SUR 121 - Applied Surgical Techniques I

B. Identify the types and functions of basic operating room equipment.

C. Demonstrate the assembly and use of operating room equipment.

D. Identify the accessory equipment and functions of specific surgical procedures.

E. Demonstrate the assembly and use of accessory equipment.

F. Identify specialty equipment by name and use.

G. List techniques and types of equipment used for disinfection and sterilization.

H. Explain what is meant by minimal sterilization parameters.

I. Compare and contrast different types of sterility and bacteriologic indicators.

J. Demonstrate the surgical scrub, incorporating both brush-stroke and timed methods.

K. Complete open and closed methods of gowning and gloving procedures for both self and others.

L. Set-up surgical supplies and instruments according to specific surgical procedures within the operating room suite.

M. State principles of aseptic technique.

N. Use aseptic technique principles before, during, and after surgery.

O. Describe the use, handling, and assembly of drains and catheters before, during, and after surgery.

P. Use drains and catheters before, during, and after surgery.

Q. Follow containment and labeling practices of specimens.

R. Demonstrate principles of surgical positioning, padding, and equipment used.

S. Following surgical procedure, demonstrate principles of draping sterile field.

T. List the classes, function, and names of basic instruments.

U. Demonstrate care, handling, and assembly of basic instruments.

V. Identify suture materials.

W. Follow the aseptic technique in suture handling and/or stapling equipment.

X. Identify, describe, and demonstrate safe handling, loading, and containment of surgical needles before, during, and after procedures.

Y. Assemble, clean, and care for laparoscopy instruments, scopes, and cameras.

Z. State safety procedures when using lasers.

AA. Perform skin preps and urinary catheterization.

AB. Clean operating room suite between surgical procedures.

AC. Demonstrate how to count sponges, sharps, and instruments.
Course Outline:

1. Week 1
   1. Subject:  Tour of the operating room suite/surgical furniture/surgical equipment
   2. Competency
2. Week 2
   1. Subject:  Preparation and changeover of the OR/surgical specimens
   2. Competency
3. Week 3
   1. Subject:  Surgical hand scrub/gowning/gloving
   2. Competency
4. Week 4
   1. Subject:  Complete laparotomy set up
   2. Competency
5. Week 5
   1. Subject:  Handling instruments/sutures/needles
   2. Competency
6. Week 6
   1. Subject:  Specialty instruments
   2. Competency
7. Week 7
   1. Subject:  Transportation/positioning/prep of the patient
   2. Competency
8. Week 8
   1. Subject:  Draping the patient
   2. Competency

The following items will be addressed in this lab:

• Scavenger Hunt
• Operating Room  Attire
• Operating Room Equipment
• Scrub Technique
• Gowning and Gloving
• Gowning and Gloving Another Person
• Changing and Removing Soiled Gowns and Gloves
• Weekly Lab Evaluations
• Scrub Practice
• Draping Techniques
• Draping a Mayo
• Sterile Field
• Principles of Aseptic Technique, Scrub, Gown, Gloving
• Sterilization and Disinfection
• Operating Room Sanitation
• Open a Surgical Pack
• Monitoring Equipment
• Hands-on Instrumentation
• Open Gloving
• Prepping a Patient
• Prepping and Draping
• Preoperative Routine
• Positioning, Prepping, and Draping
• Related Nursing Procedures
• Care of Pediatric Patients
• Care of Patients with Special Needs
• Introduction To and Demonstration of Mayo set-up with Instrumentation
• Placing Surgical Blades on Appropriate Knife Handles

Simulation and Practice 40%

Group Work 20%

Assessment/Competency 20%
Mandatory Course Components:
There are mandatory lab competencies for this course.  
Equivalent Courses:
None