ASHEVILLE-BUNCOMBE TECHNICAL COMMUNITY COLLEGECourse Outline

Course: SUR 110 Introduction to Surgical Technology MEETS RHO 412 TUESDAYS 0900-1150

Credit Hours: (3-0-0-3) 3 Credit Hours

Course Description:This course provides a comprehensive study of peri-operative care, patient care concepts, and

professional practice concepts within the profession of surgical technology. Topics include: introductory concepts, organizational structure and relationships, legal, ethical, and moral issues, medical terminology, pharmacology, anesthesia, wound healing management concepts, and the technological sciences. Upon completion, students should be able to apply theoretical knowledge of the course topics to the practice of surgical technology.

Course Notation: This course is a web-enhanced course. The student will need access to Moodle to retrieve class work, homework, Power-point lectures, and test material. Additionally, students are required to communicate with instructors exclusively via their ABTECH student e-mail accounts. Communication via e-mail is routine and frequent. The student is responsible for all material and communications delivered via e-mail.

Instructor: Daniel Stokoe, CST, A.A.S.Phone numbers: Office: 828-398-7618 Cell: 279-4800 (call/text before 8pm) e-mail: danieljstokoe@abtech.edu

OFFICE HOURS: (M) 11am-1:50pm, (T) 12pm-12:50pm, (F) 12pm-12:50pm

PREREQUISITES: Enrollment in the Surgical Technology Program

COREQUISITIES: SUR 111, BIO 163

REQUIRED TEXTS:

ABTCC Surgical Technology Handbook.

AST. (2008). Surgical Technology for the Surgical Technologist: A Positive Care Approach, (3rd ed.). Clifton Park, NY: Delmar.

AST. (2008). Study Guide to Accompany Surgical Technology for the Surgical Technologist: A Positive Care Approach, (3rd ed.). Clifton Park, NY: Delmar.

Gylys, B. (2011). Medical Terminology Express. Philadelphia, PA: F.A. Davis

Rutherford, C. (2010). Differentiating Surgical Equipment and Supplies. Philadelphia, PA: F.A. Davis

Snyder & Keegan. (2012). Pharmacology for the Surgical Technologist, (3rd Ed.). Philadelphia, PA: W. B. Saunders.

Pieknik, R. (2006). Suture and Surgical Hemostasis: A Pocket Guide. Philadelphia, PA: W.B. Saunders.

OPTIONAL TEXTS:

Rothrock, J. (2011). Alexander’s Care of the Patient in Surgery, (14th ed.). St. Louis, MO: Mosby

AORN. (2012). AORN Standards, Recommended Practices, and Guidelines. Denver, CO: AORN. Goldman, M. (2009). Pocket Guide to the Operating Room, (3rd ed.). Philadelphia, PA: F.A. Davis. (Required Text for Spring and Summer Clinicals)

Prepared by: Daniel Stokoe Revision Date: May 6, 2023

I verify that this course outline is accurate, complete and timely

________Robin B. Keith Chairperson

________Dolly Horton__________ Dean

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COURSE POLICIES:

The instructor reserves the right to alter course content, presentation, or sequence.There will be no make-up quizzes or tests. Homework will be collected on the class period after it is assigned unless there is another DUE date on the syllabus. Incomplete or late homework will not be accepted.

Open Grade Book Policy:The Surgical Technology Program Faculty maintains an “open grade book” policy as well as an open door policy and will make every effort to keep students aware of their progress throughout the semester. If you at any time have a question about the grading procedure, status of your grade, or overall progress throughout the curriculum, please do not hesitate to ask!

Academic Dishonesty You may not deceive any official of the college by cheating on any assignment, exam, or paper. This includes plagiarism, which is the intentional theft or unacknowledged use of another’s words or ideas. Plagiarism includes (but is not limited to) paraphrasing or summarizing another’s words or works without proper acknowledgement, using direct quotes of material without proper acknowledgement, or purchasing or using a paper or presentation written or produced by another. The faculty at A-B Tech may also consider presenting as original work a paper written for one class to satisfy a requirement in another class to be academic dishonesty.

Approved by the Academic Affairs Committeeon November 18, 2003

DisabilitiesAny student with a documented disability needing academic adjustments or accommodations is requested to speak with the coordinator of Disability Services in the Bailey building, Judith Harris (828-398-7141 or e-mail judithkharris@abtech.edu).

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CLASSROOM ATTENDANCE POLICY:

The Program Faculty believes that anytime a student is not in attendance at a didactic class, laboratory session, or clinical rotation, he or she is not able to receive the full benefits of a presentation or experience even if competencies are eventually met. It is also believed that regular and punctual attendance is expected of all students for them to achieve their potential in the surgical technology program and to develop desirable personal traits necessary to obtain employment in any Allied Health profession. These traits are among the first looked for by prospective employers. In fact, the student should be reminded that every time they put on their uniform and go for clinical instruction they may be completing part of an informal job interview whether they know it or not. For these reasons, full-time attendance is expected in all didactic classes, laboratories, and clinical experiences.

1) Proper Call-in Procedure

The student is responsible for contacting the program faculty regarding absences prior to the scheduled class time. Faculty offices are equipped with voice mail. The extension numbers are listed in this syllabus. When calling in, please leave your name, the time you called, the reason for your absence, and when you expect to return to class. If a phone call to the instructor's office should go unanswered, please call the Allied Health secretary at ext. 281 and leave a message. Her usual office hours are 8:30 AM-12 noon and 1:00-4:30 PM. Messages must not be sent through other people unless extenuating circumstances prevail.

2) Failure to properly report an absence will result in an unexcused class absence and the student will

receive a "0" on any homework due or test given on that day .

3) To receive course credit, a student should attend a minimum of 90 percent of the contact hours of the class. Upon accumulating absences exceeding 10 percent of the course contact hours, the student may be dropped from the class with a grade of “U” at the discretion of the instructor. Being late for class is also

a serious interruption of instruction. A tardy is defined as arriving late for class (any minutes), leaving early (any minutes,) or being away from class without permission during class hours. It is departmental and college policy that three tardies is the equivalent of one full day’s absence from class or clinic. For every third tardy, the student will have one full day’s absence counted for the course.

Students are reminded that they must be in the classroom at the time of the scheduled course. Students are not permitted to interrupt class with their tardiness. The classroom door will be locked at the scheduled

start of class. Students will not be permitted classroom entrance until the first break, provided they are present at that time. Homework will be accepted at the beginning of class ONLY. If the student is late, homework will not be accepted. Tests will not be made up if missed due to tardiness.

4) The student is also responsible for adhering to the ABTCC Guidelines for Classroom Conduct. See the most current version of the ABTCC Student Events Calendar and Handbook.

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ELECTRONIC USAGE/DEVICES

There will be no cell phone use permitted by students during any portion of a didactic session. All cell phones will be collected by the instructor and left at the instructor’s desk for the duration of class. Students may retrieve their phones on breaks, but must replace them as they reenter the classroom.

Any students whose cell phone is heard during class, whether on vibrate or audio, will be asked to leave the classroom and will receive an absence for the day, as well as forfeiting any possible grades/points that could be earned during the class session following the incident.

Laptop/smartphone usage will not be permitted in the classroom.

This policy is in effect for every didactic setting, from admission through graduation/pinning.

Instructors are not responsible for damage or lost cell phones.

PROLONGED ILLNESS

Students must notify the appropriate classroom or clinical instructor each day of an absence until it is established exactly how long the student will be out. Any student who misses more than three consecutive school days of class and/or clinic must obtain proper documentation for the missed time before they will be allowed to return to classes or clinic.

HOLIDAYS AND VACATIONS

Surgical Technology students are committed to one year of full-time study. Within this time, students are eligible for holidays recognized by the College and vacation time during semester breaks. The student should consult the academic calendar that is published in the College Catalog and Student Calendar for the dates of recognized holidays and semester breaks. The student is reminded that up to three inclement weather days may made up at the end of fall semester and breaks should be planned accordingly.

APPOINTMENTS Medical, dental, and other appointments should not be scheduled during didactic and clinical times. Appointments scheduled during these times will create a tardy or unexcused absence unless extenuating circumstances prevail.

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EVALUATION CRITERIA

Portfolio 10%Homework/Quizzes*/Tests*/Presentations /Midterm*(Comprehensive) 60%Final (Comprehensive) 30%TOTAL 100%

GRADES 90-100 = A80-89 = B70-79 = C 60-69 = D

BELOW 60 = F

* All testing for this class will be conducted in Balsam, Room 210. Tests will be every Tuesday from 0900-0950.*All tests will have a time limit of 50 minutes. All tests are comprehensive and electronic.* Please report to Balsam, NOT Rhododendron, by 0900 each Tuesday to be eligible to take the daily exam. * Please refer to the class rules found in the SUR 110 PowerPoint Lecture #1.* All Clinical Education modules MUST be completed before you can go on a fieldtrip to that clinical site. Refer to your lab schedule for fieldtrip information.

STUDENT GROUP PRESENTATIONS

Students will work in groups of three or four to present material on the following topics and the affect they have on health and wellness on a Surgical Technologist as well as the potential impact it could have on the surgical patient:

Physical Activity

Nutrition/Metabolism

Stress

Alcohol

Tobacco

Drug Abuse

Presentations will last at least 15 minutes. Student group presentations shall use a minimum of 1 EACH of the following: display boards and a Power Point slideshow. For each of the afore mentioned requirements that are missing from the presentation, a letter grade will be deducted. All student participants shall have a speaking role in the presentation. This is a group grade, group participation is a must. Don’t be afraid to be creative! Teamwork is your goal!

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COURSE OBJECTIVES: Upon completion of this course, the student will:

1. Differentiate between non-sterile and sterile roles.2. Identify Professional practice concepts related to healthcare facility information3. Recognize physical environmental concepts.4. Combine prefixes, root words and suffixes to construct, define and apply medical

terminology.5. Discuss key elements in the application of ethical decision making.6. Define the legal role of the surgical technologist7. Define legal terms and provide examples as well as preventative measures for each in

the peri-operative setting.8. Discuss bio-psychosocial needs of the surgical patient.9. Discuss the death and dying process and the varied perceptions of this process.10.List components of the patient chart review.11.Describe the anatomy of the abdominal wall, incision sites, layers of closure, and

potential complications.12.Apply pharmacological concepts in peri-operative care.13.Define various wounds types and the concepts of wound healing.14.Identify wound closure supplies and techniques.15.Define and discuss anesthesia concepts.16.Define and discuss electrical concepts used in peri-operative care.17.Define and apply information technology concepts.18.Identify robotic terms and concepts.

GENERAL EDUCATION OBJECTIVES: Incorporated into course objectives:

1. Communicate effectively speaking and in writing.2. Demonstrate basic computer skills.3. Demonstrate ability to function as a self-directed learner.4. Apply critical thinking concepts.

Learning activities that reinforce learning objectives:a. Concept research papersb. Group presentationsc. Weekly testingd. Multiple definition requirements (medical terminology, medications, anesthesia concepts, legal concepts, ethics, safety principles in electricity, and the physical environment of the operating room).

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SUR 110 INTRODUCTION TO SURGICAL TECHNOLOGY

CONTENT OUTLINE

I. Introduction to the Educational ProgramA. General information

1. Introduction to Program2. Program objectives3. Program Policies

B. Scope of Surgical Technology Practice 1. Historic/Current evolution of surgery & the surgical technologist 2. Surgical Classifications (types/pre, intra, post-op) 3. Roles and Responsibilities (Sterile and Non-sterile) of Surgical Team Members

4. Professionalism/personal expectations of the surgical technologist C. Professional Organizations and Credentialing

D. Healthcare Facility Chain of Command and the Agencies Within

II. The Physical EnvironmentA. Surgical Services

1. Floor plan2. Principles of the Layout3. Traffic Patterns4. Communication Systems 5. OR location and floor plan6. PACU and Discharge Planning

B. Environmental Systems, Control and SafetyC. All Hazards Prevention

III. Medical Terminology (Week 2 lecture and Weeks 1-16 medical terminology textbook assignments)A. Introduction and Rules B. Prefixes, Suffixes, Root WordsC. DirectionD. Amount E. Color F. Medical Terminology by System G. Abbreviations

1. Most Common 2. Do not use list (Joint Commission)

IV. Ethical and Moral Issues A. AHA Patient PartnershipsB. Elements of Ethical Decision MakingC. Surgical ConscienceD. Ethical Conflicts in Clinical Practice

V. Legal Issues, Documentation, and Risk ManagementA. Legal TerminologyB. NegligenceC. Legal Doctrines

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D. Professional Standards of ConductE. Documentation ConceptsF. OR Sentinel EventsG. Risk Management for Sentinel Events

V. Patient care conceptsA. Biopsychosocial needsB. Maslow’s Hierarchy of NeedsC. Special PopulationsD. Death and Dying

1. Religious and cultural beliefs 2. Grieving process 3. Quality of life vs. quantity of life

4. Organ Procurement and transplantationE. Cultural and Religious ConsiderationsF. The Nursing Process

VII. Chart Review / Abdominal IncisionsA. Chart Review

1. Laboratory Values2. Diagnostic Tests3. Pre-op Checklist4. Patient Identification5. History and Physical6. Surgical Consents7. Documentation

B. Abdominal Incisions1. Anatomy of the Abdomen/Abdominal Wall2. Abdominal Incisions

3. Closing the Abdominal Wall Considerations 4. Anticipation of Problems

VIII. PharmacologyA. Pharmacology Terminology

1. Pharmacokinetics / Pharmacodynamics2. Actions /effects3. Abbreviations4. Medication nomenclature5. Medication classifications6. Legal implications, Policy and Procedure7. Pharmacology publications/references

B. Care and Handling of Medications and Solutions1. Medication Identification2. Medication Preparation3. Five Rights of Medication Preparation4. Techniques of Identification

C. Medication Measurements1. Use of metric system2. Basic Mathematics3. Conversions4. Dosage Calculations5. Mixing Medications

D. Medications used in Surgery1. Sources/Origins

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2. Forms/Types3. Routes4. Classifications

E. Developing Medication Reference Cards

IX. Wound HealingA. DefinitionsB. Wound TypesD. Wound Healing

1. Types2. Considerations3. Inflammatory Process4. Phases5. Factors influencing6. SSIs and Prevention 7. Complications8. Wound Care

X. Wound Closure A. Suture

B. Surgical NeedlesC. TechniquesD. Surgical StaplersE. Ligating ClipsF. Tissue AdhesivesG. Wound ClosureH. Tissue Repair

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XI. Anesthesia A. Anesthesia Concepts

1. Definition/Assessment/ASA Classifications2. Patient Monitoring Devices and Equipment3. Positioning

B. Anesthesia Administration

1. Preoperative Medications2. General Anesthesia

a. Conceptsb. Phasesc. Stages

3. Regional Anesthesiaa. Spinalb. Epiduralc. Blocksd. MACe. Local and Topicalf. Alternative methods (Cryo-anesthesia and acupuncture)

C. Surgical Team Roles during Anesthesia Administration1. Health Care Policy2. Assisting Anesthesia Personnel3. Medication Dispensing4. Documentation

D. Anesthetic and Emergency Complications1. Allergic and/or Anaphylactic Reactions2. Aspiration3. Laryngospasm and Bronchospasm4. Malignant Hyperthermia5. Hemolytic Reactions 6. Hemorrhage7. Shock

8. Cardiac Dysrhythmias and Arrest

XII. Technological Sciences A. Electricity

1. Terms2. Basic principles of electrical flow3. Types of current4. Electrical safety

B. Information Technology1. Computer Hardware and Components2. Computer Applications and Document Processing3. Internet4. Patient Confidentiality

C. Robotics11

1. Terms2. Robotic System3. Navigation systems and Other Technologies

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SUR 110INTRODUCTION TO SURGICAL TECHNOLOGY

TENTATIVE SYLLABUS BASED UPON AVAILABILITYOF GUEST LECTURERS AND LEARNING AIDS

WEEKLY COURSE OBJECTIVES

WEEK # TOPICS RESOURCES

1 Introduction to program, program policies and procedures Scope of Surgical Technology Practice AB-TECH Infection Control (Mandatory)

Healthcare Organizations and ManagementPhysical Environment

RESOURCES Surgical Technology Student Handbook SUR 110 Course and content outlines, syllabus TEXT AST CH. #1

Gylys Chapter 1 Intro & Anatomical terminology

HOMEWORK #1-KEY TERMS (ST Workbook CHP #1, Key Terms)-Medical Terminology – Gylys - Chapter 1 Intro & Anatomical terminology (disc Activities – Suffixes/Prefixes – all 3 activities – print and turn in with HW)

MOODLE Homework #1 + #2 Medication Cards

2 Introduction to Computers and Their Role in the OR Class will be held in Computer Lab

Informational Technology Skills and Moodle training RESOURCES: AST CH. #6 (104-111) Gylys Chapter 2 Body Structures

HOMEWORK #2 Med Term - Gylys- Chapter 2 Body Structures

(Disc – Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Technological Sciences Terminology Definitions - MOODLE Medication Cards

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3 Concepts of Medical Terminology Prefixes, suffixes, root words Surgical Terminology Abbreviations

Do not Use List (Joint Commission) Structure of Surgical Terminology

RESOURCES TEXT Gylys – Chapter 3 Integumentary System

HOMEWORK #3 --KEY TERMS (ST Workbook CH 14 Key Terms) -Drugs Used in Surgery Handout/Post-Test - Moodle

Med Term - Gylys- Chapter 3 Integumentary System(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

4 The operating room’s physical environment. Traffic patterns in the Perioperative Setting Environmental Safety

All Hazards Preparation

RESOURCES TEXT AST CH. #5 Gylys Chapter 4 – Respiratory systems

HOMEWORK #4-KEY TERMS (ST Workbook CH 5 Key Terms) Med Term- Chapter 4 Respiratory system

(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

(Assign Group Presentations to Present week 7)

5 Importance of professional Ethics Ethical and moral issues and AST Code of Ethics “Patient’s Bill of Rights” consents, documentation Risk Management and Legal Issues

RESOURCES TEXT AST CH. #2 Gylys Chapter 5 – Cardiovascular systems

HOMEWORK #5-

KEY TERMS and Matching 1 and 2 (ST Workbook CH 2)Med Term – Gylys - Chapter 5 Cardiovascular system

(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

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6 Biopsychosocial needs of the patient Maslow’s Hierarchy of Needs Special populations RESOURCES TEXT AST CH. #3 AST CH. #4 (57-73)

Gylys Chapter 6 – Blood, Lymphatic, Immune systems HOMEWORK #6 Work on Group Presentations (Patient Care Concepts) KEY TERMS, MATCHING (ST Workbook Chap 3)

Med Term - Gylys- Chapter 6 Blood, Lymphatic, Immune systems (Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

7 Patient care concepts Physical health →Student Group Presentations Special Patient Populations PACU/ Discharge Planning Death and Dying The Nursing Process

RESOURCES AST CH. #4 and #14 (394-413)Gylys- Chapter 7 Digestive system

HOMEWORK #7

Med Term - Gylys- Chapter 7 Digestive system (Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

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8 MIDTERM EXAMINATION (Comprehensive - from Day 1 to Present)

Reviewing the Chart Laboratory values Diagnostic tests Check List Abdominal incisions

RESOURCES TEXT AST CH. # 13and #14 (394-413). Gylys- Chapter 8 Urinary system

HOMEWORK #8 Lab Reports- ST Workbook CH 13, page 257 (entire page) Med Term - Gylys- Chapter 8 Urinary system

(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

9 Basic Pharmacology, Basic Medication Mathematics

RESOURCES TEXT AST CH. #9 and #14 (394-413). TEXT Snyder CH. # 1, 2 and 3 (must read!!)

Gylys- Chapter 9 Reproductive system

HOMEWORK #9- ST Workbook Chap 9 Key Terms (pg 88) through 9-2 (page 94)-Pharmacology, Chap 1 - PG 24, review questions 1-8. Chap 2 – PG 39, review questions 1-7. Chap 3 – PG Math Eval (1-20) and Review Questions 1-8.

Med Term - Gylys- Chapter 9 Reproductive system(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities IN BOTH MALE AND FEMALE REPRODUCTIVE SECTIONS– print and turn in with HW)

Medication Cards

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10 Care and Handling of medications and solutions Medications used in surgery

RESOURCES TEXT AST CH. # 9 (212-215) TEXT Snyder CH. # 4,5,6,7, 9, 11, 13 (must read!!)

TEXT Rutherford (Equipment & Supplies) CH #2 (Medications 54-55, 86-91 and CH #8 (200-228)Gylys- Chapter 10 Endocrine System

HOMEWORK #10-Anesthesia Definitions - Moodle

-Pharmacology – due the large amount of reading there will be no HW assigned for these chapters. However, you will find test questions from these chapters on following tests.

Med Term - Gylys- Chapter 10 Endocrine System(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

11 Wound healing / wound types Mechanism of wound healing Stages of wound healing Factors affecting wound healing

RESOURCES TEXT AST CH. # 11 (278-284) Suture and Surgical Hemostasis: A Pocket Guide – Chap #1,2 Gylys- Chapter 11 Nervous system

HOMEWORK ST Workbook #11- CH 11, 147-149 through Wound Healing (Matching 1-10)

-Med Term - Gylys- Chapter 11 Nervous system(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

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12 Surgical Site Infections Wound closure Sutures and staplers

RESOURCES “GUEST LECTURER” TEXT AST CH. # 11 (285-303) Suture and Surgical Hemostasis: A Pocket Guide Gylys- Chapter 12 Musculoskeletal system

HOMEWORK #12- CH 11, 136 Wound Healing #11 (page 149) through Ordering (page 152, #20) ST Workbook

Med Term - Gylys- Chapter 12 Musculoskeletal system(Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

13 Anesthesia concepts Anesthesia Administration General Anesthesia Regional Anesthesia

RESOURCES “GUEST LECTURER” TEXT AST CH. # 9 (215-236) Snyder CH. # 13, 14, 15, 16

Rutherford (Equipment & Supplies) CH #8 Gylys- Chapter 13 Special Senses: Eyes and Ears

HOMEWORK # 13- Med Term - Gylys- Chapter 13 Special Senses: Eyes and Ears (Activities - Tag the Elements, Spotlight the Elements and Build Medical Words – all 3 activities – print and turn in with HW)

Medication Cards

14 Local Anesthesia Epidural Anesthesia Assisting During Anesthesia

Anesthesia Complications

RESOURCES “GUEST LECTURER” TEXT AST CH. # 9 (236-252) Snyder CH. # 13, 14, 15, 16 – must read! HOMEWORK # 14 Medication Cards

Study past tests and HW for Final Exam

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15 Technological Sciences Electricity Robotics RESOURCES TEXT AST CH. #6

16 COMPREHENSIVE FINAL EXAM

YOU MAY COME IN THE FIRST WEEK OF JANUARY TO PRACTICE IN LAB.PLEASE TAKE ADVANTAGE OF THIS TIME TO REFRESH YOUR SKILLS FROM THE HOLIDAY

BREAK. THE TIME SPENT WILL GREATLY REDUCE YOUR STRESS FOR THE UPCOMING FIRST DAY OF CLINICAL.

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