Template · Template · Template Basic Operative Procedures SURG-109 Section Template 2 Credits 04/30/2013 to 01/01/2075 Modified 07/30/2021  Description

This course introduces the student to basic types of surgical procedures with a primary focus on the sequential steps involved in these procedures. Surgical anatomy, physiology, and pathophysiology will be addressed relative to basic surgical intervention. Students will become familiar with instrumentation, anticipatory skills, and surgical asepsis and surgical conscience. (F)

Contact Hours

Lecture 32 Lab 0 Other 0 Total Hrs 32

Requisites Prerequisite Course: Admission to Surgical Technology Program

Placement Scores: Reading Level 5 and Writing Level 6

Co-requisite Courses: SURG 100 and SURG 101 and SURG 108 and SURG 121 and SURG 122  Course Topics

Diagnostic Procedures General Surgery Gastrointestonal Surgery Obstetrics and Gynecological Surgery Genitourinary Surgery , Nose, and Throat Surgery Oral and Maxilloficial Surgery Orthopedic Surgery Peripheral Vascular Surgery Cardio-Thoracic Surgery Neurosurgery Ophthalmic Surgery Surgical Specialty Areas  Student Learning Outcomes

Upon successful completion of this course, students should be able to:

A. Describe incisional locations and anatomical structures for a variety of basic surgical procedures by means of formative assessments. B. Describe hemostasis and surgical exposures for procedures.

1 of 9 C. Explain types and usage of surgical dressings. D. State names and usages of basic instrumentation, equipment, and supplies. E. State the sequence of instrumentation for incisions. F. State the sequence of instrumentation for closures. G. Describe wound healing, tissue replacement materials, and emergency patient situations. H. Identify the basic equipment needed for minimal access surgery. I. Identify the basic equipment needed for endoscopic surgery. J. Identify the basic patient positioning for the core curriculum surgical procedures, as established by the accrediting body. K. State the sequential steps, instrumentation, and supplies needed to perform the following basic General Surgery procedures: 1. Herniorraphy (Lap and Open) 2. Appendectomy 3. Breast Biopsy 4. All Types Mastectomies 5. Cholecystectomy (Lap and Open) 6. Gastrectomy 7. Thyroidectomy 8. Exploratory Laparotomy L. State the sequential steps, instrumentation, and supplies needed to perform the following Gynecological and Obstetrical surgical procedures: 1. D & C 2. Tubal Ligation 3. Total Abdominal Hysterectomy 4. C-section M. Differentiate between the abdominal approach procedures and the vaginal approach procedures in gynecological surgery. N. State the sequential steps, instrumentation, and supplies needed to perform the following Urological surgical procedures: 1. Cystoscopy 2. Vasectomy 3. TUR-BT 4. TUR-P O. State the sequential steps, instrumentation, and supplies needed to perform the following ENT surgical procedures: 1. Laryngoscopy 2. Septoplasty 3. Otoplasty 4. P. State the sequential steps, instrumentation, and supplies needed to perform the following Orthopedic surgical procedures: 1. Bunionectomy 2. Knee Arthroscopy 3. Shoulder Arthroscopy 4. Tibial Wedge Osteotomy

These student learning outcomes are based on the educational standards developed by the Association of Surgical Technologists and the Accreditation Review Committee on Education in Surgical Technology administered by the Commission on Accreditation of Allied Health Education Programs.  Materials

 Evaluation

Student Electronic Access to Grades

D2L is the College’s Course Management System which includes a gradebook function allowing students access to their grades in order to receive timely and meaningful feedback on their progress in the course at any time. These grades will align with the Evaluation Criteria listed in this syllabus. D2L is accessed through the MyLCC page. 2 of 9 Whenever practicable, results for graded items should be posted electronically within 48 hours after the instructor has completed the grading process for the items, and final grades for the course should be entered no later than the specified grading day. Criteria

Type Weight Topic Notes

Assignments 35% There will be reading assignments, study guide book assignments, additional assignments and 3 quizzes provided via online, to be completed for this course.

Class 5% Students will be expected to be in class and engaged in classroom discussions. Participation

Exams or 35% There will be 2 tests given during this course, not including the Final Examination. Tests

Final Exam 25% A cumulative written Final Examination will be given at the end of this course.

Breakdown

College Grading Standards Recommended Guidelines for Student Grades

4.0 --- Excellent 4.0 --- 91 – 100%

3.5 ------3.5 --- 86 – 90%

3.0 --- Good 3.0 --- 81 – 85%

2.5 ------2.5 --- 76 – 80%

2.0 --- Satisfactory 2.0 --- 71 – 75%

1.5 ------1.5 --- 66 – 70%

1.0 --- Poor 1.0 --- 60 – 65%

0.0 ------0.0 --- 0 – 59%

 Course Policies

Class Attendance/Participation Surgical Technology Program Attendance Policy

Students are expected to attend all sessions of each Surgical Technology course in which they are enrolled. Failure to do so will result in an academic penalty. Due to the intensive nature of the Surgical Technology field of study, there may be only one excused absence per semester per course. The instructor must be provided with a written excuse from the student outlining the reason for the absence. It is at the discretion of the instructor to determine if the absence is excusable. For an unexcused absence, or for any subsequent absence(s) beyond one excusable absence, a 0.25 grade deduction will be assessed per absence from the student's final grade. For example, a student carrying a 3.5 grade with two unexcused absences will have his or her grade assessed a penalty of 0.5; the resultant grade earned will then be 3.0.

3 of 9 Extra Credit There will be limited extra credit provided in this course, only by means of bonus questions being provided on some, but not all, of the examinations. Other  Institutional Policies

Transfer Potential For transfer information, please consult the LCC Transfer webpage (https://lcc.edu/academics/transfer/). In addition, the Michigan Transfer Network website (https://www.mitransfer.org/) allows students the ability to search courses and discover how those courses transfer to colleges and universities statewide.

The Michigan Transfer Agreement (MTA) simplifies the transfer of students from one Michigan institution to another. For the most current information, see the LCC General Education webpage (https://www.lcc.edu/academics/catalog/general- education/index.html).

Students interested in transferring are strongly encouraged to contact the Academic Advising Center in the Gannon Building - Star Zone, (517) 483-1904. Disability Statement Students with disabilities who believe that they may need accommodations in this class are encouraged to contact the Center for Student Access, Gannon Building, Star Zone - Center for Student Support, via the Center for Student Access website (https://lcc.edu/services/access/), or by calling (517) 483-5323 as soon as possible to better ensure that such accommodations are implemented in a timely fashion. Student Code of Conduct and General Rules and Guidelines LCC supports a positive learning environment that provides opportunities for student success. The College recognizes the value and importance of a safe and orderly learning environment that encourages honesty, integrity, and ethical conduct. The Student Code of Conduct and General Rules and Guidelines (https://lcc.edu/academics/documents/pdf-policies/catalog-student-rules- and-guidelines.pdf) ensure the protection of student rights and the health and safety of the College community, as well as aid in the efficient operation of College programs. In addition, the College has established procedures for addressing reports of alleged violations.

It is the responsibility of the student to be familiar with, and abide by, the Student Code of Conduct, as well as the General Rules and Guidelines. Furthermore, the instructor may establish reasonable guidelines within the classroom environment. Violations of the Student Code of Conduct and General Rules and Guidelines may be reported to the Office of Student Compliance (mailto:lcc- [email protected]). Enrollment Verification Class attendance and participation are essential to student success. Instructors will update class rosters by the 8th day after the start date of sections less than 8 weeks long, and by the 15th day after the start date of sections 8 weeks or longer to accurately reflect student enrollment in each course. Students who have not attended by these dates may be administratively dropped and responsible for any required tuition and fee charges. Academic Success Coaches At Lansing Community College, student success is our top priority. Our Academic Success Coaches mentor students to help them meet their educational, personal and career goals. LCC faculty or staff may refer you to an Academic Success Coach if they recognize that mentoring or assistance may be helpful to you. Please monitor your LCC email for referral notifications. Your participation in academic success coaching is voluntary.

In addition, we encourage you to contact an Academic Success Coach on your own if you need help, guidance or assistance to reach your goals. To contact an Academic Success Coach, call (517) 483-1422, email [email protected] (mailto:lcc-

4 of 9 [email protected]), or visit the Academic Success Coaching Team website (https://www.lcc.edu/admissions-financial- aid/get-started/success-coaches.html/) for more information. Nondiscrimination Statement Lansing Community College is committed to providing equal employment opportunities and equal education for all persons regardless of race, color, sex, age, religion, national origin, creed, ancestry, height, weight, sexual orientation, gender identity, gender expression, disability, familial status, marital status, military status, veteran’s status, or other status as protected by law, or genetic information that is unrelated to the person’s ability to perform the duties of a particular job or position or that is unrelated to the person’s ability to participate in educational programs, courses services or activities offered by the college.

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Detailed Outline of Course Content and Sequencing A. Introduction to Course 1. Course Syllabus 2. Course Outcomes 3. Course Evaluation 4. Grading Criteria B. Rationale for Surgery 1. Prophylactic (preventative) 2. Restorative (curative) 3. Palliative 4. Diagnostic C. Expected Outcomes/Goals of Surgery 1. Patient's Physical Health 2. Patient's Mental Health D. General Surgery and Surgical Modalities 1. Anatomical Structures of a Laparotomy Incision 5 of 9 E. Incisional Locations for Gastrointestinal Surgeries 1. Abdominal and Thoracic Incisions a. Anatomical Structures b. Incisions c. Locations d. Access 2. Gastrointestinal Incisional Locations 3. General Surgery a. Names and Usages i. Basic Instrumentation ii. Equipment iii. Supplies 4. Gastrointestinal Surgery - Sequence of Instrumentation a. Incisions b. Closures F. General Surgery and Surgical Modalities - Basic Equipment 1. Minimal Access Surgery 2. Endoscopic Surgery G. General Surgery Terminology H. Gastrointestinal Surgery and Repair of Hernias 1. Review of Normal Anatomy and Pathology a. Laparotomy i. Sequential Steps ii. Instrumentation iii. Supplies b. Herniorraphy i. Sequential Steps ii. Instrumentation iii. Supplies c. Appendectomy i. Sequential Steps ii. Instrumentation iii. Supplies d. Cholecystectomy i. Sequential Steps ii. Instrumentation iii. Supplies e. Gastrectomy i. Sequential Steps ii. Instrumentation iii. Supplies f. Thyroidectomy i. Sequential Steps ii. Instrumentation iii. Supplies I. Obstetric and Gynecological Surgery 1. Basic Gynecological and Obstetrical Surgical Procedures 2. Specialized Instrumentation 3. Correct Positioning 4. Various Incisional Locations 5. Abdominal Approach Versus Vaginal Approach J. Gynecologic Surgery and Caesarean Birth 1. Basic Gynecological and Obstetrical Surgical Procedures 2. Specialized Instrumentation 3. Correct Positioning 6 of 9 4. Various Incisional Locations 5. Abdominal Approach Versus Vaginal Approach K. Urogenital Surgery (Genitourinary Surgery) 1. Basic Urological Procedures (closed) 2. Basic Urological Procedures (open) 3. Specialized Instrumentation in Urology L. Ear, Nose, Throat, and Mouth Surgery 1. Oral and Maxillofacial Surgery, Rhinologic and Sinus Surgery, Laryngologic and Head and Neck Surgery a. Basic ENT Surgical Procedures - Ear, Nose, Throat, and Mouth Surgery b. Sequential Steps i. Otologic Surgery ii. Rhinologic and Sinus Surgery iii. Laryngologic and Head and Neck Surgery c. Specialized Instrumentation Utilized in ENT Surgery M. Orthopedic Surgery 1. Basic Orthopedic Procedures 2. Anatomy Involved in Orthopedic Cases 3. Specialized Instrumentation 4. Incisional Locations 5. Emergent 6. Non-emergent 7. Correct Positioning

Surgical Procedures will be covered pursuant to the requirements of the 6th Edition Core Curriculum as Published by the Association of Surgical Technologists, for this course. Surgical Procedures that will be discussed/lectured upon, in meeting the requirements of this course, will include:

General Surgery Appendectomy – Open Appendectomy – Laparoscopic Breast Biopsy – Sentinel Node Biopsy Breast Biopsy – Needle Localization Modified Radical Mastectomy w/ Axillary Node Dissection Cholecystectomy – Open Cholecystectomy – Laparoscopic Cholecystectomy w/ Cholangiogram Colon Resection w/ Colostomy Colon Resection w/o Colostomy Gastrectomy w/ Gastrostomy Gastrectomy w/o Gastrostomy Hemorrhoidectomy Herniorrhaphy – Open – Incisional Herniorrhaphy – Laparoscopic – Incisional Herniorrhaphy – Open – Inguinal Herniorrhaphy – Laparoscopic – Inguinal Herniorrhaphy – Open – Umbilical Herniorrhaphy – Laparoscopic – Umbilical Thyroidectomy

Obstetrics and Gynecologic Procedures Cervical Biopsy Cervical Cerclage (Shirodkar’s Procedure) Dilation and Curettage (D&C) Hysteroscopy

7 of 9 Cesarean Section Endometrial Ablation Hysterectomy – Laparoscopic Hysterectomy – Total Abdominal Hysterectomy – Vaginal Myomectomy Oophorectomy Ectopic Pregnancy Salpingectomy Sterilization Procedures Diagnostic Laparoscopy

Genitourinary Ureteroscopy Ureteropyelithotomy TUR-BT Suspension (TVT/Sling) TURP Circumcision Epispadius Repair Hypospadius Repair Hydrocelectomy Orchioplexy Orchiectomy

Otorhinolaryngologic Myringotomy Choanal Atresia Nasal Antrostomy Nasal Polypectomy Septoplasty Turbinectomy Tonsillectomy and Adenoidectomy Tracheotomy and Tracheostomy

Orthopedic Shoulder – Arthroscopy Radius ORIF Radius – External Fixator Knee – Arthroscopy Amputation – Above-the-Knee Amputation – Below-the-Knee Achilles Tendon Repair Bunionectomy

Oral and Maxillofacial Cleft Repair – Lip Cleft Repair – Palate Odontectomy/Tooth Extraction ORIF Orbital Fracture

Plastic and Reconstruction Blepharoplasty Brow Lift Cheiloplasty/Palatoplasty 8 of 9 Otoplasty Rhytidectomy Breast Augmentation Mastopexy Mammoplasty – Nipple Reconstruction Suction Lipectomy Superficial Lesion/Neoplasm Skin Graft-Full-Thickness (FTSG) Skin Graft-Split-Thickness (STSG) Scar Revision Radial Dysplasia Release of Polydactyly Release of Syndactyly

Ophthalmic Chalazion Excision Entropion/Ectropian Repair Extracapsular Cararact Excision Laceration Repairs

Cardiothoracic Bronchoscopy Mediastinoscopy – Lymph Node Biopsy Thoracoscopy – Video = Assisted Thoracoscopy Thoracotomy – Lobectomy Thoracotomy – Pneumonectomy Thoracotomy – Decortication of the Lung Thoracotomy – Pectus Excavation Repair Thoracotomy – Pulmonary Embolism

Peripheral Vascular Angioscopy AV Shunts and Bypass – Arteriovenous Fistula and Shunt AV Shunts and Bypass – Femoropopliteal Bypass Carotid Endarterectomy Embolectomy Vein Ligation and Stripping Venous Access Device

Neurosurgical Carpal Tunnel Release Laminectomy – Lumbar – Minimally Invasive Rhizotomy Stereotactic Procedures Ulnar Nerve Transposition Ventriculoperitoneal Shunt Placement Ventriculoscopy

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