Clinical Practicum IISFA 279
Prerequisites: Prerequisites: SFA 278 with a C (2.
0) minimum grade. Practices basic surgical skills and techniques for Surgical First Assistants by individual assignment to a qualified preceptor surgeon who will provide direct supervision during their surgical rotation in a clinical setting (0-540)
Outcomes and Objectives
Complete the requirements for 140 completed cases.
- Complete the requirements for the six surgical rotations. A minimum of 20 cases in General Surgery, with the remaining cases divided between a minimum of two (2) of the specialty areas below.
Demonstrate entry-level skills in the role of the Surgical First Assistant.
- Review selected instruments, supplies and equipment for the operative procedure.
- Check the patient's chart for pertinent information and communicate this to the appropriate persons.
- Assist anesthesia personnel as requested.
- Assist in applying external monitoring devices.
- Assist in moving and positioning the patient for surgery.
- Apply tourniquets as required.
- Provide or review preparation of the surgical site (shave and wash prep).
- Drape the patient without surgeon supervision.
- Provide adequate visualization of the operative site.
- Assist with temporary and permanent techniques of providing hemostasis.
- Participate in volume replacement or autotransfusion techniques as appropriate.
- Anticipate the moves of the surgeon and perform any and all tasks delegated and directed by the surgeon.
- Recognize surgical hazards and emergency situations and initiate appropriate corrective action.
- Verify specimens for laboratory examination.
- Identify and approximate tissue planes for closure, selecting appropriate materials (e.g. sutures, staples) and techniques within guidelines directed by the surgeon.
- Assist in applying and securing drainage systems.
- Assist in the selection and application of appropriate wound dressings or casting materials.
- Transfer and transport the patient from the operating room to the recovery room, if required.
- Assist in the development and maintenance of doctors' preference cards, as needed.
Demonstrate appropriate cognitive, psychomotor and affective skills
- Provide a safe, efficient and supportive environment for the surgical patient.
- Respect the patient's inherent right to privacy, dignity and confidentiality.
- Apply legal and ethical principles and appropriate interpersonal skills to all decisions and actions.
- Understand the services provided by the surgeon in relation to the patient's restoration to health and return to the community.
- Recognize the importance of teamwork, consideration and cooperation.
- Function efficiently and in a professional manner to provide optimum patient care.
- Apply knowledge of normal and pathologic anatomy and physiology and of the actions of pharmacologic agents in order to individualize patient care.
- Apply the principles of asepsis in a knowledgeable manner to provide optimum patient care.
- Prepare and know the specific use of all equipment and supplies used for surgical procedures.
- Demonstrate knowledge of the step-by-step progress of specific surgical procedures and display dexterity in the use of the required instrumentation.
- Anticipate the needs of the surgeon in order to expedite the procedure, thus minimizing the patient's exposure to surgical and anesthetic stress.
- Develop and improve skills in the organization of work and in assisting the surgeon by using economy in time, motion and materials.
- Identify emergency situations and use sound judgment in instituting established procedures to respond to emergencies in a calm and efficient manner.
- Demonstrate initiative in expanding his/her knowledge of new surgical procedures and subjects relating to the operating room and to the surgical patient.
- Understand that each practitioner is individually responsible for his/her own actions.
- Recognize legal and policy limits of individual responsibility and practice.
- Relate operating room services to the total hospital environment.