SGT 103 - Surgical Technology II

1. Discuss the diagnostic and surgical interventions for a patient undergoing a surgical procedure.
2. Apply the anatomy, physiology, and pathophysiology for specific surgical procedures.
3. Synthesize the basic physiological and anatomical differences between pediatrics and adults and how they apply to specific surgical procedures.
4. Assess perioperative preparation needs, legal considerations, and set up based on case and surgical team and includes sterile technique and surgical conscience. 
5. Navigate the perioperative course based on case.
6. Synthesize post-operative care specific to case and procedure.
7. Discuss the beliefs, classifications, and attitudes regarding death and dying of the surgical patient.
8. Demonstrate ethics in professional practice.

1. Safety
   1. Sharps and exposure to biohazards
   2. Advocacy and sterility
   3. Reporting incidents
2. Diagnostics, Anatomy, Pathophysiology of Specific Cases and the Disease Process
   1. Ear, nose, throat
   2. OB/GYN
   3. General
   4. Digestive
   5. Respiratory
   6. Endocrine
   7. Reproductive
   8. Genitourinary
3. Care of the Patient Specific to the Case Including Adult and Pediatrics and Perioperative Case Management
4. Needs Assessment for Pre-Operative Cases and Safety
   1. Legal, moral, and ethical considerations
      1. Timeouts
      2. Review patient chart
      3. Consents
         1. Purpose
         2. Types
         3. Contents
         4. Standards and guidelines
         5. Sentinel events
      4. Documentation of perioperative activities
      5. Patient identification
      6. Patient dignity and cultural considerations
      7. Medical records and Health Insurance Portability and  Accountability Act (HIPAA)
      8. Incident reporting
   2. Diagnostic tests and results
      1. Introduction to disease
      2. Tumors
      3. Surgically treatable diseases and disorders
      4. Diagnostic tests
      5. Fluid and hemodynamic disorders
   3. Pre-operative physical preparation based on case
      1. Urinary catheterization
      2. Catheters and drains
         1. Indications and considerations
         2. Procedural steps
         3. Monitoring
         4. Safety
      3. Transportation
         1. Safety considerations
         2. Family considerations
      4. Patient transfer
      5. Positioning
   4. Medications used in surgery, including anesthesia
      1. Assessment to determine anesthesia choice/surgeon and anesthesiologist preference
      2. Patient factors and considerations
      3. American Society of Anesthesiologists determination
      4. Medications
         1. Sources
         2. Classifications
         3. Laws
         4. Drug form and route
      5. Preoperative medications
      6. Related terminology
      7. Regional and local considerations
      8. Care of handling of medications and solutions/medical measurements
      9. Surgical team roles during administration
      10. General anesthesia
          1. Stages and phases
          2. Agents
          3. Related patient care devices
          4. Locals
          5. Complications
          6. Alternative anesthesia methods
   5. Physical and biopsychosocial needs of the patient
      1. Maslow’s Hierarchy of Needs
      2. Special populations
5. Asepsis
   1. Terminology
   2. Principles of asepsis
   3. Attire and restrictions
   4. Safety considerations
   5. Surgical scrub
   6. Gowning and gloving techniques
      1. Self
      2. Others
   7. Sterile preparation
   8. Draping
   9. Counting/concepts
   10. Skin preparation and allergies
6. Intraoperative Procedures and Safety
   1. The surgical team roles and accountability
   2. Incisions
   3. Hemostasis
   4. Exposure
   5. Wound closure
   6. Sutures and needles
   7. Tissue replacement materials
      1. Biological wound cover
      2. Bone materials
      3. Tissue transplants
      4. Synthetic materials/storage of tissue replacement materials
7. Post-Operative Care and Patient Safety
   1. Dressings
   2. Room break-down
   3. PACU
   4. Documentation
   5. Handoffs and continuity of care
   6. Wound healing
      1. Types of wounds and physiology of healing/classifications
      2. Inflammatory process and infection
      3. Factors that influence the healing process
      4. Surgical techniques and prevention of wound infections (bowel technique)
      5. Complications/reporting
   7. Patient discharge procedures
   8. Pathology and specimen handling procedures
      1. Chain of command
      2. Labeling and processing procedures
      3. Handling of specimens
8. Procedures
   1. Perioperative skills in the first scrub role
   2. Assistant circulator role
      1. Ear, nose, throat
      2. OB/GYN
      3. General
      4. Digestive
      5. Respiratory
      6. Endocrine
      7. Reproductive
      8. Genitourinary
   3. Disinfection and sterilization
9. Emergency Situations
   1. Malignant hyperthermia
   2. Cardiac arrest
   3. Hemolytic reaction
   4. Anaphylactic reactions
   5. Hemorrhage
10. Radiology Process and Safety
11. Death and Dying
    1. Perception of death
    2. Definitions
    3. Categories
    4. Responses to loss/grief
    5. Quality of life vs. quantity of life
    6. Death of a patient in the operating room
    7. Coping strategies
    8. Organ and tissue recovery and transplantation
12. Ethical and Moral Issues
    1. Ethical decision making
    2. Surgical conscience
    3. Ethical conflicts in clinical practice