SGT 103LB - Surgical Technology II Lab

5.00 Credits, 15.00 Contact Hours
0 lecture periods 15 lab periods

This is the lab portion of SGT 103  .  Demonstration of surgical procedures including basic ear, nose, throat, OB/GYN, and sterile procedures including general digestive, respiratory, endocrine, reproductive and genitourinary procedures based on current industry standards.  Includes safety, specific cases and the disease process, care of the patient specific to the case, needs assessment for pre-operative cases and safety, asepsis, intraoperative procedures and safety, post-operative care, procedures, emergency situations, radiology process and safety, death and dying, ethical and moral issues, and demonstration of perioperative procedures, skills, and techniques. 

Prerequisite(s): BIO 205IN  , HRP 100  , SGT 101  , SGT 102  , SGT 102LB  , SGT 102LC  , and WRT 101  
Corequisite(s): SGT 103  
  

1. Apply the diagnostic and surgical interventions for a patient undergoing a surgical procedure.
2. Evaluate the anatomy, physiology, and pathophysiology for specific surgical procedures and how these concepts apply to their case.
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. Demonstrate best practice sterile technique, protection of the sterile field, and safety of the environment.  
8. Demonstrate advocacy for maintaining best practices for legal, environmental, and patient care within the surgical team.  

1. Safety

1. Sharps and exposure to biohazards
2. Advocacy and sterility
3. Reporting incidents

1. 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

1. Care of the Patient Specific to the Case Including Adult and Pediatrics and Perioperative Case Management
2. Needs Assessment for Pre-Operative Cases and Safety

1. Legal, moral, and ethical considerations

1. Timeouts
2. Review patient chart
3. Consents/sentinel events and incident reporting
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)

1. Diagnostic tests and results

1. Introduction to disease
2. Tumors
3. Surgically treatable disease and disorders
4. Diagnostic tests
5. Fluid and hemodynamic disorders

1.    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

1. Transportation

1. Safety considerations
2. Family considerations

1. Patient transfer
2. Positioning

1. 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. 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. Complications
5. Alternative anesthesia methods

1. Physical and biopsychosocial needs of the patient

1. Maslow’s Hierarchy of Needs
2. Special populations

1. 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

1. Sterile preparation
2. Draping
3. Counting concepts
4. Skin preparation and allergies

1. 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  

1. Storage of tissue replacement materials

1. 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

1. Patient discharge procedures
2. Pathology and specimen handling procedures

1. Chain of command
2. Labeling and processing procedures
3. Handling of specimens

1. 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

1. Disinfection and sterilization

1. Emergency Situations

1. Malignant hyperthermia
2. Cardiac arrest
3. Hemolytic reaction
4. Anaphylactic reactions
5. Hemorrhage

1. Radiology Process and Safety
2. 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

1. Ethical and Moral Issues

1. Ethical decision making
2. Surgical conscience
3. Ethical conflicts in clinical practice

1. Demonstration of Perioperative Procedures, Skills, and Techniques During Mock Lab Procedures