SUR 123 - Applied Surgical Techniques III

1. Given surgical scenarios, assemble all the surgical equipment needed for the surgery procedure within 20 minutes.
2. Set up the back table and mayo stand correctly for a general surgical case within 20 minutes.
3. Given skill lab scenarios, provide the instruments and equipment requested by the surgeon.
4. Given skill lab scenarios, anticipate the needs of the surgeon with 100% accuracy.
5. Identify and correct breaks in sterile technique.
6. Identify types of sponges used during procedures.
7. Correctly prepare sponges for surgical procedures.
8. Count sponges, needles and/or instruments correctly with circulating nurse at the proper times throughout the operative procedure.
9. Open and prepare suture.
10. Correctly pass suture material to the surgeon.
11. Identify, verbalize, and perform the duties and responsibilities of circulating nurse with supervision, assisting in the circulating role and all aspects of perioperative case management.
12. Perform the steps of the surgical procedure in sequential order.
13. Identify anatomy, physiology, and pathology based on the surgical procedure performed.
14. Identify common complications of surgical procedures.
15. Discuss safety concerns and instrumentation related to surgical procedures.
16. Demonstrate the handling and care of laser.
17. Based on procedures identified, demonstrate the use, functions, and care of a scope and camera.
18. Based on surgical scenarios and medicines provided, draw up the appropriate medicine to pass to the surgeon.
19. Prepare the surgical suite, the instruments, the team members, and self for a surgical procedure.
20. Provide instruments required during the course of a surgical procedure while maintaining accurate counts and surgical asepsis at all times.
21. Tear down, clean, and prepare two surgical suites for the next case.
22. Transfer patients to post operative care unit (PACU).

According to the established requirements, as set by the Association of Surgical Technology (AST), students are required to meet a minimum standard as specified by the latest edition core curriculum (6th Edition).

Upon successful completion of both clinical rotations, SUR123 and SUR124, the student will have completed the required 120 cases following Surgical Rotation Case Requirements:

1. The surgical technology program is required to verify through the surgical rotation documentation the students’ progression in the scrub role in surgical procedures of increased complexity as he/she moves towards entry-level graduate competency.
   1. While it is understood that no program is able to control surgical case volume or the availability of various surgical specialties, it is the responsibility of the program to provide students with a diversified surgical rotation experience.
   2. No information in this document prevents programs from exceeding the minimum established by the Surgical Rotation Case Requirements.
2. Students must complete a minimum of 120 cases as delineated below.
   1. General Surgery cases
      1. Students must complete a minimum of 30 cases in General Surgery; 20 which must be performed in the First Scrub Role. The remaining 10 cases may be performed in either the First or Second Scrub Role.
   2. Specialty cases
      1. Students must complete a minimum of 90 cases in various surgical specialties, excluding General Surgery; 60 which must be performed in the First Scrub Role. The additional 30 cases may be performed in either the First or Second Scrub Role.
         1. A minimum of 60 surgical specialty cases must be performed in the First Scrub Role and distributed amongst a minimum of four surgical specialties. (1) A minimum of 10 cases in the First Scrub Role must be completed in each of the required minimum of four surgical specialties (40 cases total required). (2) The additional 20 cases in the First Scrub Role may be distributed amongst any one surgical specialty or multiple surgical specialties.  
         2. The remaining 30 surgical specialty cases may be performed in any surgical specialty either in the First or Second Scrub Role.
   3. Optional surgical specialties
      1. Diagnostic endoscopy cases and vaginal delivery cases are not mandatory. However, up to 10 diagnostic endoscopic cases and 5 vaginal delivery cases can be counted toward the maximum number of Second Scrub Role cases.
         1. Diagnostic endoscopy cases must be documented in the category of “Diagnostic Endoscopy”, rather than by specialty.
         2. Vaginal delivery cases must be documented in the category of “Labor & Delivery” rather than in the OB/GYN specialty.
   4. Case experience in the Second Scrub Role is not mandatory.
   5. Observation cases must be documented, but do not count towards the 120 required cases.
   6. Counting cases
      1. Cases will be counted and documented according to surgical specialty (exception being diagnostic endoscopic cases; refer to II. C.1.a. above).
      2. Examples of counting cases
         1. Trauma patient requires a splenectomy and repair of a Lefort I fracture. Two cases can be counted and documented since the splenectomy is general surgery specialty and repair of LeFort I is oral-maxillofacial surgical specialty.
         2. Patient requires a breast biopsy followed by mastectomy. It is one pathology, breast cancer, and the specialty is general surgery; therefore, it is counted and documented as one procedure – one case.
         3. Endoscopic cases that convert to an open case (e.g.: Laparoscopic Cholecystectomy converted to an Open Cholecystectomy) are counted and documented as one (1) procedure—one case.