Principles of Surgical AssistingSFA 275
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.
- 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.
- 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.
- 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.
- 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.
- 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