ASHEVILLE-BUNCOMBETECHNICALCOMMUNITY COLLEGE
Course Outline
Course:SUR 110Introduction to Surgical Technology
MEETS RHO 412 MONDAYS 3:00pm-5: 50pm
Credit Hours:(3-0-0-3)3 Credit Hours
Course Description:
This course provides a comprehensive study of the operative environment, professional roles, moral/legal/ethical responsibilities, and medical communications used in surgical technology. Topics include historical development, professional behaviors, medical terminology, interdepartmental/peer/relationships, operating room environment/safety, pharmacology, anesthesia, incision sites, physiology of wound healing, and biomedical sciences. Upon completion students should be able to apply theoretical knowledge of the course topics to the operative environment.
Course Notation:
This course is a web-enhanced course. The student will need access to Blackboard to retrieve class work, homework, Power-point lectures, and test material. Additionally, students are required to communicate with instructors exclusively via their ABTECH student e-mail accounts. Communication via e-mail is routine and frequent. The student is responsible for all material and communications delivered via e-mail.
Instructor: Daniel Stokoe, CST
Phone numbers: Office: 254-1921 ext. 892
Pager: 258-5150
Cell: 279-4800
E-mail:
OFFICE HOURS: (M) 10am-1pm & (T) 10am-12pm (Robin Keith)
PREREQUISITES:Enrollment in the Surgical Technology Program
COREQUISITIES:SUR 111, BIO 163
REQUIRED TEXTS:
ABTCC Surgical Technology Handbook.
AST. (2008). Surgical Technology for the Surgical Technologist: A Positive Care Approach,(3rded.). Clifton Park, NY: Delmar.
AST. (2008). Study Guide to Accompany Surgical Technology for the Surgical Technologist: A
Positive Care Approach, (3rded.). Clifton Park, NY: Delmar.
Dennerll, J. (2007). Medical Terminology Made Easy, (4th Ed.). Clifton Park, NY: Delmar.
Snyder & Keegan. (2006). Pharmacology for the Surgical Technologist, (2nd Ed.). Philadelphia, PA: W. B. Saunders.
Snyder & Keegan. (2006). Study Guide to Accompany Pharmacology for the Surgical Technologist,(2nd Ed.). Philadelphia, PA: W. B. Saunders.
Pieknik, R. (2006). Suture and Surgical Hemostasis: A Pocket Guide. Philadelphia, PA: W.B. Saunders.
OPTIONAL TEXTS:
Rothrock, J. (2009). Alexander’s Care of the Patient in Surgery, (13thed.). St. Louis, MO: Mosby
AORN. (2009). AORN Standards, Recommended Practices, and Guidelines. Denver, CO: AORN.
Goldman, M. (2009). Pocket Guide to the Operating Room, (3rd ed.). Philadelphia, PA: F.A. Davis.
(Required Text for Spring and Summer Clinicals)
Prepared by:Daniel Stokoe Revision Date: July 15, 2009
I verify that this course outline is accurate, complete and timely
______Robin B. Keith Chairperson
______Ned Fowler______
Dean
COURSE POLICIES:
The instructor reserves the right to alter course content, presentation, or sequence.
There will be no make-up quizzes or tests. Homework will be collected on the class period after it is assigned unless there is another DUE date on the syllabus. Incomplete or late homework will not be accepted.
Open Grade Book Policy:
The Surgical Technology Program Faculty maintains an “open grade book” policy as well as an open door policy and will make every effort to keep students aware of their progress throughout the semester. If you at any time have a question about the grading procedure, status of your grade, or overall progress throughout the curriculum, please do not hesitate to ask!
Academic Dishonesty
You may not deceive any official of the college by cheating on any assignment, exam, or paper. This includes plagiarism, which is the intentional theft or unacknowledged use of another’s words or ideas. Plagiarism includes (but is not limited to) paraphrasing or summarizing another’s words or works without proper acknowledgement, using direct quotes of material without proper acknowledgement, or purchasing or using a paper or presentation written or produced by another. The faculty at A-B Tech may also consider presenting as original work a paper written for one class to satisfy a requirement in another class to be academic dishonesty.
Approved by the Academic Affairs Committee
on November 18, 2003
Disabilities
Any student with a documented disability needing academic adjustments or accommodations is requested to speak with the coordinator of Disability Services in the Azalea building, Annie Clingenpeel (254-1921 ext. 141 or e-mail ).
CLASSROOM ATTENDANCE POLICY:
The Program Faculty believes that anytime a student is not in attendance at a didactic class, laboratory session, or clinical rotation, he or she is not able to receive the full benefits of a presentation or experience even if competencies are eventually met. It is also believed that regular and punctual attendance is expected of all students for them to achieve their potential in the surgical technology program and to develop desirable personal traits necessary to obtain employment in any Allied Health profession. These traits are among the first looked for by prospective employers. In fact, the student should be reminded that every time they put on their uniform and go for clinical instruction they may be completing part of an informal job interview whether they know it or not. For these reasons, fulltime attendance is expected in all didactic classes, laboratories, and clinical experiences.
1)Proper Callin Procedure
The student is responsible for contacting the program faculty regarding absences prior to the scheduled class
time. Faculty offices are equipped with voice mail. The extension numbers are listed in this syllabus.
When calling in, please leave your name, the time you called, the reason for your absence, and when you
expect to return to class. If a phone call to the instructor's office should go unanswered, please call the
Allied Health secretary at ext. 281 and leave a message. Her usual office hours are 8:30 AM-12 noon and
1:00-4:30 PM. Messages must not be sent through other people unless extenuating circumstances prevail.
2)Failure to properly report an absence will result in an unexcused class absence and the student will receive a "0" on any homework due or test given on that day
.
3) To receive course credit, a student should attend a minimum of 90 percent of the contact hours of the class.
Upon accumulating absences exceeding 10 percent of the course contact hours, the student may be
dropped from the class with a grade of “U” at the discretion of the instructor. Being late for class is also a serious interruption of instruction. A tardy is defined as arriving late for class (any minutes), leaving early (any minutes,) or being away from class without permission during class hours. It is departmental and college policy that three tardies is the equivalent of one full day’s absence from class or clinic. For every third tardy, the student will have one full day’s absence counted for the course.
Students are reminded that they must be in the classroom at the time of the scheduled course. Students are
not permitted to interrupt class with their tardiness. The classroom door will be locked at the scheduled start of class. Students will not be permitted classroom entrance until the first break, provided they are present at that time. Homework will be accepted at the beginning of class ONLY. If the student is late, homework will not be accepted. Tests will not be made up if missed due to tardiness.
4) The student is also responsible for adhering to the ABTCC Guidelines for Classroom Conduct. See the most current version of the ABTCC Student Events Calendar and Handbook.
PROLONGED ILLNESS
Students must notify the appropriate classroom or clinical instructor each day of an absence until it is established exactly how long the student will be out. Any student who misses more than three consecutive school days of class and/or clinic must obtain proper documentation for the missed time before they will be allowed to return to classes or clinic.
HOLIDAYS AND VACATIONS
Surgical Technology students are committed to one year of fulltime study. Within this time, students are eligible for holidays recognized by the College and vacation time during semester breaks. The student should consult the academic calendar that is published in the College Catalog and Student Calendar for the dates of recognized holidays and semester breaks. The student is reminded that up to three inclement weather days may made up at the end of fall semester and breaks should be planned accordingly.
APPOINTMENTS
Medical, dental, and other appointments should not be scheduled during didactic and clinical times. Appointments scheduled during these times will create tardies or unexcused absences unless extenuating circumstances prevail.
EVALUATION CRITERIA
Homework 5%
Quizzes*/Tests*/Presentation 25%
Midterm (Comprehensive) 30%
Final (Comprehensive) 40%
TOTAL 100%
GRADES 90-100 =A
80-89 = B
70-79 = C
60-69 = D
BELOW 60 = F
* All testing for this class will be conducted in Balsam, Room 118. Tests will be every Monday from 1500-1600.
*Please report to Balsam, NOT Rhododendron, by1500 each Monday to be eligible to take the daily exam.
* Please refer to the class rules found in the SUR 110 PowerPoint Lecture #1.
* Please note that Wednesday, October 14th will operate on a Monday class schedule. All students in Wednesday’s lab will need to make arrangements to meet Thursday afternoon for lab. This means Wednesdays and Thursdays lab will be combined on Thursday, October 15th.
STUDENT GROUP PRESENTATIONS
Students will work in groups of three or four to present material on the following topics and the effect they have on health and wellness on a Surgical Technologist as well as the potential impact it could have on the surgical patient:
Physical Activity
Nutrition/Metabolism
Stress
Alcohol
Tobacco
Drug Abuse
Presentations should last at least 15 minutes. Student group presentations shall use a minimum of 1 EACH of the following: display boards and a Power Point slideshow. For each of the afore mentioned requirements that are missing from the presentation, a letter grade will be deducted. All student participants shall have a speaking role in the presentation. This is a group grade, group participation is a must.Don’t be afraid to be creative! Teamwork is your goal!
SUR 110
INTRODUCTION TO SURGICAL TECHNOLOGY
CONTENT OUTLINE
I.Introduction to the Educational Program
A.General information
1.Introduction to Program
2.Program objectives
3.Program Policies
B.Scope of Surgical Technology Practice
1. Historic/Current evolution of surgery & the surgical technologist
2. Surgical Classifications (types/pre, intra, post-op)
3. Roles, responsibilities, competencies
4. OR Team Roles
5. Professional/personal expectations of the surgical technologist
C. Hospital Departments/Relationships with the OR/Hospital Organizations
II.The Operating Room Milieu
- Physical environment
1. Sterile areas/team members
2. Unsterile areas/team members
B.Traffic Patterns
1. Unrestricted area
2. Semi-restricted areas
3. Restricted areas
C.Environmental Safety
1.Regulatory Agencies
2. Safety considerations
3. Fire Safety
4. Biological Hazards
5. Chemical Hazards
- Medical Terminology
- Concepts of Medical Terminology
- Prefixes
- Suffixes
- Root Words
- Surgical Terminology
- Abbreviations
- Structure of Surgical Terminology
IV.Professional Ethics
A.Importance of professional ethics
1. Ethical Issues
2. Moral issues
3. AST Code of Ethics
B.Patient’s Bill of Rights (AHA)
1.Surgical consents
2. Principles of Documentation
3. The Medical Record
C.Risk management / Legal Issues
1.Legal Doctrines and Responsibilities
2.Operating room incidents
3. Sentinel Events
V.Preparing the patient for surgery
A.Physical Needs
B.Psychological needs
1. Fears
2. Spiritual / Social Needs
C. Maslow’s Hierarchy of Needs
D. Cultural Considerations
E. Religious Considerations
F.Special Patient Populations
1. Pediatric Patients
2. Geriatric Patients
3. HIV/Trauma/Organ Donor or Recipient
G. The Nursing Process
VI.Patient Care Concepts
A.Physical Health
1. Physical Activity
2. Nutrition and metabolism
3. Stress
4. Alcohol Use
5. Tobacco Use
B.PACU / Discharge Planning
1. Postoperative Patient Care
2. Equipment/immediate access
3. Discharge policy and criteria
4. Post op Instructions
C.Death and Dying
1. Religious and cultural beliefs
2. Grieving process
3. Quality of life vs. quantity of life
4. Organ Procurement and transplantation
VII.Chart Review / Abdominal Incisions
A.Chart Review
1.Laboratory Values
2.Diagnostic Tests
3.Pre-op Checklist
4.History and Physical
B.Abdominal Incisions
1.Anatomy of the Abdomen/Abdominal Wall
2.Abdominal Incisions
3. Closing the Abdominal Wall Considerations
4. Anticipation of Problems
VIII.Pharmacology
A.Basic Pharmacology
1.Pharmacokinetics / Pharmacodynamics
2.Actions /effects
3.Abbreviations
4.Medication nomenclature
5.Legal implications
B.Care and Handling of Medications and Solutions
1.Medication Identification
2.Medication Preparation
3.Five Rights of Medication Preparation
4.Techniques of Identification
C.Basic Medication Mathematics
1.Use of metric system
2.Mathematics
3.Dosage Calculations
4.Mixing Medications
D.Medications used in Surgery
1.Antibiotics
2.Diagnostic agents
3.Diuretics
4.Drugs affecting Coagulation
E.Developing Medication Reference Cards
IX.Wound Healing
A.Definitions
B.Wound Types
C.Mechanism of Wound Healing
1.First Intention
2.Second Intention
3.Third Intention
D.Stages of Wound Healing
1.Lag Phase
2.Proliferation phase
3.Maturation or differentiation phase
E.Factors Influencing Wound Healing
F.Surgical Site Infections
G.Wound Care
X. Suture
A. History
B. Suture Types
1. Sizes
2. Characteristics
a. Monofilament
b. Multifilament
3. Packaging
4. Factors Affecting Choice Of
C. Needles
D. Wound Closure/Layers
E. Staplers
X.Anesthesia
A.Anesthesia Concepts
1.Evaluation/Assessment/ASA Classifications
2.Monitoring devices
3.Positioning
4.Thermoregulatory devices
5.Intravenous access
B.Anesthesia Administration
1.Selection/Achieving Optimal Anesthesia
2.Preoperative medications
3.Methods of administration
C.General Anesthesia
1.Phases
2.Stages
D.Regional Anesthesia
E.Assisting during Anesthesia Administration
1.Preoperative visits
2.Preoperative routines
3.Post anesthesia care
F.Local Anesthesia
1.Conscious sedation
G. Epidural Anesthesia
H.Anesthetic Complications
1.Allergic Reactions
2.Malignant Hyperthermia
3.Cardiac Arrest
4.Sellick’s maneuver
XI.Biomedical Science
A.Electricity
1.Terms
2.Basic principles of electrical flow
3.Types of current
4.Electrical receptacles
B.Physics
1.Mechanics
2.Properties of matter
3.Heat
4.Sound, Vibrations and waves
5.Electricity and magnetism
6.Light
7.Modern physics
C.Computer Skills
1.Computer Hardware
2.Computer Applications
D.Robotics
1.Basic concepts
2.Clinical Applications
SUR 110
INTRODUCTION TO SURGICAL TECHNOLOGY
TENTATIVE SYLLABUS BASED UPON AVAILABILITY
OF GUEST LECTURERS AND LEARNING AIDS
WEEKLY COURSE OBJECTIVES
WEEK # CLASS # DAY/DATE TOPICS RESOURCES OBJECTIVES
1 1 Mon 8-24 Introduction to program, program policies and procedures
Scope of Surgical Technology Practice
AB-TECH Infection Control (Mandatory)
Hospital Organizations
RESOURCES Surgical Technology Student Handbook
SUR 110 Course and content outlines, syllabus
TEXTAST CH. #1
Dennerll Unit 1, pg 1-49
ObjectivesThe student will be able verbalize class rules, program policies, program
objectives, class rules, grading, Blackboard procedures and attendance policies. The student will recognize and practice standard precautions when dealing with body substances.
The student will learn the Infection Control Modules for
MSJ and ABTECH. The student will complete the testing with the
infection control series. The student will contrast and compare the
various roles in the Surgical Technology profession and demonstrate
responsible and accountable behavior within the role and competencies
of the surgical technologist. The learner will compare and contrast the
roles of team members in the operating room and acknowledge the OR’s
chain of command. The student will compare and contrast hospital
departments that relate to direct and indirect patient care in the surgical
suite.
HOMEWORK #1-KEY TERMS (ST Workbook CHP #1, Key Terms)
-Medical Terminology Unit 1 (read, complete exercise
Part 1 and 2 on separate sheet of paper)
BB Homework #1 + #2
Medication Cards
-MISSION HOSPITALS Annual Mandatory Education Modules
(Must be completed on-line by09/28)
VAMC Mandatory Education Modules Due before 09/21
2 2 Mon 8-31 Introduction to Computers and Their Role in the OR
Class will be held in Computer Lab
RESOURCES: AST CH. #6 pp. 104-111
Dennerll Unit 1-4
Nursing Care of the Patient in the OR (Ethicon) pp. 92-94
Objective: The student will recognize the importance of the computer in the operating room environment The student will construct and combine compound words, pronounce medical words related to surgery and correctly write medical terms using correct spelling.
HOMEWORK #2 Med Term - Unit 2 (read, complete exercise
Part 2 on separate sheet of paper)
Biomedical Terminology Definitions - BB
Medication Cards
3 3 Mon 9-14 Concepts of Medical Terminology
Prefixes, suffixes, root words
Surgical Terminology
Abbreviations
Structure of Surgical Terminology
Computer Skills (Bb training)
RESOURCESTEXT Dennerll - Unit 1-3
Nursing Care of the Patient in the OR (Ethicon) pp. 92-94
ObjectivesThe student will be able to combine prefixes, root words, and suffixes
to create medical terms related to surgery. The student will construct
and combine compound words, pronounce medical words related to
surgery and correctly write medical terms using correct spelling. The student will identify the basic components of a computer system. The
Student will perform basic word-processing, print, and save function while utilizing Blackboard..
HOMEWORK #3 --KEY TERMS ( ST Workbook CH 14 Key Terms)
-Drugs Used in Surgery Handout/Post-Test
Med Term - Unit 3 (read, complete exercise
Part 3 on separate sheet of paper)
Complete Blackboard Assignment
Medication Cards
4 4 Mon 9-21 The operating room’s physical environment.
Traffic patterns in the Perioperative Setting
Environmental Safety
RESOURCESTEXT AST CH. #5
Dennerll Unit 2, pg 51-88
Objectives The student will identify the rationale behind the principles of the
surgical suite layout including the needed traffic patterns and the
designation and attire in unrestricted, semi-restricted, and restricted
areas of the suite. The student will identify the sterile and unsterile team
members. The student will identify potential hazards for both the patient
and OR staff and how to safely work in this environment. The student
will recognize some regulatory agencies who establish
standards and guidelines. The student will understand the RACE acronym
for fire safety. The student will identify biological and chemical hazards
in the OR environment.
HOMEWORK #4-KEY TERMS (ST Workbook CH 5 Key Terms)
Med Term- Unit 4 (read, complete exercise
Part 1 and 2 on separate sheet of paper) Medication Cards
Look to Week 5 on BB