Delaware Technical Community College

Campus Location

Dover

Effective Date

202353

Prerequisites

Prerequisite: SGT 200 and SGT 202 and SGT 203

Course Credits and Hours

4 credit(s)

4 lecture hours/week

0 lab hours/week

Course Description

This course covers the responsibilities of the surgical technologist in preoperative, intraoperative, and postoperative case management. Topics include the skills for effective performance as a non-scrubbed and scrubbed member of the operating room team.

Additional Materials

None

Required Text(s)

Obtain current textbook information by viewing the campus bookstore - https://www.dtcc.edu/bookstores online or visit a campus bookstore. Check your course schedule for the course number and section.

Disclaimer

None

Core Course Performance Objectives (CCPOs)

Explain all-hazards preparation and the various considerations for a surgical technologist in a disaster situation. (CCC 1, 2, 3,4,5, 6; PGC 2, 4, 5)
Describe the function, assembly, and use of specialty surgical equipment. (CCC 2, 6; PGC 2, 4, 5)
Describe surgical procedures for managing surgically treatable diseases and disorders in the specialty areas of ophthalmology, otorhinolaryngology, obstetric/gynecologic surgery and neurosurgery. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 5)
Describe the practices for proper decontamination, sterilization, and disinfection. (CCC: 1, 2, 4, 5. PGC: 2, 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:

Explain all-hazards preparation and the various considerations for a surgical technologist in a disaster situation
1. Describe the different types of disasters or public health emergencies that impact public health, and discuss the general health, safety, and security risks.
2. Discuss the effects of emerging infectious diseases.
3. Describe the effect disasters can have on the environment.
4. Describe how healthcare facilities can manage waste.
5. Describe the purpose and relevance of disaster support services, including the rationale for integration and coordination of all systems, including the National Response Framework (NRF), the National Incident Management System (NIMS), and the Hospital Incident Command System (HICS).
6. Describe the components of a healthcare facility emergency operations plan.
7. Explain the personal and professional responsibilities of healthcare workers when participating in the management of a disaster or hazard.
8. Describe how to mitigate casualties according to specific types of hazards.
9. Describe the four responses that apply to every type of disaster.
10. Explain the role of triage as the basis for prioritizing and rationing healthcare services and the role of the surgical technologist.
11. Describe the support roles of the surgical technologist in a disaster.
12. Discuss the moral and ethical issues relevant to hazards.
Describe the function, assembly, and use of specialty surgical equipment.
1. Discuss the assembly, use, and care for instruments such as laser equipment, harmonic scalpel, and other specialty equipment.
2. Describe the principles of electrical flow and the various components of the electrosurgical unit.
3. Define electrical terminology.
4. Explain how to set up equipment applying the principles of electricity and electrical flow to maintain patient safety.
5. Describe the biophysics of lasers.
6. Discuss the advantages and the disadvantages of using lasers.
7. Describe the types of lasers; and the specific applications of each type of laser.
8. Discuss the applications and components of each type of MIS system.
9. Discuss the advantages and the risks associated with the use of each type of MIS system.
Describe surgical procedures for managing surgically treatable diseases and disorders in the specialty areas of ophthalmology, otorhinolaryngology, obstetric/gynecologic surgery, and neurosurgery.
1. Determine the anatomy, physiology, and pathophysiology relevant to the surgical procedures.
2. Describe the diagnostic interventions used to formulate a diagnosis.
3. Describe the purpose and considerations of interventional radiology (IR) relevant to the surgical procedures.
4. Evaluate the role of the surgical technologist during diagnostic interventions.
5. Locate and evaluate information using the latest technology available.
6. Discuss factors that are unique to the following ophthalmologic procedures using various approaches, including open and laser-assisted techniques:
  1. Conjunctiva, Cornea, Iris:
    1. Iridotomy
    2. Keratoplasty
    3. Laceration repair
    4. Pterygium excision
  2. Eyelid:
    1. Chalazion excision
    2. Entropion
    3. Ectropion repair
  3. Globe:
    1. Enucleation and evisceration
    2. Trabeculectomy and trabeculoplasty
    3. Vitrectomy
  4. Lens:
    1. Cataract excision
    2. Phacoemulsification
    3. Femtosecond laser-assisted cataract surgery (FLACS)
  5. Muscle:
    1. Strabismus correction
    2. Recession and resection
  6. Retina:
    1. Pneumatic retinopexy
    2. Scleral buckle
  7. Tear duct:
    1. Dacryocystorhinostomy (DCR)
    2. Duct dilation/stent placement.
7. Discuss factors that are unique to otorhinolaryngologic surgical procedures, including open and minimally invasive approaches.
  1. Ear:
    1. Acoustic neurectomy
    2. Bone anchored hearing aid (BaHA®)
    3. Cochlear implant
    4. Mastoidectomy
    5. Myringotomy
    6. Ossicular chain reconstruction
    7. Stapedectomy
    8. Tympanoplasty
  2. Nasal:
    1. Choanal atresia repair
    2. Fracture reduction
    3. Functional endoscopic sinus surgery (FESS)
    4. Balloon sinuplasty
    5. Polypectomy
    6. Radical antrostomy
    7. Caldwell-Luc
    8. Septoplasty
    9. Turbinectomy
    10. Valve reconstruction
  3. Oral cavity, throat, neck:
    1. Bronchoscopy
    2. Esophagoscopy
    3. Laryngectomy
    4. Laryngoscopy
    5. Parathyroidectomy
    6. Parotidectomy
    7. Radical neck dissection
    8. Temporomandibular joint arthroscopy (TMJ)
    9. Thyroidectomy
    10. Tonsillectomy and adenoidectomy (T&A)
    11. Tracheotomy and tracheostomy
    12. Uvulopalatopharyngoplasty (UPPP)
8. Discuss factors that are unique to the OB/GYN surgical procedures using various approaches, including open and minimally invasive approaches.
  1. Cervix:
    1. Cervical biopsy
    2. Cervical cerclage
      1. Shirodker’s procedure
      2. McDonald procedure
    3. Dilation and curettage (D&C)
    4. Dilation, curettage, and evacuation (DC&E)
    5. Loop electrosurgical excision procedure (LEEP)
  2. Uterus, uterine (fallopian tubes), ovaries:
    1. Brachytherapy
    2. Cesarean section
    3. Endometrial ablation
    4. Hysterectomy
    5. Hysteroscopy
    6. Myomectomy
    7. Salpingectomy
    8. Salpingotomy for ectopic pregnancy
    9. Sterilization
    10. Tuboplasty
    11. Cystectomy
    12. Oophorectomy
  3. External genitalia:
    1. Ablation of condylomas
    2. Labiaplasty
    3. Marsupialization of Bartholin’s gland
    4. Perineal laceration
    5. Vulvectomy
  4. Vagina:
    1. Colpocleisis
    2. Rectovaginal Fistula repair
    3. Vesicovaginal Fistula repair
  5. Pelvic:
    1. Anterior and posterior repair:
      1. Colporrhaphy
    2. Diagnostic laparoscopy
    3. Radical hysterectomy
      1. Wertheim-Meigs procedure
    4. Total pelvic exenteration
9. Discuss factors that are unique to neurosurgical procedures using various approaches, including minimally invasive, open and image-guided navigation techniques.
  1. Peripheral Nerve:
    1. Carpal tunnel release
    2. Ulnar nerve release or transposition
  2. Spine: Cervical, Thoracic, Lumber, Sacral
    1. Discectomy
    2. Fusion
      1. Interbody
      2. Instrumented
    3. Kyphoplasty
    4. Laminectomy
    5. Spinal cord stimulator placement
    6. Vertebroplasty
  3. Cranium:
    1. Aneurysm repair
    2. Cranioplasty
    3. Craniosynostosis repair
    4. Evacuation of hematoma
    5. Ventriculoperitoneal Shunt placement
    6. Ventriculoarterial Shunt placement
    7. Stereotactic Transsphenoidal hypophysectomy
    8. Tumor resection
10. List the supplies, equipment, and instrumentation needed for each specialty procedure.
11. Discuss the perioperative care of the patient for each specialty procedure, including positioning.
12. Describe the preparation, insertion, and anchoring of various catheters and drains.
13. Describe the etiology, clinical manifestations, clinical, and pharmacologic interventions and preventative measures of emergency procedures that may be carried out in the operating room (OR) setting, including malignant hyperthermia, cardiac arrest, hemolytic reaction, anaphylactic reaction, and hemorrhage.
Describe the practices for proper decontamination, sterilization, and disinfection.
1. Define terms related to sterile processing.
2. Describe the processes of decontamination.
3. Describe the manual methods used for cleaning surgical instrumentation
  
  and equipment.
4. Describe the mechanical methods used for cleaning.
5. Describe the concepts of disinfection.
6. Discuss the principles related to preparing items for sterilization.
7. Analyze the requirements for sterilizing items.
8. Discuss the principles of sterile storage.
9. Discuss the principles of distributing sterile supplies.

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)	45%
Neurosurgery Paper (Formative)	5%
Assignments (Formative)	10%
Final Exam (Summative)	40%
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.

Minimum Technology Requirements

Minimum technology requirements for all distance education type courses.

SGT 210 Surgical Technology II

Credits

Prerequisite

Course Number and Title: