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Principles of Surgical Assisting

SFA 275

Principles of Surgical Assisting

SFA 275

Course Description

Prerequisites: Prerequisites: SFA 271, 273 each with a minimum C (2.

0) grade. Concurrent enrollment in SFA 277. Explores the interpersonal, legal and ethical aspects of surgical patient care, recognition of surgical complications, and appropriate actions. (30-0)

Outcomes and Objectives

Discuss the importance of appropriate interpersonal skills in the Operating Room.

Objectives:

  • Describe the role relationships and interdependencies between the SFA and other team members.
  • Explain how the SFA’s scope of practice is determined.
  • Discuss what kinds of behaviors and attitudes tend to promote conflict within the surgical team and which behaviors and attitudes tend to promote harmony.
  • Discuss effective and productive coping mechanisms used to deal with stress.
  • Discuss how the SFA can maintain the expected level of autonomy and initiative without interfering with the activities or professional judgment of the surgeon.
  • Explain the SFA’s responsibilities and limitations in resolving a difference of opinion with his/her supervising surgeon.
  • Discuss how interpersonal stress can increase during critical situations and what the SFA can do to help.
  • Discuss commonly-experienced anxieties and emotional reactions in patients facing surgery.
  • Give examples of how the interrelationships between the mind and the body can affect the patient’s response to surgery.
  • Discuss how the attitudes and behaviors of the O.R. staff can either heighten or assuage a patient’s fears and anxieties.
  • Discuss possible reasons why a patient may be combative and how safety can be provided for both patient and care-givers.

Recognize intraoperative emergencies and take appropriate action.

Objectives:

  • Discuss the appropriate role of the SFA during intraoperative crises/emergencies.
  • Describe corrective actions to be taken by the SFA during incidents of massive contamination.
  • Discuss the appropriate role of the SFA during failures of critical equipment or a power failure.
  • Discuss the appropriate actions to be taken by the SFA if surgical supervision is interrupted

Discuss aspects of patient transportation within the health care institution and between facilities.

Objectives:

  • Discuss special needs during patient transportation and the SFA’s appropriate role in communications and/or providing care.
  • Explain how the SFA might be involved in the inter-agency transfer of a patient.

Discuss legal considerations in the surgical environment and the legal responsibilities of the Surgical First Assistant.

Objectives:

  • Explain "informed consent" and describe the various types of operative and other permits, including appropriate conditions and signatories.
  • Describe the proper identification process for a patient entering the O.R. suite.
  • Explain the appropriate actions for safeguarding a patient’s personal possessions.
  • List the information elements commonly required for various types of operative records, forms and reports.
  • Discuss the legal implications of operative record keeping.
  • Discuss the SFA’s responsibilities for reporting and documenting.
  • List the circumstances that determine a Medical Examiner’s (Coroner’s) case.
  • Describe differences in pre-operative, intra-operative, and post-operative routines for ambulatory surgery patients.
  • Differentiate statutory law and common law.
  • Define and identify instances of “dependent” and “independent” functions of an employed health practitioner.
  • Define and give examples of various legal concepts and terms that apply to the surgical environment.
  • List ways that the Standard of Care may be determined in a court of law and the factors used to establish negligence.
  • Give examples of common acts of negligence in an O.R. setting.
  • Discuss moral and ethical responsibilities and obligations, as opposed to legal precepts (e.g. confidentiality and legal privilege, patient’s request for a religious counselor vs. request for an attorney, etc.).
  • Discuss appropriate actions and behavior for the SFA if he/she is involved in a patient’s lawsuit.

Demonstrate appropriate ethical decision-making ability.

Objectives:

  • Define terminology related to ethical principles and concepts.
  • Give examples of O.R. situations that could result in ethical conflicts.
  • Describe the decision-making process for resolving ethical conflicts.
  • Discuss the application of Advance Directives and DNR orders in the O.R. setting.
  • Compare and contrast basic patient’s rights and duties with basic caregiver’s rights and duties.
  • Compare the legal with the ethical relationship between the SFA and the surgeon