Operation Theatre Technician - SECOND Year Syllabus

  • S.NO.
    COURSE CONTENT OF SECOND YEAR
    NO OF PERIODS
    (45 MINS EACH)
    NO OF HOURS
  • 16.
    Care of patient undergoing surgery (Pre and Intra operative), after care of Equipment : must be conversant with
    300
    225 Hrs
  • (i)
    • - Responsibilities of an Operating Room Assistant in OT in a surgical unit in peace and war.
    • - Reception and preparation of patients for operations, observation of patients during operations and management of patients in the immediate post-operative period in the recovery room.
    • - Preparation of patients for anaesthesia and positioning of patients for different operations.
    • - Application of bandages and dressings after operations.
    • - Methods of application of tourniquets and their dangers.
    • - Plaster of Paris technique and preparation of plaster of Paris bandages assist in the application and removal of plaster casts.
    • - Methods of application and uses of different types of splints.
    • - Duties and role of ORA in a Central Sterile Supply Room (CSSR).
    • - Duties and role of ORA in Intensive Care Units
    • - Care of Critically ill Patients in ICU including use of Ventilators
    • - Use, Care and Maintenance of all OT and ICU related equipment including Gas & Cylinder systems
    • - Responsibilities in cases of Cardiac Arrest, Trauma and Resuscitation
    • - Triage of trauma and surgical cases
    • - Organization and function of mobile surgical units: Role in War
    • - Familiarity with Information Technology: Computer hardware and office-based software
    • - Administrative responsibilities of Operating Room Assistant in
    • (i) Running of Operation Theatre,
    • (ii) Allotment of duties,
    • (iii) Maintenance of day-night duty cycles,
    • (iv) OT scheduling and precedence of surgical cases,
    • (v) OT Record Keeping and Workload reporting
    01
     
  • 17.
    Anaesthesia drugs, Equipment & special operation theatre tray set up: Must be conversant with –
    100
    75Hrs
  •  
    • (a) Introduction and Concepts of Anaesthesia
    • (b) Pre-anaesthesia Evaluation (PA Checkup)
    • (c) Pre-anaesthesia Medication and optimization of surgical patient
    • (e) Arrangement and preparation of Drugs in OT
    • (f) Equipment preparation for anaesthesia – Anaesthesia Machines, Circuits, Monitors, Transducers, Airway devices and Pre-anaesthesia Checks ('Cockpit Drill').
    • (g) Conduct of General Anaesthesia incl observation and assessment of patient
    • (h) Preparation and arrangement for neuraxial and regional anaesthesia
    • (j) Conduct of Neuraxial Blocks – Spinal Epidural and CSE
    • (k) Conduct of Regional Anaesthesia and plexus Blocks
    • (l) Monitored Anaesthesia Care and Conscious Sedation
    • (m) Airway Management including Airway Emergencies – incl Difficult Airway Cart
    • (n) Record Keeping during Anaesthesia – incl Noseworthy Charts and OT Registers
    • (o) Mask Ventilation and Endotracheal Intubation for airway management
     
     
  •  
    SECOND YEAR PAPER II
     
     
  • 18.
    Infection control in operation theatre, Role of the Theatre Assistant
    60
    45.Hrs
  • (i)
    • Operation Theatre Work and OT Nursing. Must be conversant with: -
    • (a) The operation theatre unit and its functioning
    • (b) Cleanliness and sterilization of operation theatre and annexes
    • (c) Lighting in an operation theatre, emergency lighting sets, trailer generator and lighting sets
    • (d) Scrubbing Protocols
    • (e) Helping surgeon and others to wash up and drape for operations, holding out cap mask, gown and gloves for surgeons and others and handling sterile articles
    • (f) Washing, cleansing, testing,sorting and packing of gloves for sterilization
    • (g) Preparation of dressings, gauze, swabs and packs and arranging and packing of drums for sterilization
    • (h) Use, care, maintenance and sterilization of the commoner types of instruments, needles, sutures and ligatures used in the operating theatre
    • (j) Use, care and maintenance of various types of surgical diathermy units, suction apparatus, endoscopes, laparoscopic instruments, surgical microscopes, headlamps, image intensifiers metallic implants.
    • (k) Identification of instruments and methods of laying out trolley for common operations, examinations and procedures
    • (l) Components, parts and methods of sterilization of tracheostomy sets
    • (m) Components, parts and working of the standard operating, neurosurgical and orthopaedic tables
     
     
  • 19.
    Surgical procedures and monitoring Operation Theatre Ethics, safety for Operation room , Operation Theatre Techniques, surgical procedures (disinfection on sterilization), care of patient in Emergencies
    250
    187.5 Hrs
  •  
    • Surgical SkillsMust be trained to develop skill connected with common resuscitative procedure, general surgical operation such as:
    • (a) General Skills
    • (i) Causation, signs and symptoms of hemorrhage and shock.
    • (ii) Management of hemorrhagic Shock
    • (iii) Broad principles of intravenous Fluids and blood administration and the commonly available IV Fluids.
    • (b) Operation Procedures: Must be able to perform independently, if reqd.
    • (i) Drainage of small, superficial abscesses.
    • (ii) Cleaning and suturing of small, superficial cuts, clean lacerated wound
    • (iii) Dressing of dirty, contaminated wound
    • (iv) Arrest of hemorrhage
    • (v) Small, minor surgical procedures like excision of sebaceous cyst, corns, warts, small lipomas, ingrowing toenails
    • (vi) Application of POP slabs and casts
    • (vii) Urinary bladder catheterization and irrigation and emergency percutaneous suprapubic cystostomy
    • (viii) Dressing of burns and scalds.
    • (ix) Operative and nursing procedures for common disease of ear nose and throat viz examination of ear, nose, ear syringing, wax removal, removal of easily accessible foreign bodies in ear & nose, epistaxis control.
    • (x) Common ophthalmologic procedures like eye padding and dressing, removal of corneal foreign bodies, lachrymal sac syringing.
     
     
  •  
    • Operative Procedures:Must be conversant with the theory & practical aspect of operative procedures in various fields & disciplines of surgery.
    • (a) General Surgery: Procedures like varicocoele, circumcision, hernia, hydrocoele, anorectrol surgery, varicose veins, amputation, surgery of breast and thyroid, abdominal incision, common operation on stomach & gall bladder, intestinal procedures, hepato-biliary surgery, head & neck surgery
    • (b) Orthopaedics: Special features of orthopaedic surgery, extremity fractures, joint reconstruction & replacement
    • (c) Ophthalmology: Introduction of eye surgery, ocular trauma, cataract surgery, operative procedures of eye lid and adnexae.
    • (d) Otorhinolaryngology (ENT): Introduction to ENT surgery, common surgeries on ear, nose and throat like surgery for otitis media, epistaxis, tonsillectomy, foreign body removal etc.
    • (e) Plastic And Reconstructive Surgery: Special features of plastic surgery, skin grafting techniques, burns, cosmetic surgery, various flaps, hand surgery, microsurgical flaps.
    • (f) Paediatric Surgery: Introduction to paediatric surgery, paediatric anesthesia, and other related common procedures.
    • (g) Cardiothoracic And Vascular Surgery: Introduction to cardiothoracic and vascular Surgery, closed & open heart surgeries, CABG, Cardiac Catheterization and angioplasty, bronchoscopy.
    • (h) Oncosurgery: Introduction to cancer treatment surgical principles in oncology, common surgical procedures in oncology like neck dissections, mastectomies etc
    • (j) Urology: Diagnostic procedures in urology, endo-urological techniques, common open urological surgery for calculus, hydronephrosis, nephrectomy and renal transplant.
    • (k) Neurosurgery: Introduction to basics, burr holes, VP shunt, Spinal surgery, craniotomies special neurosurgical techniques.
    • (l) Laparoscopic Surgery: Introduction, equipment, various basic and advanced laparoscopic surgical procedures.
    • (m) Transplantation: Introduction, types of transplants, various organ transplantation, introduction to post transplant management.
    • (n) Peripheral Vascular Surgery: Introduction, types of vascular grafts, various peripheral vascular surgical procedures.
     
     
  •  
    • Resuscitation & Life Support
    • (a) Basic Life Support (BLS) and Resuscitation
    • (b) Advanced Cardiac Life Support (ACLS)
    • (c) Advanced Trauma Life Support (ATLS)
    • (d) Paediatric Advanced Life Support (PALS)
    • (e) Neonatal Advanced Life Support (NALS)
    • (f) Special Situations in Resuscitation – Pregnancy, children, Choking, Drowning and Hanging
    • (g) Equipment used in Basic and Advanced Life Support – incl Masks, Ambu Bag, ET Tubes, Laryngoscopes, Defibrillators and Automated External Defibrillators (AED)
     
     
  •  
    • Critical Care and ICU Training
    • (a) Principles of Critical Care
    • (b) Asepsis and hand washing
    • (c) Basics of Mechanical Ventilation and Care of patient on Ventilator
    • (d) Endotracheal Suction and long-term airway management
    • (e) Central Venous Access and Arterial Cannulation
    • (f) Resuscitation and maintenance of crash carts
    • (g) Cylinder and Pipeline Gas supply – running and maintenance
    • (h) Use, Care and maintenance of ICU equipment incl Infusion pumps and ventilator
     
     
  •  
    • OT Procedure and Patient Flow in OT
    • (a) OPD, PA Clinic and Pain Clinic Management
    • (b) OT List preparation and dispatch
    • (c) Reception of patients in OT
      • (i) Identification procedure
      • (ii) Consent confirmation
      • (iii) Documentation check
      • (iv) PAC and Lab and other investigation reports
      • (v) Premedication
      • (vi) Pre-anaesthesia counseling
      • (vii) Communication with Patient and families
      • (viii) Placement into OT according to list
    • (d) Post-operative reception and monitoring
    • (e) Post Anaesthesia Care Unit (PACU) protocols
    • (f) Assessment of patient recovery (Aldrete scoring)
    • (g) Preparation and Packing of OT linen and disposables
    • (h) Maintenance and functioning of Instrument Rooms
     
     
  •  
    • OT Design and Medico legal Aspects
    • (a) OT Illumination
    • (b) Electrical safety
    • (c) Medical Attendance to female patients
    • (d) Consent
    • (e) Death in OT
    • (f) Organ transplantation – medico legal aspects
     
     
  • 2.
    PRACTICAL
    600 Hrs
    37.5Hrs
  •  
    • General duties :
    • - Manage a ward independently
    • - Supervise and assign duties
    • - Maintain discipline of the staff under him and the patients
    • - Maintain all the records and submit reports and return
    • - Must know the maintenance of accounts, diets, drugs, clothing and equipment
    05
    100Hrs
  •  
    • Essential Critical Care and Nursing skills (Advanced procedure) :
    • - Critical care & ICU training : BLS, ACLS, ATLS - CPR
    • - Emergency recognition and response- Procedure of Adv Nsg
    • - Combat Med Care – Role in war
    • - Anaphylaxis
    • - Dressing
    • - OT procedure and patient flow in OT
    • - Eqpt, Stretcher
    • - Patient Triage & Casuality Evacuation
    • - OT design and medico legal aspects in OT
    • Emergency Recognition and Response: Must be conversant with
      • (a) Causation, sign and symptoms of hemorrhage and shock.
      • (b) Cardiac and Respiratory Emergencies
      • (c) Major Trauma Management
      • (d) Broad principles of intravenous therapy and transfusions.
      • (e) Transfusion fluids in common use, methods of transfusion, reconstitution of plasma for intravenous use.
    • Basic and Advanced Life Support:
      • (a) BLS, ACLS and ATLS
      • (b) Neonatal and Paediatric Advanced Life Support
      • (c) Life Support Equipment – Defibrillators/AED, Ambu Bag, Respiratory Circuits, Transport and ICU Ventilators, advanced monitoring systems
    • Operating Theatre work. Must be conversant with: -
      • (a) Assembly and dismantling of various common surgical appliances, cleaning and sterilization.
      • (b) Must be conversant with the operative techniques, anaesthesia, intensive care and resuscitation and be able to assist in all common and advanced operations carried out in military hospital surgical units including eye, ENT, and all sub-specialties in surgery and anaesthesiology. Exposure and extended work in specialties of interest namely, Cardiothoracic surgery, Neurosurgery, Urosurgery, Oncosurgery, Ophthalmology, Otorhinolaryngology, Reproductive and infertility surgery, Gastrointestinal Surgery, Transplantation surgery, laparoscopic surgery and paediatric surgery.
      • (c) Application of Plaster of Paris casts, Plaster of Paris Jackets and Spicas.
     
    500Hrs
  •  
    TEXT BOOKS RECOMMENDED
     
     
  • (i)
    • Sr. Nancy- Principles and Practice of Nursing, N.R Brothers, M.Y. Road. Indore
     
     
  • (ii)
    • Suzanne C. Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever- Textbook og Medical- Surgical Nursing Vulume-1, Wolters Kluwer India Pvt. Ltd, 501-A, Devika Tower, 6, Nehru Place New Delhi-110019
     
     
  • (iii)
    • Suzanne C. Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever- Textbook og Medical- Surgical Nursing Vulume-2, Wolters Kluwer India Pvt. Ltd, 501-A, Devika Tower, 6, Nehru Place New Delhi-110019
     
     
  • (iv)
    • Patricia A, Potter, RN, MSN, PhD, CMAC, FAAN, Anne Griffin Perry, RN, MSN, EdD, FAAN- Fundamentals of Nursing, Printed and bound at International Print-O-Pac-Limited C/4-11, Phase-II Extn, NOIDA-201201 (U.P)
     
     
  • (v)
    • L.C Gupta, MD,MNAMS, Abhitabh Gupta- Manual of Fist Aid, Jaypee Borthers Medical Publishers (PVT) LTD, B-# EMCA House, 23/23B Ansari Road, Daryaganj,, Post Box 7193,New Delhi-11002
     
     
  • (vi)
    • Virendra N Shgal, Govind Srivastava- Diagnosis and Treatment of Common Skin Diseases, Jaypee Brothers Medical Publishers (P) LTD New Delhi
     
     
  • (vii)
    • Lippincott Williams & Wilkins - Pharmacology, A Wolters Kluwer Company Philadelphia
     
     
  • (viii)
    • Annamma Jacob, Rekha R, Jadhav Sonali Tarachand- Pharmacology for Nurses, Jaypee Brother Medical Publishers (P) LTD New Delhi
     
     
  • (ix)
    • Virendra N Sehgal- Textbook of Clinical Dermatology, Jaypee Brother Medical Publishers (P) LTD New Delhi
     
     
  • (x)
    • S Nambi- Psychiatry for Nurses, Jaypee Brother Medical Publishers (P) LTD , B-3, EMCA House, 23/23B Ansari Road. Daryaganj Post Box 7193,New Delhi
     
     
  • (xi)
    • BT Basavanthappa- Psychiatric Mental Health Nursing, Jaypee Brother Medical Publishers (P) LTD New Delhi
     
     
  • (xii)
    • Harsh Mohan - Textbook of Pathology, Jaypee Brother Medical Publishers (P) LTD New DelhiT K Indrani- Nursing Manual of Nutrition and Therapeutic Diet, Jaypee Brother Medical Publishers (P) LTD New Delhi
     
     
  • (xiii)
    • K Park- Preventive and Social Medicine, M/s Banarsidas Bhanot, Publishers, 1167, Prem Nagar, Jabalpur -482001 (India)
     
     
  • (xiv)
    • Rattn Lal Ichhpujani, Rajesh Bhatia- Microbiology for Nurses, Jaypee Brother Medical Publishers (P) LTD New Delhi
     
     
  • (xv)
    • Ross and Wilson- Anatomy and Physiology, Edinburgh
     
     
  • (xvi)
    • PR Ashalatha- Text book of Anatomy and Physiology for Nurses, Jaypee Brother Medical Publishers (P) LTD New Delhi