Swedish Institute College of Health Sciences Instructions for Completing the Surgical Procedure Case Study General Instructions 1. For each new case, the student is required to turn in a completed

Surgical Procedure Case Study homework assignment as part of their weekly journal. 2. The assignment is due at the weekly externship meeting. They will be turned into the instructor in class. NO LATE ASSIGNMENTS WILL BE ACCEPTED! 3. Each assignment must be different; a procedure previously turned in cannot be used to complete the assignment. 4. By the end of the quarter, the student will have turned in weekly, all required Surgical Procedure Case Study assignments. Specific Directions for Completing Weekly Surgical Case Study Assignments 1. This is a report that concerns itself with the case as performed. The required information is in the general style of a surgeon's post-operative report. 2. The following sources are allowed for use to complete the report: doctor's preference card, recalled events, the preceptor for the case and other department's (such as PACU) staff. 3. This is not a research report in which textbooks are consulted for information. As mentioned above, this is based on recall and memory. 4. When writing about relevant anatomy, make sure important information pertaining to nerve, vascular, and muscular structures is included. 5. Give a detailed description of the boundaries for the prep; such as nipple line to pubis, lateral bedside to bedside. 6. Make sure suture sequence and instrumentation are included in question 20 (list the procedural steps). Recount the steps of the procedure from recall, not textbook description. Focus mainly on the intraoperative phase of the case. 7. What is the purpose of the surgery - palliative such as to only relieve symptoms caused by cancerous tumor, corrective such as hernia repair, remove something, etc? 8. One Thing I Learned...DO NOT write something similar to the following examples: I learned that you have to be prepared ahead of time; I learned how the procedure was performed; I learned how irritable surgeons can get; etc. What is required is something that you actually learned from doing the procedure, such as learning how to assemble and operate a new piece of equipment or instrument, and state the name of the item; a way of using an instrument that was not originally intended; "trick of the trade" learned from the preceptor, etc. 9. Sign and date the Case Log Form. 10. Add the original Case Log Form to your Weekly Journal. 66 Swedish Institute College of Health Sciences Date: Student: Case/ Surgeon: Clinical Site: 1. Procedure Name: 2. Definition of Procedure: 3. What was the purpose of the procedure: 4. What was the expected outcome of the procedure? 5. What was your role during this procedure? 6. Patient's age: 7. Patient's gender: 8. Additional pertinent patient information: SURGICAL PROCEDURE CASE STUDY 9. Discuss the relevant anatomy: 10. List the general and specific instruments that were needed for the procedure: 11. List the basic and specific supplies that were needed for the procedure: 67 12. List the pharmaceuticals used during the procedure: 13. What type of anesthesia was used? 14. Patient position during the procedure: 15. What equipment was necessary for positioning? 16. What type of skin preparation was used? 17. Define the anatomic perimeter of the prep? 18. List the order in which the drapes were applied: 19. List any practical considerations that were taken Why? 20. List the intraoperative procedural steps - describe the preparatory and supportive actions you had to take during those steps: 68 21. What are possible complications that may have occurred during the procedure? 22. What is the most valuable information you obtained from scrubbing this surgical procedure? 23. Comments or questions: Student's Signature Date Clinical Instructor/ Clinical Coordinator/ PD Date