Official Course Description: MCCCD Approval: 03/26/91
SGT110 19916-19975	LEC LAB	2 Credit(s) 1.50 Credit(s)	2 Period(s) 4.50 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.

Go to Competencies    Go to Outline
 

MCCCD Official Course Competencies:
SGT110   19916-19975	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 anddescribe their use. (VI-X)
8.	Apply specific surgical dressings. (VII)
9.	Connect drains, tubes and catheters to appropriate collecting mechanisms. (VIII-X)
10.	Compare and contrast specific types of syringes and their uses and fill an irrigating syringe. (XI)
11.	Draw up and recieve medications onto the field. (XI)
12.	Describe the purpose and responsibility for sponge, needle, instrumentcounts 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 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)

Go to Description    Go to top of Competencies
 

MCCCD Official Course Outline:
SGT110   19916-19975	Basic Surgical Procedures

I. Surgical Instruments A. Basic 1. Sharps/cutting a. Scalpel handles/blades b. Mayo scissors c. Metzenbaum scissors d. Wire cutters e. Iris scissors 2. Clamps a. Mosqito b. Circle arterial forcep c. Rankin d. Kelly e. Pean, Rochester-Pean or Mayo f. Mixter g. Lahey h. Schnidt, Tonsil or Adson 3. Grasping/holding a. Backhaus towel b. Sponge c. Plain Tissue d. Toothed Tissue e. Adson Tissue f. Potts-Smith Tissue g. Cushing Tissue h. Russian i. Allis j. Babcock k. Kocher l. Rochester-Ochner m. Mayo-Heger Needleholder n. Crile-Wood o. Heaney p. Ryder 4. Retracting a. Gelpi b. Weitianer c. Cushing Vein d. Senn e. Volkmann f. Murphy g. Ribbon h. Deaver i. Richardson j. U.S. Army k. Balfour l. O'Sullivan-O'Conner m. Harrington n. Weinberg Vagotomy B. Accessory equipment 1. Suction a. Poole b. Yankauer c. Frazier d. Adson 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 a. Scalpel b. Clamp c. Thumb forceps d. Scissors e. Needleholder f. Retractor 6. Assemble a Balfour 7. Assemble an O'Sullivan-O'Conner III. Wounds A. Classifications B. Sutures 1. Functions 2. Types a. Absorbable b. Nonabsorbable 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. Classifications 1. Overall shape 2. Point 3. Shaft 4. Eye C. Selection D. Handling E. Procedures 1. Thread an eyed needle 2. Thread a French-eyed needle 3. Pass a Keith needle 4. Pass a free tie 5. Pass a 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 a. Levine b. Sump 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 a. Non-retaining b. Self-retaining 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 a. Bulb with barrel b. Bulb without barrel 2. Injecting/aspirating a. Standard b. Insulin c. Tuberculin F. Procedures 1. Fill irrigating syringe 2. Draw up medication 3. Draw up medication held by circulator 4. Recieve 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 spine 3. Prone 4. Lateral B. Uses C. Equipment and Supplies D. Position guidelines E. Procedures 1. Supine 2. Trendeleburg 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 a. Laparotomy b. Vaginal surgery c. Extremity surgery d. Mayo stand 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 a. Pre-operative b. Intra-operative c. Post-operative 2. Equipment/supplies 3. Procedures B. Circulator 1. Role 2. Resonsibilities a. Pre-operative b. Intra-operative c. Post-operative XVII. Exploratory Laparotomy A. Definition/terminology B. Abdominal incisions C. Basic instruments D. Procedure 1. Pre-operative 2. Intra-operative 3. Post-operative

Go to Description    Go to top of Competencies    Go to top of Outline