Download FORM 335 - Harrisburg Area Community College

Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I
HARRISBURG AREA COMMUNITY COLLEGE
FORM 335
Course Form 335 must be updated at least every five years per AP 765 to include, at a
minimum, the following elements. [§335.2]
1.
Digital Description:
Credit hours:
Lecture hours:
Lab hours:
4.0
0.0
16.0
BL: [__]⅓[__]½ [__]⅔[___] Other (Indicate fraction or percent)
2.
3.
Catalog Description:
A practicum developing concepts learned in SURG 110 and 111. Students are assigned to
affiliated agencies where they practice skills related to surgical techniques and principles.
They participate actively as members of the surgical team, developing the skills
necessary to scrub and assist in circulating during surgical procedures under supervision.
A course fee is required.
Minimum Grade Required
Prerequisites: BIOL 105, 221, 121
C
SURG 110, 101, 105
Corequisites:
BIOL 122, SURG 111
Other:
4.
Learning Outcomes
[These outcomes are necessary to enable students to attain the essential
knowledge and skills embodied in the program’s educational objectives.]
Upon successful completion of the course the student will be able to:
 Prepare supplies used in the operating room
 Operate an autoclave
 Identify a break in aseptic technique
 Demonstrate proficiency in handling basic surgical instruments
 Perform a surgical hand scrub
 Complete gowning and gloving for surgical procedures
 Gown and glove members of the surgical team
 Measure solutions accurately
 Assist in positioning the patient as designated for each procedure
 Transport a patient using correct body mechanics and safety procedures
 Utilize standard precautions in all instances
Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I

5.
Assist the surgical team during common surgical procedures as an independent
practitioner. These procedures include but are not limited to: D&C, breast
biopsy, inguinal hernia repair, excision of superficial lesions, carpal tunnel
release, hemorrhoidectomy, myringotomy and tubes, T&A, simple appendectomy
Planned Sequence of Learning Activities
[These must be designed to help students achieve the learning outcomes.]
I. . Environmental Orientation
A. Introduction to Operating Room Supervisors
B. Introduction to Operating Room Staff
C. Tour of facility
D. Tour of Department
1. Locker rooms, with locker assignment
2. Control Desk
3. Operating Rooms
4. Sterile Supply
5. Clean Supply
6. Decontamination Area
7. Location of Autoclaves and Steris
8. Preop and PACU
9. Location of Crash Cart
10. Location of Eye Wash Station
E. Review of Policy and Procedure Manual
1. Dress Code Policy
2. Fire and Electrical Safety Policies and Procedures
3. Location of Fire Equipment
4. Codes and Code Procedures
5. Surgical scrub policy
6. Educational programs pending at facility
7. Exposure policy
8. Housekeeping policies
9. Staff identification policy
a. receive identification card specific to facility
10. Parking policy
F. Orientation to Surgical Schedule
1. Block Time
2. Reading the Operating Room Schedule
G. Introduction to Preceptors
II. Introduction to Sterile Supply and Decontamination
A. Introduction to personnel with descriptions of each person’s job responsibility
B. Decontamination and instrument processing
1. Student is to spend a minimum of two days in decontamination area
2. Ultrasonic cleaning procedures
3. Operation of Washer/Sterilizer
4. Proper cleaning techniques for instruments, including scopes and power tools.
Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I
5. Isolation techniques for contaminated goods
6. Proper disposal of medical wastes, solid and fluid
7. Facility specific decontamination procedures
C. Central Processing and Sterile Supply
1. Student is to spend a minimum of 5 days in the central processing areas
2. Contents of instrument sets
3. Wrapping instrument sets for sterilization
4. Loading an autoclave
5. Emptying an autoclave
6. Storage of sterile instruments and supplies
7. Picking surgical cases
8. Location of pick cards or computer generated procedure lists
D. Housekeeping
1. Cleaning the operating room between cases and at the end of the day
a. cleaning materials
b. disinfectants
c. location of materials
2. Stocking the Operating Room at the end of the day
a. par limits
III. Preparation of the Operating Room for Surgical Procedures.
A. Policy for each facility for room preparation
B. Start time for facility
C. Damp dust the room; checking equipment for proper functioning
D. Checking cases for items needed prior to start of case
E. Placing equipment in proper position in the room.
F. Gathering positioning equipment
G. Positioning lights
H. Location of medications and fluids
IV. Opening for Surgical Procedures
A. Policy for each facility
B. Laying out sterile supplies
C. Opening sterile supplies using aseptic technique
V. Scrubbing for Surgical Procedures
A. Perform surgical hand scrub
B. Gown and glove self using closed technique
C. Receiving sterile supplies from an unsterile person.
D. Gowning and gloving the surgeon.
E. Receive medications and solutions using the proper procedure.
F. Accurately measure solutions.
H. Utilize standard precautions, including personal safety devices on all cases.
I. Properly handle and dispose of sharps.
J. Count sponges, sharps and instruments according to facility procedure.
K. Scrub on all assigned surgical cases.
L. Second scrub on surgical procedures.
M. First scrub with supervision on the following cases (but not limited to):
Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I
1. D & C
2. Breast Biopsy
3. Inguinal Hernia Repair
4. Excision of superficial lesions (lipoma, skin lesions, etc.)
5. Carpal tunnel release
6. Hemorrhoidectomy
7. Myringotomy and Tubing
8. Tonsillectomy and Adenoidectomy
9. Simple Appendectomy
VI. Operating Autoclaves and Steris Systems
A. Facility policy
B. Demonstration of proper operation of flash sterilizers
C. Demonstration of proper operation of Steris.
D. Documentation of sterilization parameters.
VII. Transportation of the Surgical Patient
A. Facility policy
B. Transport equipment utilized at facility
1. Orientation to equipment
2. Safety devices
C. Transport patients with appropriate team member.
VIII. Aseptic Technique
A. Observe experienced team members and relate classroom education on aseptic
technique with
clinical practice.
B. Use previously learned techniques to assess packaging of sterile supplies prior to
opening.
C. Present sterile equipment to the sterile field using proper aseptic technique
D Drape the surgical patient using proper aseptic technique.
E. Monitor every procedure for possible breaks in technique.
F. Review classifications of cases and documentation on chart.
G. Work with preceptor under supervision to develop skills.
IX. Preparing the Patient for the Surgical Procedure
A. Review facility policy on surgical preps
B. Observe surgical preps performed by staff
C. Perform surgical preps under supervision working toward independence.
X. Postoperative Care of the Patient
A. Receive dressings
B. Clean wound area and apply appropriate dressings.
C. Assist in moving the patient to the transport gurney.
D. Utilize patient roller with proper body alignment of patient and self.
E. Observe report from circulating nurse to PACU nurse.
XI. Other
A. Orient to phone and intercom system
B. Orient to panic button system (if applicable) or security measures
C. If possible, follow clinical coordinator/schedule coordinator for a day.
Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I
D. Preceptor may include information relevant to meeting clinical objectives.
E. Preceptor evaluations of students performed weekly.
6.
Assessment of Student Learning
[Methods of assessment should be appropriate for Learning Outcomes listed above.]
Assessment of student learning outcomes for the course, as required by AP 765, is part of
regular curriculum maintenance and/or improvement. The specific plan has been
determined by the pertinent faculty involved and is maintained in the College’s
assessment management system.
Clinical evaluations, clinical logs, case preparation records
7.
List of Texts, References, Selected Library Resources or other Learning Materials
(code each item based on instructional use): C-Lecture/Laboratory, A-Lecture, BLaboratory, LC-Lecture/Clinical, CLN-Clinical, I-Online,
BL-Blended, V-Videocourse, D-Independent Study, P-Private Lessons,
E-Internship, F-Cooperative Work-Study, FE-Field Experience. [These resources must be
easily accessible to students.]
CLN- Fuller, J. Surgical Technology Principles and Practices, current edition, Elsevier
CLN - Rothrock, J. Alexander’s Care of the Patient in Surgery, current edition, Mosby
CLN - Nemitz, R. Surgical Instrumentation current edition, Saunders
8.
Prepared by Faculty Member: Amy Kennedy
Date: 8/2009
9.
Approved by Department Chairperson: Brad Leidich
Date: 10/19/09
10.
Approved by Academic Division Dean: Brad Wolf
Date: 10/21/09
This course meets all reimbursement requirements of Chapter 335, subchapters A /
B.
This course was developed, approved, and offered in accordance with the policies,
standards, guidelines, and practices established by the College. It is consistent with
the college mission.
If the course described here is a transfer course, it is comparable to similar courses
generally accepted for transfer to accredited four-year colleges and universities.
11.
Director, Curriculum Compliance: Catherine A. Lencioni Date: 10/26/09
12.
Provost & VP, Academic Affairs: Ronald R. Young
13.
Original Date of course approval by the college: 200230
Date: 10/30/09
Department: Health & Public Service
Discipline: Allied Health
Subject Code: SURG
Course #: 210
Course Title: Surgical Clinical Externship I
14.
Date(s) of subsequent reviews [Indicate change: Learning Outcomes; textbook(s)]: 10/03
12/1/04
Review and updated: 10/26/07; 1/11/08; 1/16/09