Surgical First Assistant

Module details

Title:
Surgical First Assistant
Code:
MOD001586
Version number:
2
Date amended:
02/07/13
Level:
6
Credit value:
30
Study hours:
300
Module leader:
Eqramur Rahman
Department:
Department of Medicine and Healthcare Science
Faculty:
Faculty of Medical Science

Module description

The aim of this module is to develop registered perioperative practitioners with the relevant knowledge and skills to take on the role of assisting the surgeon during an operation. This will be a structured and recognised programme based on the national curriculum developed by the Association for Perioperative Practice (AfPP) to ensure that Surgical First Assistant (SFA) are competent and safe practitioners. It will provide the underpinning knowledge at the appropriate level to which they are practising. The SFA would be expected to have the same level of knowledge, skills and expertise as that of a medical practitioner, and would be judged with regard to the legal aspects of expanded practice. This module will therefore equip them to practice at this level. The module is delivered over two semesters allowing the SFA sufficient practice hours to gain the relevant knowledge and skills required. This module is a theory/practice module in which the student will learn both in the classroom and in the practice area. Learning and teaching methods in the classroom will include a variety of methods such as lectures, seminars, group work, scenarios, skills workshops, etc. Learning and teaching in clinical practice will be under the supervision of an experienced practitioner within the students own area. Assessment for the theoretical component of the module will be via a written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios. For the practice component it will consist of clinical competencies and a reflective diary containing critical reflection of various events from the student's experiences.

Outline content

- Preparation of the surgical patient - Positioning of the surgical patient (including relevant A&P) - Handling of surgical instruments - Tissue retraction, handling and exposure (including relevant A&P) - Assisting with surgical haemostasis (including relevant A&P) - Male and female catheterisation (including relevant A&P) - Basic Minimal Access Surgery Techniques (MAST) - (Camera operating techniques) (including relevant A&P) - Communication skills - Using a patient centred approach - Pre and Post operative visiting - Physiology of wound healing (including relevant A&P) - Principles of wound drainage (including relevant A&P) - Surgical Dressings - Role transition, professional boundaries and the multidisciplinary team. - Professional and employment issues - Legal and ethical issues - Principles of consent - Principles of risk management, guidelines, protocols and quality - Normal Flora - Preventing wound contamination - Disorders of tissue growth (including relevant A&P) - Handling of tissue specimens - Basic etiological classifications of disease. (including relevant A&P) - Accountability

Key texts/literature

West,R., Johnson, J., 3rd, Degon, R.,Murphy,W., (2010). Surgical First Assistant. Cine-Med. The book is written to "provide a better way. It is for everyone who wants to understand surgical principles and techniques prior to the moment that they are called on to provide assistance." The intent is to educate individuals who will be acting as first assistants, so that they are prepared when they first work in the operating room, and to serve as a reference for more experienced individuals Rothrock,. J., & Seifert, P.,(2009) Assisting in Surgery: Patient Centered Care. Denver, CO: CCI The RN First Assistant; An Expanded Perioperative Nursing Role. In this edition the editors have broadened the scope beyond RN's, to include the roles of Physician Assistants, Surgical Technologists, Advanced Practice Nurses, and other health care providers who perform in the role of First Assistant in surgery. Rothrock, J (1998) The RN First Assistant: An Expanded Perioperative Nursing Role, Lippincott, Williams & Wilkins This is the most up to date version of this book and is available in the library This text offers clear, concise, step-by-step guidance on the expanded roles and responsibilities of the Registered Nurse serving as first assistant in the operating room and is essential reading for this module. Raftery, A.,T. (2008) Applied Basic Science for Basic Surgical Training, Edinburgh, Churchill Livingstone. This is the most up to date version of this book and is available in the library Detailed, yet very readable text with diagrams, providing the essential underlying physiology related to surgery and surgical procedures. Divided into two parts. Part one looks at pathology and microbiology, and part two focusses on specific systems. Written for the surgeon in training. Rothrock, J.C., (2011). Alexander’s Care of the Patient in Surgery.14th ed. Elsvier. For more than 65 years, Alexander's Care of the Patient in Surgery has been a trusted source for detailed information on perioperative nursing. Well-known author and educator Jane C. Rothrock sets up a solid foundation for practice, and offers step-by-step instructions for over 400 surgical interventions as well as many minimally invasive surgical procedures, all backed by the latest research. More than 1,000 full-color illustrations and photos depict procedures and methods, as well as surgical anatomy and instrumentation. This edition adds Rapid Response Team boxes with suggested interventions, plus coverage of new trends in patient and staff safety, the increase in interventional radiology, and the growth of outpatient ambulatory surgery. Alexander's gives you the tools you need to provide safe, cost-effective, high-quality patient care Wicker, P., and 0’Neill, J., 2010. Caring For The Perioperative Patient. 2nd ed. Wiley-Blackwell. A practical, evidence-based and innovative book that identifies and discusses the essential core skills and knowledge required by perioperative practitioners to care for their patients. Divided into two sections, the first explores core perioperative issues, such as pharmacology, communication, homeostasis, and equipment. The second part of the book looks at more specific perioperative practice issues, including enhanced competence, patient preparation, and care of the patient during anaesthesia, surgery, and recovery Dimond, B (2011) Legal Aspects of Nursing 6th Edition, Harlow England; New York: Pearson Education. This is the most up to date version of this book and is available in the library For degree, diploma and masters courses in nursing and related areas. This book introduces nurses and other health care professionals to the law relating to the practice of nursing and covers areas such as the issues of role extension. Dimond, B., (2011) Legal aspects of health and safety.2nd ed. London : Quay Marieb, E (2011) Human Anatomy & Physiology, 8th Edition, International Ed San Francisco; Benjamin Cummins/Pearson. This is the most up to date version of this book and is available in the library A good knowledge of anatomy and physiology is required for this role. This is one suggested text for you to gain this knowledge. If you find this difficult to read another A&P text can be used. Rolfe,G., Jasper, M., Freshwater, D., (2011). Critical reflection in practice : generating knowledge for care. 2nd ed.Basingstoke : Palgrave Macmillan. It presents a structured method that will enable you to both challenge and develop your own practice. Full of clear and practical guidance, it includes: - real-life case studies to illustrate the significance of reflection to practice - a detailed framework for understanding and producing reflective writing - chapters on the role of reflection in supervision and research - 'reflective moments' - activities encouraging independent reflection. Research Notes The Perioperative Care Collaborative: Position Statement; The Role & Responsibility of the Advanced Scrub Practitioner, available at http://www.afpp.org.uk/home This is an essential document for the course as it outlines the roles and responsibilities of the ASP and you should ensure that you download a copy. Department of Health 2009 European Working Time Directive: UK notification of Derogation for Doctors in Training. Available at: http://www.dh.gov.uk/publications This has a direct impact on the development of extended roles such as the ASP. World Health Organisation: World Alliance for Patient Safety, Implementation Manual Surgical Safety Checklist, 1st Edition, available at http://who.int/patientsafety/challange/safe.surgery/en/ This is am important publication to read as this is high on the world agenda with regard to safe surgery for patients all over the world. The ASP plays a major role in its instigation within theatre departments. Hospital Infection Society Working Party (2002) Behaviours and Rituals in the Operating Theatre, http://www.his.org.uk/_db/_documents/Rituals-02.pdf This is an important publication with regard to the reduction of infection within the theatre environment which is another important role of the ASP. Internet Resources Notes National Association of Assistants in Surgical Practice http://www.naasp.org.uk/ A key website for keeping up-to date with the progression of the Advanced Scrub Practitioner within the UK and also good for information on reading material, literature, additional training, conferences, etc National Surgical Assistant Association http://www.nsaa.net/ A key website for looking at the developments of the non-medical surgical assistant in the United States to give a more global approach Association for Perioperative Practice http://www.afpp.org.uk/home Another key web site for keeping up to date with perioperative advancements. Also good for educational updating, reading material, networking with other assistants, etc. Association of Surgeons for Great Britain & Ireland http://www.asgbi.org.uk/ The Association of Surgeons of Great Britain and Ireland (ASGBI) is an association representing general surgery and all its related specialities throughout the United Kingdom and Ireland. It is a useful web site to keep abreast of various issues around surgery. Clinical Human Factors Group (CHFG) http://www.chfg.org/ The chfg aim to stimulate dialogue and demonstrate through concrete action how a better understanding of the role of human factors can have a significant impact on safety, quality and productivity in healthcare. National Patient Safety Agency (NPSA) http://www.npsa.nhs.uk/ The National Patient Safety Agency leads and contributes to improved, safe patient care by informing, supporting and influencing the health sector. It is therefore a useful web site for this module. Patient Safety First http://www.patientsafetyfirst.nhs.uk/content.aspx?path Patient Safety First is sponsored by the National Patient Safety Agency, the NHS Institute for Innovation and Improvement and The Health Foundation. Its purpose is to lead in preventing harm to patients within the NHS. A good support web site for this module. World Health Organisation (WHO) http://www.who.int/en/ The WHO have done specific work regarding patient safety with patient undergoing surgical procedures so is a good website for information.

Specialist learning resources

Laparoscopic skills day Use of the critical care skills laboratory for skills training

Pathways to which this module applies

not available yet 1, not available yet 2

Module restrictions

None

Pathway restrictions

None

Intended learning outcomes

On successful completion of this module, the student will be expected to be able to:
1
Knowledge and Understanding
Critically reflect on the legal, ethical and clinical governance issues, which are an integral part of contemporary perioperative practice.
2
Knowledge and Understanding
Critically analyse the changing role and scope of practice of the advanced scrub practitioner with regard to accountability, from both local and national perspectives.
3
Knowledge and Understanding
Demonstrate knowledge of normal and altered anatomy and physiology when discussing the actions of the advanced scrub practitioner.
4
Intellectual, practical, affective and transferable skills
Demonstrate competency in the use and application of a wide range of surgical instrumentation techniques, including tissue retraction, homeostasis and minimal access surgery.
5
Intellectual, practical, affective and transferable skills
Demonstrate competency in the application of specialist knowledge and skills required to undertake the role of the advanced scrub practitioner.

Further details of the delivery of this module, including information on assessment and learning and teaching hours - click on the appropriate link below.


2014/5 - Face-to-Face delivery
Mode of delivery:
Face-to-Face
Occurrence reference:
ZZF
Academic year:
2014/5


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100
2014/5 - Face-to-Face delivery - Chelmsford
Location:
Chelmsford
Mode of delivery:
Face-to-Face
Occurrence reference:
A-1
Academic year:
2014/5


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100
2014/5 - Face-to-Face delivery - Cambridge
Location:
Cambridge
Mode of delivery:
Face-to-Face
Occurrence reference:
C-1
Academic year:
2014/5


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100
2015/6 - Face-to-Face delivery
Mode of delivery:
Face-to-Face
Occurrence reference:
ZZF
Academic year:
2015/6


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100
2015/6 - Face-to-Face delivery - Chelmsford
Location:
Chelmsford
Mode of delivery:
Face-to-Face
Occurrence reference:
A-1
Academic year:
2015/6


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100
2015/6 - Face-to-Face delivery - Cambridge
Location:
Cambridge
Mode of delivery:
Face-to-Face
Occurrence reference:
C-1
Academic year:
2015/6


View learning activities
Learning, Teaching and Assessment
Learning activity: Lectures
Hours: 42
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Teacher Managed Learning
Hours: 18
Learning outcome(s): 1-5
Detail: Delivered in twelve 5 hour days one per fortnight over 2 semesters
Learning activity: Other Student Managed Learning
Hours: 240
Learning outcome(s): 1-5
Detail: In student own area of work and self-directed study
Total hours:
300


Assessment details
In order to pass this module, students are required to achieve an overall mark of 40%. In addition, students are required to: (a) achieve the qualifying mark for each element of fine grade assessment as specified below (b) pass any pass/fail elements.
Assessment number: 010
Code: MOD001586
Method: Examination
Details: Exam : 3 hours Written question paper based on a choice of 3 scenarios with the student answering questions on 2 out of the 3 scenarios.
Learning outcomes: 1-3
Percentage weighting: 100
Fine grade or pass/fail: Fine Grade
Qualifying mark: 30
Assessment number: 011
Code: MOD001586
Method: Coursework
Details: Portfolio : 3000 words. Consisting of clinical competencies and a reflective diary containing critical reflection of various events from their experiences.
Learning outcomes: 4-5
Percentage weighting: 0
Fine grade or pass/fail: Pass/Fail
Qualifying mark: 100