AH3S09 - Advanced Surgical Practice 01 Sep 2022 - 31 Aug 2027 | Version 1

Associated Module Information

Module Code: AH3S09
Module Title: Advanced Surgical Practice
Faculty: Faculty of Life Sciences and Education
Faculty Group: Allied Health and Chiropractic
Faculty Sub Group: Operating Dept Practice
Module Leader: Deborah Ryan
Module Team: Craig Griffiths, Bethan Kent, Filipa Machado
First Intended Intake: SEP 2022 Final Year of Intake:
Date Closed:
Credit Value: 20 Credit Level: 6
Language: English
Percentage of Module Taught in Welsh: 0
Equivalent Module:
HECOS codes: 100273 - operating department practice
HECOS Code Weighting: 100

Document Version Information

Version 1
Valid From 01 Sep 2022
Valid To 31 Aug 2027

Module Aims

This module further develops the student’s role further from levels 4 and 5 into that of an autonomous practitioner. After this module students will demonstrate the ability to successfully assess, plan, implement and evaluate the care for a complex range of elective and emergency surgical cases and for a diverse range of patient groups and comorbidities. Students will also develop an understanding and appreciation of the differing role of the Surgical First Assistant and the implications of this role on their professional practice.

Content Summary

This module will equip students with the skills to undertake autonomous practice as a scrub practitioner and the ability to practice as a Surgical First Assistant upon completion
Theoretical Topics to include:
Revisiting Halsted’s principles as the Surgical First Assistant
Infection prevention within the role of the surgical first assistant.
Problem solving without minimising quality of care within surgical practice
Wound management and selection of closure and dressing materials within surgical practice
Decision making on VTE prophylaxis, tissue viability and surgical site infections within surgical practice
Development of Clinical Skills to include:
Preparation of the perioperative environment and equipment for complex surgical procedures and the surgical first assistant
Maintenance of the surgical field as the surgical first assistant
Preparation and administration of medication adhering to local and national guidance within surgical practice.
Management and assistance of clinical emergencies in the role of the surgical first assistant.
Effective handling and maintenance of instrumentation as a member of the surgical team including camera holding and deep tissue retraction.
Effective handling and manipulation of organs for exposure or access to surgical site.
Use of suction, diathermy and other methods to achieve haemostasis within perioperative practice.
Suturing of skin layers and wound drains within surgical practice
Urinary catheterisation of the male and female patient
Legal and professional topics to include:
Documentation and handover in the role of the surgical first assistant.
Effective communication, team working and task allocation and acknowledgement of the role of the surgical first assistant in human factors within perioperative practice.

Learning and Teaching Methods

Activity Type Hours
Lecture 12
Independent Study 72
Directed Study 80
Active/Simulation Based 30
Problem / challenge based learning 6
Total Hours Selected 200

Learning Outcomes

# Learning Outcome
LO1 Evaluate and apply the principles of assessment, planning and delivery of inter-professional, evidence-based, patient focused care in surgical practice
LO2 Demonstrate a comprehensive and up to date knowledge of clinical knowledge and techniques employed as part of advanced and/or complex surgical procedures

Module Requisites

N/A

Assessment Criteria

Assessment Category Assessment Type Description Duration Word Count Weight (%) Best of? Pass Mark
Synchronous Onsite Practical Assessment OSCE 1 OSCE on advanced surgical care and the role of the surgical first assistant 30 N/A 100 No 40

Assessment Matrix

Assessment Type Learning Outcomes
LO1 LO2
OSCE 1

Reading List

Association for Perioperative Practice (AfPP) (2022) Standards and Recommendations for safe perioperative practice. AfPP, Harrogate.

Bienvenu J, Jones C and Hopkins R. (2017). Psychological and cognitive impact of critical illness. Oxford University Press. London

Grossman, S and Porth, C. (2013) Porths Pathophysiology, 9th edition. Walters Kluwer Health, Liipincott Williams & Wilkins, Philidelphia, USA

Kumar, Vinay (2018) Robbins basic pathology. 10th edition. Elsevier, Philadelphia USA.

Innes, J. A., Dover, A. R., Fairhurst, K. (2018). MacLeod’s Clinical Examination 14th edition. Elsevier, London, UK

Laurie G, Harmon S, Dove E (2019) Mason and McCall Smith's Law and Medical Ethics 11th Edition, Oxford University Press, Oxford

Myint, F. (2018) Kirk’s Basic Surgical Techniques. 7th edition. Elsevier, Edinburgh.

Pandit, J, J. (2018) Practical Operating Theatre Management. Cambridge: Cambridge.

Pattinson S.D (2020) Medical Law and Ethics 6th Edition. Sweet and Maxwell, London, UK

Perioperative Care Collaborative (2018) Position Statement; The Surgical First Assistant. Perioperative Care Collaborative.

Phillips N. and Hornacky, A. (2020) Berry & Kohn’s Operating room technique. 14th edition. St Louis: Elsevier.

Raftery, A., Delbridge, M., Wagstaff, M. and Bridge, K. (2017) Churchill's pocketbook of surgery. 5th edition. Edinburgh: Elsevier.

Rodger, D. et al. (2022) Fundamentals of Operating Department Practice. 2nd edition: Cambridge: Cambridge.

Rothrock, J. (2019) Alexander’s care of the patient in surgery. 16th edition. St Louis: Elsevier