Maricopa Community Colleges  SGT110   19976-19995 
Official Course Description:   MCCCD Approval:  01/26/99  
SGT110      19976-19995 LEC
LAB
3 Credit(s)
2 Credit(s)
3 Period(s)
6 Period(s)
Basic Surgical Procedures
Responsibilities of surgical technician in pre-operative, intra-operative, and post-operative periods. Basic surgical instruments, needles, sutures, stapling devices and syringes. Procedures for instrument count. Application to basic exploratory laparotomy. Prerequisites: Admission to program.
 
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MCCCD Official Course Competencies:
 
SGT110   19976-19995 Basic Surgical Procedures
1. Identify and classify basic surgical instruments. (I)
2. Apply principles of asepsis and safety in handling of instruments. (II)
3. Load, pass, and assemble specific instruments and demonstrate hand signals. (II)
4. Identify wound closure classifications and describe types of sutures and suturing methods. (III)
5. Describe parts and types of needles, and demonstrate mounting, threading and passing needles. (IV)
6. Assemble, reload, and break down stapling devices. (V)
7. Identify surgical sponges, dressings, drains, tubes and catheters and describe their use. (VI-X)
8. Apply specific surgical dressings. (VII)
9. Connect drains, tubes and catheters to appropriate collecting mechanism. (VIII-X)
10. Compare and contrast specific types of syringes and their uses and fill an irrigating syringe. (XI)
11. Draw up and receive medications onto the field. (XI)
12. Describe the purpose and responsibility for sponge, needle, instrument counts and perform a count. (XII)
13. Arrange the sequential procedure required for an incorrect sponge, needle and instrument count. (XII)
14. Describe guidelines for positioning, prepping and draping and demonstrate the commonly used positions and drapes. (XIII, XIV)
15. Identify electrosurgical accessory equipment and describe safety procedures. (XV)
16. Compare and contrast responsibilities and dual responsibilities of surgical technologist and circulator during the pre-operative, intra-operative and post-operative periods. (XVI)
17. Pull and set-up basic instruments and demonstrate sequential steps for an exploratory laparotomy during the pre-operative, intra-operative and post-operative periods. (I-XVII)
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MCCCD Official Course Outline:
 
SGT110   19976-19995 Basic Surgical Procedures
    I. Surgical Instruments
        A. Basic
          1. Sharps/cutting
          2. Clamps
          3. Grasping/holding
          4. Retracting
        B. Accessory equipment
          1. Suction
          2. Grooved director
          3. Eyed silver probe
          4. Skin hook
      II. Care and Handling of Instruments
          A. Inspection
          B. Cleaning procedure
          C. Passing signals
          D. Instrumentation
            1. Load and unload blade on handle
            2. Load a needleholder - right and left
            3. Set-up basic back table
            4. Set-up basic may stand
            5. Pass instruments
            6. Assemble a balfour
            7. Assemble An O'Sullivan-O'Connor
        III. 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
          IV. 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
            V. Stapling Devices
                A. Types
                  1. Reusable
                  2. Disposable
                B. Uses
                C. Assembly
                D. Procedures
                  1. LDS-2
                  2. LDS-W
                  3. TA90
                  4. TA55
                  5. GIA
              VI. Surgical Sponges
                  A. Uses
                  B. Characteristics
                  C. Types
                    1. Laparotomy
                    2. Four-by-four
                    3. Dissecting
                    4. Neurosurgery
                  D. Procedures-Sponge Stick
                VII. Dressings
                    A. Functions
                    B. Layers
                    C. Specialty
                      1. Thyroid collar
                      2. Montogomery strap
                      3. Collodian spray
                      4. Ostomy bags
                      5. Bile bags
                      6. V-Pads
                      7. Transparent adhesive
                    D. Packings
                    E. Procedures
                      1. Apply routine post-operative dressing
                      2. Apply an ostomy bag to stoma site
                      3. Apply Montogomery strap dressing
                      4. Apply a Thyroid Collar
                  VIII. 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
                    IX. Wound Drains
                        A. Definitions
                        B. Uses
                        C. Placement/securement
                        D. Drainage mechanisms/collection devices
                        E. Types
                          1. Penrose
                          2. Cigarete
                          3. T-Tube
                          4. Malecot or Pezzer
                          5. Hemovac
                          6. Jackson-Pratt
                        F. Procedures
                          1. Hemovac
                          2. Jackson-Pratt
                      X. Catheters
                          A. Definitions
                            1. Urethral
                          B. Characteristics
                          C. Sizing
                          D. Procedures
                            1. Measuring and recording
                            2. Connecting drainage bags
                        XI. 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
                          XII. 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
                            XIII. 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
                              XIV. Surgical Site
                                  A. Skin preparation
                                    1. Purpose
                                    2. Principles
                                  B. Draping
                                    1. Materials
                                    2. Principles
                                    3. Procedure guidelines
                                XV. 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
                                    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
                                  XVI. Technologist Vs. Circulator
                                      A. Surgical technologist
                                        1. Responsibilities
                                        2. Equipment/supplies
                                        3. Procedures
                                      B. Circulator
                                        1. Role
                                        2. Responsibilities
                                    XVII. Exploratory Laparotomy
                                        A. Definition/terminology
                                        B. Abdominal incisions
                                        C. Basic instruments
                                        D. Procedure
                                          1. Pre-operative
                                          2. Intra-operative
                                          3. Post-operative
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