C. Parts

D. Care and Handling

E. Types

1. irrigating

2. injecting/aspirating

F. Procedures

1. fill irrigating syringe

2. draw up medication

3. draw up medication held by circulator

4. receive medication on to the field

X. Sponge, Needle and Instrument Counts

A. Purpose

B. Policy and procedure

C. Documentation

D. Safety rules

E. Counting

1. before surgery

2. during surgery

3. after surgery

F. Incorrect count

G. Procedures

1. sponge

2. needle

3. instrument

XI. Positioning

A. Types

1. supine

2. modified supine

3. prone

4. lateral

B. Uses

C. Equipment and supplies

D. Position guidelines

E. Procedures

1. supine

2. trendelenburg

3. kraske

4. laminectomy

5. lithotomy

6. sims

7. fowler

XII. Surgical Site

A. Skin preparation

1. purpose

2. principles

B. Draping

1. materials

2. principles

3. procedure guidelines

C. Procedures

1. laparatomy

2. vaginal

3. extremity

XIII. Accessory Equipment

A. Types

1. electrosurgical unit/ground pad

2. fiberoptic light source

3. nerve stimulator

4. pneumatic tourniquet

5. hypo-hyperthermia unit

6. operating microscope

7. cardiac monitor

8. air-powered instrument

9. robotics

B. Hazards

1. types

2. prevention/safety

C. Procedures

1. thermal blanket to unit

2. pneumatic tourniquet cuff

3. suction to field

4. nitrogen tank, regulator, power hoses

XIV. Electricity and Physics

A. Principles

B. Surgical applications

XV. Sterile Technique Demonstrations

A. Surgical scrub

B. Opening

1. cloth or paper-wrapped sterile item

2. sterile peel-pack item

3. sterile basin on ringstand

4. sterile pack on back table

5. sterile peel-pack on back table

C. Pouring sterile solutions

XVI. Technologist and Circulator Responsibilities

A. Surgical technologist

1. responsibilities

2. equipment/supplies

3. procedures

B. Circulator

1. role

2. responsibilities

XVII. Surgical Intervention

A. Definition/terminology

B. Goals

C. Abdominal incisions

1. exploratory laparatomy

2. basic instruments

3. hernia sites

D. Demonstration

1. preoperative

2. intraoperative

3. postoperative