STANDARD COMPETENCIES:

 

 I.      Acquire a working knowledge of the anatomical layers of the abdominal wall.

 II.     Demonstrate skill in applying simple stitches.

 III.    Demonstrate skill in applying complex interrupted stitches.

 IV.     Explain the characteristics of needles.

 V.      Explain the characteristics of suture materials.

 VI.     Demonstrate an ability to use the two-handed suture tying technique.

 VII.    Demonstrate an ability to use the one-handed suture tying technique.

 VIII.   Demonstrate an ability to use the instrument knot tying technique.

 IX.     Demonstrate multi-layered wound closure techniques.

 X       Utilize plastic closure techniques, giving patients desirable cosmetic results.

 XI.     Relate wound closure management techniques from the first assisting perspective.

 XII.    Practice wound closure management techniques from the first assisting perspective.

 XIII.   Recognize techniques that are safe for the patient.

 XIV.    Utilize techniques that are safe for the patient.

 XV.     Recognize techniques that are legally defensible for the patient.

 XVI.    Discuss malpractice issues related to wound closure.

 XVII.   Discuss the anatomy involved in a total abdominal hysterectomy/bilateral salping-oophorectomy (TAH/BSO).

 XVIII.  Discuss important interventions for skin preparation requirements involved in a TAH/BSO.

 XIX.    Describe important interventions for positioning requirements involved in a TAH/BSO. Contrast important interventions for intraoperative pain reduction requirements involved in a TAH/BSO.

 XX      Contrast important interventions for intraoperative pain reduction requirements involved in a TAH/BSO.

 XXI.    Identify important interventions for the incisional approach involved in a TAH/BSO.

 XXII.   Discuss the important interventions for draping the client involved in a TAH/BSO.

 XXIII.  Explain the special suture requirements involved in a TAH/BSO.

 XXIV.   Identify the special instrument requirements involved in a TAH/BSO.

 XXV.    Review the equipment needs involved in a TAH/BSO.

 XXVI.   Identify unique first assisting requirements involved in a TAH/BSO.

 XXVII.  Plan for special postoperative needs of the client requiring a TAH/BSO.

 XXVIII. Determine methods of evaluating patient outcomes throughout the TAH/BSO event.

 XXIX.   Discuss the anatomy involved in an Open Cholecystectomy.

 TOPICAL OUTLINE:

 

 I.      Intraoperative First Assistant Skills Workshop.

 II.     Surgical Anatomy: Cells and tissues, embryology, introduction to pathology,  the skull and brain, the eye, the face, neck and throat,  the shoulder, Villa and breast, the upper limb,  the back, the thorax, the abdominal cavity and retroperitoneum,  the pelvis and perineum, the inguinal and femoral regions, and the lower limb.

 III.    Perioperative Microbiology.

 IV.     Surgical Pharmacology.

 V.      Anesthesia Methods and Agents.