Fundamentals of Perioperative Concepts & Techniques Syllabus for 2014-2015
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Course

SRGT-1409-001 Fundamentals of Perioperative Concepts & Techniques

Prerequisites

Corequisite: BIOL 2401

Course Description

In-depth coverage of perioperative concepts such as aseptic/sterile principles and practices, infectious processes, wound healing and creation and maintenance of the sterile field.

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Department Expectations

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Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

 

			Author Title, Edition, Copyright, ISBN# Publisher JOANNA FULLER SURGICAL TECHNOLOGY PRINCIPLES AND PRACTICE 6th EDITION      or Newest edition     ISBN#978-1-4160-6035-2 Saunders Elsevier Colleen J. Rutherford 1.) Differentiating Surgical Instruments. 2nd Edition, 2.) Differentiating Surgical Equipment and supplies, and 3.) Flashcards for Differentiating Surgical Instruments.   All are by Colleen J. Rutherford   Should be a package deal from F.A.Davis   F.A. Davis MAVCC SURGICAL TECHNIQUE 3RD EDITION or newest Edition WWW.MAVCC.COM   MAVCC MAVCC Introduction to Surgical Technology Newest EDITION WWW.MAVCC.COM                 MAVCC Carolyn Sherman and Mary Chmielewski Lange Q&A Surgical Technology Examination 6th Ed. ISBN: 978-0-07-174576-5 McGraw Hill Medical Jeff Feix Pharmacology Handbook for the Surgical Technologist Delmar Learning

Supplies

\ Students will be required to purchase one box of surgical gowns throught the program ( $ 75)  and a box of gloves ( $15).

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\ Uniforms and other supplies will be discussed on first day of class.

Student Performance

 

COURSE DESCRIPTION: In-depth coverage of perioperative concepts such as aseptic/sterile principles and practices, infectious processes, wound healing, and creation and maintenance of the sterile field.  Hours (4 sem hrs; 3 lec, 4 lab)

 

 

END-Of-COURSE OUTCOMES: Identify and demonstrate principles of aseptic techniques; explain infectious processes and concepts of wound healing; and create and maintain a sterile field utilizing basic case preparation and procedures.

 

 

 

PRE-REQUISITE: BIOL 2401 or concurrent enrollment

 

 

 

STATEMENT OF PURPOSE: SRGT 1409  Is designed  to prepare the student to enter the surgical environment with entry-level knowledge of aseptic technique principles and practices, the creation and maintenance of the sterile field including equipment, supplies, and instrumentation, and basic case preparation and procedures.  An introduction to diseases and disease processes that may be displayed by the surgical patient and the patient’s bodily responses to disease are also included. 

 

COURSE GOALS AND COMPETENCIES:

 

GOALS: Given the course textbooks, personal notes, handouts, and other course demonstrate techniques materials, the student shall accomplish each of the following course goals as evaluated by the course instructor:

 

Goal #1 Microbiology and Process of Infection:

 

A.    Identify and define common terminology associated with microbiology.

B.     Define, analyze and discuss basic microbiology and the process of infection.

C.     Classify diseases and their causes.

 

Goal #2 Decontamination, Sterilization, and Disinfection

 

A.    Define principles of decontamination, sterilization, and disinfection.

B.     Discuss methods of sterilization.

C.     Discuss sterile storage and distribution of sterile supplies.

 

 

 

Goal #3 Aseptic Technique

 

A.    Discuss asepsis and sterile technique as it relates to pre-op, intra-op and post-op practices.

 

Goal #4 Preoperative

 

A.    Discuss and identify process of preoperative routine as it relates to patient care concepts, non-sterile responsibilities and sterile responsibilities.

 

Goal #5 Intra-operative

 

A.    Discuss and identify process of intraoperative routine as it relates to patient care concepts, non-sterile responsibilities and sterile responsibilities.

 

Goal #6 Postoperative

 

 

A.    Discuss and identify process of postoperative routine as it relates to patient care concepts, non-sterile responsibilities and sterile responsibilities.

 

 

 

 

 

 

 

1. COMPETENCIES: Given the course textbooks, personal notes, handouts, and other course materials, the student shall be able to perform each of the following on a written examination with an accuracy of not less than 70% as evaluated by the course instructor.

 

 

Goal #1 (Microbiology and Process of Infection)

 

1.       State historical names related to microbiology.

2.      Define specific microbiological terms and definitions.

3.      Discuss overview of organisms and cells.

4.      Discuss the fluid movement concepts.

5.       State the different types of microscopes used for investigation.

6.      Identify major classes of microorganisms.

7.      Name medically important orders and pathogenic consequences.

8.      Identify protozoan diseases with their causes and characteristics.

9.      Identify characteristics of fungi.

10.  Distinguish between characteristics of yeasts and molds and their mycoses.

11.  State and discuss specific methods of microbial transmissions.

12.  Discuss pathogenicity.

13.  Discuss and explain the significance of spores in medicine

14.  Discuss and explain body fluids that transmit the human immunodeficiency virus (HIV)

15.  Identify and discuss specific methods of microbial control.

16.  Discuss factors that enable pathogens to invade a host and cause disease.

17.  Identify and discuss general mechanisms that protect the body from harmful foreign substances.

18.  Describe the various immune responses that occur in the body.

19.  Explain how the body attempts to destroy pathogens that invade the body.

20.  Explain the different types of immunity.

21.  Define terms relevant to immunologic defense mechanisms.

 

 

Goal #2 (Decontamination, Sterilization and Disinfection)

 

 

1.      Identify principles and demonstrate techniques of sterilization.

2.      Identify principles and demonstrate techniques of disinfection and antisepsis.

3.      Define terminology associated with decontamination, sterilization and disinfection.

4.      Discuss sterilization processes.

5.      Distinguish the different methods of sterilization used in the operating room.

6.      Define and discuss a prion.

7.      Discuss and demonstrate the process and reprocessing of surgical supplies.

8.      Discuss and demonstrate loading of the steam sterilizer.

9.      Discuss gas sterilization and the hazards associated with gas sterilization.

10.  Discuss terminal decontamination of the operating room and equipment.

 

Goal #3 (Aseptic Technique)

 

 

1.      Discuss and define asepsis and sterile technique.

1. Define and discuss Surgical Conscience.
2. Discuss and demonstrate proper hand washing.
3. Discuss personal hygiene.
4. Define terminology associated with aseptic technique.
5. Demonstrate aseptic practice by scrubbing, gowning, and gloving effectively.
6. Prepare sterile field, necessary instruments and supplies in a timely manner.
7. Demonstrate knowledge of counting following proper policies and procedures.
8. Select and apply appropriate draping materials.
9. Discuss proper removal of gowns, gloves and drapes.

 

 

Goal #4 Preoperative routine

 

1.      Identify biological needs of patient: nutrition, sleep, regulation of body processes, fluid balance, oxygen exchange, elimination of waste.

2.      Identify the psychological needs of patient such as fear, loss of security and family issues, as well as cultural and spiritual needs.

3.      Describe and perform the physical preparation and care that the surgical patient may receive prior to the surgical procedure.

4.      Demonstrate the identification process for a surgical patient admitted to the surgical suite.

5.      Identify and discuss the methods of patient transportation.

6.      Demonstrate the principles of safe transportation.

7.      Define and Analyze laboratory reports in relationship to patient diagnosis and interviews.

8.      Discuss and review patient chart for completeness,

9.      Evaluate the items on the pre-operative patient checklist.

10.  Discuss and analyze the procedure for obtaining informed surgical consent.

11.  Discuss and analyze the legal concepts of obtaining informed consent.

12.  Discuss and demonstrate methods of patient transfer of the surgical transfer.

13.  Identify equipment utilized for safe transfer of the surgical patient.

14.  Employ the principles of body mechanics when transferring the surgical patient.

15.  Discuss and explain the necessity of each component of anesthesia preparation of the surgical patient.

16.  Discuss and demonstrate safe patient positioning.

17.  Perform basic positioning.

18.  Discuss the components and aides used to position the surgical patient.

19.  Discuss and demonstrate the functions of the operating room table.

20.  Discuss and list the indications for urinary catheterization.

21.  Discuss the basic considerations for urinary catheterization.

22.  List the supplies required to perform urinary catheterization.

23.  Demonstrate urinary catheterization.

24.  Discuss the principles of monitoring urine output.

25.  Contrast and compare different types of skin preparation.

26.  Describe the steps and rationales for surgical skin preparation.

27.  Recognize appropriates surgical attire.

28.  Employ principles involved in donning surgical attire.

29.  Identify methods used to access the needs for the case.

30.  Gather the instruments, supplies, and equipment needed for a surgical procedure.

31.  Discuss and assess the function, assembly, use, and care of equipment in the surgical environment.

32.  Describe the application of surgical equipment.

33.  Describe and identify the classifications, names, parts, materials, finishes, and uses of basic surgical instrumentation.

34.  Understand the relationship between instrument type and usage.

35.  Discuss and apply knowledge of basic surgical instrumentation to specific surgical procedures.

36.  Describe the function of the physical components of the operative suite.

37.  Plan and demonstrate methods of care, handling, and assembly of basic operating room furniture.

38.  Discuss and identify the use of various supplies and accessory supplies in the operative environment.

39.  Demonstrate the initial techniques for preparing instruments and supplies on the sterile field.

40.  Discuss and demonstrate draping of furniture and equipment needed for the surgical procedure.

41.  Apply the three principles of asepsis to the practice of sterile technique.

42.  Discuss and demonstrate the procedures for counting instruments, sponges, needles and other items on the field.

43.  Discuss the purposes and legal responsibilities of counts.

44.  Employ the techniques, timing and method of counts.

45.  Discuss and describe various types of draping material used in the surgical procedures.

46.  Discuss and demonstrate the appropriate drapes for specific positions and surgical procedures.

47.  Demonstrate the general principles of draping the patient, equipment and furniture.

48.  Discuss and demonstrate the initial steps for starting a surgical procedure.

49.  Demonstrate position of furniture and equipment to begin the surgical procedure.

50.  Place and secure supplies on the sterile field.

 

Goal #5 Intra-operative routine

 

1.      Describe the homeostatic parameters monitored in the operating room setting.

2.      Perform basic monitoring of patient homeostatic parameters.

3.      Discuss and perform duties within the surgical technologist’s scope of practice related to emergencies in the operating room setting.

4.      Discuss and describe the emergency procedures carried out in the operating room setting.

5.      Obtain and maintain CPR. .

6.      Initiate the beginning steps for the intraoperative phase of a surgical procedure.

7.      Monitor the sterile field and asses the needs of the surgical team.

8.      Provide forth needs of the sterile team members.

9.      Evaluate the common sources of documentation utilized in the operating room.

10.  Judge the importance and impact of proper documentation.

11.  Define specimen.

12.  Assess methods of obtaining specimens.

13.  Describe the handling of tissue specimens.

14.  Identify types of containers.

15.  Describe the procedure for specimen labeling and transfer to appropriate department.

16.  Evaluate the care given to specific types of specimens.

17.  Discuss areas for specimen storage.

18.  Employ basic routines of case management.

19.  Assess specific variations of intraoperative technique.

20.  Identify the various tissue layers of the abdominal wall.

21.  Describe the creation and usage of surgical incisions.

22.  Analyze the principles of Hemostasis.

23.  Differentiate among various methods of Hemostasis.

24.  Assess special techniques of Hemostasis.

25.  Differentiate among various methods of Hemostasis.

26.  Assess special techniques of Hemostasis.

27.  Describe principles of exposure.

28.  Identify criteria used to select exposure devices, and apply techniques for tissue exposure.

29.  Discuss types and characteristics of various catheters and drainage devices.

30.  Discuss different drainage devices for each specific drain.

31.  Compare and contrast the conceptual differences between gravity and vacuum drainage.

32.  Prepare catheters and drains for intraoperative use.

33.  Prepare anchoring devices for drains.

34.  Perform urinary catheterization.

35.  Analyze and assess the factors that influence the closure of each wound layer.

1. Define terms and definitions related to suture and stapling devices.
2. Describe the types, characteristics, and uses of suture materials.
3. Explain the differences in suture classification.
4. Review the principles of suture selection and preparation.
5. Discuss suture preparation and handling techniques in the sterile field.
6. Discuss the basic uses of stapling instruments.
7. List and describe the basic type of stapling devices.
8. Explain and demonstrate how to load, handle, and clean stapling devices.
9. Define terms and definitions used for needles.
10. List and describe surgical needles and needle points.
11. Review the principles of proper needles and needle points.
12. Describe the factors regarding selection of proper needle holders and loading of needles.
13. Explain methods of accounting for needles.
14. Demonstrate proper needle handling and passing
15. Demonstrate proper care and handling of sharps.
16. Demonstrate proper care and handling of special equipment and safety precautions involved.
17. Evaluate the purposes of surgical dressings.
18. Analyze their importance to postoperative wound care.
19. Compare and contrast the most commonly used types of surgical and specialty dressings.
20. Acknowledge the importance of proper surgical dressing application techniques.
21. Apply proper principles of sterile technique and demonstrate the application of commonly used types of surgical and specialty dressings.

57.  Discuss the classification of surgical wounds.

1. Describe the characteristics of inflammation.
2. Describe the healing process.
3. List the characteristics of the types of healing.
4. Describe stages/phases of healing.
5. List factors that influence wound healing.
6. Explain the classifications of surgical wounds.

 

 

 

 

 

Goal #6 Postoperative Routine

 

1.      Evaluate attitudes, beliefs and classifications regarding death and dying.

2.      Compare and contrast responses to the process of death and various coping strategies and mechanisms.

3.      Debate quality of life vs. quantity of life.

4.      Trace the steps that are implemented when a patient death occurs in the operating room.

5.      Assess the standards and policies to promote patient satisfaction in the perioperative setting.

6.      Apply the various assessment methods to optimize quality patient care to promote safe discharge from the facility.

7.      Develop a plan to educate patients regarding the anticipated recovery process.

8.      Determine ways to proficiently manage patients to minimize costs to the patient, medical facility, and third party payers.

9.      List and define the five components of physical health, (cardiopulmonary, muscular strength, muscular endurance, flexibility, and body composition).

10.  Discuss and describe food sources of energy and the metabolic processes involved, and relate both of these to wellness and disease.

11.  Differentiate internal and external sources of stress, and the effect of stress on various body systems.

12.  Compare and contrast alternative healing methodologies, including mental health and spiritual attunement.

13.  Analyze the immediate postoperative care of the surgical patient.

14.  Describe potential postoperative discomforts and complications

15.  List necessary equipment in the post-anesthesia care unit.

16.  Perform postoperative case management duties in an organized and timely manner.

17.  Apply standard precautions to the performance of postoperative case management activities.

18.  Perform postoperative case management duties in an organized and timely manner.

19.  Apply standard precautions to the performance of postoperative case management activities.

 

 

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

\ Student's are expected to maintain professional behavior for all class and clinical sessions.

Grading Criteria

REQUIRED EXAMINATIONS:  The course will use the following methods of instruction:  lecture, PowerPoint, videos, demonstrations and return demonstrations and hands on lab. This course will consist of 6-7 major examinations, several quizzes and worksheets, laboratory assignments and quizzes, a report and presentation, and a final examination.  Each major examination will cover information presented since the previous exam (or start of the course for the first exam) and will be announced in advance.  Every effort will be made by the instructor to give a one week notice for an upcoming major exam. Quizzes and worksheets will test knowledge from the most previous lectures and may or may not be announced.  These will be given during class time.  Laboratory assignments and quizzes will be given on a weekly basis with testing performed during lab time.  A student comprehensive to evaluate knowledge attained throughout the entire course.

 

GRADING: 

 

1. Attendance = 5%
2. Lecture Quizzes, homework, class work    =15%
3. Major examinations will be      =30%
4. Lab, Instrument Quizzes, Skills = 30%
5. Final Exam = 20%

                                                                                              

 

 

The following grade scale applies throughout this course:

                     A= 89.5-100%

                     B= 79.5-89.4

                    C= 73 -79.4

                     F= less than 72.9

 

NOTE: A GRADE OF “D” IS NOT POSSIBLE IN THIS COURSE.

 

 

 

MAKE-UP POLICY: There will be No makeup on any quizzes (class or lab).  A zero (0) will be given for the missed quiz.  Major Exams will be given in the testing center.  If a student misses a major exam,a 15 points deduction will be taken from the exam.  A student, who schedules a makeup major exam prior to the date that is missed, will receive full credit.

 It is the responsibility of the student to obtain assignments due to

absence or tardiness.

 

Students arriving late (15 minutes after the test is handed out) on a test day will not be allowed to take the quiz or major exam.  A zero will be given for any missed quiz or a make-up in essay format will be given for a major exam. 

                                                                                                    

Attendance

\ ATTENDANCE POLICY:  This course is an on-campus course. This course will meet each Wednesday, from 9-12.

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\ Class attendance is imperative to succeed in this course.  If a student relies on others for notes or other information during an absence, they may risk potential failure.  A student who arrives late to class may not take the quiz or extra credit points offered upon class start time.  All students are responsible for their own learning and professional development.  Students should remember that they are on a yearlong interview for potential employment.  It is best to prepare the home and family for a busy year.

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\   The technical training in this course can be difficult and will warrant a student’s personal time for practice. Open lab sessions will be offered two times a week.

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\ MAKE-UP POLICY: There will be No makeup on any quizzes (class or lab).  A zero (0) will be given for the missed quiz.  Major Exams will be given in the testing center.  If a student misses a major exam,a 15 points deduction will be taken from the exam.  A student, who schedules a makeup major exam prior to the date that is missed, will receive full credit. 

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Calendar

Additional Information

\ STUDENTS’ RIGHTS AND RESPONSIBILITIES: Amarillo College students should be familiar with the contents of Amarillo College’s Rights and Responsibilities document.  Copies of the pamphlet are available free to students from the Business Office, Registrar’s Office and the Dean of Student Services.

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\ STUDENT GRIEVANCE PROCEDURE: A student who has a problem with the course or the course instructor should make every attempt to resolve the problem with the course instructor.  If that is not successful, the student may appeal the decision of the instructor to the program director, the chairman of Allied Health, the Associate Dean, and the President of the College – in that order.

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\ STUDENTS WITH DISABILITIES: Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements, and is the student’s responsibility to contact Disability Services (SSC 125, 371-5436) as soon as possible.

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