ST: Fundamentals 1 | Madison College Outline of Instruction

31512328 ST: Fundamentals 1

Course Information

Description

Includes the basic clinical skills needed by the Surgical Technologist in the scrub role. Learners develop skills in disinfection, sterilization, identifying basic instrumentation, supplies, drains, catheters, dressings and sponges. Includes practice experience in creating a sterile field, draping, passing instruments and supplies, performing counts and preparing supplies.

Total Credits

Course Competencies (Course Outcomes)

Integrate safety control to prevent or minimize surgical hazards

Assessment Strategies

in an oral, written, or graphic response

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you identify environmental hazards

you identify physical hazards

you identify chemical hazards

you identify biological hazards
Classify basic surgical instrumentation

Assessment Strategies

by classifying basic surgical instruments by category

using pictures instruments, and/or descriptions

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you classify instrumentation by type, function, and name

classification includes the category to which the instruments belong
Perform instrument identification

Assessment Strategies

by identifying basic surgical instruments

using pictures, instruments, and/or descriptions

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you identify the instruments by name

you identify the instrument type

you handle instruments correctly

you identify the instrument function

you assemble instruments for use
Apply principles of sterilization

Assessment Strategies

by demonstrating sterilization process in the lab or responding to scenarios

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you explain the purpose of sterilization

you choose a sterilization method

you explain why the sterilization method was appropriate

you select the correct sterilization tools, equipments and supplies

you apply principles of various sterilization methods

you choose personal protective equipment

you identify safety procedures

you verbalize an explanation of the process

your explanation presents sound reasoning as you describe the decisions you make throughout the process

you describe sterile storage conditions and distribution of sterile items
Apply principles of disinfection

Assessment Strategies

by demonstrating disinfection in the lab or by applying principles to scenarios or case studies

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you explain the purpose of disinfection

you choose a disinfection method

you explain why the disinfection method was appropriate

you select the correct tools, equipments and supplies

you choose personal protective equipment

you identify safety procedures

you verbalize an explanation of the process

your explanation presents sound reasoning as you describe the decisions you make throughout the process
Open sterile supplies

Assessment Strategies

in a skill demonstration in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you inspect the package for contents, sterility, and signs of integrity

you open back table cover/pack on the backtable to create the sterile field

you match items with the surgeon's preference card

you open instrument set[s], gown and gloves, basins on appropriate surfaces

you deliver the contents of other needed supplies/packages to the appropriate area of the sterile field
Perform surgical scrub

Assessment Strategies

by performing a scrub in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you are appropriately attired for the surgical scrub

you use the timed method

you use the counted brush stroke method

you use the brushless system

you proceed to the OR keeping hands and arms up and away from the body

you recognize and correct breaks in technique
Don sterile gown and gloves

Assessment Strategies

by performing the skill in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.

Criteria

you enter the OR without contaminating scrubbed hands and arms

you dry hands and arms when applicable

you gown self

you don gloves using closed glove technique

you complete the wrap-around gown process with assistance of another

you gown and glove others

you perform open gloving

you change a contaminated glove and/or gown

you don a sterile sleeve when needed

you remove gown and gloves

you fasten the back of the gown for sterile team members
Create the sterile field

Assessment Strategies

in a skill demonstration in the laboratory

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you apply sterile technique in draping the mayo stand

you place towels on mayo stand following facility practice

you begin organization of back table by placing supplies in an efficient pattern based on routine

you utilize good body mechanics in setting up

you work in sections at the table

you practice economy of time and motion

you establish a routine and follow it for all set ups

you maintain sterile field by being aware of items and people moving about the area

you face your sterile field

you prioritize sequence of activities
Demonstrate care and utilization of disposable surgical supplies

Assessment Strategies

in a skill demonstration in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you identify disposable surgical supplies (i.e. sponges, tapes)

you explain function of the supply

you prepare supplies for use at the field at appropriate times i.e. having irrigation ready

you load and pass the supply

you handle all supplies as little as possible
Drape the patient, equipment, and furniture for surgical procedures

Assessment Strategies

by performing the skill in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you apply sterile technique in draping the mayo stand and/or ancillary tables

you assemble drapes in order of use

you pass drapes in accordance with surgeon preference

you pass towel clips as needed

you determine the placement of the drapes needed for special equipment i.e. c-arm drape

you maintain sterility of the drape while draping

you recognize contamination and take corrective actions
Perform intraoperative case management in the scrub role

Assessment Strategies

in a skill demonstration in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you pass instruments following requests or hand signals to the "surgeon"

you pass needed supplies and items as requested

you keep the patient area and mayo stand neat

you retrieve instruments left by surgeon and place appropriately

you request supplies as needed
Perform postoperative case management

Assessment Strategies

in a skill demonstration in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you gather reusable supplies and equipment following facility policy

you dispose of sharps following facility policy

you return used instruments to instrument set following facility policy

you remove surgical attire

you return items to proper storage area

you prepare the OR for another procedure

you clear the field of equipment and sharps at end of procedure

you move mayo stand away from patient
Summarize postoperative patient care

Assessment Strategies

by written response to worksheet

by answering questions that require you to apply knowledge about this competency (Your instructor may require several written exams as part of this course. You will be notified in advance.)

Criteria

response identifies the needs of the postoperative patient

response specifies complications in the postoperative patient

response describes necessary equipment in the PACU
Demonstrate the procedures for counting instruments, sponges, needles and other items in the field

Assessment Strategies

by performing the skill in the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you count materials in multiple units as they are packaged

you separate and count different types of sponges

you separate and count different types of instruments.

you separate and count different types of sharps.

you recognize that the surgical count is performed by the RN circulator and the STSR

you recognize that the count is a permanent part of the surgical record

you verify number of needles in a pack when a multi-pack is opened for use

you organize counted items before closing counts

you perform counts according to facility policy

you perform counts at specific times: before the procedure begins, during surgical procedures, and at the end

you separate and count miscellaneous items

you initiate counts at specific times: before the procedure begins, during surgical procedures, and at the end

you report the results of the count
Demonstrate care and handling of dressing materials

Assessment Strategies

in a skill demonstration the lab

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you request dressings be opened at appropriate time

you prepare dressings materials as needed

you cleanse and dry the skin prior dressing application

you apply the dressing as ordered

you secure the dressing
Perform specimen care and handling

Assessment Strategies

in a roleplay or using scenarios

by answering questions that require you to apply knowledge about this competency [Your instructor may require several written exams as a part of this course. You will be notified in advance.]

Criteria

you demonstrate handling techniques of different specimens

you pass the specimen to a nonsterile person

you record the type of specimen

you follow safety protocols

you identify specimen type that may be collected

you identify types of specimen containers

you discuss identification of specimen and test[s] requested
Summarize skin preparation for surgical procedure

Assessment Strategies

in the lab through role play with a peer or simulator

by answering questions that require you to apply knowledge about this competency (Your instructor may require several written exams as part of this course. You will be notified in advance.)

Criteria

you identify prep parameters

you identify hair removal techniques

you assemble necessary equipment

you expose the site to be prepped

you create sterile field

you prepare solutions

you open glove

you place protective pads/drapes

you scrub the skin starting at incision site

you apply drying techniques

you apply the paint solution

you document the preparation

you conform to special considerations in clean vs. contaminated areas