SURG 102 - Surgical Patient Care
Credits: 3
Lab Contact Hours: 6
Description: This course introduces the student to a variety of patient care concepts, such as patient homeostasis and normative values, patient safety with positioning, surgical preparations and utilization of operating room equipment. Students will use the principles of asepsis to apply sterile technique while learning to open glove, apply prep solutions and perform catheterization. Legal documentation and risk management concepts will be explored with simulation case studies and research. Unique patient needs and caring for diverse patient populations will also be taught through simulation scenarios in the lab setting. Students should be prepared for a full hands-on experience that requires lab safety practices and successful completion of all course skill competencies. Students must pass the course and course skill competencies successfully with a 3.0 or better to continue in the program.
Prerequisites: Acceptance into the Surgical Technology Program. BIOL 243 with a minimum grade of 3.0.ENG 101 or ENG 102 with a minimum grade of 2.0. HIT 100 or HIT 104 with a minimum grade of 3.0. General Education Mathematics course with a minimum grade of 2.0. MATH 102 orMATH 111 recommended. SURG 100 with a minimum grade of 3.0.
Corequisites: BIOL 237 , if not taken previously, with a minimum grade of 3.0.
Recommended: None
Course Category: Occupational
This Course is Typically Offered: Spring
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Course Competencies
Main Learning Domains: Cognitive, Affective, Psychomotor
1. Analyze the types of documentation utilized in the surgical setting.
a. Evaluate the types of information contained in the patient chart.
b. Evaluate common language and terminology of legal and risk management departments.
c. Examine the required elements of a sentinel event report.
d. Distinguish the criteria of a surgical pause, or ‘timeout’.
e. Differentiate the advanced directive and living will.
f. Analyze the process for organ donation and procurement.
2. Distinguish the physiological and psychological needs of the patient.
a. Evaluate Maslow’s Pyramid as it applies to the needs of a surgical patient.
b. Evaluate the need for diversity training for the healthcare worker.
c. Differentiate between a code of ethics and moral dilemma.
d. Analyze different types of cultural and spiritual needs of special populations.
e. Examine the impact of comorbidities with patient care.
f. Examine the impact of death and dying on both the patient and their family.
3. Evaluate the principles of asepsis.
a. Determine how each principle is applied to the practice of sterile technique.
b. Demonstrate how the principles are applied to patient care duties.
c. Explore the development of the surgical conscience through the principles of asepsis.
4. Demonstrate the different types of hand hygiene.
a. Evaluate the rationale for why a basic handwash is performed.
b. Analyze when a basic handwash is needed vs. an antiseptic.
c. Demonstrate a basic handwash.
d. Evaluate the rationale for a surgical scrub.
e. Analyze the different solutions and methods used for performing a surgical scrub.
f. Demonstrate a surgical scrub utilizing the counted method.
g. Demonstrate a surgical scrub utilizing a brushless method.
5. Demonstrate open gloving technique.
a. Differentiate when an open gloving method is used vs. a closed glove technique.
b. Apply the open glove technique to different procedures.
6. Demonstrate safety precautions of the preoperative surgical patient.
a. Evaluate different homeostasis ranges for different patient populations.
i. Analyze normative values of temperature, respirations, blood pressure, pulse and oxygen.
ii. Demonstrate how to collect a baseline assessment.
b. Evaluate the physical preoperative needs of the patient, such as bowel prep, hair removal, medications and preoperative hygiene.
i. Demonstrate or verbalize how to perform each of the physical preparation needs of the patient prior to entering the operating room.
c. Demonstrate safe patient moving while on a stretcher.
i. Demonstrate safe practice and operations of a stretcher.
ii. Demonstrate safe patient transfer from the stretcher to the operating table.
iii. Demonstrate how to safely utilize an operating room table.
d. Demonstrate how to apply all operating table safety devices to the patient.
e. Demonstrate application of additional safety monitoring equipment to the patient.
i. Padding for nerve protection
ii. Electrosurgical unit electrodes
iii. Pulse oximeter
iv. Sequential stockings
v. Blood pressure cuff
vi. Warming devices
7. Demonstrate safe patient positioning for different types of surgical procedures.
a. Evaluate the different types of patient position.
b. Determine which type of position is needed for each type of surgical specialty.
c. Demonstrate how to position the patient in each of the following positions: supine, prone, lithotomy and extremity.
8. Demonstrate urinary catheterization.
a. Evaluate all supplies and equipment necessary to perform a safe catheterization.
b. Apply urinary catheterization to required preoperative procedures.
9. Demonstrate a surgical patient prep.
a. Evaluate all supplies and equipment necessary to perform a surgical prep.
b. Analyze each type of prep solution that may be utilized.
c. Examine steps necessary to ensure fire precautions have been made.
d. Evaluate and document the patient’s physical condition prior to any positioning and prep activity.
e. Demonstrate different types of surgical prepping for the abdomen, an extremity and perineal/vaginal positioning.
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