MCCCD Program Description

Operating Room Practicum I

Course: SGT115

First Term: 2013 Summer I

Laboratory 1.0 Credit(s) 5.0 Period(s) 0.0 Load
Subject Type: Occupational
Load Formula: C

Description: Roles and responsibilities of operating room personnel focusing on the surgical technician under the direction of the clinical facility preceptor demonstrating the role of the surgical technologist and scope of practice and standard of recommendations.

MCCCD Official Course Competencies
1. Dress in appropriate Operating Room attire and pre-report surgical hand wash. (I) 2. Communicate with and report to operating room manager and charge nurse. (II) 3. Shadow the preceptor to organize the operating room suite, stock equipment and supplies. (III) 4. Choose instrumentation, suture, and specialty items and hold items. (IV) 5. Verify medication with the physician preference card and the circulating registered nurse. (V) 6. Spread and open all operating room supplies for the procedure utilizing aseptic technique. (VI) 7. Scrub, gown, glove and set up the sterile field in the operating room with preceptor guidance. (VII) 8. Count all sponges, needles and instruments pre-operatively, intra-operatively, and post-operatively. (VIII) 9. Gown and glove the surgeon and surgical team members utilizing aseptic technique. (IX) 10. Drape, arrange furniture appropriate for surgery start time. (X) 11. Listen for Universal Protocol identification with all team members. (XI) 12. Relay surgical supply, instrumentation, and medication requirements to the surgical team members throughout the perioperative process. (XII) 13. Label all medications in all receptacles and specimens immediately upon acceptance onto the surgical field. (XIII) 14. Pass surgical instruments to the surgical team and maintain instrument, medication and supply back table placement throughout the procedure. (XIV) 15. Place surgical dressing, connect drainage systems, remove drapes, and assist with the transfer of the patient to the post operative bed. (XV) 16. Decontaminate the operating room suite, prepare instruments for decontamination, and deliver contaminated items to the decontamination department. (XVI) 17. Remove all unused supplies and reusable sterile supplies form the operating room suite. (XVII) 18. Communicate and review surgical technique and procedural skills with the preceptor. (XVIII)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Operating Room Attire and Preparation A. Scrub attire 1. Tunic top and pants 2. Bouffant Hat 3. Shoe covers B. Surgical Hand Wash II. Communication with Operating Room Management A. Charge nurse B. Manager C. Educator III. Physical Environment A. Operating room 1. Computer access for systems operations 2. Lights 3. Sound systems for voice activated equipment B. Operating room equipment 1. Surgical table and attachments 2. Mayo stand 3. Ring stand 4. Back table 5. Sitting stools and step stools 6. Linen hamper C. Anesthesia machine and cart D. Accessories 1. Kick buckets 2. Suction machines and docking 3. X-ray dominator 4. Head lights and light sources 5. Intravenous fluid (IV) poles 6. Intercommunication system 7. Clocks and timers 8. Positioning equipment 9. Electrocautery, ultrasound 10. C-arm 11. Robot 12. Computers 13. Operating room bed and patient launching 14. Steps 15. Autoclave IV. Procedure Instrumentation A. Major sets B. Retractors C. Specialty instrumentation D. Suture E. Wire F. Disposables V. Procedural Medications A. Agents 1. Local 2. Topical hemostatics 3. Vasodilators 4. Bond adhesives 5. Dye 6. Contrast 7. Antibiotics 8. Lubricants 9. Hormones 10. Radiation implants 11. Narcotics B. Licensed surgical staff 1. Anesthesiologist 2. Surgeon 3. Circulating Registered Nurse VI. Operating Room Asepsis A. Packs B. Instruments C. Supplies VII. Aseptic Technique and Establishment of the Sterile Field A. Instrumentation 1. Rigid containers 2. Kimguard wrap 3. Peel Pack 4. Supplies from the manufacturer B. Back table organization 1. Physician preferences 2. Preceptor guidance VIII. Counts A. Pre-operative Counts 1. Sponges 2. Raytec 3. Cottonoids 4. Needles 5. Blades 6. Hypodermic needles 7. Electrosurgical Unit (ESU) cautery tip 8. Instruments B. Intra-operative Counts 1. Sponges 2. Raytec 3. Cottonoids 4. Needles 5. Blades 6. Hypodermic needles 7. ESU cautery tip 8. Instruments C. Post-operative counts 1. Sponges 2. Raytec 3. Cottonoids 4. Needles 5. Blades 6. Hypodermic needles 7. ESU cautery tip IX. Gowning and Gloving the Surgical Team Members A. Back table preparation for gowns, gloves, towels B. Communication with team members regarding right or left hand dominant C. Unfolding the gown D. Aseptic technique in donning the gown E. Exposure of the surgeons hands in the gown F. Open gloving the surgeon G. Turning the sterile gown of the team member H. Traffic patterns of sterile team members X. Furniture, Equipment and Patient Draping A. Furniture and equipment proximity to the sterile field B. Draping the equipment 1. Robot 2. C-arm 3. Sentianal node machine 4. Ultrasound sensors C. Draping the patient 1. Laparotomy 2. Extremity 3. Head 4. Chest 5. Back XI. Universal Protocol A. Patient identification and surgical site identification prior to surgery XII. Verbal and Non-Verbal Communication A. Operating room suite members 1. Surgeon 2. Circulating nurse 3. Preceptor 4. Anesthesiologist 5. Allied Health staff 6. Vendors B. Instrument supply in the operating room suite 1. Hold items 2. Emergent items 3. Vendor supplies 4. Emergency instrumentation 5. Physician preference XIII. Medication and Specimen Labeling A. Medication 1. Gentine Violet marker 2. Labels 3. Containters B. Specimen 1. Containers 2. Gentine Violet Marker 3. Labels 4. Position of Labels 5. Fresh and Frozen Sections 6. Pathology documentation 7. Cultures XIV. Instrument Handling Techniques A. Major Instrumentation B. Specialty Instrumentation C. Sharps Precautions D. Separation of contamination and sterile instrumentation XV. Aseptic Technique at End of Surgery A. Dressing application B. Drain security and dressing C. Drain containers D. Removal of drapes E. Discarding drapes F. Patient moving technique G. Patient safety prior to patient exit XVI. Instrument Decontamination A. Enzymatic instrument spray B. Covering of contamination instrumentation C. Transportation of contaminated instrumentation D. Personal protection equipment E. Sharps disposal XVII. Sterile Supplies for Reshelving A. Unused sterile supplies on hold B. Non-sterile supplies on hold XVIII. Post Procedural Review A. Preceptor conference B. Charge nurse input and guidance C. Educator update and conference

MCCCD Governing Board Approval Date: February 28, 2012

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.