Srgt 1442 Surgical Procedures Ii

Angelina College Health Careers Division SRGT 1442 – SURGICAL PROCEDURES II Instructional Syllabus

I. BASIC COURSE INFORMATION

A. Course Description: (as stated in the bulletin, including necessary pre-requisite courses, credit hours) Four-hour credit. Introduction to surgical procedures and related pathologies. Emphasis on surgical procedures related to thoracic, peripheral vascular, plastic/reconstructive, ophthalmology, cardiac, and neurological surgical specialties, incorporating instruments, equipment, and supplies required for perioperative patient care. Forty-eight classroom and sixty –four laboratory hours. Prerequisites: BIOL 2401 & 2402, HITT 1305, STSU 0X00, SRGT 1405, 1409, & 1441, 1260 & 1360. Co-requisites: SRGT 2130, SRGT 2460 and PSYC 2301.

B. Intended Audience: Freshman working toward educational requirements for Certificate in Surgical Technology

C. Instructor: Name: Stefanie Vaughn, CST Office Location: #205 Office Hours: see office posting Phone: 936-633-5275 E-mail Address: [email protected]

Instructors may also be reached via the main Health Careers telephone number at (936) 633-5265. If the instructor is not available, please leave a message with the program secretary or receptionist; they will relay the message to the instructor.

II. INTENDED STUDENT OUTCOMES: A. Core Objectives 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities 6. Personal Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making

B. Course Learning Outcomes for all sections (Legend: C=Cognitive A=Affective P=Psychomotor)

1. Define ophthalmic, oral/maxillofacial, plastic/reconstructive, cardiothoracic, peripheral vascular, and neurosurgical procedures. (C) 2. Define special considerations. (C) 3. Define postoperative patient care considerations. (C) 4. Identify procedural steps involved with specific procedures. (A) 5. Identify expected outcomes and possible complications for selected procedures. (A) 6. Discuss anatomy and pathology involved. (A) 7. Relate the relevant anatomy and pathology to indications for selected surgical procedures. (A) 8. Compare and contrast diagnostic preoperative testing. (A) 9. Summarize patient preparation for selected surgical procedures. (A) 1 10. Identify correct positioning for specific procedures. (A) 11. Identify and employ basic routines of case management. (A) 12. Identify the instrumentation and equipment needed for specific procedures. (A) 13. Discuss dressing and specimen care. (A) 14. Apply proper technique in demonstrating application of surgical dressings. (A) 15. Discuss complications, prognosis, and wound classification/management. (A) 16. Perform basic positioning. (P) 17. Apply the principles of physics to safe patient care practices in the operating room. (P) 18. Demonstrate proper usage of electrocautery in operating room practice. (P) 19. Apply electrical knowledge to safe patient practices in the operating room. (P) 20. Apply the principles of robotics to safe patient care practices in the OR. (P) 21. Prepare catheters and drains for intraoperative use. (P) 22. Assess specific variations of operative technique. (P) 23. Demonstrate proper suture selection, preparation, handling and cutting techniques. (P) 24. Gather the instruments, supplies, and equipment needed for a surgical procedure. (P) 25. Use the appropriate drapes for specific positions and surgical procedures. (P) 26. Demonstrate the general principles of draping furniture and equipment needed for the surgical procedure. (P) 27. Select appropriate instruments, equipment, and supplies and reconstruct the sequence for selected surgical procedures. (P) 28. Apply the principles of sterile storage to handling of sterile supplies. (P) 29. Apply the knowledge of basic surgical instrumentation to specific surgical procedures. (P) 30. Demonstrate proper care, handling, and safety precautions of specialty equipment in the operating room. (P) 31. Demonstrate the preparation of instruments and supplies on the sterile field. (P) 32. Demonstrate basic wound care concepts and apply the principles of asepsis to the practice of sterile technique. (P) 33. Work towards common team goals. (P)

C. Course Objectives Unit I Chapter 16 – Ophthalmic Surgery 1. Discuss anatomy and physiology eye. 2. Discuss procedures: chalazion excision, dacryocystorhinostomy, entropion/ectropion repair, enucleation, extracapsular cataract excision, iridectomy, keratoplasty, laceration repairs, scleral buckle, strabismus correction (recession & resection), and vitrectomy.

Chapter 18 – Oral and Maxillofacial Surgery 1. Review the anatomy and physiology relative to oral and maxillofacial surgery. 2. Discuss procedures: ORIF and arch bar application in maxillary and mandibular fractures, cleft lip and palate repair, odontectomy/tooth extraction, maxillary fractures (LeForte I, II & III), and ORIF orbital fractures.

Unit II Chapter 19 – Plastic and Reconstructive Surgery 1. Review the anatomy and physiology of the skin and underlying tissues. 2. Discuss procedures: blepharoplasty, brow lift, cheiloplasty/palatoplasty, malar implants, mentoplasty, otoplasty, rhinoplasty, rhytidectomy, breast augmentation, mastopexy, mammoplasty (nipple reconstruction), mammoplasty (TRAM flap), abdominoplasty, suction lipectomy, superficial lesion/neoplasm, skin graft (FTSG & STSG), microvascular pedicle graft, scar revision, Dupuytren’s contracture, traumatic injury repairs, radial dysplasia, release of polydactyly and syndactyly.

Chapter 22 – Cardiothoracic Surgery 1. Review the anatomy and physiology of the cardiovascular and respiratory systems.

2 2. Discuss procedures: bronchoscopy, mediastinoscopy (lymph node biopsy), thoracoscopy (video- assisted), thoracotomy (lobectomy, pneumonectomy, decortication of the lung, lung transplant, pectus excavatum repair & pulmonary embolism), aortic/mitral valve replacement, atrial/ventricular septal defect repair, closure of patent ductus arteriosus, coronary artery bypass graft (intraortic balloon pump, minimally invasive direct , off-pump, & ventricular assistive device insertion), heart transplant, repair of coarctation of the aorta, tetralogy of fallot repair, and ventricular aneurysm repair.

Unit III Chapter 23 - Peripheral Vascular Surgery 1. Review the anatomy and physiology of the peripheral vascular system. 2. Discuss procedures: abdominal aortic aneurysm with graft insertion, angioplasty (endograft placement & endostent insertion), angioscopy, AV shunts and bypass (aortofemoral bypass, arteriovenous fistula and shunt, & femoropopliteal bypass), carotid endarterectomy, embolectomy, vena cava device, vein ligation and stripping, and venous access device.

Chapter 24 – Neurosurgery 1. Review the anatomy and physiology of the neurological system. 2. Discuss procedures: carpal tunnel release, cervical laminectomy (anterior & posterior), thoracic laminectomy, lumbar laminectomy (minimally invasive & spinal fusion), craniotomy (aneurysm repair, cranioplasty & cranosynostosis repair), rhizotomy, stereotatic procedures, tranphenoidal hypophysectomy, ulnar nerve transposition, ventriculperitoneal shunt placement, and ventriculoscopy.

III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Objectives 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities 6. Personal Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making

B. Assessments for the Exemplary Objectives – Not applicable for this course.

C. Assessments for Course Objectives for all sections – SCANS (Secretary of Labors Commission of Achieving Necessary Skills):

SCANS Skills Evaluation Foundation Skills Written Assignments Examinations & quizzes Required and suggested readings Critical Thinking Case Studies Oral presentation Workplace Competencies Computer assisted Instruction Demonstrated Competency in clinical Group effective participation with peers/preceptors

3 D. Assessments for the Course Objectives – Same as stated above.

IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Audio-visual aids Role Playing Computer assisted instruction Independent Study Educational games Blackboard Instruction Group discussion Lecture

V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – (1) Surgical Technology for the Surgical Technologist, A Positive Care Approach Fifth Edition (Association of Surgical Technologist); (2) Study Guide and Lab Manual to Accompany Surgical Technology for the Surgical Technologist, Fourth Edition; (3) Surgical Instrumentation; An Interactive Approach, 2nd edition by Renee Nemitz; (4) Angelina College Surgery Technology Program Student Handbook.

References - (1) Core Curriculum for Surgical Technology 6th Edition, Association of Surgical Technologist. (2) Pharmacology Handbook for the Surgical Technologist by Jeff Feix;

Assignments – (Appropriate due dates, schedules, and deadlines) Computer Assisted Instruction (CAI) and Blackboard Resources: This is a Blackboard enhanced course. Students may be expected to log on to Blackboard to communicate and receive course information and other materials, and take exams.

B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook, General Bulletin, and Angelina College Surgery Technology Program Student Handbook.

1. Academic Assistance: If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should report to Student Affairs: located in the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; staff will assist you with the necessary information to do so.

2. Discrimination Statement: Angelina College admits students without regard to race, color, religion, natural origin, sex, disability, or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dean of Student Services, Mr. Steve Hudman, office 101 in the Student Center (phone number 936-633-5293, email [email protected]).

3. Attendance: Refer to the AC Surgical Technology Student Handbook Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non-attendance in class will always result in an instructor drop. You must officially drop or risk receiving an F. This is official Angelina College Policy.

4. Examinations: Students must be present and on time for all examinations. See AC Surgery Technology Student Handbook for makeup exam policy. Attendance at the final examination is required and may be rescheduled ONLY with the approval of the Vice President of Instruction. All exams (and written 4 assignments) become the property of the Surgery Technology Program.

5. Progression Policy: A student must earn a minimum grade of “C” or “P” in all required courses in order to progress within the program. All courses must be taken in the appropriate sequence.

6. Withdrawal and Dismissal: Students who wish to withdraw from the program must do so with both the Surgery Technology Program Coordinator and the Office of Admissions. If the student does not officially withdraw in the Office of Admission, an “F” will appear on the transcript for the course in progress at that time.

VI. COURSE CONTENT

A. Required Content Content Reading Assignment Unit I: Ophthalmic Surgery Chapter 16 – pages 587 – 627 Oral and Maxillofacial Surgery Chapter 18 – pages 698 – 722 Unit II: Plastic and Reconstructive Surgery Chapter 19 – pages 723 – 799 Cardiothoracic Surgery Chapter 22 – pages 993 – 1081 Unit III: Peripheral Vascular Surgery Chapter 23 – pages 1082 – 1128 Neurosurgery Chapter 24 – pages 1129 – 1187

VII. EVALUATION AND GRADING:

A. Grading Criteria: The course grade is based on examination scores and assignments.

Methods of Evaluation: Communication Group participation Examinations Written assignments Role play Presentations

Determination of Grade Grading Scale: Grade Distribution: A = 90-100 Three Exams 50% B = 80-89 Presentation 5% C = 73-79 Lab Assignments & CAIs 20% F = < 72 Final Examination 25% Total Grade 100%

The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.

Revised May 2017