Delaware Technical Community College

Campus Location

Dover

Effective Date

202353

Prerequisites

Prerequisites: SGT 200 and SGT 202 and SGT 203 and (SGT 210 or concurrent) and (SGT 213 or concurrent)

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 for procedures in the specialty areas of oral and maxillofacial, plastic and reconstructive, genitourinary, orthopedic, peripheral vascular, and cardiothoracic surgery. Topics include surgical procedures, steps, and special equipment as well as considerations for the surgical technologist unique to each specialty.

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)

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 oral and maxillofacial, plastic and reconstructive, genitourinary, orthopedic, peripheral vascular, and cardiothoracic surgery. (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:

Describe the function, assembly, and use of specialty surgical equipment.
1. Explain how to set up equipment applying the principles of electricity and electrical flow to maintain patient safety.
2. Identify special equipment unique to each specialty.
3. Describe how to setup, test, operate, breakdown, and decontaminate the equipment.
Describe surgical procedures for managing surgically treatable diseases and disorders in the specialty areas of oral and maxillofacial, plastic and reconstructive, genitourinary, orthopedic, peripheral vascular, and cardiothoracic surgery.
1. Determine the anatomy, physiology, and pathophysiology relevant to the surgical procedures.
2. Describe the diagnostic interventions and imaging modalities 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 oral and maxillofacial surgical procedures using various approaches.
  1. Facial :
    1. Open reduction internal fixation (ORIF),
    2. Le Fort I,
    3. Le Fort II
    4. Le Fort III
    5. Maxillary and mandibular ORIF
    6. Zygomatic OIRF
  2. Oral:
    1. Arch bar application
    2. Bone grafting
    3. Cleft repair
    4. Cheiloplasty
    5. Palatoplasty
    6. Implants
    7. Odontectomy
  3. Cranial:
    1. Orbital ORIF
    2. Frontal ORIF
7. Discuss factors unique to the plastic and reconstructive surgical procedures including open and minimally invasive approaches .
  1. Head and face:
    1. Blepharoplasty
    2. Brow lift
    3. Cheiloplasty and palatoplasty
    4. Craniosynostosis correction
    5. Facial implants
    6. Orbital decompression
    7. Otoplasty
    8. Rhinoplasty
    9. Rhytidectomy
  2. Breast:
    1. Mammoplasty and mammaplasty including Augmentation and reconstruction
    2. Latissimus dorsi flap (LAT)
    3. Tissue expansion
    4. Transverse rectus abdominis muscle flap(TRAM)
    5. Nipple reconstruction
    6. Reduction procedures
  3. Abdomen:
    1. Abdominoplasty
    2. Full Body lift
    3. Lower body lift
    4. Panniculectomy
    5. Suction lipectomy
  4. Skin:
    1. Superficial lesion/neoplasm
    2. Micrographic (MOHS)
    3. Scar revision
    4. Full-thickness skin graft (FTSG)
    5. Pedicle grafts
    6. Split thickness skin graft (STSG)
  5. Genitalia:
    1. Gender confirmation procedures including Genioplasty, Phalloplasty, Labiaplasty, and Vaginoplasty
  6. Hand:
    1. DeQuervain’s release
    2. Dupuytren’s contracture release
    3. Polydactyly release
    4. Radial thumb and collateral ligament ablation
    5. Radial dysplasia repair
    6. Replantation procedures
    7. Syndactyly release
8. Discuss factors unique to the genitourinary surgical procedures, including open, percutaneous, and minimally invasive approaches.
  1. Minimally invasive approaches include:
    1. Endoscopic
    2. Laparoscopic
    3. Robot-assisted
  2. Kidney:
    1. Extracorporeal shock wave lithotripsy (ESWL)
    2. Kidney transplant
    3. Nephrectomy
    4. Pyelolithotomy
    5. Wilms tumor excision
  3. Adrenal Gland:
    1. Adrenalectomy
  4. Bladder:
    1. Cystectomy with the creation of ileal conduit
    2. Cystoscopy
    3. Suburethral sling
    4. Suprapubic cystostomy
    5. Transurethral resection of bladder tumor (TURBT)
  5. Ureter:
    1. Balloon dilation
    2. Retrograde pyelogram
    3. Stent placement
    4. Urethroscopyelithotomy
    5. Ureteroscopy
  6. Urethra:
    1. Artificial urinary sphincter (AUS)
    2. Dilation
    3. Meatoplasty
    4. Meatotomy
  7. Prostate:
    1. Brachytherapy
    2. Prostatectomy
    3. Transurethral resection of the prostate (TURP)
  8. Penile
    1. Circumcision
    2. Epispadias repair
    3. Hypospadiasrepair
    4. Penectomy
    5. Penile implant
  9. Testicular:
    1. Hydrocelectomy
    2. Orchiectomy
    3. Orchiopexy and orchidopexy
    4. Prosthetic Implant
    5. Varicocelectomy
    6. Vasectomy
    7. Vasovasostomy
  10. Gender Confirmation:
    1. Phalloplasty
    2. Testicular implants
    3. Vaginectomy
    4. Labiaplasty
    5. Penectomy
    6. Vaginoplasty
9. Discuss factors unique to orthopedic surgical procedures including open, closed, and minimally invasive approaches including arthroscopic and percutaneous.
  1. Shoulder and clavicle:
    1. Acromioplasty
    2. Total shoulder Arthroplasty
    3. Hemi Arthroplasty
    4. Reverse arthroplasty
    5. Shoulder Arthroscopy
    6. Bankart repair
    7. Open reduction internal fixation (ORIF) of clavicle
    8. Rotator cuff repair
    9. Application of external fixation devices with relationship to the Shoulder and clavicle.
  2. Arm, elbow, forearm:
    1. Radial head Arthroplasty
    2. IM nailing of Humeral shaft fracture
    3. ORIF Proximal humeral fracture
    4. ORIF Olecranon fracture
    5. ORIF Radial
    6. Ulnar shaft fracture
    7. Application of external fixation devices with relationship to the arm, elbow, and forearm
  3. Wrist and hand:
    1. Arthroplasty
    2. Arthroscopy
    3. ORIF Distal radius fracture
    4. Application of various external fixation devices related to the wrist and hand.
  4. Pelvis and hip:
    1. Total hip Arthroplasty
    2. Anterior approach (THA)
    3. Hemi Arthroplasty
    4. Hip Arthroscopy
    5. ORIF of an Acetabular fracture
    6. IM nail/Pins( Shaft and trochanteric fractures)
    7. Application of various external fixation devices related to the pelvis and hip
  5. Leg and knee:
    1. Above the knee (A/K) Amputation
    2. Below the knee (B/K) Amputation
    3. Arthroscopic Ligament repairs
    4. Arthroscopic Meniscal repair
    5. Total knee Arthroplasty
    6. Partial Knee Arthroplasty
    7. IM nailing
    8. Femoral and tibial shaft fractures
    9. Tibial plateau fracture ORIF
    10. Patellar fracture ORIF
  6. Ankle and foot:
    1. Achilles’ tendon repair
    2. ankle Arthroscopy
    3. Amputation
    4. Bunionectomy
    5. ORIF Calcaneal fracture
    6. ORIF Malleolus fracture
    7. Triple arthrodesis
10. Discuss factors that are unique to the peripheral vascular surgical procedures including open and minimally invasive approaches.
  1. Minimally invasive approaches include:
    1. Endoscopic
    2. Percutaneous
  2. Blood vessel:
    1. Arteriovenous fistula or shunt
    2. Embolectomy
    3. Thrombectomy
  3. Artery:
    1. Abdominal aortic aneurysm repair
    2. Angioplasty
    3. Angioscopy
    4. Angiography
    5. Aortofemoral bypass
    6. Carotid endarterectomy
    7. Embolectomy
  4. Vein:
    1. Vena cava filter placement
    2. Vein ligation and stripping
    3. Venous access device for antibiotic
    4. Chemotherapy
    5. Hemodialysis
11. Discuss factors that are unique to the cardiothoracic surgical procedures including open and minimally invasive approaches.
  1. Minimally invasive approaches include:
    1. Endoscopic
    2. Robot-assisted
    3. Percutaneous
    4. Video Assisted Thoracic Surgery(VATS)
  2. Thoracic :
    1. Bronchoscopy
    2. Lobectomy
    3. Lung decortication
    4. Lung translate
    5. Pectus excavatum/carinatum repair
    6. Pneumonectomy
  3. Cardiac:
    1. Aortic arch aneurysm
    2. Ventricular aneurysm
    3. Implantable cardiovascular defibrillator (ICD)
    4. Pacemaker
    5. Radio frequency ablation
    6. Repair coarctation of the aorta
    7. Atrial septal defect
    8. Closure of patent ductus arteriosus
    9. Tetralogy of Fallot repair
    10. Angioplasty
    11. Coronary artery bypass graft(CABG) with or without cardiopulmonary bypass (CPB)
  4. Lung transplant
  5. Heart transplant
  6. Aortic/mitral valve replacement
  7. Cardio pulmonary bypass (CPB)
  8. Intra-aortic balloon pump(IABP) procedure
  9. Ventricular assist device(VAD) procedure
  10. Extra corporal membrane oxygenation (ECMO)
12. List the supplies, equipment, and instrumentation needed for each specialty procedure.
13. Discuss the perioperative care of the patient for each specialty procedure, including positioning.
14. Describe the preparation, insertion, and anchoring of various catheters and drains.
15. 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.

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%
Final Exam (Summative)	45%
Assignments (Formative)	10%
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 220 Surgical Technology III

Credits

Prerequisite

Course Number and Title: