Surgical Procedures I Syllabus for 2014-2015
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Instructor Information

Office Location

West Campus Allied Health 168

Office Hours

Friday 9-12 By appointment 

Course Information

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Course

SRGT-1441-001 Surgical Procedures I

Prerequisites

Corequisites: SRGT 1261 and BIOL 2402

Course Description

Introduction to surgical procedures and related pathologies. With emphasis on surgical procedures related to general, obstetrics/gynecology, genitourinary, otorhinolaryngology and orthopedic surgical specialties incorporating instruments, equipment and supplies.

Student Resources Student Resources Website

Department Expectations

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Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

Spring 2015 Textbooks

Clinical Notebook

*You will need a white 3” Notebook with clear pockets on front

*Set of eight dividers

*a pencil pouch

* Small pocket notebook

*Pens and Pencils

 

                                                                                                                                                                                   

Course Rubric

and Number

Author

Title, Edition, Copyright, ISBN#

Publisher

 

SRGT 1441

 

Emily Rogers

Emily Boegli

Kat LaRue

Pearson’s Surgical Technology Exam Review 3Rd Edition

 

ISBN # 978-0-13-500048-9

Pearson

 

SRGT 1441

 

Nancy M. Allmers

Joan Ann Verderame

Appleton & Lange Review for the Surgical Technology Examination 6th Ed.

McGraw Hill

 

 

SRGT 1441

Lani Zielsdorf

MAVCC Surgical Pocedures

3rd ed.  or newest ed.

 

MAVCC

 

SRGT 2461

 

Surg Tech

Amarillo College Surgical Technology Clinical Handbook

ST DEpt

 

SRGT 2461

 

Maxine A. Goldman

Pocket Guide to the Operating Room 3rd or NEWEST ED.

ISBN # 10: 0-8036-1226-5

FA Davis

 

Supplies

Student will need access to computer for on-line video's and research of Surgical Procedures I. There will be assignments, discussions, videos and other information listed on Blackboard. 

Student Performance

COURSE DESCRIPTION: Introduction to surgical procedures and related pathologies. Emphasis on surgical procedures related to general, obstetrics/gynecology, genitourinary, otorhinolaryngology and orthopedic surgical specialties incorporating instruments, equipment, and supplies required for perioperative patient care.   (4 SEM hrs; 3 lec, 4 labs)

PREREQUISITES: SRGT 1261, BIOL 2402 or concurrent enrollment.

STATEMENT OF PURPOSE: SRGT 1441 is designed to prepare the student to function actively in the surgical environment with entry-level knowledge of surgical procedures.  This course expands the basic foundation principles and combines the study of common surgical procedures to include anatomy, physiology and pathophysiology.  Specific patient care concepts, medications, instrumentation, equipment, supplies and complications related to selected surgical procedures will be discussed.

COURSE GOALS AND COMPETENCIES:

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

 

            1.         Identify and describe the terminology, facts, theories, and  principles associated with the surgical environment.

            2.         Discuss varied job roles of surgical personnel and their                                                         responsibilities during surgical procedures.

            3.         Apply the knowledge of surgical personnel’s responsibilities to                                            the perioperative setting (pre-op, intra-op, and post-op).

4.         Discuss varies surgical core procedures associated with General, Obstetrics/Gynecology, Otorhinolaryngology, Genitourinary and Orthopedic surgical procedures.

5.         Identify the differences in levels of surgical procedure cases to include: Basic Surgical Interventions, Intermediate Surgical Interventions and Advanced Surgical Intervention.

6.         Identify and define common terminology associated with pharmacology and anesthesiology as it is used with core surgical   procedures.

            7.         Review pharmacological and anesthetic agents and their usage                                            specific to core surgical procedures.

            8.         Identify and define pathophysiological responses to disease                                                 processes of specific organs and body systems.

            9.         Identify, prepare, and demonstrate knowledge and utilization of                                         selected surgical supplies, equipment, suture materials, and                                                    stapling devices.

            10.       Identify, evaluate, and perform patient care concepts.

            11.       Identify basic and specialty instruments by type, function, and                                            name.

            12.       Demonstrate the care, handling, assembly, and utilization of                                                basic and specialty instruments.

            13.       Demonstrate specific case preparation in all phases of the                                                     perioperative setting.

                       

The student will know that these goals have been successfully completed when he/she earns a final course grade of “C” or higher as evaluated by the faculty in the department.

 

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 74.5% as evaluated by the course instructor.

 

            1.         Define the role of the Surgical Technologist.

            2.         Identify and distinguish responsibilities of the Surgical                                                        Technologist and other members of the surgical team.

            3.         Identify and discuss the scope/limitations in the role of the                                                  Surgical Technologist.

            4.         Identify medical specialties and specialists and discuss their                                                roles.

            5.         Identify and define pathophysiological conditions related to                                                specific organs and body systems that may cause the patient to                                             seek/require surgical intervention.

            6.         Demonstrate Surgical Conscience.

            7.         Review and discuss standards and recommended practices used                                          in surgery.

            8.         Describe safe perioperative patient care as it relates to the role                                             of the Surgical Technologist.

            9.         Practice appropriate patient and personnel safety.

            10.       Recognize and analyze common laboratory/diagnostic tests and                                           their purposes.

            11.       Describe surgical preps for specific areas of the body.

            12.       Define and demonstrate the handling, labeling, and containment                                         of specimens.

            13.       Identify specific usage of pharmacological agents for selected                                             surgical procedures.

            14.       Review the applications of anesthetic agents.

            15.       Identify anesthetic choices and purposes.

            16.       Review the types of general and regional/local anesthetics.

            17.       Discuss common surgical complications.

            18.       Define types and usage of common abdominal incisions.

            19.       Describe the normal anatomy and physiology of the different                                              types of hernias.

            20.       Identify and demonstrate the use of instruments and suture                                                             material utilized for hernia repairs.

            21.       Describe the normal anatomy and physiology of the biliary tract.

            22.       Discuss procedures performed on the biliary tract and identify                                             instruments and suture utilized for biliary procedures.

            23.       Discuss anatomy, physiology, and pathophysiology of the                                                    gastrointestinal tract.

            24.       Discuss drop technique used for bowel procedures.

            25.       Describe anatomy, physiology, and pathophysiology of the                                                  gastrointestinal tract.

26.       Identify procedures done on the GI tract and the use of instruments, suture, and stapling devices necessary for these procedures. 

27.       Describe anatomy, physiology, and pathophysiology of the breast.

28.       Demonstrate knowledge of suture materials and instrument utilized on breast procedures.

29.       Describe anatomy, physiology, and pathophysiology of the thyroid and parathyroid glands.

30.       Review procedures performed on the thyroid and parathyroid glands and demonstrate the use of instruments and suture materials for these procedures.

31.       Describe the anatomy, physiology of the pathophysiology of the female reproductive system.

32.       Discuss procedures done on the female reproductive system and the instrumentation and suture used for these procedures.

33.       Describe the anatomy, physiology and pathophysiology of the male and female genitourinary systems, including the male reproductive system.

34.       Discuss the procedures done on the GU system and the specialty instrumentation utilized.

35.       Describe anatomy, physiology and pathophysiology of the ear, nose and throat.

36.       Discuss and demonstrate the use of instruments and suture materials used for ENT procedures.

37.       Describe the anatomy, physiology, and pathophysiology of the musculoskeletal system.

38.       Discuss and demonstrate the utilization of basic orthopedic instrumentation and equipment.

39.       Discuss intraoperative and postoperative complications of selected surgical procedures.

40.       Perform a basic case set-up in 12 minutes.

41.       Maintain a passing performance score on the basic instrumentation examination.

 

 

 

 

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

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\ 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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Grading Criteria

REQUIRED EXAMINATIONS:  This course will consist of lecture, power-point, videos, and demonstrations/return demonstrations, written and reading assignments.  This course will consist of 6-7 major examinations, several quizzes and worksheets, laboratory assignments and quizzes, a major paper preparation, and a final examination. Each major examination will cover information presented since the previous exam (or the start of the course for the first exam) and will be announced in advance.  Every effort will be made by the instructor to give one-week notice for an upcoming exam.   Quizzes will test knowledge from the previous lectures and may or may not be announced. Quizzes will be given during class time.  Laboratory assignments and quizzes will be given on a weekly basis with testing performed during lab time.  The final examination will be comprehensive to evaluate knowledge-attained throughout the entire course.  During the lab time, the student will perform a basic case preparation in a 12-minute time frame and attain a 100% instrument recognition examination score.  

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GRADING:

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            (a)        Major examinations = 35%

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            (b)        Laboratory/Lab practical’s = 25 %

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            (c)        Quizzes/Worksheets = 15%

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            (d)       Final Exam = 25%

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The following grade scale applies throughout this course:

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            A= 90 –100

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            B= 80 – 89

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            C= 75-79

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            F= less than 74

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***NOTE:  A grade of “D” is NOT possible in this course.

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MAKE-UP POLICY:  If a student is absent for a quiz, a grade of “zero” will be given for the missed quiz.      In case of an absence on a major exam day the student must make arrangements for make-up within 5 days from the time the major exam was given.  The make-up will be given in essay format. It is the student’s responsibility to arrange to make-up the exam. Students arriving late on test day will not be given extra time to complete the test.  Habitual tardiness for quizzes or major exams may result in a failing grade, at the instructor’s discretion.

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COURSE DROP DATE: The last day to withdraw or drop from this class is ______________The student is encouraged to discuss the decision with the instructor prior to dropping the course.

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Attendance

ATTENDANCE POLICY: “Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class.” A student who plans to succeed in this course should plan to attend all course sessions regularly and promptly. Students are responsible for all information presented and assigned. In cases of absence, it is the student’s responsibility to obtain the missed information or assignments. A maximum of two days per semester will be allowed.  If more than two days is missed, a three point (3) deduction will be taken from the final grade point average. 

Student will be responsible for ALL material presented and for all assignments on the dates they are presented and/or due.

Calendar

SUMMARY OF UNITS –

The following surgical procedures will be discussed and simulated in SRGT 1441 including in each is the following:

  • The anatomy, physiology, and pathophysiology of specific surgical procedures while incorporating the diagnostic tools used for surgical interventions.
  • Discussion of procedural steps.
  •  Discuss the supplies, equipment, and instrumentation used for specific surgical procedures (including sutures).
  •  Discuss the preoperative, intraoperative and the postoperative considerations for a patient undergoing surgery.
  • Discuss safety concerns for each surgical procedure.

 

General Surgery

 

  • Breast biopsy/Lumpectomy
    • Sentinel node
    • Needle localization
  • Various types of mastectomy with axillary node dissection
    • Modified radical mastectomy
    • Segmental resection
    • Lumpectomy
    • Skin sparing surgery with reconstruction
  • Thyroidectomy open and endoscopic approach
  • Herniorraphy; open and laparoscopic
    • Incisional
    • Inguinal
    • Umbilical
  • Laparoscopic Nissen Fundoplication (Hiatal Hernia)
  • Appendectomy: open and laparoscopic
  • Cholecystectomy
    • Open
    • Laparoscopic
    • With cholangiogram
  • Colon resection with and without colostomy
  • Gasterectomy with and without gastrostomy
  • Hemorrhoidectomy
  • Liver resection
  • Splenectomy: open and laparoscopic
  • Pancreaticoduodenectomy – Whipple

 

OB/GYN -The following procedures will be examined as open and endoscopic:

 

  • Cervical
    • Cervical biopsy
    • Cervical cerclage (Shirodkar’s procedure)
    • Dilation and curettage (D&C)
    • Hysteroscopy
  • Uterine
    • Cesarean section
    • Endometrial ablation
    • Hysterectomy
      • Laparoscopic
      • Robotic assisted
      • Total abdominal
      • Vaginal
    • Myomectomy
    • Uterine radiation seeding
  • Ovarian
    • Oophorectomy
  • Fallopian Tubes
    • Ectopic pregnancy
    • Salpingectomy
    • Sterilization procedures
    • Tuboplasty
  • External genitalia
    • Labioplasty
    • Perineal laceration
    • Vulvectomy
  • Vaginal
    • Ablation of condylomata
    • Marsupialization of Bartholin’s gland (cystectomy)
  • Pelvic
    • Anterior and posterior repair (colporrhaphy)
    • Diagnostic laparoscopy
    • Total pelvic exoneration
    • Wertheim procedure

 

 

Genitourinary -The following procedures will be examined as open and endoscopic:

 

  • Kidney
    • Nephrectomy
    • Kidney transplant
    • Wilm’s tumor excision
  • Ureter
    • Ureteroscopy
    • Ureteropyelithotomy
  • Bladder
    • Cystoscopy
    • TURBT
    • Cystsctomy with creation of ileal conduit
    • Suspension (TVT/sling)
  • Prostate
    • TURP
    • Prostatectomy
    • Laparascopic with robot
    • Suprapubic
    • Prostate seeding
  • Penile
    • Circumcision
    • Epispadias repair
    • Hypospadias repair
    • Penile implant insertion
    • Penectomy
  •  Testicular      
    • Hydrocelectomy
    • Orchiopexy      
    • Orchiectomy

 

 

Otorhinolaryngology - The following procedures will be examined as open and endoscopic:

 

  • Oral cavity and throat
    • Laryngectomy
    • Parotidectomy
    • Radical neck dissection
      • Glossectomy
      • Mandibulectomy
  • Temporomandibular joint arthroscopy (TMJ)
  • Tonsillectomy and adenoidectomy (T&A)
  • Tracheotomy and tracheostomy
  • Uvulopalatopharyngoplasty (UPPP)
  • Nose
    • Choanal atresia
    • Endoscopic sinus surgery (FESS)
    • Nasal antrostomy
    • Nasal polypectomy
    • Septoplasty – Rhinoplasty (Chapter 19)
    • Turbinectomy
  • Ear
    • Cochlear implant
    • Mastoidectomy
    • Myringotomy
    • Stapedectomy
    • Tympanplasty
    • Otoplasty

 

Oral/Maxillofacial

 

  • Maxillary and mandibular fractures
    • ORIF
    • Arch bar application
  • Cleft repair
    • Lip
    • Palate
  • Odontectomy
    • Tooth extraction
  • Maxillary fractures
    • LeFort I
    • LeFort II
    • LeFort III
  • Frontal fractures
    • ORIF orbital fracture

Orthopedic - The following procedures will be examined as open and endoscopic:

 

  • Shoulder
    • Acromioplasty
    • Bankart
    • Arthroscopy
    • Total athroplasty
  • Radius
    • ORIF
    • External fixator
  • Knee
    • Arthroscopy
    • Anterior cruciate ligament repair
    • Total arthroplasty
    • Amputation
      • Above the knee
      • Below the knee
  • Hip
    • ORIF
    • Total arthroplasty
  • Femur
    • Femoral shaft fracture
    • Rodding
  • Ankle and Foot
    • Achilles tendon repair
    • Triple arthrodesis
    • Bunionectomy

 

 

 

Date  

Class /Unit

Reading

Week 1

Class and Lab T-Th

9-3 Due to Monday being Holiday

Section I

Unit I Introduction, Diagnostic tests, Incisions & Hernias

 

Be prepared for quizzes over reading material and sections of MAVCC

Read Ch. 23 -section I: Abdominal Wall Surgery

 

Begin Reading General section in MAVCC that we are working on.  You will have written test/study guide on AC-Online

Note all new instruments pertaining to sections!

***We will work on Suture chapter in your Fuller's BOOK. 

Week 2

Class and Lab M-TH

9-3 each day

Unit II Breast & Thyroid

Unit III Biliary

 

**Unit I exam on Tuesday Morning

Read 23   Breast Surgery; Thyroid surgery

 

 

Week 3

 

Unit III Biliary & Spleen

 

**Exam Unit II Breast and Thyroid

 Biliary Surgery Complete

 

Week 4

Unit IV GI Procedures

 **Unit III Exam

Biliary & Spleen

Section II: Surgery of the Gastrointestinal tract

Week 5

Unit IV GI Procedures

 

Section II: Surgery of GI ….Finish up.

Week 6

Section II: OB/GYN SURGERY

 

**Unit IV GI EXAM

Read Chapter 24 OB/GYN

MAVCC Section on OB/GYN

Week 7

Section II: OB/GYN

 

Mid Term Over General Surgery

 

Week 8

Section III: GU

 

** EXAM over OB/GYN

Read Chapter 25

MAVCC Section on  GU

Week 9

Section III: GU

MAVCC SECTION On GU

Week 10

Section IV: ENT

 

**Major Exam GU

READ Chapter 27 & 28

Week 11

Section IV: ENT

 

Week 12

Section V: Orthopedics

 

**Major Exam ENT

Begin reading chapter 30

 

MAVCC section over Ortho

Week 13

Section V: Ortho

Guest Lecture Michael  Hadley

Week 14

Section V: Ortho

 

Week 15

**Major Exam Section V: Ortho

 

Week 16

Final Exam

 

Monday at 9:00 a.m.

 

 

Additional Information

\ DISCLAIMER:
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\ The policies and procedures contained in this course syllabus are subject to change in the event of extenuating circumstances or by mutual agreement between the instructor and ALL of the students. 
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\ Students are real people that experience real problems from time to time.  Depending upon the circumstances surrounding a specific problem, it may be appropriate for the instructor to approve an exception to a certain syllabus policy.  Any such exception will be made on an individual basis and at the sole discretion of the instructor and will not be considered cause for a precedent.

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Syllabus Created on:

11/30/-1 12:00 AM

Last Edited on:

11/30/-1 12:00 AM