SUR 805 - Clinical Practicum I

1. Develop the ability to assist with circulating duties.
   1. Create the knowledge of safety measures for the surgical patient.
   2. Establish patient safety measures such as never leaving the patient alone.
   3. Identify the application of a grounding pad, safety strap and other safety equipment as needed.
   4. Identify comfort measures to patient upon admittance to the OR, such as offer the patient a warm blanket.
   5. Utilize the knowledge of different safety measures, such as gel pads, pillows, offer the patient a warm blanket, and assess the patient’s comfort level.
   6. Develop proper techniques for transferring a surgical patient.
   7. Develop proper positioning techniques.
   8. Assess an understanding of the principles of the patient surgical skin preparation.
   9. Develop an understanding of OR routines and techniques.
2. Evaluate how to interact with patients, peers and surgical staff in a professional manner
   1. Examine a professional appearance and manner.
   2. Develop a caring attitude with patients.
   3. Report information to the patient and staff in a professional manner.
   4. Seek additional experience and information when dealing with unfamiliar situations.
   5. Compose appropriate questions at an appropriate time.
   6. Analyze constructive criticism.
   7. Prioritize clinical time to take advantage of learning opportunities.
   8. Establish patient confidentiality by following all HIPPA requirements.
3. Create personal development.
   1. Display enthusiasm for learning.
   2. Explain responsibility when preparing for cases.
   3. Incorporate the ability to meet and adapt to unexpected situations calmly.
   4. Identify the need for continual improvement and seeks resources to meet that need.
   5. Share learning experiences with fellow students, supports fellow students.
4. Create the ability to assist anesthesia with patient care.
   1. Explain the ability for placement of anesthesia monitors.
   2. Choose to assist with intubation of the surgical patient.
   3. Establish cricoid pressure.
5. Build the ability to organize and obtain applicable equipment for surgical procedures.
   1. Prepare the operating room suite for a surgical procedure.
   2. Assess the needs for new equipment, instruments, or supplies for a surgical procedure by reviewing the surgeon’s preference card.
6. Evaluate the ability to apply knowledge of proper surgical instrument handling and setup.
   1. Determine all surgical instruments by proper name.
   2. Prioritize proper technique in handling and passing of instruments and equipment.
7. Defend preoperative case management skills.
   1. Prioritize the preparation and opening of supplies and instruments needed for any operative procedure with the maintenance of sterile technique at all times.
   2. Conclude the proper technique for the surgical hand scrub, gowning and gloving of self and assisting the surgical team members.
   3. Determine the proper technique and organization for preparing sterile supplies and instruments on a sterile field.
   4. Elaborate on the procedure of draping the Mayo stand.
   5. Evaluate in detail, the procedure for counting instruments, sponges, needles and other items on the sterile field.
   6. Discuss the proper technique for labeling, mixing and handling of medications and drugs on the sterile field with the six rights of drug administration.
   7. Prioritize selection of instruments and set up the Mayo stand.
   8. Prepare to organize towels and drapes in proper sequence with suction, ESU, towel clips and light handles in preparation for the surgical procedure.
   9. Perceive and correct breaks in sterile technique.
   10. Recommend correction of breaks in sterile technique.
8. Justify critical thinking skills regarding intraoperative case management.
   1. Explain the ability to perform in the role of primary scrub.
   2. Combine knowledge pertaining to basic surgical procedures.
   3. Assess limitations in performing unfamiliar surgical procedures.
   4. Explain proper care, handling and assembly of surgical instruments.
   5. Interpret the proper draping technique of the surgical patient for a variety of surgical procedures.
   6. Determine the proper identification, handling, and delivery of surgical instruments and equipment during the surgical procedure.
   7. Explain the proper handling and delivery of sharps and needles during the surgical procedures.
   8. Discuss the appropriate procedure of passing medications on the operative field.
   9. Develop organization of surgical instruments, sharps, and needles on the sterile field.
   10. Justify how to handle and pass specimens correctly from the sterile field.
   11. Take part in closing counts of surgical instruments, sharps and needles on the sterile field.
9. Assess postoperative case management.
   1. Explain the proper handling of instruments and equipment during the complete breakdown of the back table and Mayo stand postoperatively.
   2. Take part in the proper disposal of sharps and needles in appropriate container.
   3. Determine the proper disposal of drapes postoperatively in the appropriate container.
   4. Take part in the disposal of trash and linen in the appropriate container.
   5. Explain the proper procedure for gown and glove removal.
   6. Evaluate postoperative patient care, including transfer and transportation to PACU.
10. Compose an accumulative log of all surgical procedures during clinical practicum.
    1. Organize records of surgical procedures by specialty and level of performance.
    2. Compile the number of case logs within the program requirements.
11. Formulate an ongoing record of all evaluations related to clinical competencies.
    1. Construct weekly evaluations of preceptors from students.
    2. Assess weekly evaluations from preceptors and faculty.
    3. Determine a plan for improvement after each weekly conference with faculty.
12. Defend a portfolio of clinical case studies and surgeon preference cards.
    1. Design answers utilizing critical thinking skills related to specific case study assignments.
    2. Criticize surgeon’s preferences integrating knowledge from clinical experience and preceptor guidance.