SGT 201 - Surgical Technology III

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 techniques and surgical conscience. 
5. Navigate the perioperative course based on case.
6. Synthesize post-operative care specific to case and procedure.

1. Safety
   1. Occupational Safety and Health Administration (OSHA) standards
   2. Sharps and exposure to biohazards
   3. Advocacy and sterility
   4. Reporting incidents
2. Diagnostics, Anatomy, Pathophysiology of Specific Cases and the Disease Process
   1. Orthopedic  
   2. Oral and maxillofacial
   3. Plastic and reconstructive  
   4. Ophthalmic  
   5. Cardiothoracic  
   6. Peripheral vascular  
   7. Neurosurgical
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 Accounting 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
      5. Preoperative medications
      6. Regional and local considerations
      7. Care of handling of medications and solutions/medical measurements
      8. Surgical team roles during administration
      9. General anesthesia
   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 material/storage of tissue replacement materials
7. Post-Operative Care and Patient Safety
   1. Dressings
   2. Room break-down
   3. Post-anesthesia care unit (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. Orthopedic
      2. Oral and maxillofacial
      3. Plastic and reconstructive
      4. Ophthalmic
      5. Cardiothoracic
      6. Peripheral vascular
      7. Neurosurgical
   3. Disinfection and sterilization
9. Ethical and Moral Issues