Southern Illinois Collegiate Common Market Surgical Technology Program Syllabus and Assignments for I Spring 2016 JALC STP 123 KC SURT 123 RLC STP 1217 SCC STP 123 SIC STP 133 Instructor: Office: Jennifer Ashmore, CST SICCM 3213 South Park Avenue Herrin, IL 62948 Office phone: 618-942-6902 E-mail: Place & Time: jashmore@siccm.com SICCM Building Wednesday 9:00am 12:00pm lecture Wednesday 12:45pm 1:45pm lecture January 6 May 4, 2016 Wednesdays January 4 and March 7, 2016 Mondays 1. Description of course: This course is designed to prepare students for clinical practice. Instruction includes lectures, videos, power-point presentations, outside speakers etc. to introduce students to all of the surgical specialties. 2. Prerequisites: Successful completion of Principles & Practices of Surgical Technology and Pharmacology for Health Professionals and Final Lab Practical. 3. Credit hours: 5 Semester Hours, 5 Lecture Hours 4. General statement of the primary purpose or overview of the course including students for whom intended: This course is intended for students who have completed the first semester of the Surgical Technology program and plan to complete the program and take the certification exam. 5. Specific objectives or competencies to be developed: General Surgery Identify the anatomical regions and structures of the abdominal wall. Discuss specific elements of case planning for abdominal wall hernias including instruments and repair materials. Describe basic pathology related to abdominal wall weakness. Describe common procedures used to correct abdominal wall hernias. Identify key anatomical structures of the gastrointestinal system. Discuss common diagnostic procedures of the gastrointestinal system. 1
Discuss the basic pathology of the gastrointestinal system. Discuss specific elements of case planning for gastrointestinal surgery. Describe common techniques used in gastrointestinal surgery including anastomosis and bowel technique. Discuss common surgical procedures of the gastrointestinal system. Identify key anatomical structures of the biliary system, liver, pancreas and spleen. Discuss common diagnostic procedures of the liver, biliary system, pancreas and spleen. Discuss specific elements of case planning for surgery of the liver, biliary system, pancreas and spleen. Describe common surgical procedures of the liver, biliary system, pancreas and spleen. Identify key anatomical structures of the breast. Discuss surgical treatment of breast cancer. Describe specific elements of case planning for breast surgery. List and describe common surgical procedures of the breast. Minimally Invasive Endoscopic and Robotic-Assisted Surgery Discuss the advantages and constraints of minimally invasive surgery (MIS). Describe the preparation of the patient for MIS. Describe the function of each component of the imaging equipment used in MIS. Discuss the care of a rigid endoscope. Describe the surgical technique used for insufflation in laparoscopy. List he risks associated with insufflations. Describe the trocar-cannula system used in all MIS Describe the specific electrosurgical risks of direct and capacitive coupling Describe the structure and function of a flexible endoscope Discuss the proper protocol for processing rigid and flexible endoscopes Describe the principles of robotic surgery Discuss the concept of Cartesian geometry as it applies to robot design Describe robotic movements and classification Discuss training resources for robotic surgery List the three main components of robotic surgery and describe their function Identify possible methods of decontaminating and reprocessing robotic instruments Describe the roles of team members during robotic surgery Gynecological and Obstetrical Surgery Identify key anatomical structures of the female reproductive system. Discuss common diagnostic procedures of the female reproductive system. Discuss specific elements of case planning for gynecological and obstetrical surgery. Discuss surgical techniques used in gynecological and reproductive surgery. List and describe common gynecological and obstetrical procedures. Genitourinary Surgery Identify key anatomical structures of the genitourinary system. Discuss common diagnostic tests and procedures of the genitourinary system. Discuss specific elements of case planning for genitourinary surgery. Describe common pathology of the genitourinary system. List and describe common genitourinary procedures. 2
Ophthalmic Surgery Identify key anatomical structures of the eye. Discuss common diagnostic procedures of the eye. Describe ocular diseases and disorders. Discuss specific elements of case planning for eye surgery. Discuss surgical techniques used in eye surgery, including use of the operating microscope. List and describe common surgical procedures of the eye. Surgery of the Ear, Nose, Pharynx, and Larynx Identify the key anatomical structures of the ear. Discuss diagnostic procedures of the ear. Discuss key aspects of case planning, including instrumentation, for ear procedures. Describe common procedures of the ear. Identify the key anatomical structures of the nose. Discuss diagnostic procedures of the nose. Discuss key aspects of case planning, including instrumentation, for nasal procedures. Describe common procedures of the nose. Identify the key anatomical structures of the neck. Discuss key aspects of case planning, including instrumentation, for neck procedures. Describe common procedures of the neck. Oral and Maxillofacial Surgery Identify key anatomical structures of the face and oral cavity. Discuss diagnostic procedures used in the maxillofacial specialty. Discuss specific elements of case planning for oral and maxillofacial surgery. Discuss pathology of the facial bones and oral cavity. List and describe common oral and maxillofacial surgical procedures. Plastic and Reconstructive Surgery Identify key anatomical features of the integumentary system and face. Discuss specific elements of case planning for plastic and reconstructive surgery. Discuss techniques used in plastic and reconstructive surgery. List and describe common plastic and reconstructive surgical procedures. Orthopedic Surgery Identify anatomy of the skeletal system and connective tissues. Discuss diagnostic procedures of the skeletal system. Discuss specific elements of case planning in orthopedic surgery. Discuss skeletal system pathology. Describe surgical techniques and technology used in orthopedic surgery. Discuss common surgical approaches and procedures in orthopedic surgery. 3
6. Primary method of instruction: Discussion/Lecture/Video/Reading Assignments/ Quizzes/Exams/Review 7. Major course topics, units or content to be covered: General Surgery Section I: The Abdomen Structure and Regions of the Abdomen Tissue Layers Inguinal Region Abdominal Incisions Abdominal Wall Hernias Open Repair of an Indirect Inguinal Hernia, Laparoscopic Repair of a Direct Inguinal Hernia, Open Repair of a Femoral Hernia, Repair of an Incisional or Ventral Hernia, Umbilical Hernia Repair, Spigelian Hernia Repair Section II: Gastrointestinal Surgery Techniques in Gastrointestinal Surgery Anastomosis Bowel Technique Diagnostic and Operative Endoscopy, Esophagoduodenoscopy, Colonoscopy, Sigmoidoscopy, Laparotomy, Excision of an Esophageal Diverticulum, Transabdominial Repair of a Hiatal Hernia, Vagotomy, Percutaneous Endoscopic Gastrostomy, Partial Gastrectomy, Billroth I and II, Laparoscopic Band Gastroplasty for Morbid Obesity, Roux-en-y Gastric Bypass, Transhiatal Esophagectomy, Segmental Resection of the Small Intestine, Removal of Meckel s Diverticulum, Resection of the Colon, Gastrointestinal Stoma, Loop Colostomy, Partial Colectomy, Abdominoperineal Resection, Appendectomy(Open), Appendectomy(Lap), Hemorrhoidectomy, Excision of a Pilonidal Cyst, Excision of an Anorectal Fistula Section III: Surgery of the Biliary System, Liver, Pancreas and Spleen Endoscopic Retrograde Cholangiopancreatography, Laparoscopic Cholecystectomy, Cholecystectomy and Operative Cholangiography(Open), Choledochoduodenostomy and Choledochojejunostomy, Splenectomy, Pancreaticoduodenectomy(Whipple Procedure), Laparoscopic Distal Pancreatectomy, Segmental Resection of the Liver, Liver Transplantation Section IV: Breast Surgery Breast Cancer Wire Localization and Breast Biopsy, Sentinal Lymph Node Biopsy, Breast-Conserving Surgery for a Mass(Lumpectomy, Segmental Mastectomy), Mastectomy 4
Minimally Invasive Endoscopic and Robotic-Assisted Surgery Section I: Minimally Invasive Surgery Principles of Minimally Invasive Surgery Types of MIS Advantages and Disadvantages of Minimally Invasive Surgery Preoperative Preparation and Patient Safety Patient Positioning Skin Prep and Draping Maintaining Patient Normothermia Endoscopic Setup Conversion to an Open Case Techniques and Equipment Used In Minimally Invasive Surgery Imaging System Trocar-Cannula System Tissue Expansion Techiques Specimen Retrieval Energy Sources Used In Minimally Invasive Surgery Surgical Instruments in Minimally Invasive Surgery Care of Instruments Used for Minimally Invasive Surgery Flexible Endoscopy Principles Equipment Used in Flexible Endoscopy Technique Reprocessing Endoscopes and Instruments Protocols and Standards Precleaning of Rigid Endoscopes Flexible Endoscope Reprocessing Disinfection and Sterilization Section II: Robotic Surgery Principles of Robotic Surgery Robotic Movement Classification of Robots DaVinci Surgical System Advantages and Disadvantages of Robotic Surgery Training for Robotics Robotic Training Topics and Methods Surgical Specialties and Robotics Components of the Robotic System: Structure and Purpose Patient Cart Base and Power Drive Setup Joints Patient Cart Arms Monitor DaVinci Instruments Instruments Design and Type Reprocessing Surgeon s Console Vision System Setup and Sequence for Robotic Surgery Special Roles of the Surgical Team Surgeon 5
Surgical Assistant Surgical Technologist Circulator and Robotics Coordinator Gynecological and Obstetrical Surgery Section I: Gynecological and Reproductive Surgery Ovarian Cycle (Menstrual) Cervical and Endometrial Biopsy, Cone Biopsy of the Cervix, Hysteroscopy Psychosocial Considerations Surgical Technique in Gynecological and Reproductive Surgery Abdominal Procedures Laparoscopic Tubal Ligation, Laparoscopic Management of an Ovarian Mass, Microsurgical Tubal Anastomosis, Laparoscopic-Assisted Vaginal Hysterectomy, Total Abdominal Hysterectomy, Radical Hysterectomy, Pelvic Exenteration Transcervical Procedures Hysteroscopy, Hysteroscopic Endometrial Ablation, Myomectomy, Loop Electrode Excision Procedure, Dilation and Curettage, Termination of Pregnancy(Abortion) Transvaginal and Vulvar Procedures Vaginal Hysterectomy, Repair of a Cystocele and Rectocele(Anterior-Posterior Repair), Vaginoplasty, Repair of a Vesicovaginal Fistula, Repair of Rectovaginal Fistula, Removal of a Cystic Bartholin Gland, Vulvectomy Section II: Operative Obstetrical Procedures Stages of Pregnancy Complications of Pregnancy Diagnostic Tests Normal Vaginal Delivery Immediate Postpartum Care Newborn Care Obstetrical Procedures Cesarean Delivery, Ectopic Pregnancy, Cervical Cerclage Genitourinary System Reproductive Structures of the Male Kidney Dialysis Diagnostic Tests Urinalysis Blood Tests Tissue Biopsy Imaging Studies Techniques in Transurethral Surgery Transurethral Procedures Cystoscopy, Urethral Dilation and Urethrotomy, Management of Calculi, Transurethral Resection of the Prostate, Flexible and Rigid Ureteroscopy Surgery of the Male External Genitalia Circumcision(Adult), Chordee Repair, Hypospadias Repair, Penectomy, Insertion of a Penile Implant, Varicocelectomy, Hydrocelectomy, Orchiectomy, Vasectomy, 6
Vasovasectomy(Reversal of Vasectomy), Implantation of Testicular Prothesis, Surgery of the Bladder and Ureters Suprapubic Cystostomy, Cystectomy, Ileal Conduit Urinary Incontinence Prostate Procedures Perineal Prostatectomy, Suprapubic Prostatectomy, Robotic-Assisted Prostatectomy Surgery of the Ureter and Kidney Ureteral Diversion, Percutaneous Nephrolithotomy, Simple Nephrectomy, Laparscopic Radical Nephrectomy, Kidney Transplant, Adrenalectomy Ophthalmic Surgery Refraction Diagnostic Testing Surgical Techniques in Eye Surgery Role of the Scrubbed Surgical Technologist Excision of a Chalazion, Repair of an Entropion, Repair of an Ectropion, Excision of a Pterygium, Dacryocystorhinostomy, Lacrimal Duct Probing, Muscle Resection and Recession, Penetrating Keratoplasty(Corneal Transplant), Lasik, Extracapsular Cataract Extraction, Anterior Vitrectomy, Scleral Buckling Procedure for Detached Retina, Filtering Procedures and Trabeculectomy, Argon Laser, Trabeculoplasty, Orbital Decompression, Enucleation, Orbital Exenteration Surgery of the Ear, Nose, Pharynx and Larynx Section I: The Ear Sound Transmission in the Ear Myringotomy, Myringoplasty, Tympanoplasty, Mastoidectomy/Tympanomastoidectomy, Stapedectomy/Ossicular Reconstruction, Cochlear Implant Section II: The Nasal Cavity, Oropharynx and Larynx Diagnostic Tests Nasal Procedures Endoscopic Sinus Surgery, Caldweill-Luc Procedure, Turbinectomy/Turbinate Reduction, Septoplasty, Rhinoplasty, Tonsilletomy, Adenoidectomy, Uvulopalatopharyngoplasty, Laryngoscopy, Tracheotomy/Tracheostomy Section III: The Neck Excision of the Submandibular Gland, Parotidectomy, Thyroidectomy, Thyroplasty, Neck Dissection, Glossectomy, Laryngectomy, Pectoralis Major Myocutaneous and Deltopectoral Flaps, 7
Oral and Maxillofacial Surgery of the Face Maxillomandibular Fixation, Open Reduction/Internal Fixation: Midface Fracture, Open Reduction and Internal Fixation: Frontal Sinus Fracture, Open Reduction and Internal Fixation: Orbital Floor Fracture, Open Fixation and Internal Fixation: Mandibular Fracture Oral Surgery Procedures Dental Implants, Tooth Extraction Orthognathic Procedures Mandibular Advancement, Midface Advancement, Temporomandibular Joint Arthroplasty Plastic and Reconstructive Surgery Techniques in Plastic and Reconstructive Surgery Excision of Superficial Lesions, Scar Revision, Debridement of Burns, Split-Thickness Skin Graft, Pedicle Graft, Blepharoplasty, Brow Lift(Open and Endoscopic), Rhytidectomy, Laser Skin Resurfacing, Facial Implant, Otoplasty, Augmentation Mammoplasty, Reduction Mammoplasty, Transverse Rectus Abdominis Myocutaneous Flap, Liposuction, Panniculectomy(Abdominoplasty), Orthopedic Surgery Fracture Pathology Orthopedic Technology and Instrumentation Surgical Approaches to the Shoulder and Arm Bankart Procedure, Open Rotator Cuff Repair, Plating of the Proximal Humerus, Shoulder Arthorscopy, Shoulder Arthroplasty, Elbow Arthroplasty, Surgical Approaches to the Wrist and Hand Open Reduction and Internal Fixation of the Wrist, Carpal Tunnel Release, Metecarpophalangeal Joint Arthroplasty, Dupuytren Contracture Surgical Approaches to the Hip and Pelvis Femoral Neck Fractures, Intramedullary Femoral Nailing, Hip Arthroplasty, Fracture of the Pelvis Surgical Approaches to the Knee and Lower Leg Knee Arthroscopy, Arthroscopic Meniscectomy, Arthroscopic Anterior Cruciate Ligament Repair, Knee Arthroplasty, Total Knee Replacement, Intramedullary Nailing (Tibia) Surgical Approaches to the Foot Repair of the Achilles Tendon, Triple Arthrodesis, Fracture of the Ankle, Bunionectomy, Hammertoe Correction Terminology General, Gynecological and Obstetrical, Genitourinary, Ophthalmic, Ear, Nose, Pharynx and Larynx, Orthopedic 8
8. Textbook: 1. Elsevier.... Surgical Technology Principles and Practice 6th Edition by Evolve and Study Guide to Accompany Surgical Technology Principles and Practice, 6 th Edition. ISBN: 978-1-4557-2506-9 and 978-1-4557-2507-6 2. F. A. Davis Pocket Guide to the Operating Room, Third 3 rd, by Maxine A. Goldman. ISBN: 978-0-8036-12266 9. Supplemental reading, research papers, seminars, laboratory activities or additional activities may be required of students. 10. Class Policies: 1. Students are encouraged to be conscientious and exercise responsibility in their work. The instructor should be consulted when difficulties are encountered with the course work and/or attendance. Attendance will be taken at the beginning of each class. Students are required to be present and punctual for all classes, labs, and exams. 2. There are only 3 excused absences: Court summons/duty Family death/critical situation Documented illness/accident If there is an absence, a student must: Call the instructor 30 minutes prior to class time (leave message on Program Directors voicemail). Do not have another student tell the instructor, please call for yourself. Consequences of an absence: 2 tardies equal one absence 2 absences drop a grade by one grade (either excused or unexcused) Each single absence after 2, drops a grade by one grade 4. Unexcused absences disallow a student to make up exams. The missed exam counts as a 0". Excused absences will warrant a student to be issued a makeup exam. This exam will not be the same as the original exam. Time of makeup exam will be at the instructor s decision. It is up to the student to schedule the exam. If not scheduled within one week of initial exam, it can t be made up and will count as 0". The instructor will not issue notes, handouts, etc. from missed labs, or lecture. It is the student s responsibility to obtain them from another student. Quizzes cannot be made up. 9
11. Evaluations: 1. Exams 10 (Tests, Final Exam) 2. Quizzes, Assignments and Class Participation = 200 points possible 3. Northstar Learning Online Homework = 15 pts A, 10 pts B, 5 pts C (Monday Friday to complete) Exams: 9 chapter exams will be announced. One final will be given at the end of the semester. Quizzes: May be given announced or unannounced. Values will be decided by the instructor. THERE WILL BE NO MAKE-UP QUIZZES. Other Assignments: There may be presentations, skill exams and/or article reviews for students. Due dates and content will be given at the time the assignment is announced. Value will be decided by the instructor. Grading Scale 100 93 = A 92 85 = B 84 77 = C 76 69 = D 68 = F *minimum grade of C is needed to pass ALL S.T. curriculum courses Students With Disabilities Students with disabilities needing assistance or accommodation should maintain contact with the Special Needs Counselor at their respective campus and the Program Director 10
I 12. ASSIGNMENTS: - January 4 - May 4, 2016 Date Weekday Lecture Assignments Due/Tests 01/04/16 Monday Orientation/Discuss Clinical Rotation I Chapter 23 General Surgery 01/06/16 Wednesday Lab Review w/lab instructors Chapter 23 General Surgery 01/13/16 Wednesday Laparoscopic Lab w/lab instructors Chapter 24 Minimally Invasive & Robotic Surgery 01/20/16 Wednesday Continue Chapter 24 01/27/16 Wednesday Presentation Chapter 25 Gynecological & Obstetrical Surgery 02/03/16 Wednesday Continue Chapter 25 02/10/16 Wednesday Presentation Chapter 26 Genitourinary Surgery 02/17/16 Wednesday Continue Chapter 26 Study Lange Q&A Ch. 20 (145 Q) Ch. 23 WB & Vocab Due Test Study Lange Q&A Ch. 35&36 (41 Q) Ch. 24 WB & Vocab Due Test Study Lange Q&A Ch. 21 (74 Q) Ch. 25 WB & Vocab Due Test Study Lange Q&A Ch. 25 (61 Q) 02/24/16 Wednesday Chapter 27 Ophthalmic Surgery Ch. 26 WB & Vocab Due Test Study Lange Q&A Ch. 22 (40 Q) 03/02/16 Wednesday Continue Chapter 27 Ophthalmic Surg. Ch. 27 WB & Vocab Due Test Discuss Clinical Rotation II Turn in all Clinical Paperwork 1 st R 03/07/16 Monday Presentation Study Lange Q&A Ch. 23 (45 Q) Chapter 28 ENT 03/09/16 Wednesday Continue Chapter 28 ENT 03/16/16 Wednesday No Class or Clinical (Spring Break) 03/14/16 03/18/16 03/23/16 Wednesday Chapter 29 Oral & Maxillofacial Surgery Presentation 03/30/16 Wednesday Chapter 30 Plastic & Reconstructive Surgery 04/06/16 Wednesday Continue 30 04/13/16 Wednesday Presentation Chapter 31 Orthopedic Surgery 04/20/16 Wednesday Continue Chapter 31 Ch. 28 WB & Vocab Due Test Study Lange Q&A Ch. 23 (40 Q) Ch. 29 WB & Vocab Due Test Study Lange Q&A Ch 24 Ch. 30 WB & Vocab Due Test Study Lange Q&A Ch. 28 (75 Q) 04/27/16 Wednesday Final Review Ch. 31 WB & Vocab Due Test 05/04/16 Wednesday Final Exam Turn in all Clinical Paperwork 2 nd R *This schedule may be subject to change. 12-10-15-14a SP 16 11