MCCCD Official Course Competencies:

SGT210  1997 Fall – 2012 Spring

Advanced Surgical Procedures

1.

Define specific surgical terminology including definitions and abbreviations related to major body systems. (I)

2.

Identify anatomical structures, incisional approaches and describe function of affected organs. (I, II)

3.

List indications, diagnostic techniques and specialized procedures for brain, spine, heart, peripheral vessels, ear and eye. (I, II, III)

4.

Describe preparation, care and handling of specialty instruments, supplies and accessory equipment during the pre- operative, intra-operative and post-operative periods. (IV)

5.

Describe protection for the anesthetized patient and demonstrate positioning and draping. (V)

6.

Describe step-by-step procedure for opening and closure of specific surgeries. (VI)

7.

Describe specific plastic-reconstructive surgical procedures. (VII)

8.

Describe specific thoracic and cardiovascular surgical procedures to include underwater chest drainage and connect systems. (VIII)

9.

Explain specific surgical procedures for hernia repair, breast and thyroid. (IX)

10.

Explain gastrointestinal procedures to include care and use of stapling equipment. (X)

11.

Describe genitourinary procedures to include prostatectomy and kidney. (XI)

12.

Explain surgical gynecological procedures to include vaginal and abdominal hysterectomy, cystocele and rectocele repair and cesarean procedures. (XII)

13.

Describe basic neurological surgical procedures. (XIII)

14.

Explain basic ophthalmic surgical procedures. (XIV)

15.

Describe orthopedic surgical procedures to include joint reconstruction, tendon-ligament repairs, fractures and methods of treatment including casts, materials, applications, and special instruments. (XV)

16.

Explain surgical procedures of the throat and neck. (XVI)

17.

Describe burn classifications, skin grafts, dermatomes and special graft instruments and supplies. (XVII)

18.

List specific types of post-surgical complications, their prevention and treatment. (XVIII)

19.

Explain the use and care of specific power equipment. (IXX)

20.

Describe cardiac/respiratory arrest and demonstrate cardiopulmonary resuscitation. (XX)

21.

Identify the parts of a microscope and its proper use. (XXI)

22.

Identify cystoscope, endoscope, laparoscope, ureteroscope and components and describe care, special procedure and safety precautions for each. (XXII)

23.

Describe specific types of lasers, their uses, advantages and safety precautions. (XXIII)

24.

Describe lab values for the surgical patient pre-admission criteria. (XXIV)

25.

Assess abnormal lab values for the surgical patient pre- operative and intra-operative. (XXIV)

26.

Incorporate the surgical patient lab values with pre-op, intra-op and post-op care. (XXIV)

MCCCD Official Course Outline:

SGT210  1997 Fall – 2012 Spring

Advanced Surgical Procedures

I. Terminology-surgical operations

A. Definitions

B. Abbreviations

II. Body organs

A. Anatomical location

B. System function

C. Incisional approaches

III. Indications-diagnosis-procedures

A. Brain

B. Spine

C. Heart

D. Peripheral vessels

E. Ear

F. Eye

IV. Instrumentation: pre-operative through post-operative

A. Set-up

B. Care and handling

1. Equipment

2. Supplies

3. Specialized instruments

4. Accessory equipment

5. Power equipment

V. Anesthetized patient

A. Protection

B. Pre-op care

1. Positioning

2. Draping

VI. Opening and closing procedure

A. Pre-operative

B. Opening

C. Closure

D. Post-operative

E. Responsibilities of the surgical technologist

VII. Plastic-reconstructive surgery

A. Augmentation mammoplasty

B. Skin grafts

C. Responsibilities of the surgical technologist

VIII. Thoracic surgery

A. Lung-mediastinum

1. Open thoracotomy/rib resection

2. Endoscopic procedures

B. Under water chest drainage

1. Types

2. Components

3. Care

C. Connect systems

D. Cardiovascular/ peripheral vascular

1. Insertion transveneous electrodes

2. Pacemaker implantation

3. Arterial embolectomy

E. Responsibilities of the surgical technologist

IX. Hernia repair, breast, and thyroid surgery

A. Hernia repair

B. Breast surgery

C. Thyroid surgery

D. Responsibilities of the surgical technologist

X. Gastrointestinal procedures

A. Appendectomy

B. Cholecystectomy

C. Billroth I, II

D. Pyloromyotomy

E. Resection of small intestine

F. Loop colostomy

G. Stapling equipment

1. Care

2. Use

H. Responsibilities of the surgical technologist

XI. Genitourinary procedures

A. Orchiectomy

B. TUR prostatectomy

C. Cystoscopic procedure

D. Ureterolithotomy

E. Nephrectomy

F. Percutaneous nephrostomy

G. Responsibilities of the surgical technologist

XII. Gynecology-obstetrics procedures

A. Dilatation and curettage

B. Vaginal hysterectomy

C. Abdominal hysterectomy

D. Cesarean section

E. Laparoscopic procedure

F. Cystocele repair

G. Rectocele repair

H. Responsibilities of the surgical technologist

XIII. Neurosurgical procedures

A. Laminectomy

B. Craniotomy

C. Chemonucleolysis

D. Stereotactic

E. Responsibilities of the surgical technologist

XIV. Ophthalmic procedures

A. Intraocular

B. Laser

C. Myringotomy with polyethylene tubes

D. Responsibilities of the surgical technologist

XV. Orthopedic procedures

A. Joint reconstruction

B. Tendon-ligament repair

C. Fractures

1. Casts

2. Materials

3. Application

4. Care

D. Arthoscopy

E. Arthotomy with menisectomy

F. Specialized equipment

1. Instruments

2. Power drills

G. Responsibilities of the surgical technologist

XVI. Throat and neck procedures

A. Septoplasty

B. Tracheotomy

C. Tonsillectomy and adenoidectomy

D. Responsibilities of the surgical technologist

XVII. Burns

A. Classification

B. Skin grafts

C. Dermatomes

D. Graft supplies

XVIII. Post-surgery complications

A. Types

1. Infection

2. Hemorrhage

3. Equipment/procedure mishap

B. Treatment

XIX. Power equipment

A. Saws

B. Drills

C. Drivers

D. Reamers

E. Care and maintenance

XX. Cardiopulmonary resuscitation

A. Basic life support

B. Techniques

C. Competency

XXI. Microscopes

A. Parts

B. Proper use

C. Care and maintenance

XXII. Scopes

A. Types

1. Cystoscope

2. Endoscope

3. Laparoscope

4. Ureteroscope

B. Components

C. Care

D. Procedure

E. Safety

XXIII. Lasers

A. Types

B. Use

C. Advantages/disadvantages

D. Safety precautions

XXIV. Lab values

A. Normal

B. Abnormal

C. Hemoglobin

D. Complete Blood Count

E. Urinary

F. Blood gases