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SURGICAL TECHNOLOGIST

CERTIFICATE PROGRAM

A minimum GPA of 80% is required for the progression to the next Surgical Technology course in the programs required sequence.

Course number/name Hours

Theory Lab Clinical

First Semester

Ort I Orientation to Hospital 16

MT I Medical Terminology 40

MT II Medical Terminology 32

A&PI Anatomy & Physiology 40

A&PII Anatomy & Physiology 56

Micro Microbiology 16

Pharm Pharmacology 24

ST I Surgical Technology 40

ST II Surgical Technology 40 56

ST III Surgical Technology 192 72

Second Semester

REV Classroom Review 44

CLN Clinical Practicum 804

TOTAL 1472

THEORY 540

LAB 128

CLINICAL 804

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABI AND OUTLINES

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

ORIENTATION TO SURGICAL ENVIRONMENT

Fall 2016

1. Ort I

2. Orientation to Surgical Technology

3. This course is designed to provide the student with the knowledge to function in the health care setting. It will offer the student resources regarding hospital organization.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to define and evaluate tasks required of the surgical technologist in the healthcare environment.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Admission to Flowers Hospital ST Program

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Tuesday and Wednesday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Define roles in the operating room relating to all surgical team members

2. Acknowledge the proper chain of command in the operating room

3. Discuss hospital departments that intersect with surgery in both direct and indirect patient care

4. Describe the characteristics of the professional surgical technologist

5. Discuss professional organizations related to the profession and which of them function in the credentialing process

6. Discuss and define the components of the physical environment regarding surgical services

7. Identify safety issues in the hospital and operating room and list the means to address them.

8. Identify general indicators of a disaster, discuss implementation of disaster planning, and hospital emergency preparations in response to a hazardous event

Outline

September 6 Introductions

Class calendars, objectives and outlines

Resources

Hospital requirements

NET

Fit Test

September 7 Professionalism

Professional Management

Team members and roles

Healthcare Facility Organization

Physical environment

Safety and Hazard Preparation

September 8 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4rd Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructor

Katrina Mansfield-Davis

Office phone: (334) 793-5000 Ext 7535

Office hours: Monday – Thursday 0600 to 1430

COURSE OUTLINE

SURGICAL TECHNOLOGY

I. History of Surgery and Surgical Technology

a. Historical development of surgery

b. Historical development of surgical technology

II. Surgery Today

a. Catagories of surgery

i. Emergent

ii. Urgent

iii. Elective

iv. Optional

III. Field of Surgical Technology

a. Define

b. Functions in the team

i. Sterile team members

ii. Non sterile team members

c. Education

i. Technical job options

d. Certification options

e. Scope of practice

IV. Surgical Technologist as a Professional

a. Professional organizations and membership

i. Related organizations

b. Job descriptions and role definition

c. Characteristics and behaviors

V. Communication and Teamwork

a. Communication skills

i. Types of communication

ii. Goals of communication

iii. Principles of communication

b. Teamwork

i. Principles of good team work

ii. Group interactions

iii. Stages of team development

VI. Conflict

a. Management

b. Problem behaviors

c. Resolution

VII. Physical Environment

a. Surgical Services

i. Locations and floor plans

ii. Traffic flow, controls and departmental communication

iii. Environmental safety

VIII. Hospital Organization

a. Levels of organization

b. Communication between departments

c. Reimbursement

d. Related agencies

IX. Health Care Facilities and agencies

a. Facility type

i. Ambulatory

ii. Non profit

iii. Proprietary

iv. Tax supported

b. Agency type

i. Heath insurance

ii. DRGs

X. Safety and Hazard

a. Disaster recognition

i. Natural

ii. Manmade

iii. Combination

b. Disaster planning

i. Personal

ii. Local (Hospital)

iii. National

c. Response

i. Mitigation

ii. Risk communication

d. Infection control

i. Control contamination

ii. Decontamination

e. Support roles

f. Issues

i. Triage

ii. Legal

iii. Moral and ethical

iv. Regulatory

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

BASIC MEDICAL TERMINOLOGY

Fall 2016

1. MT I

2. Medical Terminology Basics

3. This course is designed to provide the student with the knowledge to identify, construct, combine and define medical terms. The correct pronunciation and spelling of these terms will be stressed.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to understand the language spoken in the medical field. This will enable them to function in the OR with a better understanding of the terminology being utilized.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Completion of ORT I

9. Projected enrollment: 16 students

10. This course meets for 8 hours on Thursday, Monday, Tuesday, Wednesday and Thursday at 0600 to 1430

11. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Given a list of common prefixes, roots and suffixes the student will be

able to correctly identify the meaning.

2. Combine the common prefix, root and suffix to create medical terms and compound words.

3. Correctly pronounce medical terms.

4. Identify and write the correct spelling of medical terms.

5. Given a list of medical terms and a list of definitions, match the terms

with the definitions

Outline

September 8 Introduction to Medical Terminology

September 12 EXAM

Human Body in Health and Disease, Word Part Review

September 14 EXAM

Diagnostic Procedures

Pharmacology

September 15 EXAM

Lymphatic and Immune System

September 19 EXAM

Endocrine System

September 20 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class. Extra points may be earned.

Textbooks required

Ehrlich, A. and Schroeder, C. 2013 Medical Terminology for Healthcare Professionals 7th Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructor

August Huey

Office phone: (334) 793-5000 Ext 7537

Office hours: Monday – Thursday 0600 to 1430

Basic Medical Terminology Content Outline

I. Introduction to Medical Terminology

a. Primary and word parts

i. Root

ii. Suffixes

iii. Prefixes

iv. Rules for combining words

b. Determine meaning

i. Medical dictionary use

c. Pronunciation and spelling

i. Singular and plural

d. Abbreviations

i. Approved and do not use

e. Basic medical terms

i. Look alike – sound alike

ii. Disease conditions

II. Human body in health and disease, word part review

a. Anatomic reference

b. Structures of the body

c. Genetics

d. Tissues

e. Glands

f. Body systems

i. Related organs

g. Pathology

h. Word part review

III. Diagnostic procedures and pharmacology

a. Basic procedures

i. Exam positions

b. Laboratory

c. Endoscopy

d. Centesis

e. Imaging

f. Nuclear

g. Pharmacology

i. Nomenclature

ii. Related terminology

iii. Methods of administration

IV. Lymphatic and immune system

a. Oncology

b. Pathology and treatment

c. Diagnostic

d. Lymph

i. Vessels and ducts

e. Lymph tissues

i. Nodes

ii. Tonsils

iii. Spleen

iv. Bone marrow

v. Lymphocytes

vi. Thymus

f. Immune system

i. Body defenses

V. Endocrine system

a. Pathology and treatment

b. Diagnostic

c. Structures and functions

i. Adrenals

ii. Gonads

iii. Pancreatic islets

iv. Parathyroid

v. Thyroid

vi. Pineal

vii. Pituitary

viii. Thymus

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

ADVANCED MEDICAL TERMINOLOGY

Fall 2016

1. MT II

2. Advanced Medical Terminology

3. This course is designed to provide the student with the knowledge to identify and correlate medical terms related to Surgical Technology and apply these terms to the procedural aspects of the operating room.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to understand the language spoken in the medical field. This will enable them to function in the operating room with a better understanding of the terminology being utilized.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Completion of MT I

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Monday, Tuesday, Wednesday and Thursday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Given a list of common prefixes, roots and suffixes the student will be able to correctly identify the meaning.

2. Combine the common prefix, root and suffix to create medical terms and compound words.

3. Correctly pronounce medical terms.

4. Identify and write the correct spelling of medical terms.

5. Given a list of medical terms and a list of definitions, match the terms with the definitions.

Outline

September 20 Integumentary System

Digestive System

Reproductive System

September 21 EXAM

Muscular System

Skeletal System

Urinary System

September 22 EXAM

Nervous System

The Senses

September 26 EXAM

Respiratory System

Cardiovascular System

September 27 EXAM

TBA FINAL EXAM MT I & MT II

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class. Extra points may be awarded.

Textbooks required

Ehrlich, A. and Schroeder, C. 2013 Medical Terminology for Healthcare Professionals 7th Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructor

August Huey

Office phone: (334) 793-5000 Ext 7537

Office hours: Monday – Thursday 0600 to 1430

Advanced Medical Terminology Outline

I. Integumentary system

a. Overview of structures, combining forms and functions of the integumentary system

b. Vocabulary

c. Functions

d. Structures

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

II. Digestive system

a. Overview of structures, combining forms and functions of the digestive system

b. Digestion

c. Vocabulary

d. Functions

e. Structures

f. Related medical specialties

g. Diagnostic

h. Pathology

i. Treatment

j. Abbreviations

III. Reproductive system

a. Overview of structures, combining forms and functions of the reproductive system

b. Vocabulary

c. Functions

i. Male

ii. Female

1. Pregnancy

d. Structures

i. Male

ii. Female

e. Related medical specialties

i. Male

ii. Female

f. Diagnostic

i. Male

ii. Female

g. Pathology

i. Male

ii. Female

h. Treatment

i. Male

ii. Female

i. Abbreviations

i. Male

ii. female

IV. Muscular system

a. Overview of structures, combining forms and functions of the muscular system

b. Vocabulary

c. Functions

d. Structures

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

V. Skeletal system

a. Overview of structures, combining forms and functions of the skeletal system

b. Vocabulary

c. Functions

d. Structures

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

VI. Urinary system

a. Overview of structures, combining forms and functions of the urinary system

b. Vocabulary

c. Functions

i. Production and excretion of urine

d. Structures

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

VII. Nervous system

a. Overview of structures, combining forms and functions of the nervous system

b. Vocabulary

c. Functions

d. Structures

e. Related medical specialties

i. Anesthesia

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

j. Mental health

VIII. The senses

a. Overview of structures, combining forms and functions of the special senses

b. Vocabulary

i. Eyes

ii. Ears

c. Functions

i. Eyes

ii. Ears

d. Structures

i. Eyes

ii. Ears

e. Related medical specialties

i. Eyes

ii. Ears

f. Diagnostic

i. Eyes and vision

ii. Ears and hearing

g. Pathology

i. Eyes

ii. Ears

h. Treatment

i. Eyes

ii. Ears

i. Abbreviations

i. Eyes

ii. Ears

IX. Respiratory system

a. Overview of structures, combining forms and functions of the respiratory system

b. Vocabulary

c. Functions

i. Respiration

d. Structures

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

X. Cardiovascular system

a. Overview of structures, combining forms and functions of the cardiovascular system

b. Vocabulary

c. Functions

d. Structures

i. Heart

ii. Vessels

iii. Blood

e. Related medical specialties

f. Diagnostic

g. Pathology

h. Treatment

i. Abbreviations

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

BASIC ANATOMY AND PHYSIOLOGY FOR THE SURGICAL TECHNOLOGIST

Fall 2016

1. AP I

2. Basic Anatomy and Physiology for the Surgical Technologist

3. This course is designed to provide the student with the knowledge to identify and analyze the structure and function of the human body from the cellular level to complex systems.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to apply the basics of anatomy and physiology to the practice of surgical technology. The course provides the foundation of surgical anatomy required in the profession.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Completion of MT I & MT II

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Monday, Tuesday, Wednesday, Thursday and Monday, Tuesday, Wednesday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. List and define the components that act together to form the body as a whole.

Identify and describe body planes and regions.

Define terminology used to describe body structure.

List basic facts regarding body function.

Define and describe the levels of organization in the body.

Describe the major closed cavities of the body and their contents.

2. Analyze the basic structure of cells and relate cellular components to integrated cell function.

Describe mechanisms involved in movement through cell membranes.

3. List the types of tissue and the functions of each.

Describe the structural characteristics and locations of each type of tissue.

4. Define organ

List selected organs

Identify functions of organs

5. List the eleven systems that comprise the body.

Describe the organs contained in each system.

Identify functions of systems as a whole

6. Body mechanisms to maintain the body as a whole

Outline

September 27 Definitions, Planes, Body Regions, Structural levels

September 28 EXAM

Integumentary System

September 29 EXAM

Nervous System

The Senses

October 3 EXAM

Skeletal System

October 4 EXAM

Muscular System

October 5 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class. Laboratory participation with the interactive models is utilized.

Textbooks required

Thibodeau, G and Patton, K 2012 Structure and Function of the Body 14th Edition St Louis, Missouri Elsevier/Mosby

Additional reference materials available in the school library

Instructor

Katrina Mansfield-Davis

Office phone: (334) 793-5000 Ext 7535

Office hours: Monday – Thursday 0600 to 1430

CELLS, TISSUES, & ORGANS COURSE OUTLINE

I. Terminology and Definitions

A. Anatomy

B. Physiology

C. Atoms

D. Cells

E. Tissues

F. Organs

G. Systems

H. Body Cavities

1. Ventral

a. Thoracic

b. Abdomen

c. Pelvis

2. Dorsal

a. Cranial

b. Spinal

II. Directional Terms

A. Superior

B. Inferior

C. Anterior

D. Posterior

E. Medial

F. Lateral

G. Proximal

H. Superficial

I. Deep

J. Supine

K. Prone

III. Abdominal Regions

A. Quadrants

1. Right Upper - RUQ

2. Left Upper - LUQ

3. Right Lower - RLQ

4. Left Lower – LLQ

B. Regions

1. Right Hypochondriac

2. Epigastric

3. Left Hypochondriac

4. Right Lumbar

5. Umbilical

6. Left Lumbar

7. Right Iliac Inguinal

8. Hypogastric

9. Left Iliac Inguinal

III. Planes

A. Sagittal

B. Mid-Sagittal

C. Frontal/Coronal

D. Transverse

E. Oblique

IV. Body Regions

A. Descriptive Terms

B. Divisions

1. Axial

2. Appendicular

C. Subdivisions

1. Torso

2. Upper Extremities

3. Lower Extremities

V. Structural Levels

A. Chemicals

B. Cells

1. Composition

a. Plasma membrane

b. Cytoplasm with organelles

c. Nucleus

2. Movement of substances through cell membranes

a. Passive transport

b. Active transport

3. Reproduction and cell division

a. Mitosis

b. Meiosis

c. Cellular respiration

d. Cell cloning

e. Stem cell

C. Tissues

1. Types

a. Epithelial

b. Connective

c. Muscle

d. Nerve

D. Organs

1. Tissue composed of

2. System activities

3. Abnormalities

E. Systems

1. Integumentary

2. Skeletal

3. Muscular

4. Nervous

5. Endocrine

6. Circulatory

7. Lymphatic

8. Respiratory

9. Digestive

10. Urinary

11. Reproductive

INTEGUMENTARY SYSTEM CONTENT OUTLINE

I. Membranes

a. Define

b. Types

i. Epithelial

ii. Connective tissue

II. Skin

a. Layers

i. dermis

ii. epidermis

iii. subcutaneous

b. function

III. Appendages

a. Hair

b. Receptors

c. Nails

d. Glands

i. Sweat or sudoriferous

ii. Sebaceous

IV. Diseases

V. Burns

a. Extent of burn

b. Classifications

NERVOUS SYSTEM CONTENT OUTLINE

I. Neurons

a. Dendrites

b. Cell bodies

c. Axon

d. Other

II. Major divisions of nervous system

a. Central nervous system

i. Brain and spinal cord

ii. Cell types

iii. Tissue types

b. Peripheral nervous system

i. Cranial nerves

ii. Spinal nerves

III. Terminology

IV. Major divisions and functions of the brain

a. Cerebrum

b. Diencephalon

i. Thalamus

ii. Hypothalamus

c. Mesencephalon

i. Brain stem

1. Midbrain

2. Pons

3. Medulla oblongata

ii. Cerebellum

d. Coverings

i. Dura mater

ii. Arachnoid mater

iii. Pia mater

e. Ventricular system

i. Ventricles

ii. Connections

f. Functions

V. Cranial nerves

a. 12 pair

i. Names

ii. Functions

VI. Spinal cord

a. 31 pair

i. Functions

VII. Peripheral nervous system

a. Cranial nerves

i. Afferent

ii. Efferent

b. Spinal nerves

i. Afferent

ii. Efferent

iii. Nerve plexuses

c. Autonomic nervous system

i. Functions

1. involuntary

a. sympathetic

b. parasympathetic

VIII. Impulse conduction

a. Synapse

b. Neurotransmitters

i. Sympathetic

ii. Parasympathetic

IX. Pathology

a. Brain

b. Peripheral nerves

THE SENSES CONTENT OUTLINE

I. Receptors

a. Sensations

i. Visual

ii. Auditory

iii. Olfactory

iv. Gustatory

v. Touch

vi. Proprioception

II. Sense of sight

a. Structure of the eye

b. Functions of the eye

III. Sense of hearing

a. Structure of the ear

b. Functions of the ear

i. Sense of equilibrium

IV. Sense of taste

V. Sense of smell

MUSCULAR SYSTEM CONTENT

I. Structure of the muscles

a. Skeletal

b. Cardiac

c. Smooth

II. Functions of muscle

a. Movement

b. Body posture

c. Heat production

III. Types of muscle

a. Skeletal

i. Voluntary

ii. Striated

b. Cardiac

i. Specialized

c. Smooth

i. Involuntary

ii. Non striated

iii. Visceral

IV. Major skeletal muscles

a. Head and neck

i. Facial

ii. Mastication

iii. Sternocleidomastoid

iv. Trapezius

b. Upper extremities

i. Pectoralis

ii. Latissimus dorsi

iii. Deltoid

iv. Biceps brachii

v. Triceps brachii

c. Trunk

i. Respiratory

1. Intercostals

2. Diaphragm

ii. Abdominal

1. Rectus

2. Obliques

3. Transversus

d. Lower extremities

i. Iliopsoas

ii. Gluteus

iii. Adductor muscles

iv. Hamstring muscles

v. Quadriceps femoris group

vi. Tibialis anterior

vii. Gastrocnemius

viii. Proneus group

V. Skeletal muscle actions

a. Contraction

i. Tetanic and twitch

ii. Isotonic

iii. Isometric

b. Movement

i. Flexion /Extension

ii. Abduction /Adduction

iii. Rotation Medial/Lateral

iv. Circumduction

v. Protraction/Retraction

vi. Elevation/Depression

vii. Eversion/ Inversion

viii. Supination /Pronation

ix. Dorsiflexion/ Plantar flexion

VI. Terms

a. Antagonist

b. Atrophy

c. Bursa

d. Hypertrophy

e. Motor neuron

f. Myofilaments

i. Actin

ii. Myosin

iii. Sliding filament theory

g. Neuromuscular junction

h. Origin/Insertion

i. Oxygen debt

j. Paralysis

k. Prime mover/ agonist

l. Sarcomere

m. Stimulus

n. Synergist

o. Tendon

p. Tenosynovitis

VII. Actions of muscles

a. Voluntary

b. Involuntary

c. Cardiac

SKELETAL SYSTEM CONTENT

I. Skeletal regions

a. Axial skeleton

b. Appendicular skeleton

II. Types of bone

a. Long

b. Short

c. Flat

d. Irregular

e. Sesamoid

III. Functions of bone

a. Framework and support

b. Protection

c. Leverage for movement

d. Storage for calcium

e. Blood cell protection

IV. Formation of bone

a. Osteoblasts

b. Osteocytes

c. Osteoclasts

d. Ossification

e. Haversian system

f. Endochondral bone formation

g. Intramembranous bone formation

h. Callus formation

V. Differences between bone and cartilage

a. Types

i. Labrum

ii. Meniscus

b. Characteristics

c. Locations

VI. Structure of long bone

a. Epiphysis

b. Diaphysis

c. Epiphyseal plate or line

d. Articular cartilage

e. Cortical bone

f. Cancellous bone

g. Medullary canal/cavity

h. Endosteum

i. Periosteum

VII. Bone marking and features

a. Projections

b. Depressions

c. Articulating surfaces

VIII. Vertebral Column

a. Regions

i. Cervical

ii. Thoracic

iii. Lumbar

iv. Sacrum

v. Coccyx

b. Parts and components

i. Body and processes

ii. Disks

iii. Ligaments

IX. Joints

a. Synarthrotic

b. Amphiarthrotic

c. Diarthrotic

X. Characteristics of diarthrotic joint

a. Joint capsule

b. Synovial membrane

c. Articular carilage

d. Joint cavity

e. Menisci

f. Ligaments

XI. Terminology

a. Lacunae

b. Periosteum

c. Canaliculi

d. Articulation

e. Hemopoiesis

f. Epiphyses

g. Medullary cavity

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

ADVANCED ANATOMY AND PHYSIOLOGY FOR THE SURGICAL TECHNOLOGIST

Fall 2016

1. A&P II

2. Advanced Anatomy and Physiology for the Surgical Technologist

3. This course is designed to provide the student with the knowledge to identify the structures and functions of the human body using a systems approach.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to apply surgical anatomy to each system in the human body.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Completion of A&P I

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Thursday, Monday, Tuesday, Wednesday, Thursday and Monday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. List and define the components that act together to form the body as a whole.

Identify and describe body planes and regions.

Define terminology used to describe body structure.

List basic facts regarding body function.

Define and describe the levels of organization in the body.

Describe the major closed cavities of the body and their contents.

2. Analyze the basic structure of cells and relate cellular components to integrated cell function.

Describe mechanisms involved in movement through cell membranes.

3. List the types of tissue and the functions of each.

Describe the structural characteristics and locations of each type of tissue.

4. Define organ

List selected organs

Identify functions of organs

5. List the eleven systems that comprise the body.

Describe the organs contained in each system.

Identify functions of systems as a whole

6. Body mechanisms to maintain the body as a whole

Outline

October 5 Endocrine System

October 6 EXAM

Blood and Circulatory System

October 10 EXAM

Lymphatic System

October 11 EXAM

Respiratory System

October 12 EXAM

Digestive System

October 13 EXAM

Reproductive System

October 17 EXAM

Urinary System

October 18 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class. Laboratory participation is expected with the interactive models.

Textbooks required

Thibodeau, G and Patton, K 2012 Structure and Function of the Body 14th Edition St Louis, Missouri Elsevier/Mosby

Additional reference materials available in the school library

Instructor

Katrina Mansfield-Davis

Office phone: (334) 793-5000 Ext 7535

Office hours: Monday – Thursday 0600 to 1430

ENDOCRINE CONTENT OUTLINE

I. Pituitary gland (hypophysis)

a. Location and structure

b. Functions

c. Hormones released

i. Oxytocin

ii. Antidiuretic hormone/vasopressin

d. Hormone produced

i. Thyroid stimulating hormone

ii. Follicle stimulating hormone

iii. Luteinizing hormone

iv. Growth hormone

v. Adrenocorticotropic hormone

vi. Prolactin

vii. Melanocyte-stimulating hormone

II. Hypothalamus

a. Hormones produced

i. Oxytocin

ii. Antidiuretic hormone/vasopressin

III. Thyroid gland

a. Location and structure

b. Functions

c. Actions of hormones produced

i. T4 Thyroxine

ii. T3 Triiodothyronine

iii. Calcitonin

IV. Parathyroid gland

a. Location and structure

b. Functions

c. Actions of hormones produced

i. Parathormone or parathyroid hormone

V. Adrenal/suprarenal gland

a. Location and structure

i. Medulla

1. Chromaffin cell

ii. Cortex

b. Functions

c. Action of hormones produced

i. Glucocorticoids

ii. Mineralocorticoids

iii. Androgens

iv. Catecholamines

VI. Pancreas

a. Location and structure

b. Functions

c. Actions of hormones produced

i. Insulin

ii. Glucagon

iii. Somatostatin

VII. Gonads

a. Location and structure

b. Functions

c. Action of hormones produced

i. Female

1. Estrogen

2. Progesterone

ii. Male

1. Testosterone

VIII. Pineal

a. Location and structure

b. Functions

c. Action of hormone produced

i. Melatonin

IX. Thymus

a. Location and structure

b. Functions

c. Action of hormone produced

i. Thymosin

X. Placenta

a. Location and structure

b. Functions

c. Action of hormones produced

i. Chorionic gonadotropins

XI. Prostoglandins

a. Location and structure

b. Functions

c. Action of hormones produced

i. Prostoglandin A

ii. Prostoglandin E

iii. Prostoglandin F

XII. Others

a. Location and structure

b. Functions

c. Action of hormones produced

i. Atrial natriuretic

ii. Leptin

CIRCULATORY SYSTEM BLOOD OUTLINE

I. Components of blood

a. formed elements

b. plasma and components

II. Components of plasma

a. red blood cells/erythrocytes

b. white blood cells/leukocytes

(1) neutrophils

(2) eosinophils

(3) basophils

(4) lymphocytes

(5) monocytes

c. platelets/thrombocytes

III. Structure and Function of blood cells

a. red blood cells/erythrocytes

b. white blood cells/leukocytes

c. platelets/thrombocytes

IV. Blood types

a. antigen types

b. antibodies in serum

c. type and crossmatching

d. complications of blood transfusion

V. Rh factor

a. Rh positive

b. Rh negative

c. implications in pregnancy

VI. Principles of antigen-antibody response

a. substance stimulation

b. body stimulation

VII. Terminology relating to blood

a. thrombus

b. embolus

c. plasma

d. embolism

e. serum

f. emboli

g. thrombosis

h. H&H hematocrit and hemoglobin

i. Platelet count

j. Red and White blood counts

k. Serologic studies

VIII. Pharmacology relating to blood

a. anticoagulants

b. coagulants and hemostatics

c. volume expanders

d. antagonists

CIRCULATORY SYSTEM OUTLINE

I. Terminology for Circulatory System

a. ischemia

b. embolus

c. heart block

d. myocardial infarction

e. pericardial rub

f. thrombus

g. repolarization

h. endocarditis

i. systole

j. depolarization

k. diastole

l. other

II. Location and position of the heart

a. mediastinum

b. apex

III. Anatomic structures of the heart

a. layers

b. chambers

c. valves

d. venae cavae

e. pulmonary veins and arteries

f. aorta

g. coronary arteries and veins

IV. Layers of the heart

a. endocardium

b. myocardium

c. epicardium

V. Chambers of the heart

a. Atria

b. Ventricles

VI. Valves of the heart

a. valves

i. 2 AV (atrioventricular)

1. Tricuspid /Mitral

ii. 2 semilunar

1. Pulmonary/Aortic

b. Functions

VII. Heart sounds

a. First heart sounds

b. Second heart sounds

VIII. Flow of blood

a. Atrial contraction

b. ventricular contraction

c. relaxation

IX. Nerve supply

a. medulla oblongata

b. cervical nerve

c. vagus nerve

d. phrenic nerve

X. Conducting pathway of the heart

a. sinoatrial node (pacemaker of the heart)

b. atrial myocardium

c. atrioventricular node

d. bundle of HIS and bundle branches

e. Purkinjie's fibers

f. ventricular myocardium

XI. Types of blood vessels

a. large arteries

b. small arteries

c. arterioles

d. capillaries

e. venous sinus

f. venules

g. small veins

h. large veins

i. functions

XII. Structure of each type

a. adventitia

b. media

c. intima

d. valves

XIII. Major systemic arteries

a. Aorta

i. Coronary

ii. Brachiocephalic (innominate)

iii. Common carotid

iv. Circle of Willis

v. Subclavian with branches

vi. Thoracic aorta with branches

vii. Abdominal aorta with branches

XIV. Major systemic veins

a. Inferior and superior vena cava

b. Cranial sinuses

c. Jugular

d. Azygos system

e. Upper limb

f. Lower limb

XV. Portal circulation

a. spleen

b. pancreas

c. stomach

d. gallbladder

e. intestines

f. hepatic vein

XVI. Fetal circulation

a. placenta

b. umbilical vein

c. ductus venosus

d. foramen ovale

e. ductus arteriosus

f. umbilical arteries

XVII. Factors that affect blood pressure

a. cardiac output

b. peripheral vascular resistance (vasoconstriction or dilation)

c. elasticity of arteries

d. blood volume

e. blood viscosity

f. other

XVI Pulse points

a. carotid

b. radial

c. brachial

d. facial

e. superficial temporal

f. femoral

g. dorsalis pedis

h. posterior tibial

i. popliteal

LYMPHATIC SYSTEM OUTLINE

I. Types and locations of lymphoid tissue

a. Types of tonsils

b. Thymus

c. Spleen

d. Peyer’s patches

e. Regional lymph nodes

II. Functions of lymph gland

a. Filter lymph fluid

b. Produce T and B lymphocytes

c. Produce monocytes

d. Antibody formation

e. Special functions of spleen

III. Lymph fluid

a. Composition

IV. Lymph ducts

a. Thoracic duct

b. Right lymphatic duct

V. Edema

a. Define

b. Causes

RESPIRATORY SYSTEM OUTLINE

I. The respiratory pathway

a. Nares

b. Nasal cavity (choanae)

c. Nasal choanae (turbinates)

d. Nasopharynx

e. Oropharynx

f. Laryngopharynx

g. Epiglottis

h. Vocal cords

i. Trachea

j. Carina

k. Bronchi

i. Primary

ii. Secondary

l. Bronchioles

m. Alveolar ducts

n. Alveoli

o. Pulmonary capillaries

II. Lungs

a. Right and left sides

b. Hilum

c. Lobes

d. Segments

III. Blood supply

a. Pulmonary artery

b. Pulmonary vein

IV. Mechanisms of respiration

a. Nervous control

i. Medullary respiratory system

ii. Phrenic and intercostal nerves

iii. Vagus nerves

b. Chemical control

i. Carbon dioxide

ii. Oxygen

c. Diaphragm in inspiration and expiration

d. Intercostal muscles in inspiration expiration

e. Changes in intrapulmonic pressures

V. Exchange of gases

a. Diffusion

b. Passive process

c. Transport

VI. Types of breathing

a. Hyperventilation

i. Tachypnea

ii. Hyperpnea

b. Hypoventilation

c. Dyspnea

d. Apnea

e. Eupnea

f. Cyanosis

g. Orthopnea

h. Apneusis

i. Hypoxia

j. Hypercapnia

k. Other

VII. Structures of respiratory tract

a. Nose

b. Pharynx

i. Naso

ii. Oro

iii. Laryngo

iv. Larynx

c. Lower structures

i. Trachea

ii. Bronchi

iii. Lungs

1. Hilum

2. Lobes

3. Segments

d. Mucosa

i. Location

ii. Function

iii. Pleura

1. Visceral

2. Parietal

3. Fluid

iv. Movement

e. Thorax

i. Anterior sternum

1. manubrium

2. gladiolus

3. xyphoid process

ii. Vetebra

1. Posterior

iii. Costal cartilages and ribs

1. lateral

2. posterior

VIII. Volume measurements

a. Vital capacity

b. Residual capacity

c. Tidal volume

d. Residual volume

e. Expiratory reserve volume

f. Inspiratory reserve volume

DIGESTIVE SYSTEM OUTLINE

I. Abdominal cavity features

a. Peritoneum

i. Parietal

ii. Visceral

b. Peritoneal cavity

c. Retroperitoneal space

II. Alimentary tract/canal

a. Mouth

i. Hard and soft palate with uvula

ii. Tongue

iii. Salivary glands with ducts

1. Parotid

a. Stenson’s duct

2. Submandibular

a. Wharton’s duct

3. Sublingual

a. Rivinus duct

iv. Teeth

v. Function

1. Saliva secretion

2. Form food bolus

b. Pharynx

i. Structure

ii. Function

c. Esophagus

i. Structure

1. Layer

2. Lower esophageal sphincter

ii. Function

d. Stomach

i. Structure

1. Cardiac sphincter

2. Fundus

3. Body

4. Antrum

5. Pylorus

6. Pyloric Sphincter

7. Rugae

8. Curvatures

a. Greater

b. Lesser

9. Omentum

a. Greater

b. Lesser

ii. Function

1. Secretions

2. Chemical digestion

3. Mechanical digestion

4. Absorption

e. Small intestine

i. Structure

1. duodenum

a. bulb

b. second portion

c. third portion

2. jejunum

3. ileum

4. ileocecal valve

5. microvilli

6. layers

a. mucosa

b. submucosa

c. musculaaris

d. serosa

ii. Function

1. digestion

2. absorption

3. hormone secretion

f. Large intestine

i. Structure

1. sections

2. associated structures

ii. Function

1. final digestion and decomposition

2. absorption and production of vitamins

3. Decompose bilirubin

4. compaction

g. Rectum

i. Structure

ii. Function

h. Anal canal

i. Structure

ii. Function

III. Liver

a. Structure

i. Lobes

ii. Falciform ligament

iii. Capsule

b. Functions

IV. Biliary system

a. Structure

i. Gall bladder

ii. Biliary tree

b. Functions

V. Pancreas

a. Structure

i. Head, neck, tail and body

ii. Pancreatic duct

iii. Islet of Langerhans

1. Alpha cells

2. Beta cells

3. Delta cells

b. Functions

VI. Basic nutrients

a. Carbohydrates

b. Fats

c. Proteins

d. Mineral salts

e. Vitamins

f. Water

VII. Terminology

a. Absorption

b. Anabolism

c. Bolus

d. Catabolism

e. Constipation

f. Chyme

g. Defecation

h. Diarrhea

i. Digestion

j. Flatus

k. Incontinence

l. Ingestion

m. Jaundice

n. Metabolism

o. Peristalsis

p. Reflux

q. Regurgitation

REPRODUCTIVE SYSTEM

I. Female reproductive

a. Structures

i. External

1. vulva

2. labia

3. clitoris

4. vestibule

5. perineum

ii. Internal

1. vagina

2. glands

a. Bartholin’s glands

b. Skene’s glands

3. ovaries

a. Ligaments

b. Oocyte formation

c. Hormone production

4. fallopian tubes

5. uterus

a. Fundus

b. Corpus

c. Cervix

d. Endometrium

e. Myometrium

f. Perimetrium

g. Visceral peritoneum

h. Ligaments

i. Round

ii. Broad

iii. Cardinal

iv. Uterosacral

iii. Breast

1. glands and ducts

2. Areola/nipple

b. Functions

i. Menstrual cycle

1. phases

2. pregnancy

II. Male reproductive

a. Terminology related to

i. Ejaculation

ii. Erection

iii. Flaccid

iv. Impotence

v. Retrograde ejaculation

vi. Semen

b. Structures

i. External

1. scrotum

2. penis

a. shaft

i. urethra

1. internal

2. meatus

ii. Corpus Cavernosum

iii. Corpus Spongiosum

b. distal penis

i. Glans penis

ii. Prepuce/foreskin

ii. Internal

1. testes

a. Seminiferous tubules

b. Tunica vaginalis

c. Testosterone production

d. Spermatogenesis

2. epididymis

3. inguinal canal

4. spermatic cord

5. vastus ductus deferens

6. ejaculatory duct

7. prostate

8. seminal vesicles

9. Bulbouretheral gland/Cowper’s gland

c. Functions

i. Reproductive

ii. Urinary

URINARY SYSTEM CONTENT OUTLINE

I. Structures

a. Kidneys

i. Anatomy

1. Nephron

a. Glomerulus

b. Renal tubule

c. Bowman’s capsule

d. Proximal convoluted tubule

e. Loop of Henle

f. Distal convolute tuble

g. Juxtaglomerular apparatus (JGA)

2. Calyx

a. Minor

b. Major

3. Renal pelvis

ii. Function

1. Filters and excretes waste

2. regulates blood pressure

3. secretes rennin

4. Metabolizes Vitamin D and calcium

5. Homeostasis of fluid volume

6. Acid – Base balance

7. releases angiotensin

b. Renal vessels

i. Renal artery

ii. Renal vein

c. Ureters

i. Peristalsis

ii. Transport of urine

d. Urinary bladder

i. Dome

ii. Layers

iii. Trigone

iv. Bladder neck/sphincters

v. Functions

1. Storage and evacuation of urine

e. Urethra

i. Anatomy

1. Male

a. Bladder neck

b. Prostatic urethra

c. Distal urethra

d. Meatus

2. Female

a. Urethra

b. Meatus

ii. Functions

1. Transport of urine

2. Transport of semen

II. Urine Composition

a. Normal

i. Water

ii. Nitrogenous/metabolic waste

iii. Mineral salts

iv. Pigment

b. Abnormal

i. Glucose

ii. Albumin

iii. Blood

iv. Ketones/acetones

v. Plasma proteins

vi. Bacterial/pus cells

vii. Cysts

viii. Crystals

III. Hormones

a. ADH

b. Aldosterone

IV. Urine formation

a. Glomerular filtration

b. Tubular reabsorption

c. Maintenance of pH

d. Excretion of urine

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

MICROBIOLOGY

Fall 2016

1. Micro

2. Microbiology

3. This course is designed to provide the student with the knowledge to identify microorganisms and describe the conditions that affect life and death of these microorganisms. This course will also give the student instruction on the principles to affectively control or eradicate microorganisms in the operating room.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to discuss the relationship between humans and microorganisms both endogenous and exogenous. Identify the means by which pathogens cause disease and how they breach the barriers provided by the human body. The principles of sterilization and disinfection are addressed as a means to control pathogens in the surgical environment.

6. Requirement for: Certificate of Completion

7. Course prerequisites: A&P II

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Tuesday and Wednesday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. List the classifications of microorganisms

2. Describe the characteristics of specific classes of microorganisms

3. Describe and compare nutritional requirements of microorganisms

4. List the growth phases of microorganisms and the factors that influence them.

5. List the factors that determine if a pathogen will cause disease.

6. Describe how the body responds to an invasion by a pathogen.

7. Describe the way the skin and mucus membranes function as defense for the body.

8. List modes of transmission and give examples of each.

9. Define terms related to sterilization and disinfection

10. List methods of sterilization and disinfection and discuss the advantages of each.

11. Describe the types of sterilizers and their utilization.

12. Discuss levels of disinfection agents.

13. List the process for preparing items utilizing different materials and techniques.

14. Identify and discuss monitoring techniques.

15. List components of sterile storage and distribution

16. Describe the environmental disinfection of the OR

17. Relate the infectious process to the practice of surgery.

Outline

October 18 Microbiology

October 19 EXAM

Sterilization and Disinfection

October 20 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4th Edition Clifton Park NY Delmar Cengage Learning

Price P. & Frey K 2003 Microbiology for Surgical Technologists

1st Edition Clifton Park NY Delmar Cengage Learning - used for reference

Additional reference materials available in the school library

Instructor August Huey

Office phone: (334) 793-5000 Ext 7537

Office hours: Monday – Thursday 0600 to 1430

MICROBIOLOGY OUTLINE

I. Introduction

a. Historical background

b. Theories

c. Fields of study

II. Cell structures

a. Classification

i. Eukaryotic

1. Stuctures

ii. Prokaryotic

1. Stuctures

a. Capsule

b. Cell wall

c. Cytoplasmic membrane

d. Cytoplasm

i. Ectoplasm

ii. Endoplasm

e. Flagella

f. Pili and fimbriae

g. Nucleoid

h. Plasmids

i. Ribosomes

iii. Mesosomes

III. Fluid movement

a. Passive transport

i. Diffusion

ii. Osmosis

iii. Filtration

b. Active transport

i. Endocytosis

1. pinocytosis

2. phagocytosis

ii. Exocytosis

IV. Introduction of microscopy

a. Types of microscopes

b. Parts of a microscope

c. Use of a microscope

V. Staining methods

a. Simple stains

b. Different stains

i. Gram stain

ii. Acid-fast stain

iii. Endospore stain

iv. Capsule stain

VI. Culture media

a. General

b. Special

c. Preservation

VII. Nomenclature

a. Taxonomy

b. Relationships

VIII. Relationships

a. Symbiosis

i. Mutualism

ii. Commensalism

iii. Parasitism

b. Normal flora

IX. Microorganisms

a. Algae

i. Morphology

ii. Occurrence

iii. Uses and relationships to humans

b. Protozoa

i. Morphology

ii. Occurrence

iii. Uses and relationships to humans

iv. Pathogenicity

v. Classification

vi. Nutrition

c. Fungi

i. Morphology

ii. Occurrence

iii. Relationships to humans and in nature

iv. Reproduction methods

d. Bacteria

i. Morphology

ii. Occurrence

iii. Staining

iv. Motility

v. Nutrition

vi. Pathogenicity

vii. Mutation

e. Rickettsiae

i. Morphology

ii. Occurrence in nature and in humans

iii. Transmission

iv. Pathogenicity

f. Viruses

i. Morphology

ii. classification

iii. Occurrence in nature and in humans

iv. Transmission

v. Pathogenicity

vi. Genetic changes

g. Prions

i. Morphology

ii. Occurrence in nature and in humans

iii. Transmission

iv. Pathogeniciy

v. Classification

X. Common microbes

a. Affecting Skin and wounds

i. Bacteria

1. Acinetobacter

2. Bacillus anthracis

3. Clostridium perfringens

4. Rickettsia rickettsii

5. Staphylococcus aureus

6. Staphyolcoccus epidermidis

7. Streptococcus pyogenes

8. MRSA

9. MRSE

10. VRSA

11. VRE

ii. Viruses

1. Cytomegalovirus

2. Herpes simplex virus-1(HSV-1)

3. Herpes simplex virus-2 (HSV-2)

4. Herpes simplex virus 4 HHV-4 or Epstein-Barr virus (EBV)

5. Human papillomavirus

6. morbillivirus (measles virus)

7. rubella virus

8. varicella-Zoster virus

9. Variola virus

b. Affecting the nervous system

i. Bacteria

1. Clostridium botulinum

2. Clostridium tetani

3. Escherichia coli

4. Haemophilus influenzae

5. Klebsiella pneumoniae

6. Listeria monocytogenes

7. Mycobacteruim leprae

8. Nisseria meningitides

9. Staphylococcus

10. Streptococcus agalactiae

11. Streptococcus pyogenes

ii. Viruses

1. Enteroviruses (Polio virus)

2. Lyssavirus (Rabies virus)

iii. Prions

1. New variant Creutzfeldt-Jacob Disease (nvCJD)

c. Affecting the eyes

i. Bacteria

1. Chlamydia trachomatis

2. Haemophylus influenza

3. Nisseria gonorrhoeae

4. Staphylococcus aureus

ii. Viruses

1. Herpes zoster ophthalmicus

d. Affecting the cardiovascular system

i. Bacteria

1. Bacteroides

2. Bartonella

3. Enterococcus

4. Escherichia coli

5. Mycobacterium

6. Mycoplasma

7. Nisseria meningitides

8. Psuedomonas aeruginosa

9. Salmonella

10. Staphylococcus aureus

11. Staphyolcoccus epidermidis

12. Streptococcus pyogenes

13. Streptococcus pneumoniae

14. VRE

e. Affecting the respiratory system

i. Bacteria

1. Bacillus anthracis

2. Bordetella pertussis

3. Corynebacterium diphtheriae

4. Haemophilus influenzae

5. Klebsiella pneumoniae

6. Legionella pneumphila

7. Moraxella catarrhalis

8. Mycobacterium tuberculosis

9. Staphylococcus aureus

10. Staphyolcoccus pneumonia

11. Streptococcus pyogenes

ii. Fungi

1. Blastomyces dermatitidis

2. cocidiodes

3. Histoplasma capsulatum

4. Pneumocystis jiroveci

f. Affecting the digestive system

i. Bacteria

1. Clostridium difficile

2. Campylocacter jejuni

3. Escherichia coli

4. Helicobacter pylori

5. Lactobacillus

6. Porphyromonas gingivalis

7. Salmonella enterica

8. Staphylococcus aureus

9. Streptococcus mutans

10. Vibrio cholerae

ii. Viruses

1. Hepatitis A (HAV)

2. Hepatitis B (HBV)

3. Hepatitis C (HCV)

4. Hepatitis D (HDV)

5. Hepatitis E (HEV)

g. Affecting the urinary and reproductive systems

i. Bacteria

1. A Streptococcus

2. Chlamydia trachomatis

3. Escherichia Coli

4. Gardnerella vaginalis

5. Klebsiella

6. Mycooplasma hominis

7. Neisseria gonorrhoeae

8. Proteus

9. Pseudomonas

10. Treponema pallidum

ii. Viruses

1. HSV – 1

2. HSV – 2

3. Humam Papillomaviruses (HPV)

iii. Protozoa

1. Trichomonas vaginalis

iv. Fungi

1. Candida albicans

h. Affecting the immunological system

i. Viruses

1. Human immunodeficiencey virus (HIV)

XI. Immunology

a. Innate immunology

b. Acquired immunology

c. Natural immunology

d. Immune disorders

i. Hypersensitivity

1. Types I- IV

ii. Autoimmune diseases

iii. Immunodeficiency diseases

e. Vaccines and immunizations

XII. Process of Infection

a. Symbiotic Relationships

i. Normal bacteria

ii. Opportunistic pathogens

b. Reservoirs of infectious pathogens

i. Animal

ii. Human

iii. Nonliving

c. Infection

i. Contamination

ii. Portals

1. entry

2. exit

iii. Transmission

1. Modes

iv. Population

v. Environment

vi. Susceptibility of host

d. Nature of infectious disease

i. Signs and symptoms and syndromes

ii. Etiology

iii. Virulence

iv. Stages

1. Incubation

2. Prodromal

3. Illness

4. Decline

5. Convalescence

e. Epidemiology

i. Frequency of disease

ii. Epidemiological studies

iii. Healthcare facility epidemiology

iv. Public health

1. Epidemic

2. Pandemic

3. Endemic

STERILIZATION AND DISINFECTION CONTENT OUTLINE

I. Definitions

a. Bioburden

b. Disinfection

i. Terminal

c. Sterilization

i. Terminal

ii. Final

d. Event related sterility

II. Terminal disinfection and sterilization

a. Concepts

i. Reduce Bioburden and risk of transmission

b. Considerations

i. Submersible vs. non-submersible inst

ii. Heat sensitive vs. non-heat sensitive inst

iii. Lumens

III. Concepts of disinfection

a. Levels of disinfection

i. High

ii. Intermediate

iii. Low

b. Category of items for disinfection or sterilization

i. Critical

ii. Semi-critical

iii. Non-critical

c. Actions of disinfecting agents

i. Chelation

ii. Enzymatic

iii. Emulsification

iv. Solubilization

IV. Methods of decontamination

a. Manual washing and disinfection

i. Process

ii. Types of chemicals cleaners

iii. Considerations

b. Washer- Decontaminator

i. Process

ii. Types of chemicals cleaners

iii. Considerations

c. Washer- Sterilizer

i. Process

ii. Types of chemicals cleaners

iii. Considerations

d. Ultrasonic cleaner

i. Process

ii. Types of chemicals cleaners

iii. Considerations

V. Sterilization principles and processes

a. Process

i. Instrument inspection

ii. Instrument preparation

1. Assemble or disassemble

2. Protection

3. Placement in tray

4. Internal indicator strips

b. Packaging methods

i. Performance standards of wrapping material

ii. Performance characteristics of wrapping material

c. Wrapping materials

i. Woven materials

ii. Non – woven materials

d. Wrapping

i. Envelope fold

ii. Square fold

e. Pouches

i. Paper/plastic

ii. Tyvek®/plastic combination

iii. Sealing methods

f. Rigid containers

i. Concepts

ii. Advantages/ disadvantages

g. Indicators

i. Mechanical

ii. Chemical

iii. Biological

h. Labeling

i. Information included

VI. Sterilization

a. Considerations

i. Related to items to be sterilized

1. Bioburden

2. Packaging

3. Instrument heat sensitivity and ability to be submersed

4. Lumens

ii. Related to the sterilization process

1. Mechanical processes

a. Temperature

b. Time

c. Humidity

d. Pressure

2. Purity of agent and air

3. Penetration of agent

4. Capacity of the autoclave

5. Cost

b. Sterilizing Agents

i. Steam under pressure

1. Microbial destruction

a. Denaturation of cellular protein

2. Gravity displacement

a. Uses

b. Parameters

c. Advantages

d. Disadvantages

3. Pre-vacuum

a. Uses

b. Parameters

c. Advantages

d. Disadvantages

e. Bowie-Dick test

4. Flash

a. Uses

b. Parameters

c. Advantages

d. Disadvantages

5. Biological monitoring

a. Geobacillus stearothermophilus

b. Types and placement of test packs

c. Incubation and reading results

d. Frequency of BI monitoring

e. Implantables

ii. Chemical

1. Ethylene oxide (EtO)

a. Microbial destruction

i. Interferes with protein metabolism

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

f. Biological monitoring

i. Bacillus atropheous

ii. Types and placement of test packs

iii. Incubation and reading results

iv. Frequency of BI monitoring

v. Implantables

2. Glutataldehyde

a. Microbial destruction

i. Denaturation of cellular protein

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

3. Paracetic and acetic acid

a. Microbial destruction

i. Reacts with cellular systems

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

4. Hydrogen peroxide plasma

a. Microbial destruction

i. Interferes with cell membrane, enzymes, nucleic acid

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

5. Ozone gas

a. Microbial destruction

i. Oxidizes bacteria

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

6. Chlorine dioxide gas

a. Microbial destruction

i. Interferes with cellular processes

b. Uses

c. Parameters

d. Advantages

e. Disadvantages

iii. Ionizing radiation

1. Microbial destruction

a. Disrupts DNA

2. Uses

3. Parameters

4. Advantages

5. Disadvantages

iv. Sterile storage

1. Systems

2. Parameters

3. Shelf life

4. Event related sterility

5. Handling

v. Distribution

1. Systems

2. Selection of inventory

3. Delivery

4. Record keeping and patient charges

5. Safety practices

vi. Purpose of environmental decontamination

a. Reduce and prevent

1. Procedure

a. Intraoperative decontamination

b. Decontamination between cases

c. Terminal cleaning

2. Disinfection

a. Factors for choosing an agent

i. Microbial resistance

ii. Mechanism of destruction

iii. Nature of microbial contamination

iv. Kill time

v. Methods of application

vi. Porosity of surface

vii. Requirements of cleaning agents

viii. Surface tension

ix. Temperature of agent

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

PHARMACOLOGY AND ANESTHESIA

Fall 2016

1. Pharm

2. Pharmacology and Anesthesia

3. This course is designed to provide the student with the knowledge to identify the principles of medication and anesthesia administration in the operating room.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to safely handle medications in the operating room. The ability to analyze the principles of anesthesia administration utilizing a variety of techniques, method, agents and preparations.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Micro

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Thursday, Monday and Tuesday 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Analyze the principles of anesthesia administration as well as be able to explain the necessity of each component of anesthesia preparation of the surgical patient.

2. Compare and contrast methods, agents, and techniques of anesthesia administration and preparation

3. Correlate anesthesia monitoring devices with patient homeostasis

4. Explain anesthesia complications and interventions

5. Calculate medication conversions and dosage.

6. Apply general terminology to medication use

7. Prepare and manage medications and solutions

8. Use medication in the care of the patient

9. Identify monitoring devices used in the operating room.

Outline

October 20 Pharmacology

October 24 EXAM

Anesthesia

October 25 Anesthesia

October 26 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class. Laboratory participation is expected for one hour.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4th Edition Clifton Park NY Delmar Cengage Learning

Snyder K. & Keegan C. 2006 Pharmacology for the Surgical Technologist 2nd Edition Clifton Park NY Delmar Cengage Learning – used as additional reference

Additional reference materials available in the school library

Instructor Katrina Mansfield-Davis

Office phone: (334) 793-5000 Ext 7535

Office hours: Monday – Thursday 0600 to 1430

PHARMACOLOGY CONTENT OUTLINE

I. Medication measurements

a. Conversion and equivalent tables

i. Metric system

ii. Household system

iii. Temperature conversion (F vs. C)

iv. Common units of measure

b. Basic mathematics

i. Fractions

ii. Decimals (No trailing or leading zero)

iii. Ratio/proportion

iv. Percentages

c. Dosage calculations

d. Mixing medications

i. Combining

ii. Reconstituting

iii. Diluting

II. Terminology

a. General definitions

i. Pharmacology

ii. Pharmacokinetics

1. Absorption

2. Distribution

3. Metabolism/Biotransformation

4. Excretion

iii. Pharmacodynamics

1. Onset

2. Peak

3. Duration

b. Types of medication actions and effects

i. Actions

1. Synergist

2. Agonist

3. Antagonist

4. Additive

ii. Therapeutic actions

1. Indications

2. Contraindications

iii. Effects

1. Side effects vs adverse effects

III. Medications

a. Medication nomenclature

i. Chemical name

ii. Generic name

iii. Trade name

b. Medication classification

i. Controlled substance (Schedule I-V)

ii. Prescription medication

iii. Non-Prescription medication (OTC)

iv. Alternative medications

c. Medication/solution violations

i. Narcotic precautions

ii. Personnel negligence

iii. Consequences to patient

d. Laws, P&P

i. Facility P&P

ii. State and federal laws

iii. Medication orders

e. Medication publications

i. National formulary

ii. Pharmacopedia

iii. American hospital formulary

iv. Physician desk reference

f. Sources of medication

i. Plants

ii. Animals

iii. Minerals

iv. Synthetic

v. Biotechnology

g. Drug forms

i. Gas

ii. Liquid

1. Solution

2. Suspension

3. Emulsion

iii. Solid

iv. Semisolid

h. Routes of administration

i. Enteral

1. Oral

2. Rectal

ii. Parenteral

1. Intradermal

2. Subcutaneous

3. Intramuscular

4. Intravenous

5. Intra-articular

6. Intrathecal

7. Intracardiac

iii. Topical

1. Transdermal

2. Buccal

3. Sublingual

4. Instillation

5. Inhalation

IV. Care and handling of medications

a. Medication information Drug identification

b. Label information

i. Three names assigned to drugs

ii. Concentration and amount

iii. Expiration date

iv. Any additives

v. Storage

vi. Route of administration

vii. Direction for reconstitution/dilution

c. Packaging, measurement and delivery

i. Ampule

ii. Vial

iii. Tube

iv. Sterile packs

v. Syringes

1. Luer-Loc

2. Slip tip

3. Irrigation

d. Medication preparation Standards

i. Non-sterile area

ii. Transfer to sterile field

iii. Techniques of identification

iv. Rights of administration

1. Right patient

2. Right drug

3. Right dose

4. Right route of administration

5. Right time and frequency

6. Right documentation

v. Circulator duty/responsibility

1. Calculations

2. Labeling

3. Transfer

4. Verify

vi. Scrub duty/responsibility

1. Calculations

2. Labeling

3. Transfer

4. Verify

e. Drug precautions

i. Repeat name, strength and dose

ii. Label all solutions on the back table and mayo

iii. Record drug amount used

iv. Dispose of drugs properly

v. Handle needles properly

V. Fluids used in the surgical setting

a. Ringer’s solution or Lactated Ringer’s

b. 5% Dextrose in water

c. 0.9% Sodium Chloride or Normal Saline

VI. Medications used in the surgical setting

a. Analgesics

b. Analgesic antipyretic

c. Anticoagulants and fibrinolytics

d. Anti- infective agents

i. Antibiotics

ii. Antifungals

e. Antineoplastic chemotherapy

f. Autonomic agents

i. Adrenergics and blockers

ii. Cholingerics and blockers

g. Blood replacement

i. Autologous

ii. Donated blood

iii. Whole blood

iv. Blood components

v. Plasma expanders

h. Cardiac

i. CNS Stimulants

j. Coagulants and hemostatics

k. Contrast media

l. Diuretics

m. Emergency drugs

i. Malignant Hyperthermia

ii. Cardiac arrest

iii. Respiratory arrest

n. Gastic medications

o. Hormones

p. Inhalation

q. Irrigation fluids

r. Narcotics

s. Narcotic antagonists

t. OB drugs

u. Ophthalmic medications

v. Sedative-hypnotic drugs

w. Staining agents

x. Tranquilizers

y. Alternative medications

ANESTHESIA CONTENT OUTLINE

I. Definition of anesthesia

II. Assessment

a. ASA Classification

b. Patient factors

i. Age

ii. Height

iii. Weight

iv. General health

v. Co-morbid conditions

vi. Current medications

vii. Allergies

viii. Substance abuse

ix. Emergency conditions

x. Patient’s psychological state

c. Type of procedure

i. Duration

ii. Position

d. Surgeon preference

e. Patient preference

f. Anesthesia provider preference

g. Choice of anesthesia

i. General

1. Intravenous

2. Inhalation

ii. Regional

1. Spinal (intrathecal)

2. Epidural

3. Caudal

4. Rectal

5. Nerve Block

6. Beir block

iii. Related terms

1. Balanced anesthesia

2. Neuroleptanalgesia

3. Neuroleptanesthesia

4. Monitored anesthesia care (MAC)

III. Team roles

a. Policy and procedure of healthcare facility

b. Assisting anesthesia

i. General anesthesia

ii. Spinal/Epidural anesthesia

iii. Regional anesthesia

iv. Local anesthesia

c. Medication dispensing

d. Monitoring

e. Documentation

IV. Preoperative medications

a. Sedative/hypnotic

i. Diazepam

ii. Lorazepam

iii. Midazolam

b. Analgesics

i. Natural opiods

1. Morphine

ii. Synthetic opiods

1. Meperidine

2. Fentanyl

3. Sufentanil

4. Alfentanil

5. Remifentanil

c. Anti-choinergics (anti-muscarinic)

i. Atropine

ii. Glycopyrrolate (Robinal)

iii. Scopolamine

d. Antacid/H2 receptor blockers

i. Sodium citrate with cirtic acid

ii. Cimetidine (Tagamet)

iii. Famotidine (Pepcid)

iv. Ranitidine (Zantac)

e. Antiemetics

i. Promethazine (Phenergan)

ii. Ondansetron (Zofran)

iii. Metoclopramide (Reglan)

V. General anesthesia

a. Position for induction

b. Monitoring devices

i. ECG

1. Principles

2. Equipment

3. Electrodes

4. Recording/values

ii. Blood pressure

1. Principles

2. Equipment

3. Techniques

4. Sites

5. Recording/values

iii. Pulse

1. Principles

2. Equipment

3. Techniques

4. Sites

5. Recording/values

iv. Bispectral index monitor (BIS)

v. IV catheters

1. Arterial line

2. Swan-Ganz catheter

3. CVP line

vi. Temperature

1. Principles

2. Equipment

3. Techniques

4. Sites

5. Recording/values

vii. Pulse Oximeter

1. Principles

2. Equipment

3. Techniques

4. Recording/values

viii. Capnography

ix. Respirations

1. Principles

2. Techniques

3. Recording/values

x. SARA (System for anesthetic and respiratory analysis)

xi. Doppler

xii. ABGs

1. Principles

2. Equipment

3. Techniques

4. Lab values

c. Patient care devices

i. Warming or cooling unit

1. Principles

2. Equipment

3. Techniques

4. Temperature

ii. Fluid warming devices

iii. Fluid pump

iv. Infusion control devices

v. Double cuffed tourniquet

d. Anesthesia machines

i. Vaporizer

ii. Ventilator

iii. Re-breathing apparatus

iv. Scavenging system

e. Methods of delivery of gases

i. Mask

ii. LMA (Laryngeal mask airway)

iii. ETT (Endotracheal intubation)

f. Intubation and extubation equipment

i. Laryngoscope

ii. Airways

1. oral

2. nasal

iii. Stylet

iv. McGill forcep

v. Nerve stimulator

g. Phases of general anesthesia

i. Induction

ii. Maintenance

iii. Emergence

iv. Recovery

h. Stages of general anesthesia

i. Stage I

ii. Stage 2

iii. Stage 3

iv. Stage 4

i. Anesthetic agents

i. Inhalation

ii. IV

iii. Muscle relaxants

iv. Neuroleptic

v. Antagonistic agents

VI. Local anesthesia

a. Delivery methods

b. Agents

i. Amides

ii. Esters

VII. Complications of anesthesia

a. Allergic reaction

b. Aspiration

c. Laryngospasm

d. Bronchospasm

e. Malignant hyperthermia

f. Shock

g. Cardiac dysrhythmias

h. Cardiac arrest

VIII. Alternative anesthesia methods

a. Cryoanesthesia

b. Acupuncture

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

SURGICAL TECHNOLOGY I

Fall 2016

1. ST I

2. Surgical Technology I

3. This course is designed to provide the student with the knowledge in legal, moral and ethical issues to include death and dying. The impact of religion and culture on patient care will be discussed. The knowledge of safety standards and specialized patient populations are addressed. Biomedical sciences are discussed in relationship to the operating room. The knowledge related to supplies and equipment utilized in the perioperative setting will be provided to the student.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to define and evaluate tasks and perform safe care of patients. They will become familiar with the OR environment and the tools utilized in the profession of surgical technology.

6. Requirement for: Certificate of Completion

7. Course prerequisites: Pharm

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Wednesday, Thursday, Monday, Tuesday, and Wednesday at 0600 to 1430

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Define and interpret legal, ethical and moral responsibilities.

2. Assess the needs of the patient population as it relates to cultural and religious differences.

3. Discuss the patient’s Bill of Rights

4. Evaluate risk management techniques related to hazards.

5. Evaluate physical, spiritual and psychological needs of the patient.

6. Identify the needs of special populations.

7. Identify computer components, list applications to healthcare and describe basic internet functions.

8. Identify basic terms and principles related to electricity, list types of electrical current and precaution related to safe patient care.

9. Discuss the basic concepts, terminology and clinical application of the robot in surgery.

10. Identify emergency situations and the role of surgical personnel in such situations.

11. Define hemostasis and list various methods and techniques used to achieve hemostasis

12. Identify the basic instruments, equipment and supplies utilized in the day to day operations of the OR.

Outline

October 26 Legal, Ethical and Moral

The Surgical Patient

October 27 EXAM

Special Populations

Physical Environment and Safety

October 31 EXAM

Biomedical Sciences

November 1 EXAM

Instrumentation, Equipment and Supplies

November 2 EXAM

Hemostasis and Emergency Situations

November 3 EXAM

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4th Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructor Katrina Mansfield-Davis

August Huey

Office phone: (334) 793-5000 Ext 1809

Office hours: Monday – Thursday 0600 to 1430

SAFETY AND ENVIRONMENT

I. Safety Considerations

a. Light and noise considerations

b. Ergonomics

c. Fire and electrical hazards

d. Radiation hazards

II. Biological Hazards

a. Standard precautions

b. ESU and Laser Plume

c. Latex

III. Chemical Hazards

a. Waste anesthetic gases

b. Polymethyl Methacrylate

c. Formalin

d. Sterilizing gases and solutions

LEGAL, MORAL AND ETHICAL

RELIGION AND CULTURE

THE SURGICAL PATIENT

I. Terminology

a. Law

i. Statutory

ii. Common

b. Liability

i. Corporate

ii. Personal

c. Torts

i. Define

ii. Intentional

1. Assault

2. Battery

3. False imprisonment

4. Defamation

5. Invasion of privacy

iii. Unintentional

II. Negligence

a. Standard of care

b. Failure to meet standard of care

c. Foreseeability of harm existed

d. Omission/Commission of an act

e. Damage occurred

f. Malpractice

i. Plaintiff

ii. Defendant

iii. Subpeona

iv. Deposition

v. Trail

vi. Jury

vii. Perjury

III. Legal doctrines

a. Doctrine of Personal Liability

b. Doctrine of Respondeat Superior

c. Doctrine of Borrowed Servant

d. Doctrine of Corporate Negligence

e. Doctrine of Foreseeability

f. Doctrine of Res Ipsa Loquitur

g. Consents

i. Purpose

1. Protection of patient, physician, staff and facility

ii. Types

1. Medical

2. Surgical

a. Anesthesia

b. Blood

c. Operative procedure

d. Sterilization

3. Specific

a. Investigative /research device

b. Specimen disposal

c. Limb disposal

iii. Contents

1. Patient name

2. Physician name

3. Procedure to be performed

4. Legal signature

5. Witness signature

6. Date and time of signatures

iv. Informed

1. Understandable language

2. No coercion

3. Proposed procedure or treatment

4. Risks and benefits discussed

5. Alternative therapies

v. Legal guidelines

1. Age of consent

2. Competent mentally and legally

3. Special concerns

a. Alternate methods of obtaining consent

b. Appropriate translation

c. Court order

d. Emergency consent

e. Illiteracy

f. Sensory impaired

h. Advance directives

i. Patient Bill of Rights

j. Traditional principles

k. Advance directives

IV. Professional standards of conduct

a. Federal law and agencies

b. State laws and regulations

c. Facility P&P

d. Legal precedent

e. Professional agencies

f. AST

g. Private agencies

V. Documentation concepts

a. Document patient care

i. Patient care intervention

ii. Evaluation

iii. Outcomes

b. Types of documents

i. Intraoperative record

ii. Consent forms

iii. Sentinel event report

iv. Patient charges

v. Counts

vi. Pathology

vii. Laboratory

viii. Patient medical record

ix. Anesthesia record

x. Birth and death certificates

xi. Preference card

xii. Timeout

c. Legal elements of documentation

i. Standard terminology

ii. Spelling

iii. Factual

iv. Legible

v. Error correction

vi. Legal signature

VI. Sentinel Events

a. Defective equipment and instruments

b. Exceeding authority or accepted functions

c. Loss or damage of patient’s property

d. Patient abandonment

e. Patient misidentification

f. Documentation error

g. Harm secondary to major break in sterile technique

h. Burns due to ESU use

i. Medication errors

j. Positioning injuries

k. Patient falls

l. Retained foreign bodies

m. Incorrect procedure

n. Invasion of privacy

o. Assault or battery

p. Defamation

q. Breach of confidentiality

VII. Risk management of sentinel events

a. Objectives

i. Minimize

ii. Be proactive

iii. Implement P&P

iv. Monitor data

b. Issues

i. Staffing

ii. Patient safety

iii. Employee rights

c. Prevention

i. Maintain equipment

ii. Educate staff

d. Managing

i. Report unsafe environment and equipment

ii. Document

VIII. Moral principles

a. Social mores

i. Benevolence

ii. Trustworthiness

iii. Honesty

IX. Bioethics

a. Medical research

b. Applications of research

X. Principles of ethical decision making

a. Deontological approach

b. Formalism

c. Utilitarianism

d. Issues

i. Elective sterilization

ii. Elective abortion

iii. Human and animal experimentation

iv. Organ donation and transplantation

v. Substance abuse

vi. Gender reassignment

vii. Assisted suicide

viii. Other

XI. Surgical Conscience

a. Concepts

i. Commitment to cost containment

ii. Confidentiality

iii. Non discrimination in treatment of patients

iv. Personal moral integrity

v. Principles of asepsis

vi. Professional honesty

vii. Sterile technique

b. Barriers

i. Lack of resources

ii. Peer apathy

iii. Stress

XII. Patient needs

a. Physical

b. Psychological

c. Social

d. Spiritual

e. Maslow’s hierarchy of needs

f. Causes of surgical intervention

g. Patient response to surgery and hospitalization

XIII. Death and dying

a. Perceptions

b. Catagories

c. Definitions

d. Responses

e. Quality vs. quantity of life

f. Death in the OR

g. Coping

h. Organ and tissue procurement

XIV. Cultural differences

a. Values

b. Value orientation

c. Beliefs

XV. Spiritual differences

a. Judaism

b. Islam

c. Roman Catholic

d. Protestant

e. Christian Science

f. Jehovah’s Witness

g. Buddhism

h. Hinduism

i. Mormon

j. Unitarian

k. Shinto

l. American Indian

SPECIAL POPULATIONS

I. Basic Concepts of Life Stage Development

II. Patient Populations

a. Pediatric patients

b. Bariatric patients

c. Diabetic patients

d. Pregnant patients

e. Immuno-compromised patients

f. Physically/mentally challenged patients

g. Isolation patients

h. Geriatric patients

i. Others

III. Trauma Patients

a. Trauma system

b. Mechanism of injury

c. Trauma scoring

d. Operative considerations

INFORMATION TECHNOLOGY OUTLINE

I. Computer components

a. CPU

b. Hard/zip drives

c. Monitor

d. Modem

e. Keyboard

f. Mouse

g. Scanner

h. Speaker

i. Memory

j. Data storage

II. Computer applications in the healthcare setting

a. Word processing

b. Scheduling

c. Email

d. Reports

e. Charting

f. Journaling

g. Central sterile

i. Tray sheets

ii. Inventory control

h. Inventory

i. Preference lists

j. Robotics

III. Computer internet functions

a. Information

b. Communication

ELECTRICITY OUTLINE

I. Terms

a. Active electrode

b. Circuit

c. Conductors

d. Dispersive/inactive electrode

e. Generator

f. Ground wire

g. Insulator

h. Isolated circuit

i. Current

j. Radio frequency

k. Power

l. Resistance

m. Load

n. Hertz

o. Voltage

p. Cycle

II. Principles

a. Ohm’s law

b. Electrons

c. Magnets /Electromagnets

d. Volts

e. Amps

f. Advantages /Disadvantages

III. Types of current

a. Direct

b. Alternating

c. Monopolar

d. Bipolar

IV. Precautions

a. Electrical burns

b. Dispersive pads

i. Proper application of pad

ii. Expiration date

iii. Do not reuse pad

c. RF coupling

d. Dielectric breakdown

e. Vaporized tissue plume

f. Flammable anesthetics

g. Pacemakers

h. Jewelry

ROBOTIC OUTLINE

I. Basic concepts

a. Classification

i. Generations

b. Improve patient care

c. Control costs

d. Remote surgery

II. Terminology

a. Articulated

b. Binaural hearing

c. Degrees of freedom

d. Geometry

i. Cartesian coordinate

ii. Cylindrical coordinate

iii. Revolute

e. Degrees of rotation

f. Resolution

g. Manipulators

h. Sensitivity

i. Telechir

j. Telepresence

III. Concepts of geometry

a. Cartesian coordinate

b. Cylindrical coordinate

c. Revolute

IV. Basic components

a. Design

i. Robotic arms

ii. Computer

V. Clinical application

a. Decontamination/sterilization

b. Patient safety

c. Preparation and positioning

d. Role of the ST

e. Trouble shooting

f. Use in surgical interventions

i. Gynecological

ii. General

iii. Cardiovascular

iv. Urological

HEMOSTATSIS AND EMERGENCY SITUATIONS

I. Hemostatsis

a. Principles of hemostatsis

i. Blood clotting

ii. Blood components

iii. Blood loss monitoring

b. Methods of hemostasis in surgery

i. Mechanical

ii. Thermal

iii. Pharmacological

c. Techniques

II. Identifying emergent situations

a. Indications of emergency

b. Objectives and priorities

c. EMS

III. Emergent situations

a. Cardiac arrest

b. Malignant Hyperthermia

c. Disseminate intravascular coagulation

d. Hemorrhage

e. Anaphylactic reactions

INSTRUMENTATION, EQUIPMENT AND SUPPLIES

I. Instrumentation

a. Composition and finishes

i. Stainless steel

ii. Alloys

iii. Titanium

iv. Ebonized

v. Bright / polished

vi. Satin / dull

b. Classifications

i. Accessory

ii. Aspiration/suctioning

iii. Cutting/dissecting

iv. Grasping/holding

v. Clamping/occluding

vi. Retracting/exposing

vii. Probing

viii. Dilating

ix. Suturing / Stapling

x. Micro instrumentation

xi. Viewing

c. Parts

d. Care and handling

i. Cleaning

ii. Inspecting

iii. Assembly

e. Types of sets

i. Generalized

ii. Specific

II. Equipment

a. Lasers

i. Laser biophysics

1. Laser – tissue interaction

2. Laser vs. electrosurgery

3. Laser wavelengths and colors

4. Laser system parts

ii. Laser benefits

iii. Laser systems

1. CO2

2. YAG

3. Ruby

4. Argon

5. KTP

6. Other

iv. Laser safety

1. Fire

2. Plume

3. Eye protection for staff and patients

4. Controlled zones

5. Use of non – reflective instruments

6. Endoscopic precautions

7. Foot pedals

8. Hazards

9. Safety checklist

v. Patient safety

1. ETT

2. Wet drapes and sponges

3. Rectal packing

b. Ultrasonic scalpel

i. Harmonic scalpel

c. Specialty equipment

i. Cell saver

ii. Cusa

iii. Doppler

iv. Endoscopes

v. Power tools

vi. Microscopes

vii. Video components

viii. Fiber optic headlight

ix. Irrigation/aspiration

x. Cryotherapy

xi. Insufflators

xii. Nerve stimulators

d. Accessory equipment

i. Pneumatic tourniquets

1. Single-cuff

2. Double-cuff

ii. Sequential compression devices

iii. Suction systems

iv. Overhead lights

III. Supplies

a. Drapes

b. Packs

c. Sponges and dressings

d. Catheters, tubes and drains

e. Non suture needles

f. Irrigators and syringes

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

SURGICAL TECHNOLOGY II

Fall 2016

1. ST II

2. Surgical Technology II

3. This course is designed to provide the student with the knowledge to identify and describe types of wounds and how tissues react. The student will have the knowledge regarding restoration of tissues to normal functioning utilizing suture, staples and tapes. The course will provide the student with the knowledge to function in the perioperative case management role. Knowledge related to the diagnostic testing in surgery and for the patient undergoing surgery is provided. Professionalism and employability is provided to the students in this course also.

4. This is a course requirement for: Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to allow the student to function in the operative setting from preoperative through postoperative phases. This includes testing, sutures, hemostasis and the professional attributes needed to excel in the surgical environment.

6. Requirement for: Certificate of Completion

7. Course prerequisites: ST I

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Monday, Tuesday, Wednesday, and Thursday at 0600 to 1430 from November 1 to November 21.

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. The learner will identify types of wounds and discuss wound healing

2. Classify and differentiate suture material and stapling devices and their usage.

3. The learner will be able to identify and describe various natural and synthetic absorbable and non absorbable sutures.

4. Demonstrate passing and handling of suture and stapling devices.

5. Verify and demonstrate preoperative routines and diagnostic studies.

6. Summarize and identify the methods of patient care after arrival to the surgical suite.

7. Interpret the principles of urinary catheterization

8. Demonstrate the intra-operative phase of the surgical experience utilizing aseptic technique

9. Summarize and demonstrate postoperative routines

10. Develop a professional resume, complete an application and review interview strategies.

Outline

November 3 Wounds and wound healing

November 7 EXAM

Suture, Needles and Stapling Devices

November 8 EXAM

Diagnostic procedures

November 9 EXAM

February 1 Employability Skills

November 9 to

November 23 Surgical Case Management

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

6. Laboratory (hands on)

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4th Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructors: Katrina Mansfield-Davis

August Huey

Office phone: (334) 793-5000 Ext 1809

Office hours: Monday – Thursday 0600 to 1430

WOUND HEALING, HEMOSTASIS AND DRAINS

I. Early forms of hemostasis

II. Methods of hemostasis

a. Hemostatic instruments

b. Ligature

c. Pressure

d. Electrocoagulation

e. Bone wax

f. Hemostatic clips

g. Pharmacologic agents

h. Other

III. Blood loss

a. Minor

b. Moderate

c. Major

d. Catastrophic

IV. Normal values

a. Hematocrit

b. Hemoglobin

V. Blood types

a. A, AB, B, O

VI. Sponges used for hemostasis

a. Lap (small and large)

b. Cottonoids

c. Tonsil

d. Raytex

e. Tapes

f. Other

VII. Types of wounds

a. Intentional

i. Chemical wounds

ii. Occlusion banding

iii. Surgical site incision or excision

b. Unintentional

i. Traumatic injuries

ii. Closed wounds

iii. Open wounds

1. Simple wounds

2. Clean wounds

3. Complicated wounds

4. Delayed full-thickness injury

5. Contaminated wounds

c. Incidental and chronic wounds

i. Pressure sores and ulcers

VIII. Types of wound healing

a. First intention/primary union

i. Phases

b. Second intention /Granulation

c. Third intention / Delayed primary closure

IX. Considerations

a. Dead space

b. Tensile strength

c. Disease processes

X. Inflammatory process

a. Pain

b. Heat

c. Swelling

d. Redness

e. Loss of function

XI. Phases of wound healing

a. Fibrinogen

b. Fibroblasts

c. Collagen

d. Network of fibers

e. Scar tissue

XII. Tissue replacement materials

a. Biological

i. Autograft, allograft, Xenograft

b. Bone

c. Tissue

i. Human

d. Synthetic

i. Characteristics

ii. Types

XIII. Factors influencing healing process

a. Type of wound

b. Physical condition of patient

i. Age

ii. Weight

iii. Nutrition

iv. Immunity

c. External factors

i. Drugs

ii. Fluid & electrolyte

iii. Hematology

iv. Radiation

d. Operative technique

i. Surgical site infections

ii. Prevention of wound infection

iii. Intraopertative tissue handling

e. Other

XIV. Definitions

a. Adhesions

b. Collagen

c. Contracture

d. Cicatrex

e. Dead space

f. Debridement

g. Dehiscence

h. Edema

i. Evisceration

j. Extravasation

k. Exudate

l. Gangrene

m. Hematoma

n. Hemostasis

o. Herniation

p. Ischemia

q. Keloid

r. Necrosis

s. Seroma

t. Serosanguinous

u. Trauma

v. Tissue reaction

w. Wound disruption

x. Wound tension

XV. Complications

a. Adhesions

b. Fistula

c. Hematoma/seroma

d. Hemorrhage

e. Infection

f. Scar

g. Sinus tract formation

h. Suture complications

i. Wound disruptions

XVI. Wound classifications

a. I Clean

b. II Clean-contaminated

c. III Contaminated

d. IV Dirty/infected

XVII. Surgical dressings

a. Function

i. Protect

ii. Absorb

iii. Support

iv. Preserve

b. Preparation

c. Dressing types

i. Biological

1. skin grafts

ii. One layer

iii. Three-layer

1. inner layer

2. intermediate layer

3. outer layer

iv. Specific three-layer

d. Rigid dressings

i. Casts

ii. Splints

e. Specialty dressings

f. Packing

i. Nasal

ii. Wound

iii. Vaginal

XVIII. Types of catheters and drains

a. Urethral

i. Proper procedure for insertion of urethral catheter

b. Uretral

c. Malecot

d. Hemovac

e. J-vac

f. Silastic

g. T-tube

h. Chest tube

i. Chest tube insertion

i. NG tube

j. Other

SUTURE – NEEDLES – STAPLES

I. Sutures

a. Terminology

1. Absorbable

2. Non-absorbable

3. Monofilament

4. Multifilament

5. Natural

6. Synthetic

7. Tensile strength

8. Pliability

9. Inert

10. Capillarity

11. Ligate

12. Ligature

13. Instrument tie

14. Continuous tie

15. Memory

16. Tissue drag

17. Elasticity

18. Knot- security

19. French – eyed needles

20. Friable

21. Primary suture line

22. Secondary suture line

23. Swaged

24. Semi-swaged

25. Vessel loop

26. Suture

a. Verb

b. Noun

b. Specifications for suture material

i. Sterile

ii. Uniform size and tensile strength

iii. Knot security

iv. Minimal foreign body reaction

c. Selection of suture material

i. Classifications of suture material

1. Absorbable vs. non-absorbable

2. Monofilaments vs. multifilaments

3. Natural vs. synthetic materials

ii. Surgeon selection of suture material

1. Biological characteristics

2. Healing characteristics of tissue

3. Incision

4. Infection

5. Patient physical characteristics

6. Physical characteristics of suture

7. Surgeon preference

d. Suture materials

i. Natural absorbable sutures

1. Materials

a. Surgical gut

i. Plain

ii. Chromic

b. Collagen

2. Preservatives

a. Alcohol

3. Handling characteristics

4. Applications

ii. Synthetic absorbable polymers

1. Polydioxanone (PDS™)

a. Plus

2. Poliglecaprone 25 (Monocryl™ or Caprosyn™)

a. Plus

3. Polyglyconate (Maxon™)

4. Polyglactin 910 (Vicryl™)

a. Plus

5. Polyglycolic acid (Dexon™)

6. Glycoside collected (Polysorb™)

7. Glycomer 631 (Biosyn™)

8. Handling characteristics

9. Applications

iii. Natural non absorbable sutures

1. Silk

a. Virgin

b. Dermal

c. Handling characteristics

d. Applications

2. Stainless steel

a. Handling characteristics

b. Applications

iv. Synthetic non absorbable polymers

1. Surgical Nylon

a. Monofilament

i. Ethilon

ii. Dermalon

iii. Monosof

iv. Supramid™

v. Handling characteristics

vi. Applications

b. Multifilament

i. Bralon

ii. Nurolon

iii. Supramid Extra™

iv. Surgilon

v. Handling characteristics

vi. Applications

2. Polyester fiber

a. Non-coated

i. Dacron

ii. Mersilene

iii. Handling characteristics

iv. Applications

b. Coated

i. Ethibond

ii. Tevdek

iii. Polydek

iv. Coatings

1. Polybutilate

2. Polytetrafluoroethylene

3. Silicone

v. Handling characteristics

vi. Applications

c. Coated or non-coated

i. Ticron

ii. Handling characteristics

iii. Applications

3. Polybutester (Novofil™)

i. Handling characteristics

ii. Applications

4. Polypropylene (Prolene™, Surgipro™, Surgilene™)

i. Handling characteristics

ii. Applications

5. Polytetrafluoroethylene (PTFE)

i. Handling characteristics

ii. Applications

6. Gor-Tex™

i. Handling characteristics

ii. Applications

7. Fiberwire

i. Handling characteristics

ii. Applications

e. Suture preparation

i. Straightening

ii. Removal from package

iii. Estimate suture needs

iv. Sequence of usage

f. Packaging of suture material

i. Box

ii. Overwrap

iii. Primary packet

iv. Inner dispenser

v. Color coding

vi. Labeling

g. Suture size, material, color and length

i. Product code and lot number

ii. Expiration date if applicable

iii. Needle

iv. Number of strands

v. Controlled release – swaged

h. Methods of suturing

i. Halsted’s principles

ii. Suturing techniques

1. Continuous

2. Interrupted

iii. Retention sutures

1. define

2. applications

3. materials

a. Bridges, bolsters, bumpers

iv. Endoscopic suturing

1. define

2. applications

3. materials

a. Endo-loop, Endostitch

b. Free hand

v. Accessory devices

1. Buttons /Lead shots

2. Umbilical tape

3. Vessel loops

4. Adhesive skin closure tapes

5. Suture anchors

6. Suture cutting techniques

i. Abdominal wall sequence layer closure

i. Peritoneum

ii. Muscle

iii. Fascia

iv. Subcutaneous

v. Subcuticular

vi. Skin

j. Alternative skin closure

i. Wound zipper

ii. Adhesive skin closure strip

iii. Cyanoacrylate (Dermabond™)

II. Suture needles

a. Needle characteristics

i. Strong, rigid, sharp

ii. No burrs or corrosion

iii. Appropriates shape, size and diameter

b. Parts of needle

i. Point, body and eye

c. Needle points

i. Cutting

ii. Taper

iii. Applications

d. Needle bodies

i. Degrees of circle

ii. Straight

e. Needle eyes

i. Eyeless

ii. Eyed

iii. French or split

f. Needle holders

i. Correct size for needle

ii. Correct position of needle in holder

1. Right vs. Left handed surgeon

iii. Correct handing to surgeon

1. Right vs. Left handed surgeon

g. Needle accountability

i. Exchange one for one

ii. Inspect that needle is intact

iii. Sharps count during case

iv. Sharps disposal

v. Responsibility for counts

h. Surgical specialty needles

i. Biopsy and cannulated needles

ii. Diagnostic needles

iii. Injection and irrigation needles

III. Surgical staplers

a. Types of staplers

i. Linear

1. GIA, TA

ii. Intraluminal circular

1. EEA

iii. Ligating and dividing

1. LDS

iv. Fascia

v. Skin

vi. Endoscopic

b. Reusable staplers vs. Disposable staplers

c. Advantages vs. disadvantages

d. Applications

i. Skin and facial closure

ii. Divide tissue

iii. Biopsy

iv. Resection, ligation, anastomosis and closure

IV. Ligating clips

a. Material

b. Reusable vs. disposable

V. Tissue adhesives

a. Biological

i. Fibrin

ii. Plasma

b. Synthetic

i. Cyanoacrylate

ii. Methyl Methacrylate

VI. Tissue repair materials

a. Synthetic mesh

i. Advantages

1. Types

DIAGNOSTIC PROCEDURES

I. Role of pathology

II. Preoperative

a. biopsy

b. aspiration biopsy

c. bone marrow biopsy

d. excision biopsy

e. percutaneous needle biopsy

i. Dorsey cannula

ii. Franklin-Silverman

iii. Bernardino-Sones or Chiba

iv. Fine-needle aspiration

III. Intraoperative pathologic studies

a. cultures

b. frozen section

c. surgical specimens

IV. Needles used in diagnostic procedures

a. Dorsey cannula

b. Franklin-Silverman

c. Bernardino-Sones or Chiba

1. d. Fine-needle aspiration

V. Radiology procedures

a. Noninvasive preoperative studies

b. chest x-ray

c. mammography

d. xeroradiography

e. tomography

f. computerized tomography (CT and CAT scan)

g. emission computed axial tomography

h. total-body scanning

i. x-ray for trauma

j. other

VI. Invasive preoperative studies

a. fixed x-ray

b. portable x-ray

c. cassette

d. processing

e. fluoroscope

f. image intensifier

g. mobile C-arm

h. other

VII. Invasive and non-invasive studies

a. Invasive studies

i. radiolucent gases

1. Ventriculography

2. Arthrography

b. radiopaque contrast media

i. Angiography

1. Aortography

2. Arteriography

3. Cardiography

4. Venography

c. Bronchography

d. Gastrointestinal x-ray

e. Myelography

f. Urograph

i. Cystography

ii. Cystourethrography

iii. Intravenous pyelography

iv. Retrograde pyelography

v. Ureterography

vi. Urethrography

g. Radionuclides

VIII. Invasive intraoperative studies

a. Angiography

b. Cholangiography

c. Interventional radiology

d. stereotaxic neurosurgery

IX. Noninvasive intraoperative studies

a. closed reduction of fractured bones

b. open reduction of hip fractures

X. Drugs

a. Lugol's solution

b. Methylene blue

c. CO2 gas

d. Barium sulfate

e. Renografin

f. Hypaque

g. Other

h.

Employability Skills

I. Career information and current employment trends and opportunities

a. Job description

b. Diversity of the work place

c. Employment facilities and institutions

d. Transition from student to employee

II. Skills needed for employment

a. Education

b. Communication

c. Dedication

d. Appearance

e. Work history

f. Others

III. Resume

a. Required elements

IV. Correspondence

a. Acceptance letter

b. Cover letter

c. Letter of refusal

d. Professional reference letter

e. Thank you letter

V. Application

a. Completed

VI. Interview

a. Dress appropriately

b. Non verbal communication

VII. Resignation

a. Notice

i. Verbal

ii. Written

b. Exit interview

VIII. Communication

a. Goals

b. Principles

IX. Conflict management and resolution

CASE MANAGEMENT CONTENT OUTLINE

I. Introduction

a. Critical thinking

b. Anticipation

c. A POSitive care approach

II. Preoperative routines

a. Identification of patient

i. Correct patient, surgeon, procedure and location (right vs. left)

ii. Patient verbally verifies and personnel check information

1. name and DOB

2. allergies

3. correct site

b. Preoperative patient education

i. Introduce self and team

c. Review of the chart and preoperative checklist

i. Testing and lab results

ii. Documentaion

1. H&P

2. Surgeon’s orders

3. Consents

iii. Baseline data

1. VS, NPO, Prosthesis, nail polish etc.

iv. Physical preparation

1. Preoperative preps done

a. Bowel

b. Vaginal

c. Hygeiene

2. Hair removal

3. Medications

d. Surgical attire

i. Basic

ii. Accessory

iii. Restrictions

e. Patient preparation

i. Transportation

1. Methods

2. Safety features and principles

3. Family considerations

ii. Thermoregulatory devices

iii. Transfer of patient

1. Methods

2. Equipment

3. Principles

iv. Positioning

1. Factors

2. Tables

3. Positions

a. supine

b. lateral

c. prone

4. modifications of above positions

v. Vital signs

1. blood pressure

2. temperature

3. pulse

4. respirations

vi. Urethral catheterization

1. Indications

2. Considerations

3. Supplies

4. Safety and monitoring

vii. Skin preparation

1. Purpose

2. areas prepped

3. solutions used

4. safety and documentation

f. OR set up

g. Create and maintain sterile field

i. Asepsis and sterile technique

1. Terminology

2. Sources of contamination

3. Principles of asepsis

h. Hand hygiene and surgical scrub

i. Medical

ii. Surgical

i. Gown and glove self and others

i. Gowning

1. Replacing gown

ii. Gloving

1. Closed and open

a. Replacing gloves

iii. Assist

iv. Disrobe

j. Prepare the sterile field

i. Counts

1. purpose

2. concept

3. procedure

a. timing

b. methods

c. manual

d. electronic

4. documentation

k. Positioning instruments and team members

l. Draping

i. Materials and types of drapes

ii. Draping patients and furniture

m. Skin marking

III. Intraoperative management

a. Abdominal incisions

i. Anatomy of wall

ii. Incisions

1. Vertical

2. Oblique

3. Transverse

b. Sequence of events

i. Incision

ii. Exposure after incision

1. Principles of retracting

a. Protection and exposure

2. Selection of exposure devices

a. Surgical procedure

b. Size and depth of incision/wound

c. Tissues retracted

3. Types and uses of retractors

a. Hand held vs. self retaining

b. Traction

c. Others

c. Safety

i. Hands free zone

d. Verbal and non verbal communication

i. Common hand signals

e. Maintaining sterile field

i. Neat and orderly

f. Handling sharps, sponges and instruments

i. Techniques of passing

ii. Accountability of all sponges, sharps and instruments

g. Medication handling

i. Safety

ii. Accountability

h. Specimen care

i. Accountability

ii. Proper handling and preservation

iii. Specific types of specimens

i. Contamination issues

i. Techniques to correct

j. Counts

i. Intraoperatively

k. Dressing application

IV. Perioperative case management

V. Postoperative case management

a. Preservation of the sterile field

b. Removal of drapes

i. Assist or remain sterile

c. Gown and glove removal

d. Postoperative patient care

i. Patient transfer to stretcher

ii. Patient transport to care unit

1. PACU

a. Postoperative patient care

b. Equipment

i. Bedside

ii. Departmental

c. Criteria for patient discharge

2. SICU

3. Patient room

e. Breakdown of the set up

VI. Perioperative case management

a. Perioperative concepts

i. Time management

ii. Monitoring of sterile field

b. Preoperative case management

i. Case information

ii. Preliminary preparations

iii. Preparing the OR

c. Intraoperative case management

i. Procedural concepts

ii. Variations

iii. Closing

d. Postoperative case management

i. Drains and dressings

ii. Breakdown of sterile field

iii. Complete decontamination

FLOWERS HOSPITAL

SURGICAL TECHNOLOGY PROGRAM

COURSE SYLLABUS

SURGICAL TECHNOLOGY III

Fall 2016

1. ST III

2. Surgical Technology III

3. This course is designed to provide the student with the knowledge to identify and describe types of surgery. The student will have the knowledge to relate surgical anatomy and pathophysiology to surgical procedures. The student will have been provided with the knowledge to select instrumentation, equipment and supplies needed for the surgical procedures. The student can identify the diagnostic testing and specialized factors for the selected procedure. The knowledge to utilize the case management model and apply to a variety of surgical procedures.

4. This is a course requirement for: The Surgical Technology Program

5. The purpose of the course is to provide the student with the knowledge necessary to progress to the clinical portion of the Surgical Technology Program with a basic knowledge of a variety of surgical procedures in the role of the scrub person.

6. Requirement for: Certificate of Completion

7. Course prerequisites: ST II

8. Projected enrollment: 16 students

9. This course meets for 8 hours on Monday, Tuesday, Wednesday and Thursday at 0600 to 1430 November 30 2015 to February 4, 2016.

10. Frequency of course: Fall semester only

Objectives

After completion of this course the student will be able to

1. Discuss duties of the assist circulator to include documentation

2. Correlate relative surgical anatomy and physiology.

3. Correlate pathophysiology to the surgical procedure.

4. Discuss specifics related to the surgical procedure to include diagnostic testing, equipment, instrumentation and supplies.

5. Describe the steps required to perform the surgical procedure.

6. Discuss the perioperative care of the patient to include preoperative preparation, intraoperative and postoperative care.

7. List wound classifications and the effects on postoperative care.

Outline

Week One

November 28 – December 1

Review of A&P related to General Surgery

General Surgery Procedures

Instrumentation related to General Surgery

Quiz

Equipment utilized in General Surgery

Week Two

December 5 – December 8

EXAM

Review of A&P related to Gynecology and Obstetrics

Procedures related to Gynecology and Obstetrics

Instrumentation related to related to Gynecology and Obstetrics

Quiz

Equipment utilized Gynecology and Obstetrics

Week Three

December 12 – December 15

EXAM

Review of A&P related to Orthopedic Surgery

Orthopedic Surgery Procedures

Instrumentation related to Orthopedic Surgery

Quiz

Equipment utilized in Orthopedic Surgery

Week Four

December 19 – December 22

EXAM

Review of A&P related to Neurosurgery

Neurosurgery Procedures

Instrumentation related to Neurosurgery

Quiz

Equipment utilized in Neurosurgery

Week Five

December 26 – December 29

OFF for Christmas Break

Week Six

January 2- January 5

EXAM

Review of A&P related to Genitourinary Surgery

Genitourinary Surgery Procedures

Instrumentation related to Genitourinary Surgery

Quiz

Equipment utilized in Genitourinary Surgery

Week Seven

January 9 – January 10

EXAM

Review of A&P related to Genitourinary Surgery

Genitourinary Surgery Procedures

Instrumentation related to Genitourinary Surgery

Quiz

Equipment utilized in Genitourinary Surgery

January 11- January 12

EXAM

Review of A&P related to Ophthalmic Surgery

Ophthalmic Surgery Procedures

Instrumentation related to Ophthalmic Surgery

Quiz

Equipment utilized in Ophthalmic Surgery

Week Eight

January 17 – 19

EXAM

Review of A&P related to Cardiovascular and Thoracic

Surgery

Cardiovascular and Thoracic Surgery Procedures

Instrumentation related to Cardiovascular and

Thoracic Quiz

Equipment utilized in Cardiovascular and Thoracic

Surgery

Week Nine

January 23

EXAM

Review of A&P related to Oral/Maxillofacial Surgery

Oral/Maxillofacial Surgery Procedures

Instrumentation related to Oral/Maxillofacial Surgery

Quiz

Equipment utilized in Oral/Maxillofacial Surgery

January 24 - 26

EXAM

Review of A&P related to Plastic Surgery

Plastic Surgery Procedures

Instrumentation related to Plastic Surgery Quiz

Equipment utilized in Plastic Surgery

Week Ten

January 30 - 31

EXAM

Review of A&P related to Peripheral Vascular Surgery Peripheral Vascular Surgery Procedures

Instrumentation related to Peripheral Vascular Surgery

Quiz

Equipment utilized in Peripheral Vascular Surgery

EXAM on February 1

Teaching Methods

1. Lecture

2. Discussion

3. Textbook

4. Handouts

5. Audio-Visual

6. Laboratory (hands on)

Grading

A = 90 – 100%

B = 80 – 90%

C = 70 – 80%

Each chapter exam and the average of all quizzes (one test grade) count equally.

Chapter exam grades less than 70% require retakes. Initial scores count in GPA.

Exams

Quizzes will be given as well as an exam on the material covered

Missed quizzes will result in a zero

Make-up exams will be scheduled on Friday mornings

Attendance

The student is expected to abide by the rules published in the catalog as well as the student handbook issued.

Participation

Active interaction is expected of all students during class as well as lab hours.

Textbooks required

Price P. Ed 2014 Surgical Technology for the Surgical Technologist: A Positive Care Approach 4th Edition Clifton Park NY Delmar Cengage Learning

Additional reference materials available in the school library

Instructor

Katrina Mansfield-Davis

August Huey

Office phone: (334) 793-5000 Ext 1809

Office hours: Monday – Thursday 0600 to 1430

SURGICAL TECHNOLOGY III CONTENT OUTLINE

Content for all Surgical Procedures

I. Anatomy and physiology

II. Pathophysiology

III. Diagnostic

a. Diagnostic exam

b. Preoperative testing

IV. Procedural

a. Special considerations

i. Patient factors

ii. Room set up

1. x-rays

2. blood

iii. Pathology

iv. Radiology

b. Anesthesia

c. Patient position

i. Aids required to position safely

d. Patient skin prep

i. Not allergies

e. Draping

f. Time out

g. Incision

h. Supplies

i. Routine vs specialty

ii. Suture

iii. Medications

iv. Catheters and drains

i. Equipment

j. Instrumentation

k. Procedural steps

i. Incision to close

ii. Counting

iii. Dressing the wound

iv. Specimen care

1. Intraoperatively

2. Postoperatively

l. Postoperative

i. Destination

ii. Patient care considerations

iii. Patient prognosis

iv. Complications

v. Wound care

1. Wound classification

2. Wound management

General Surgical Procedures

I. Appendectomy

a. Open

b. Laparoscopic

II. Breast

a. Biopsy

i. Sentinel node biopsy

ii. Needle localizition

b. Modified radical mastectomy with axillary node dissection

III. Cholecystectomy

a. Open /Laparoscopic

b. With cholangiogram

IV. Colon resection

a. With colostomy

b. Without colostomy

V. Gastrectomy

a. With or without vagotomy

b. With or without gastrostomy

VI. Hemorrhoidectomy

VII. Herniorraphy

a. Open/Laparoscopic

i. Incisional

ii. Inguinal

iii. Umbilical

VIII. Laparoscopic Nissen fundoplication

IX. Liver resection

X. Splenectomy

a. Open

b. Laparoscopic

XI. Thyroidectomy

XII. Pancreaticoduodenectomy (Whipple Procedure)

Gynecologic and Obstetric Surgical Procedures

I. Cervical

a. Cervical biopsy

b. Cervical cerclage

c. Dilation and curettage

d. Hysteroscopy

II. Uterine, ovarian and fallopian tubes

a. Uterine

i. Cesarean section

ii. Endometrial ablation

iii. Hysterectomy

1. Laparoscopic

2. Robot assisted

3. Total abdominal

4. Vaginal

iv. Myomectomy

v. Uterine radiation seeding

b. Ovarian

i. Oophorectomy

c. Fallopian tubes

i. Ectopic pregnancy

ii. Salpingectomy

iii. Sterilization procedures

iv. Tuboplasty

III. External genitalia

a. Labioplasty

b. Perineal laceration

c. Vulvectomy

IV. Vaginal

a. Ablation of condylomata/dysplasia

b. Marsupialization of Bartholin’s gland

V. Pelvic

a. Anterior and posterior repair (colporrhaphy)

b. Diagnostic laparoscopy

c. Total pelvic exenteration

d. Wertheim procedure

Orthopedic Surgical Procedures

I. Shoulder

a. Acromioplasty

i. Open vs. arthroscopic

b. Arthroscopy

c. Bankart procedure

i. Open vs. arthroscopic

d. Total arthroplasty

II. Radius / Wrist and Hand

a. ORIF

b. External fixator

c. MPJ arthroplasty

III. Hip / Pelvis

a. Total arthroplasty / Bipoloar/modular hip replacement

b. ORIF

IV. Femur

a. ORIF/rodding of femoral shaft fracture

V. Limb Exploration and reattachment

VI. Knee

a. Arthroscopy

b. Anterior cruciate ligament repair (ACL)

c. Amputation (AKA and BKA)

d. Total arthroplasty

VII. Ankle and foot

a. Achilles tendon repair

b. Triple arthrodesis

c. Bunionectomy / Hammer toe correction

Genitourinary Surgical Procedures

I. Kidney, ureter and bladder

a. Kidney

i. Nephrectomy

ii. Kidney transplant

iii. Wilm’s tumor excision (adrenalectomy)

b. Ureter

i. Ureteroscopy

ii. Ureteropyelithotomy

c. Bladder

i. Cystoscopy

1. TURBT

ii. Cystectomy with ileal conduit

iii. Suspension (TVT/sling)

II. Prostate

a. TURP

b. Prostate seeding

c. Prostatectomy

i. Laparoscopic with robot

ii. Suprapubic

III. Penile

a. Circumcision

b. Epispadias repair

c. Hypospadis repair

d. Penile implant

e. Penectomy

IV. Testicular

a. Hydrocelectomy

b. Orchiopexy

c. Orchiectomy

Neurosurgical Procedures

I. Carpal tunnel release / Tenorrhaphy

II. Laminectomy / Discectomy

a. Cervical

i. Anterior

ii. Posterior

b. Thoracic

c. Lumbar

i. Minimally invasive

ii. Spinal fixation

III. Craniotomy

a. Aneurysm / Hematoma / Tumor

b. Cranioplasty

c. Cranisynostosis repair

IV. Rhizotomy

V. Stereotactic procedures

VI. Transphenoidal hypophysectomy

VII. Ulnar nerve transposition

VIII. Ventriculperitoneal shunt placement

IX. Ventriculoscopy

Otorhinolaryngology Surgical Procedures

I. Ear

a. Chochlear implant

b. Mastoidectomy

c. Myringotomy

d. Stapedectomy

e. Tympanoplasty

II. Nose

a. Choanal atresia

b. Endoscopic sinus surgery (FESS)

c. Nasal antrostomy

d. Nasal polypectomy

e. Septoplasty

f. Turbinectomy

III. Oral cavity and throat

a. Laryngectomy

b. Tracheotomy/ Tracheostomy

c. Parotidectomy

d. Radical neck dissection

i. Glossectomy

ii. Mandibulectomy

e. Temporomandibular joint arthroscopy (TMJ)

f. Tonsillectomy and adenoidectomy (T&A)

g. Tracheotomy and tracheostomy

h. Uvulopalatopharyngoplasty (UP3)

Oral and Maxillofacial Surgical Procedures

I. Maxillary and mandibular fractures

a. ORIF

b. Arch bar application

II. Cleft repair

a. Lip

b. Palate

III. Odontectomy

a. Tooth extraction

IV. Maxillary fractures

a. LeFort I

b. LeFort II

c. LeFort III

V. Frontal fractures

a. ORIF orbital fracture

Plastic and Reconstructive Surgical Procedures

I. Head and face

a. Blepharoplasty

b. Brow lift

c. Cheiloplasty/palatoplasty

d. Mentoplasty

e. Otoplasty

f. Rhinoplasty

g. Rhytidectomy

II. Breast

a. Augmentation

b. Mastopexy

c. Mammoplasty

i. Reduction

ii. Nipple reconstruction

iii. TRAM flap

III. Abdomen

a. Abdominoplasty

b. Suction lipectomy

IV. Superficial lesions or neoplasm

V. Scar revision

VI. Skin grafts

a. FTSG

b. STSG

c. Pedicle graft

VII. Hand procedures

a. Dupuytren’s contracture

b. Traumatic injury repair

VIII. Correction of congenital defects

a. Radial dysplasia

b. Release of polydactyly

c. Release of syndactyly

Ophthalmic Procedures

I. Chalazion excision

II. Dacryocystorhinostomy

III. Ectropion/ entropion repair

IV. Enucleation

V. Extracapsular cataract excision

VI. Iridectomy

VII. Keratoplasty

VIII. Laceration repairs

IX. Scleral buckle

X. Strabismus correction

a. Recession and resection

XI. Vitrectomy

Cardiothoracic and Peripheral Vascular Surgical Procedures

I. Thoracic

a. Bronchoscopy

b. Mediastinoscipy

i. Lymph node biopsy

c. Thoracoscopy

i. Video assisted

d. Thoracotomy

i. Lobectomy

ii. Pneumonectomy

iii. Decortication of the lung

iv. Lung transplant

v. Pectus excavatum repair

vi. Pulmonary embolectomy

II. Cardiothoracic

a. Aortic/mitral valve replacement

b. Atrial/ventricular septal defect repair

c. Cardiac

i. Closure of patent ductus arteriosus

ii. Coronary artery bypass graft (CABG)

1. IABP

2. MID-CABG

3. Off pump CABF

4. Ventricular assist device or procedure

iii. Heart transplant

iv. Pericardial window / pericardectomy

v. Repair of coarctation of the aorta

vi. Tetralogy of Fallot repair

vii. Ventricular aneurysm repair

III. Peripheral vascular

a. Abdominal aortic aneurysm with graft insertion

b. Angioplasty

i. Endograft placement

ii. Endostent insertion

c. Anigoscopy

d. AV shunts and bypass

i. Aortofemoral bypass

ii. Arteriovenous fistula and stent

iii. Femoropopliteal bypass

e. Embolectomy

f. Endarterectomy

g. Vena cava device

h. Vein ligation and stripping

i. Venous access device

Endoscopic Procedures

I. Choledochoscopy

II. Colonoscopy

III. ERCP

IV. Esophagoscopy

V. Sigmidoscopy

VI. EGD

VII. Microlaryngoscopy

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