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Official Course
Description: MCCCD Approval: 3-22-2011 |
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SGT110 2011 Fall – 2012 Spring |
LEC 2.0 Credit(s) 2.0 Period(s) 2.0 Load Occ LAB 3.0 Credit(s) 8.0 Period(s) 6.5 Load |
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Basic
Surgical Procedures |
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Responsibilities of surgical technician in pre-operative,
intra-operative, and post-operative periods. Needles, sutures, and syringes.
Procedures for instrument count. Proper positioning, prepping, and dressing
procedures. Demonstration of complete set-up and procedure for exploratory laprotomy. Prerequisites: Admission to the Surgical
Technology program. |
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Go to Competencies Go to Outline
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MCCCD
Official Course Competencies: |
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SGT110 2011
Fall – 2012 Spring |
Basic Surgical Procedures |
1. Demonstrate
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 show how to use types of sutures and suturing
methods. (II)
4. Describe
parts and types of needles, and demonstrate mounting, threading and passing
needles. (III)
5. Show
how to use surgical sponges, dressings, drains, tubes, and catheters and demonstrate
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. Show 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,
XVII)
Go to Description Go to top of
Competencies
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MCCCD
Official Course Outline: |
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SGT110 2011
Fall – 2012 Spring |
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
10. ultrasound coagulation
11. spray cautery
12. rapid infusion
13. auto transfusion
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