TEXAS STATE TECHNICAL COLLEGE SURGICAL TECHNOLOGY PROGRAM SEMESTER: FALL 2015 COURSE SYLLABUS COURSE NAME AND TITLE: SRGT 1409 Fundamentals of Perioperative Concepts and Techniques COURSE DESCRIPTION: In-depth coverage of perioperative concepts such as aseptic/sterile principles and practices, infectious processes, wound healing, and creation and maintenance of the sterile field. End-of-Course Outcomes: Demonstrate principles and practices of aseptic/sterile techniques; identify infectious processes and concepts of wound healing; create a sterile field utilizing basic case preparation; and exhibit maintenance of the sterile field during procedures. INSTRUCTOR: ROBERT S SANCHEZ, RN, BSN Bld.U Rm. 196 PHONE: (956) 364-4805 SECRETARY Tanya Villarreal (956) 364-4636 OFFICE: Sen. Eddie Lucio OFFICE HOURS: Tue 8-10 a.m. Fri 1-3 p.m. LEARNING OBJECTIVES (BASED ON TASKS 6 TH CORE VALIDATED BY ADVISORY COMMITTEE) 4. Correlate the impact of microbiology in relationship to the practice of sterile technique and infection control in the operative setting. 17. Recognize appropriate surgical attire. 18. Employ principles involved in donning surgical attire. 30. Describe the application of surgical equipment. 31. Identify the classifications, names, parts, materials, finishes, and sues of basic surgical instrumentation. 32. Discuss the sources of contamination. 33. Identify the preliminary preparations for the surgical scrub. 34. Employ sterile technique when growing and gloving self and when assisting other team members. 35. Discuss the purposes and legal responsibilities of counts. 36. Discuss when counts should be performed. 37. Describe the methods for counting. 39. Discuss the methods of obtaining specimens. 40. Discuss the types of specimen containers. 41. Describe procedure for validating specimen with surgeon and circulator. 42. Identify the various tissue layers of the abdominal wall. 43. Describe the creation and usage of various surgical incisions. 44. Discuss the advantages and disadvantages of incision types. 45. Analyze the principles of hemostasis. 46. Describe principles of exposure. 47. Compare and contrast the types and characteristics of various catheters and drainage devices. 48. Compare and contrast the conceptual differences between gravity and vacuum drainage. 49. Analyze and assess the factors that influence the closure of each wound layer. 50. Compare and contrast suture materials, suture sizing and suture coatings and analyze their significance.
51. Compare and contrast reusable and disposable surgical stapling instruments and analyze the advantages and disadvantages of utilizing surgical staplers. 52. Compare and contrast biological adhesives and synthetic adhesives. 53. Compare and contrast the most commonly used types of surgical and specialty dressings. 54. Compare and contrast intentional, unintentional, and incidental /chronic wounds. 55. Analyze the mechanisms of wound healing, the inflammatory process, and the healing process. 56. Describe tissue replacement materials. 60. Identify the methods of processing items during terminal disinfection and/or sterilization. 61. List the methods for sealing microbial barriers. 62. List the process for preparing items for sterilization. 63. Compare and contrast methods of sterilization. 64. Identify systems used for sterile storage. 65. Compare and contrast shelf life and event related sterility. 66. Analyze the factors and variables of disinfecting agents. 68. Describe the function of the physical components of the operating room. 70. Describe placing and securing supplies and equipment for use on the sterile field. 97. Discuss location of the surgical services within the healthcare facility. 98. Describe basic floor plan designs for surgical services. 99. Describe the environmental systems and controls within the operative environment. CRITICAL THINKING STUDENT LEARNING OBJECTIVES 1. The student will demonstrate the ability to identify the essential. 2. The student will demonstrate the ability to gather data relevant to the essential question, issue, and/or problem. 3. The student will demonstrate the ability to interpret appropriate data effectively. 4. The student will demonstrate the ability to recognize and evaluate assumptions, major alternative points of view, and related theories, principles, and ideas relevant to the question, issue, and/or problem. 5. The student will demonstrate the ability to develop informed conclusions/ solutions. 6. The student will demonstrate the ability to articulate implications and consequences that emerge from the conclusions/ solutions. 7. The student will demonstrate the ability to effectively communicate any or all parts of the above process in written or oral form
REQUIRED TEXTS AND MATERIALS: FULLER, JOANNA. SURGICAL TECHNOLOGY PRINCIPLES AND PRACTICE, ELSEVIER, SAUNDERS 6TH Edition 2013 ISBN 978-1-4557-2506 FULLER, JOANNA: WORK BOOK TO ACCOMPANY SURGICAL TECHNOLGY PRINCIPLES AND PRACTICE, ELSEVIER, SAUNDERS 6 TH Edition 2013 ISBN 978-1-4557-2507-6 Rutherford, Colleen J. Differentiating Surgical Instruments 2 nd ed. F.A. Davis Company 2012 isbn 978-0-8036-2545-7 PIEKNIK, REBECCA: SUTURE AND SURGICAL HEMOSTASIS A POCKET GUIDE ELSEVIER, SAUNDERS, 2006 ISBN 13: 978-1-4160-2247-3 Rothrock, Jane. Alexanders Surgical Procedures. 1 st ed (new). Mosby 2012. St. Louis, Missouri: ISBN: 978-0-323-07555-8 RECOMMENDED TEXTS: Association of Surgical Technologists, Inc., Surgical Technology for the Surgical Technologist. 4th Edition. Delmar 2014. ISBN 10:1-1110-3756-6 Association of Surgical Technologists, Inc., Study Guide to Accompany the Surgical Technology for the Surgical Technologist. 4th Ed. Delmar 2014. ISBN: 10: 1-111-03758-2 Phillips, Nancy Marie. Berry & Kohns Operating Room Technique. 12 th Edition. Elsevier Mosby, 2013. St. Louis, Missouri: ISBN: 978-0-323-07358-5 Rutherford, Colleen J.: Differentiating Surgical Instrumentation F.A. Davis 2012 ISBN: 978-0-8036-2454-7 Course Requirements A. Weekly Test, Quizzes, Random Quizzes, Homework, (Written homework assignments will be given as required). Moodle Assignments, Presentation Assignments, and a Final Exam grade will be given. You will be tested on material that has been covered in class and on material that has been assigned to you. B. SCANS Competencies will be evaluated as part of unit performance tests. There will be a comprehensive final given at the end of the semester. C. The instructor reserves the right to change times of classes or other special meetings due to unforeseen circumstances. Whenever possible one (1) week notice will be given to inform student of changes in schedule.
SEE ATTACHED THEORY WEEKLY SCHEDULE GRADING CRITERIA: Homework/Quizzes/Moodle assigns 20% Presentations 20% Weekly Tests 35% GRADING SCALE: 93-100 A 86-92 B 78-85 C Final Exam 25% Below 78 F DEPARTMENT PARTICIPATION POLICY: The responsibility for class attendance rests with the student. Regular and punctual attendance in all classes is expected. TSTC reserves the right to act on individual cases of non-participation at any time. TSTC does not require faculty to take attendance; however, they have the right to do so if they choose and may set participation standards. Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend lecture and laboratory sessions in accordance with requirements of the course as established and communicated by the instructor. A student who fails to meet these class participation requirements will earn a failing grade (F) in the course. The following guidelines apply when faculty administers participation policies: An absence can be issued whenever a student does not attend a regular scheduled instruction period, whether it s a theory or laboratory class. The instructor determines whether an absence is excused or unexcused. An excused absence is defined as one due to illness or an emergency situation beyond a student s control. A satisfactory written explanation from an appropriate authority should be given to the instructor. An absence for any other reason is considered as unexcused. Classroom: Class participation and promptness are expected in order to ensure your continued success in the program. Class preparedness and participation is essential in order to gain full knowledge of the subject matter being presented. Students will be expected to conduct themselves in a mature and attentive demeanor.! Excessive laughing and talking will not be tolerated.! NO CELL PHONES OR TEXTING IS ALLOWED IN CLASS
Unit tests will be given. It is the student s responsibility to contact the instructor the morning of the test if the student cannot attend. It is also the student s responsibility to make arrangements with the instructor to make up tests missed. If absent the test missed must be made up prior to the next class meeting. You will be allowed to make up tests, but 15 points will be deducted. *GRADING SYSTEM: In order to receive credit for the course, a grade of C or better must be earned. Failure to earn a passing grade in SRGT 1409 will result in being dropped from the program. The course grade is the average of all exam grades for lectures with the inclusion of accepted assignments. A. Exams are graded on the basis of 100%. 1. Exams will be given weekly to incorporate any information given in lecture or assigned as a homework reading assignment. Exams will incorporate any combination of the following: multiple choice, completion, matching, identification, and essay questions. 2. Each exam is timed, requiring the learner to gain practice in time management. This practice will benefit the graduate while taking the National Certifying Exam. 3. Make-up exams are not given. However, an exam may be taken late. The exam must be taken before the next class meeting. Arrangements have to be made with the instructor. There will be an automatic 15 point deduction from the score for the late exam regardless of excused absence. Each student will be allowed only one opportunity to take an exam after the missed class period. If the exam is missed, the student will be given a zero for the grade. 4. The final exam cannot be missed. A grade of zero will be given to any student who misses the final exam. B. Quizzes will be given at each class meeting. No Make-Up Quizzes!! No exceptions!! C. All assignments are due prior to the commencement of class. No late assignments will be accepted unless the student has made arrangements with the instructor. Ample time will be allowed to complete all work. Reading of required material is essential for satisfactory completion of SRGT 1409. You will be tested on any material that has been assigned. D. The Final Exam will be comprehensive and will include information presented throughout the semester. F. Extra credit assignments will not pass the student who has failed all exams.
COMPUTER AND SOFTWARE: Must have working computer with Microsoft word Internet accessibility ( high speed) Recommended Browser- Mozilla Firefox Adobe Reader- Download for free at http://www.adobe.com/products/acrobat/readstep2.html Access to TSTC Moodle (https://mycourses.tstc.edu/). If you have trouble logging on scroll down to Quick start guide for students. You can also call the TSTC network help services at 956-364-5000 A. Discussion Boards and Moodle Assginments Discussion boards and assignments will be posted on Moodle. The student is required to log on to Moodle on a daily basis and remain abreast of any changes to assignments. Discussion boards, Homework and quizzes are worth 20% of your grade. Postings must be timely and will be graded using assigned grading rubric. No late postings will be accepted. CLASS POLICIES: Copyright Statement The materials used in the course (textbooks, handouts, media files (podcast, MP3, Videos, RSS Feeds), and all instructional resources on the colleges Learning Management System (Moodle) are intended for use only by students registered and enrolled in this course, and are only to be used for instructional use, activities associated with, and for the duration of the course. By "handouts," this means all materials generated for this course, which includes but are not limited to syllabi, quizzes, exams, lab problems, in-class materials, review sheets, and any additional materials. These materials may not be retained in another medium or disseminated further. They are provided in compliance with the provisions of the Teach Act. These materials may not be reproduced, displayed, modified or distributed without the express prior written permission of the copyright holder or TSTC. For further information contact your instructor. Communicating with your instructor (My Mail Email System) The use of Your my mail TSTC College student e-mail account will be the only way to receive official notices from the college. When communicating with instructors and/or employees of the college you are required to use your TSTC My mail student e-mail address. If you choose to forward your e-mail to another account, please be advised that all communication from and within the college will use your my mail student e-mail. "TSTC Harlingen faculty, staff, and students are asked to report all threats, perceived or real, immediately to College Police located Tutoring the Auxiliary Statement Building. If the threat is imminent, the The Supplemental College Police Instruction emergency & Tutoring phone line Program at 364-4234 at TSTC or offers 9-911 free should tutoring be called. and academic College Police support will services to help you then achieve coordinate your academic the proper and response career goals. in accordance You can with access State the and most federal up-to-date laws and Supplemental TSTC Instruction & Tutoring System/College Schedule, as rules well and as MyTSTC regulations Video Tutor Library, by using your smart phone to scan over the QR code below or visiting our webpage at: http://www.tstc.edu/harlingenoss/situtoringprogram For more information, please contact the Office of Student Success at 956.364.4163 or the Supplemental Instruction & Tutoring Program at 956.364.4170.
ACCOMMODATIONS "If you have a documented disability which will make it difficult for you to carry out the work as the instructor has outlined, and/or if you need special accommodations due to a disability, please contact (956) 364-4520 or visit Support Services Office located in the Consolidated Student Service Center Bldg. EK. Room 216 as soon as possible to make appropriate arrangements. CLASS PARTICIPATION Class participation in this course is MANDATORY. Students must maintain a satisfactory class average for all daily assignments, class discussions, unit tests, lecture and quizzes, class projects, and all other assignments. Failure to abide by these policies will result in failure of course. It is the STUDENT S RESPONSIBILITY TO W (withdraw) from the course when he/she feels they cannot meet the class participation standard. This withdrawal process will no longer be initiated by the Instructor. Students must remain in constant contact with their Instructor to understand what their class participation status is at any time during the term. Students wishing to Withdraw must file a SCHEDULE CHANGE FORM with the Admissions Office. Failure to comply will affect your standing in the Surgical Technology Program. Dismissals: A student may be subject to dismissal for any of the following reasons: Unprofessional, unethical, and/or dishonest behavior (lying, stealing, cheating, consumption of alcoholic beverages during schools activities, unauthorized use of drugs, disregard for patient care or privacy, untidy appearance.) Failure to maintain passing academic grades in theory as described in the Grading System policy. Unprofessional conduct in the classroom. (Verbal or physical assault). Use of profanity or defamation of character of peers, staff, preceptors, or faculty. All dismissal requests will be evaluated and handled accordingly by the Division Director of Allied Health, Jean Lashbrook, Department Chair, Mr. R. Sanchez, and instructor involved. Incidents will be handled by a case by case basis and all aspects of the incident will be evaluated and resolved accordingly. COURSE CONTENT In-depth coverage of perioperative concepts such as aseptic/sterile principles and practices, infectious processes, wound healing, and creation and maintenance of the sterile field. REQUIRED READING ASSIGNMENTS: FULLER, JOANNA Surgical Technology Principles and Practice, 6 th Edition 2013 Chapter 4, pages 52-69 The Health Care Facility Chapter 9, pages 143-171 Microbes and the process of infection Chapter 10 pages 172-195 The Principles and Practice of Aseptic Technique Chapter 11 pages 198-226 Decontamination, Sterilization, and Disinfection Chapter 12 pages 229-245 Surgical Instruments
Chapter 21 pages 412-438 Case Planning and Intraoperative Routines Chapter 22, pages 441-475 Managment of the Surgical Wound Chapter 23, pages 481-488 Structure and Regions of the Abdomen Pieknik, Rebecca: Suture and Surgical Hemostasis a Pocket Guide RECOMMENDED READING ASSIGNMENTS: Rothrock, Jane C, Alexander Sherri M. Alexander s Surgical Procedure 1 st edition IX. REQUIRED STUDENT MATERIALS AND SUPPLIES 1. Surgical Technology Principles and Practice Study Guide Sixth edition (Fuller) 2. Paper, Pens, Pencils 3. 3 ring binder 4. Scantrons The instructor reserves the right to change times and dates due to unforeseen circumstances or as needed. If time is allotted a 1 week notice will be given to the student to make the necessary arrangements to comply with the instructor s request. It is the responsibility of the student to stay up to date with changes to assignments and test dates. Keep in mind that the following schedules is titled TENTATIVE which means that the schedule may change at any given time during the semester. Updates will be posted on Moodle site as needed. *** Hospital orientations/ in-services are required in order to be able to participate in clinical experience. Students will be notified as soon as the department is made aware of these in-services; however this often occurs with short notice given to the department. Students are mandated by the hospitals to attend these in-services. If student fails to attend they will not be allowed in clinical. NOTE: Any changes to this Course Information Sheet will be provided on Moodle.