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Surgical Assisting . 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

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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 student—Send 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, MOA’s, 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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