Dec 09, 2022
SFA 273 - Fundamental TechniquesCredits: 3
Covers the theory and practice of pre-operative, intra-operative and post-operative functions and techniques of a Surgical First Assistant.
Prerequisite(s): Admission to the Surgical First Assistant program. Instructor consent required.
Corequisite(s): SFA 271
Lecture Hours: 30 Lab Hours: 30
Meets MTA Requirement: None
Outcomes and Objectives
- Discuss physiologic monitoring of patients undergoing surgery and the placement of monitoring devices.
- List the common types of noninvasive and invasive monitors used intra-operatively and discuss their potential complications.
- Discuss the SFA's responsibilities with regard to intra-operative patient monitoring.
- Define “vital signs”, explain why they are important, describe how they can be measured, and list their normal ranges in an adult.
- Define terms used to describe abnormalities in vital sign measurements.
- Explain the importance of monitoring urine output and body temperature and identify abnormalities that must be reported.
- Discuss CVP lines, PA catheters, end-tidal CO2 monitors, pulse oximeters, peripheral nerve stimulators, and special monitors specific to surgical specialties.
- Define terms related to hemodynamic monitoring.
- Demonstrate the preparation of a patient prior to surgery.
- Demonstrate an understanding of the preoperative assessment of the patient.
- Recognize the need for surgical intervention.
- Understand patient considerations when preparing the patient for surgery.
- Describe the proper attire for a patient entering the O.R. and explain the safety reasons for these rules.
- List the indications for bladder catheterization and discuss possible complications and appropriate actions.
- Describe the principles of performing urinary catheterization and be able to demonstrate proper technique.
- List the essential elements of proper positioning of a patient and discuss the safety precautions to be observed.
- Discuss pre-operative preps and indications for hair clipping.
- Describe and be able to demonstrate the correct method for various kinds of pre-operative wash preps, including the appropriate choice of antiseptic agent.
- List the basic principles of draping and be able to demonstrate standard draping procedures and variations.
- Discuss the correct placement, pressure settings, inflation time limits, and possible complications of a pneumatic tourniquet.
- Demonstrate understanding of methods of tissue handling and techniques of instrument use.
- Identify the indications, advantages and disadvantages for various types of abdominal incisions.
- List the general rules of gentle tissue handling and compare different methods of tissue dissection.
- Discuss the factors involved in the appropriate selection of instrumentation and the potential hazards from the improper use of instruments.
- Describe and demonstrate proper body mechanics when using various kinds of instruments.
- Compare various methods of tissue retraction.
- List the types of surgical lasers and the characteristics, common uses, and preparation and safe use of each.
- Discuss the surgical uses of ultrasound equipment.
- Demonstrate methods of providing visualization of the operative site and of hemostasis.
- Discuss the various methods of wound visualization.
- Discuss the principles of selection and proper use of different kinds of sponging materials.
- Describe the proper use of suctioning equipment.
- Discuss the purposes and methods of intraoperative irrigation, and list the types, possible side effects and contraindications for various irrigation solutions.
- Discuss the different types of bleeding and the SFA’s role in achieving hemostasis.
- List and define terms relating to different ligating methods.
- Discuss the uses of operating microscopes and the role of the SFA.
- Demonstrate appropriate methods of tissue approximation.
- List characteristics, common uses, and contraindications different types of suture materials.
- Discuss the principles and appropriate uses of the various types of suturing techniques.
- Demonstrate a clinically acceptable level of surgical knot-tying techniques.
- Discuss the uses of different types of surgical stapling appliances.
- Demonstrate a clinically acceptable lev
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