Course Number and Title:
SGT 200 Surgical Technology I
Prerequisites
Prerequisites: BIO 100 and BIO 121 and BIO 125 and (MAT 152 or higher) and SGT 100 and (Test scores or ENG 102 or higher)
Course Credits and Hours
4 credit(s)
4 lecture hours/week
0 lab hours/week
Course Description
This course highlights the fundamental techniques necessary for assuming the responsibilities of a surgical technologist. Preoperative and intraoperative patient care concepts, with both non-sterile and sterile responsibilities, are emphasized. Students are introduced to skill development related to instrumentation, equipment, patient transportation, surgical positioning, and preoperative patient preparation.
Core Course Performance Objectives (CCPOs)
- Examine the classifications, parts, finishes, materials, names, and uses of surgical instruments. (CCC 2, 5; PGC 2, 5)
- Examine tasks related to preoperative case management. (CCC 1, 2, 3, 5; PGC 1, 2, 3, 5)
- Analyze techniques related to wound closure and healing. (CCC 1, 2, 5; PGC 2, 4, 5)
- Describe procedures for managing surgically treatable diseases and disorders in the specialties of general surgery. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 5)
- Describe the duties of the surgical technologist in the assistant circulator or scrub role. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 5)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Measurable Performance Objectives (MPOs)
Upon completion of this course, the student will:
- Examine the classifications, parts, finishes, materials, names, and uses of surgical instruments.
- Describe the name, classification, and use of surgical instruments.
- Identify the manufacturing characteristics of surgical instruments.
- Compare the grades of surgical instruments.
- Explain the relationship between instrument type and usage.
- Identify the various parts of surgical instruments.
- Describe the categories of surgical instruments.
- Evaluate perioperative instrumentation handling concepts.
- Examine tasks associated with preoperative case management.
- Describe the terms related to asepsis and sterile technique.
- Discuss principles and practices of sterile technique.
- Evaluate sources of contamination found in the operating room.
- Analyze the cleaning process of the surgical environment utilizing various disinfecting agents.
- Identify various surgical supplies and their uses.
- Explain the principles of handling various types of surgical supplies.
- Explain the steps for preparing an operating room for a surgical procedure.
- Analyze concepts to effectively create a sterile field.
- Describe the proper sterile technique used to open sterile supplies.
- Explain how to properly don and doff sterile attire.
- Describe the purpose of surgical counts and related documentation.
- Describe the procedure for counting instruments, sharps, sponges, and other supplies on the sterile field.
- Explain the intraoperative sequence and timing for surgical counts.
- Explain the procedure for handling a miscount.
- Describe the types and characteristics of draping material.
- Explain draping for various surgical procedures.
- Analyze drape selection and application considering various placements.
- Identify methods used to analyze, plan, and prepare for the needs of the surgical procedure.
- Describe how the case cart system is used and the surgeon's preference card.
- Explain how to organize and maintain the sterile field.
- Differentiate the different methods and principles of transporting, transferring, and positioning the surgical patient.
- Analyze the selection of various surgical positions.
- Compare and contrast various types of skin preparations and safety concerns.
- Describe the steps for skin preparations.
- Analyze factors requiring urinary catheterization.
- Explain the supplies and steps to perform a urinary catheterization.
- Identify the basic components of accessory and specialty equipment and their applications.
- Identify the components and sequence of a time-out procedure and who will participate.
- Explain the various considerations and steps necessary to break down the sterile field.
- Analyze techniques related to wound closure and healing.
- Differentiate among various methods of hemostasis.
- Define terminology related to sutures and wound healing.
- Describe the desired characteristics of suture materials and the factors that must be considered when choosing suture material.
- Analyze the characteristics of each classification and type of suture material.
- Describe the parts of a suture needle.
- Describe proper suture selection, preparation, handling, and cutting techniques.
- Describe the various types of suture techniques.
- Describe the types of wound closure and skin closure techniques and accessories
- Describe the various types of wounds and the mechanisms of wound healing.
- Evaluate the classification of surgical wounds.
- Analyze the factors that influence wound healing and describe complications that can arise.
- Describe procedures for managing surgically treatable diseases and disorders in the specialties of general surgery.
- Correlate the relevant anatomy, physiology, and pathophysiology to the surgical procedures.
- Describe the diagnostic interventions and imaging modalities used to formulate a diagnosis.
- Describe the purpose and considerations of interventional radiology (IR).
- Evaluate the role of the surgical technologist during diagnostic interventions.
- Discuss factors that are unique to General surgical procedures using various approaches, including open and minimally invasive techniques.
- Rectal:
- Sphincteroplasty.
- Pilonidal cystectomy
- Hemorrhoidectomy
- Fistulectomy or fistulotomy
- Hernia:
- Umbilical Hernia
- Inguinal Hernia
- Incisional Hernia
- Hiatal Hernia
- Femoral Hernia
- Endocrine:
- Thyroidectomy with or without parathyroid preservation
- Splenectomy
- Breast:
- Modified radical mastectomy with or without reconstruction
- Modified radical mastectomy with or without axillary node dissection
- Sentinel node biopsy
- Needle localization biopsy
- Gastrointestinal:
- Gastric sleeve, Lap band, and Roux-en-Y (gastric bypass)
- Pancreaticoduodenectomy(Whipple procedure)
- Liver resection
- Nissen fundoplication
- Gastrectomy with or without gastrostomy
- Cholangiopancreatography (ERCP)
- Esophagogastroduodenoscopy (EGD) with or without endoscopic retrograde
- Esophagoscopy
- Colonoscopy, Colon resection with or without colostomy
- Cholecystectomy with or without cholangiography
- Appendectomy
- List the supplies, equipment, and instrumentation needed for a given procedure.
- Apply concepts related to asepsis.
- Explain the correct order of steps for a given procedure.
- Discuss the perioperative care of the patient for a given procedure.
- Identify incision selection and associated surgical anatomy.
- Describe the creation and usage of various surgical incisions in the abdomen.
- Discuss the advantages and disadvantages of incision types.
- Describe the principles of tissue exposure and the different techniques for tissue exposure.
- List the wound classification, and correlate to wound management.
- Create preference cards for cases according to the surgeon's preference.
- Describe the duties of the surgical technologist in the assistant circulator or scrub role.
- Recall the correct order of steps taken during the surgical intervention.
- Identify the appropriate instrumentation used for each step of a procedure.
- Explain when intraoperative surgical counts would be conducted and when additional counts are necessary.
- Describe the specimen types and the procedure for obtaining, preparing, and storing a surgical specimen.
- Discuss the procedure for managing a specimen incident in the operating room.
- Explain the types of dressing materials and their functions.
Evaluation Criteria/Policies
The grade will be determined using the Delaware Tech grading system:
| 90-100 |
= |
A |
| 80-89 |
= |
B |
| 70-79 |
= |
C |
| 0-69 |
= |
F |
Students should refer to the
Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
Final Course Grade
Calculated using the following weighted average
|
Evaluation Measure
|
Percentage of final grade
|
|
Exams (3 equally weighted) (Summative)
|
40%
|
|
Assignments (Formative)
|
15%
|
|
Final Exam (Summative)
|
45%
|
|
TOTAL
|
100%
|
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)
- Differentiate the roles and responsibilities of all surgical team members.
- Demonstrate the ability to anticipate the needs of surgical patients by properly preparing the operating room suite, equipment, and instrumentation required for surgical interventions.
- Demonstrate a professional demeanor when communicating with patients and fellow team members.
- Synthesize a surgical conscience.
- Participate as an effective and clinically proficient member of the surgical team throughout the perioperative, intraoperative and immediate postoperative periods.
Core Curriculum Competencies (CCCs are the competencies every graduate will develop)
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Students in Need of Accommodations Due to a Disability
We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.