SURG 2140 Syllabus

Subject Code

SURG

Course Number

2140

Course Title

Surgical Technology Clinical IV

Prerequisites

SURG 2030 with a grade of C or higher, SURG 2040 with a grade of C or higher, SURG 2110 with a grade of C or higher

Corequisites

SURG 2120, SURG 2130, SURG 2240

Terms Offered

Offered Fall

Credit Hours

(0-9-3)

Course Description

This course orients students to the clinical environment and provides experience with basic skills necessary to the surgical technologist. Topics include scrubbing, gowning, gloving, and draping; assistance with patient care; processing of instruments and supplies; maintenance of a sterile field; and environmental sanitation. In addition, this course introduces the development of surgical team participation through clinical experience. Emphasis is placed on observation and/or participation in routine procedures for core and specialty surgery. Topics include general surgery (to include gastrointestinal), cardiothoracic surgery, otorhinolaryngologic surgery, ophthalmic surgery, genitourinary surgery, neurological surgery, obstetrical and gynecological surgery, oral and maxillofacial surgery, orthopedic surgery, peripheral vascular surgery, plastic and reconstructive surgery, and procurement/transplant surgery. The total number of cases the student must complete is 120. Students are required to complete 30 cases in general surgery specialty. Twenty of the cases must be in the first scrub role. Students are required to complete 90 cases in various surgical specialties. Sixty of the cases must be in the first scrub role and evenly distributed between a minimum of five surgical specialties. A maximum  of 15 cases can be counted in any one surgical specialty. Diagnostic endoscopy cases and vaginal delivery cases are not mandatory, but up to 10 diagnostic endoscopic cases and five vaginal delivery cases can be counted toward the maximum number of second scrub role cases. Cases that are in the observation role must be documented, but do not count towards the minimum of 120 total cases.

A work ethic grade is assigned for this course. For more information see Work Ethics.

 

Course Outcomes

First Scrub Role

  • The student surgical technologist shall perform the following duties during any given surgical procedure with proficiency. The following list is provided to identify the items that must be completed in order to document a case in the first scrub role. As students not meeting the five criterial below cannot count the case in the first scrub role and the case must be documented in the second role or observation role.

  • Establish or verify supplies and equipment needed for the surgical procedure.

  • Establish or set up the sterile field with instruments, supplies, equipment, medication(s) and solutions needed for the procedure

  • Perform counts with the circulator prior to the procedure and before the incision is closed.

  • Demonstrate how to pass instruments and supplies to the sterile surgical team members during the procedure.

  • Demonstrate how to maintain sterile technique as measured by recognized breaks in technique and demonstrate knowledge of how to correct with appropriate technique.

Second Scrub Role

  • Perform in the observation role. The observation role is defined as the student who is in the operating room performing roles that do not meet the criteria for the first or second scrub role. These observation cases are not to be included in the required case count, but must be documented by the program.

Observation Role

  • Perform in the observation role. The observation role is defined as the student who is in the operating room performing roles that do not meet the criteria for the first or second scrub role. These observation cases are not to be included in the required case count but must be documented by the program.

Surgical Technologist in the First Scrub Role: Preoperative

  • Include donning OR attire.

  • Include basic hand wash.

  • Include back table:

    • Open sterile pack

    • Arrange supplies and instruments

    • Assemble a Balfour abdominal retractor.

  • Include open a sterile basin on ringstand.

  • Include instrument set:

    • Open wrapped set

    • Open container system

    • Remove instrument set from container system

  • Include open sterile supplies:

    • Small wrapped package placed onto sterile field

    • Small wrapped package secured by surgical technologist

    • Peel pack

  • Include pour sterile solution.

  • Include surgical scrub.

  • Include gown and glove self.

  • Include Mayo stand set-up:

    • Drape

    • Arrange instruments and supplies

    • Construct a sponge stick

    • Load and unload scalpel blade on scalpel handle

  • Include suture and ties:

    • Transfer suture packets to the sterile back table

    • Straighten sutures

    • Cut ties in ¼, 1/3, and ½ lengths.

  • Include fill bulb syringe.

  • Include draw up medications:

    • Vial held by circulator

    • Receive medication(s) onto sterile field

    • Label medications

  • Include gown and glove another person.

  • Include drape patient:

    • Laparotomy

    • Vagina

    • Extremity – leg

Surgical Technologist in the First Scrub Role: Intraoperative

  • Include recognize, prepare, and pass instruments.

  • Include suture and ties:

    • Load and pass NH swagged needle: right- and left-handed surgeon

    • Load free needle onto NH; thread suture; pass; and reload

    • Tag and cut sutures

    • Pass ties: free hand; instrument

  • Include contaminated sterile attire:

    • Re-glove

    • Re-gown

Surgical Technologist in the First Scrub Role: Postoperative

  • Include dressings:

    • Assemble and apply abdominal dressings

    • Assemble and apply a Montgomery strap dressing

  • Include connect ostomy bag to stoma site.

  • Included drains:

    • Connect Hemovac

    • Connect Jackson-Pratt

    • Connect chest tube to chest drainage system

  • Include remove sterile gown and gloves.

  • Include disinfecting OR:

    • End of case

    • Terminal

Surgical Technologist in the First Scrub Role: Perioperative

  • Include sponge, sharp, and instrument counts.

Assistant Circulator Role

  • Include turn and tie sterile gown.

  • Include transporting patient:

    • Prepare patient stretcher

    • Transport patient from ward room to Prop, Holding, or OR

  • Include transferring patient:

    • Stretcher to OR table

    • OR table to stretcher

  • Include taking vital signs:

    • Temperature

    • Pulse

    • Respirations

    • Blood Pressure

  • Include Electro-surgery

    • Positon grounding pad

    • Connect Bovie pencil cord to ESU

    • Complete ESUcheck list

  • Include Sellick’s Maneuver

  • Include positioning patient:

    • Supine

    • Lateral

    • Prone

  • Include urinary catheterization:

    • Straight catheter a male

    • Straight catheter a female

    • Foley urinary catheterization – male and female

  • Include positon a pneumatic tourniquet cuff.

  • Include patient skin prep:

    • Abdomen

    • Vagina

    • Extremity

  • Include connect suction

  • Include documentation:

    • Lab test requisition

    • Pathology – specimen

Disinfection and Sterilization

  • Include hand wash instruments.

  • Include disinfect an endoscope.

  • Include assemble an instrument set.

  • Include packaging items for sterilization:

    • Peel pack

    • Container system

    • Envelope fold wrap

    • Square fold wrap

  • Include operate steam sterilizer:

    • Flash

    • Routine

  • Include operate Sterrad Steris System.