Maricopa Community Colleges  SGT265   19956-99999 
Official Course Description: MCCCD Approval: 04/25/95
SGT265 19956-99999 L+L 4 Credit(s) 4 Period(s)
Fundamental Skills
Monitoring devices, bladder catheterization, pneumatic tourniquet. Also skin preparation, surgical draping, instrument selection, response to bleeding source, suctioning, wound coverings, drainage systems and specific requirements for endoscopic surgery. Prerequisites: SGT250 and SGT254 and SGT260, or permission of instructor.
Go to Competencies    Go to Outline
 
MCCCD Official Course Competencies:
 
SGT265   19956-99999 Fundamental Skills
1. Describe the need for monitoring devices and the relationship between monitoring equipment and the surgical procedure. (I)
2. Explain the principles of urinary bladder catheterization and demonstrate the procedure. (II)
3. Demonstrate and apply the principles of surgical positioning for the anesthetized patient. (III)
4. Use, apply, and maintain the pneumatic tourniquet. (IV)
5. Demonstrate skin preparation techniques for operative sites. (V)
6. Demonstrate appropriate surgical draping. (VI)
7. Select the appropriate instruments and demonstrate their proper utilization for specific surgical procedures. (VII, VIII)
8. Demonstrate knowledge of the methods of providing visualization during an operative procedure. (IX)
9. Identify and respond in an appropriate manner to a bleeding source. (X)
10. Demonstrate proper suturing techniques. (XI)
11. Demonstrate the appropriate selection and application of surgical wound coverings and their stabilization. (XII)
12. Demonstrate methods of securing drainage systems. (XIII)
13. Describe selection, preparation, and usage of supplies and equipment required for endoscopic surgery. (XIV)
14. State the principles of transporting patients with special needs. (XV)
15. List specific complications of surgery and the appropriate course of action for each complication. (XVI)
Go to Description    Go to top of Competencies
 
MCCCD Official Course Outline:
 
SGT265   19956-99999 Fundamental Skills
    I. Monitoring devices
        A. Types
          1. Noninvasive
          2. Invasive
        B. Placement to the surgical field
        C. Complications
        D. First assistant's role
          1. Sterile field
          2. Monitor changes
      II. Bladder catheterization
          A. Indications
          B. Considerations
          C. Supplies
          D. Procedural steps
          E. Complications
          F. Monitoring urinary output
        III. Patient positioning
            A. Fundamental principles
            B. Effects of positioning and anesthesia
            C. Patient factors
            D. Fracture tales
            E. Head and body stabilization
              1. Types
              2. Positions
          IV. Tourniquet
              A. Use
              B. Application
              C. Complications
              D. Maintenance
            V. Skin preparation
                A. Procedural considerations
                B. Selection of prep solutions
                C. Procedure and techniques
              VI. Purpose of surgical draping
                  A. Draping materials
                  B. Techniques
                VII. Instrument selection
                    A. Tissue structure
                    B. Use of instrument
                  VIII. Body mechanics and application of instruments
                      A. Specialty instruments
                      B. Hazards
                    IX. Visualization
                        A. Suction tips
                        B. Sponges
                          1. Indicators for types
                          2. Uses
                        C. Retraction
                          1. Digital
                          2. Instrument
                        D. Lighted equipment
                        E. Other methods
                      X. Homeostasis
                          A. Types of bleeding
                            1. Arterial
                            2. Venous
                          B. Evaluation of source
                          C. Determination of method
                          D. Techniques
                            1. Instrumentation
                            2. Ligatures
                            3. Pharmacologic agents
                            4. Electrocoagulation
                            5. Laser
                            6. Pressure
                            7. Bone wax
                            8. Other
                        XI. Suturing Techniques
                            A. Types and choice of suture materials
                            B. Layer closure
                            C. Knot-tying
                              1. One-handed
                              2. Two-handed
                              3. Instrument ties
                              4. Suture ligature
                              5. Continuous ties
                            D. Suturing techniques
                            E. Accessory devices
                            F. Types of staplers
                          XII. Dressings
                              A. Purpose of wound
                                1. Dressings
                                2. Materials
                              B. Technique of application
                              C. Infection control
                            XIII. Drains
                                A. Purpose and indications
                                B. Factors determining securing of drains
                                C. Techniques for securing drains
                              XIV. First assistant's role in endosopic surgery
                                  A. Equipment selection, preparation
                                  B. Operation and utilization of instruments
                                  C. Port insertion technique
                                  D. Suturing techniques
                                  E. Stapling devices
                                  F. Types of endoscopic surgery
                                  G. Modification for pediatric patient
                                XV. Transfer needs of surgical patient
                                  XVI. Complications of surgery
                                      A. Hemorrhage
                                      B. Perforation of viscus or cavity
                                      C. Contamination
                                        1. Exposure
                                        2. Retraction
                                        3. Compression injuries
                                      D. Cardiac events
                                      E. Sudden hypoxia
                                      F. Sudden shock
                                      G. Critical equipment failure
                                  Go to Description    Go to top of Competencies    Go to top of Outline