Surgical Assisting

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Surgical Assisting
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Role of the First Assistant

• As defined by the American College of Surgeons,
  the Surgical First Assistant provides aid in
  exposure, hemostasis, and other technical
  functions that will help the surgeon carry out a
  safe operation with optimal results for the
  patient
• This role will vary considerably with the
  surgical operation, specialty area, and type of
  facility

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Role of the First Assistant

• Clinical skills positioning the patient,
  preparing the skin, providing visualization of
  the operative site, utilizing appropriate
  techniques to assist with hemostasis,
  participating in volume replacement or auto
  transfusion techniques as appropriate, utilizing
  appropriate techniques to assist with closure of
  body planes, selecting and applying appropriate
  wound dressings and providing assistance in
  securing drainage system to tissue

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SUR-280 Surgical Anatomy

• (7 credit hours) The Surgical Anatomy course is
  designed to provide accurate information about
  the structure and function of the human body
• The course is planned for students who are
  pursuing a carrier as a surgical first assistant.
  Course instruction will relate anatomy to
  surgical techniques

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SUR-284 Principles of Surgical Assisting (4
credit hours)

• The course is designed to introduce the student
  to the theory involved in surgical assisting
• The course incorporates anatomy, surgical
  techniques, aseptic techniques, draping,
  positioning, suturing, safety and duties of the
  surgical team

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SUR-282 Perioperative Bioscience (3 credit hours)

• The course is designed to promote an
  understanding of microbial physiology which
  precedes the understanding of disease
  transmission and or prevention, including
  standard precautions and infection control
• The pharmacology section of the course is
  designed to promote an understanding of the
  effects of pre, post and operative drugs. The
  anesthesia section of the course is designed to
  promote an understanding of general
  principles/techniques and drugs used by
  anesthesia and their effects on the patient

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SUR-292 Applied Bioscience (2 credit hours)

• The course is designed to introduce the student
  diagnostic testing such as radiology, laboratory
  and cardiographics. The course will also include
  wound healing, nutrition perioperatively, fluid
  and electrolyte balance and techniques in
  maintaining homeostasis
• In addition exploration of potentially life
  threatening conditions surrounding the critical
  ill patient will be examined

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SUR-295 Surgical First Assistant Clinical (4
credit hours)

• In a clinical setting the student will perform
  the duties of a surgical first assistant during
  surgical procedures
• The nature of the cases shall be varied according
  to the association of surgical technologists
  standards for certification and meet the minimum
  135 cases

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Course Sequence

• FALL SEMESTER
• SUR-280 Surgical Anatomy (7 credit hours)
• SUR-284 Principles of Surgical Assisting
• (4 credit hours)
• SPRING SEMESTER
• SUR-282 Perioperative Bioscience (3 credit hours)
• SUR-292 Applied Bioscience (2 credit hours)
• SUR-295 Surgical First Assistant Clinical
• (4 credit hours)

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Student Requirements

• All students accepted into the Surgical First
  Assisting program must supply copies of their
  current certification or licensure, current CPR
  or BLS certification, copy of employee ID badge,
  all educational transcripts, and a letter from
  their employer verifying surgical experience

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Madisonville Distance First Assisting

• First year only accepted local students
• 2nd year accepted 3 on-line assisted students
  within the State of KY
• 3rd year accepted 5 out of State students
• 4th year we have around 10 distance students
• Progression pattern helps solve problems on-line

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Problems with Distance Assisting

• MOA agreements? Ideal situation is to have the
  agreement in place before the student enters the
  program-Real pain in the Ass!!!
• Computer experience/knowledge of the studentSend
  the student the computer requirements for the
  program
• Proper Preceptors ?
• Proctors ?

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Problems with Distance Assisting

• The Instructor will spend a lot of time dealing
  with each individual student
• E-mails, phone calls, preceptors, proctors,
  MOAs, and various STUFF!!!!!!!!!!!!!!
• Many students will be breaking New Ground in
  their Facility, so the program director will be
  taking an active role

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Questions ?