BOTT : YEAR 3
Operation Theatre Technology – Clinical
Time Theory -70 Hours
| Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
| I | OPERATION THEATRE Lay out, Physical Facility, Peripheral support area, |
Enumerate physical facility and explain various zones their purpose, lay out and peripheral support area of operation theatre | To cover Introduction Operating Room, Physical facility available in OT, Layout of operation theatre, Transition, Peripheral support area, – Special procedure rooms, Potential source of injury to the care giver and patient |
– Didactic Lecture through power point projection
Group discussion on various zones, physical facility, peripheral support area and potential source of injury |
6 hr
9 hr |
| II | Different methods of sterilization operation theatre equipment | Explain Importance of disinfection and sterilization -Explain different methods of sterilization operation theatre equipment – CSSD |
To cover Principles of aspects and sterile technologies, Surgical scrub, Gowning and gloving, -Decontamination and disinfections, -Autoclaving, Thermal sterilization, Chemical sterilization, Radiation sterilization – ETO, Plasma sterilisation |
-Lecture discussion And explain using Charts, Models and Slides/Video. -Demonstration methods of sterilization for different surgical /Anaesthesia/Special instruments |
5 hr
6 hr |
| III | Surgical equipments | Explain Classification of different surgical equipments -Surgical instrumentation fabrication -Uses and maintenance of Powered surgical instruments |
To cover Classification of different surgical equipments, Surgical instrumentation fabrication, Uses and maintenance of Powered surgical instruments, Things to remember while handling instruments. -Preparation of surgical trolley |
– Lecture discussion And explain using Charts, Models and Slides/Video. -Demonstration uses and maintenance of power surgical instruments |
6hr
6 hr |
| IV | Positioning, preparing and draping the patient for different procedures
|
Explain Positioning, preparing and draping the patient for -General surgery -Brest procedures -Abdominal surgery -Liver procedures -Splenic procedures -Pancreatic procedures -Esophageal procedures -Radial artery cannulation -Central venous cannulation |
To cover Positioning, preparing and draping the patient for the following procedures – -General surgery -Brest procedures -Abdominal surgery -Liver procedures -Splenic procedures -Pancreatic procedures -Esophageal procedures -Radial artery cannulation -Central venous cannulation |
— Didactic Lecture through power point projection
-Demonstration of Positioning, preparing and draping the patient for the various procedures. |
12 hr
15 hr |
| V | Specialized surgical equipment | Discuss uses, care and maintenance of specialized surgical equipment like electric cautry, laproscopes, Laser microsurgery equipments | To cover uses, care and maintenance of specialized surgical equipment like electric cautry, laproscopes, Laser microsurgery equipments -Endoscopes -Handling of delicate instruments |
Didactic Lecture through power point projection
-Demonstration of uses, care and maintenance of specialized surgical equipment like electric cautry, laproscopes, Laser microsurgery equipments |
3 hr
4 hr
|
BOTT : YEAR 3
Operation Theatre Technology – Advanced
Time Theory -70 Hours
| Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
| I | Management of a patient in crisis | Explain Management of poisoning, COPD, snakebite. -Ventilation of patient in crisis A. Mouth to mouth B.Mouth to ET tube C.Ambu bag D.Different air ways / LMAs E.Short term ventilation/Transport ventilation |
To cover Management of poisoning, COPD, snakebite. -Gastric lavage -Ventilation of patient in crisis – Mouth to mouth – Mouth to ET tube – Ambu bag – Air ways- types, colour coding, sizes – Short term ventilation/Transport ventilation -Monitoring during transport -Hypotension, hypoxia, cyanosis |
– Didactic Lecture through power point projection
Group discussion on Management of poisoning, COPD, snakebite. |
3 hr
7 hr |
| II | Neuro surgery | Enumerate Different neurology procedures, and position required for them -Introduction to neurology special instruments – Emergency neurology surgery, required instruments and preparation |
To cover Introduction to different neurology surgery and position required for them -Introduction to neurology special instruments – Emergency neurology surgery, required instruments – Preparation of patient and trolley
|
– Didactic Lecture through power point projection
Demonstration of Neurology special instruments
|
2 hr
4 hr
|
| III | Different anesthesia techniques, recovery and patient positioning | Discuss Different anesthesia techniques. -Different surgical positions -Different positions for giving spinal / epidural anesthesia – PACU -Requirements during intubation in a case of cervical spine fracture, including fiber optic laryngoscopy, -Awake intubation, -Nasal intubation -LMAs and other SADs |
To cover Different anesthesia techniques. -Different surgical positions -Different positions for giving spinal / epidural anesthesia – Different positions of OT table and uses -Recovery of a patient after anesthesia – PACU monitoring, discharge criteria – Requirements during intubation in a case of cervical spine fracture, including fiber optic laryngoscopy, awake nasal intubation and AFOI – Sniffing Position – determining sizes of Guede,ls airways, method of insertion – Nasopharyngeal airways |
– Didactic Lecture through power point projection
Demonstration Different anesthesia techniques, Different surgical positions, |
4 hr
5 hr |
| IV | Gynecological/Obstetric Surgeries | Explain various Gynecological diagnosis and surgeries -Instrument required for different Gynecological surgeries -Preparation and Positions for different Gynecological surgeries –Introduction to different Obstetric diagnosis and surgeries -Instrument required for different Obstetric l surgeries -Preparation and Positions for different Obstetric surgeries |
To cover Introduction to different Gynecological diagnosis and surgeries -Instrument required for different Gynecological surgeries -Preparation and Positions for different Gynecological surgeries –Introduction to different Obstetric diagnosis and surgeries -Instrument required for different Obstetric l surgeries -Preparation and Positions for different Obstetric surgeries |
— Didactic Lecture through power point projection
-Demonstration of -Instrument required for Gynecological surgeries
|
3 hr
5 hr |
| V | Urology Surgery, Orthopedic Surgery, Ophthalmic Surgery |
Explain urology related diagnosis and surgeries -Instrument required for different Urology surgeries -Preparation and Positions for different Urology surgeries -Different Orthopedic, diagnosis and surgeries -Instrument required for different Orthopedic surgeries -Preparation and Positions for different Orthopedic surgeries -Cleaning, maintenance and sterilization of different orthopedic instruments. -Introduction to image -Different ophthalmic surgeries -Different ophthalmic instruments, their handling, cleaning and sterilization. |
Cover to Introduction to urology related diagnosis and surgeries -Instrument required for different Urology surgeries -Preparation and Positions for different Urology surgeries –Introduction to different Orthopedic, diagnosis and surgeries -Instrument required for different Orthopedic surgeries -Preparation and Positions for different Orthopedic surgeries -Cleaning, maintenance and sterilization of different orthopedic instruments. -Introduction to image -Introduction to different ophthalmic surgeries -Introduction to different ophthalmic instruments, their handling, cleaning and sterilization. – ESWL, PCNL, TURP |
Didactic Lecture through power point projection
Demonstration of Instrument required for different Urology surgeries |
4 hr
12 hr
|
| VI | Plastic and reconstructive surgery | Explain Plastic and reconstructive surgeries -Instrument required for different Plastic and reconstructive surgeries -Preparation and Positions for different Plastic and reconstructive surgeries |
To cover introduction to Plastic and reconstructive surgeries -Instrument required for different Plastic and reconstructive surgeries -Preparation and Positions for different Plastic and reconstructive surgeries |
– Didactic Lecture through power point projection
Demonstration of Instrument required for different Plastic and reconstructive surgeries, Preparation and Positions for different Plastic and reconstructive surgeries |
3 hr
4 hr |
| VII | Otorhinolaryngologic surgery | Explain Otorhinolaryngologic surgeries -Instrument required for different Otorhinolaryngologic surgeries -Preparation and Positions for different Otorhinolaryngologic surgeries |
Cover to Introduction to Otorhinolaryngologic surgeries -Instrument required for different Otorhinolaryngologic surgeries -Preparation and Positions for different Otorhinolaryngologic surgeries |
– Didactic Lecture through power point projection
Demonstration of Instrument required for Otorhinolaryngologic surgeries |
3 hr
4 hr |
| VIII | Thoracic, Cardiac and Vascular Surgery | Explain different Thoracic, Cardiac and Vascular surgeries -Instrument required for different Thoracic, Cardiac and Vascular Surgery surgeries -Preparation and Positions for different Thoracic, Cardiac and Vascular Surgery surgeries -Types of perfusion machine -Cell saver techniques |
Cover to Introduction to Thoracic, Cardiac and Vascular surgeries -Instrument required for different Thoracic, Cardiac and Vascular Surgery surgeries -Preparation and Positions for different Thoracic, Cardiac and Vascular Surgery surgeries -Types of perfusion machine -Cell saver techniques – Introduction of Cardiopulmonary Bypass Surgery -CABG |
– Didactic Lecture through power point projection
Demonstration of Instrument required for cardiothoracic surgeries |
3 hr
4 hr |
BOTT : YEAR 3
Operation Theatre Technology – Applied
Time Theory -70 Hours
| Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
| I | Pre Operative preparation
|
Explain pre operative preparation, NPO protocol, Informed consent, Pre medication | To cover pre operative time, Pre operative preparation of the patient, check list -Premedication : Drugs / doses, NPO protocol, -Consent / Informed Consent, -ASA grading |
Didactic lecture through power point projections
Group discussion on pre operative preparation, pre medication. |
4 hr
4 hr |
| II | Monitoring | Explain Patient record keeping pre operatively, during anesthesia and post anesthesia. -Standard monitoring tenchniques – Spo2, ETCo2 monitoring techniques and equipments -Principal and techniques of temperature monitoring. -Cardiac monitors pressure and ECG monitoring, technique and equipments. -Respiratory monitors, respiratory rate, Respirometors,. |
To cover Patient record keeping pre operatively, during anesthesia and post anesthesia. -Principal and techniques of temperature monitoring. -Cardiovascular monitoring ,NIBP, IBP and ECG –Multiparameter monitor -Respiratory monitors, Anaesthesia ventilator and monitoring – Capnography, — Plethysmography – Monitoring in PACU -Recovery score, Discharge criteria from PACU -Proper care and preventive maintenance of equipments |
Didactic lecture through power point projections
Group discussion on Patient record keeping pre operatively, during anesthesia and post anesthesia, Principal and techniques of temperature monitoring, Cardiac monitors pressure and ECG, Respiratory monitors, Spo2, ETCo2 monitoring techniques and equipments.
|
5 hr
5 hr |
| III | General Anaesthesia | Explain, Types of anaesthesia -Indication of general anaesthesia -IV and Inhalational anaesthetics -Induction, intubation, maintenance , emergence -Balanced anaesthesia -OT ventilators in brief. -Feeding NG tube insertion and hyperalimentation -Methods of measuring the expired gases from the patient. -Principals of working and types of respirometer. |
To cover Types of anaesthesia -Indication of general anaesthesia – Intravenous and inhalation anaesthesia agents -Endotracheal intubation, Maintenance -Emergence, Reversal agents -Balanced anaesthesia -Describe OT ventilator in brief. -Feeding ryle’s tube insertion technique in awake and unconscious patient – -Clinical monitoring during intraop -Various monitoring devices used in OT -Stages of anaesthesia -Preparation of Anaesthesia machine and drugs, check list |
Didactic lecture through power point projections
Group discussion on Types of anaesthesia, , Endotracheal intubation,
|
5 hr
5 hr |
| IV | Other type of anesthesia | Enumerate Regional anaesthesia techniques -Spinal and epidural anaesthesia -Intravenous Regional Anaesthesia (Bier,s Block) -Local anaesthesia -Anaesthe adjuvant drugs -MAC -Conscious Sedation |
To cover Care of anaesthetized patient -Local and regional anaesthesia -Spinal and epidural anaesthesia -Anaesthesia outside OT -Anaesthetic adjuvant drugs |
Didactic lecture through power point projections
Group discussion on Care of anaesthetized patient, Local and regional anaesthesia, spinal and epidural anaesthesia, Sedation, MAC -Anaesthetic adjuvant drugs |
6 hr
6 hr |
| V | Complication of Anesthesia | Enumerate Adverse drug reactions, Complication of — General Anesthesia complication -Complications of Regional Anesthesia, -Complication of Local Anesthetics |
To cover Adverse drug reaction -Complication of General Anesthesia -Complication of Regional Anesthesia -Complication of Local Anesthetics -Anaphylactic reaction -Resuscitation tray -Drugs used during resuscitation |
Didactic lecture through power point projections
Group discussion on Adverse drug reactions, Complication of General Anesthesia, |
4 hr
6 hr |
| VI | Special Diagnostic Procedures | Explain, Ultrasonography, Endoscopy and nuclear medicine procedures -Angiography -Radio opaque dyes and uses |
To cover special diagnostic procedures, Nuclear medicine studies, ultrasonography, Endoscopy -Sedation and monitoring during diagnostic procedures |
Didactic lecture through power point projections
Group discussion on Ultrasonography, Endoscopy and nuclear medicine procedures |
6 hr
5 hr |
| VII | Diagnostic Procedures | Explain various Pathological and Radiological examination for surgical diagnosis purpose -USG, CT scan -MRI |
To cover Different Pathological examination for surgical diagnostic purpose, Different radiological examination, -Introduction to MRI -Radiological contrast studies -Biopsy specimens |
Didactic lecture through power point projections
Group discussion on Pathological and Radiological examination for surgical diagnosis purpose |
6 hr
5 hr |
BOTT : YEAR 3
PRACTICAL
Time -150 Hours
The practical and viva –voce examination will be conducted after third year in the following subjects by the board constituted.
- Sterilization and O.T. Techniques
- Surgical equipment and techniques
- Anaesthesia equipment and resuscitation
- Care and intensive resuscitation
BOTT : YEAR 3
RESEARCH & BIO STATISTICS
Time Theory – 40 Hours
Unit |
Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
| I | Introduction of statistics | Explain Definition and characteristics of statistics, Importance of the study of statistics, Branches of Statistics, Parameters and estimates, Descriptive and inferential statistics, Variables and their types Measurement scales |
To cover Definition and characteristics of statistics, Importance of the study of statistics, Branches of Statistics, Parameters and estimates, Descriptive and inferential statistics, Variables and their types Measurement scales |
– Didactic Lecture through power point projection
Group discussion on Importance of the study of statistics, Branches of Statistics, Descriptive and inferential statistics, |
5 hr
1 hr |
| II | Tabulation of Data | Discuss know benefits of raw data.
Should be able to draw all diagrams (With labeling), cumulative frequency and Probability. |
Cover to Raw Data, the array, frequency distribution, Basic principles of graphical representation, Types of diagrams – histograms, frequency polygons, smooth frequency polygon, cumulative frequency curve, normal probability curve | – Didactic Lecture through power point projection
Tutorials |
5 hr
1 hr |
| III | Measures of Central Tendency | Enumerate central tendency its applications and practical uses.
To be able to calculation of means for group and ungroup data, Mode and median. |
Introduction: Uses, applications and practical approach Definition and calculation of mean for ungrouped and grouped data Meaning and calculation of mode Comparison of mean and mode Guidelines for the use of various measures of central tendency |
– Didactic Lecture through power point projection
|
5 hr |
| IV | Measures of Variability | Explain deviation, average deviation and mean deviation its applications and practical uses.
To be able to understand standard deviation and its definition |
Introduction: Uses, applications and practical approach -The range, average deviation or mean deviation -The variance and standard variation -Calculation of Variance and standard variation for ungrouped and grouped data Properties and uses of variance and standard deviation |
– Didactic Lecture through power point projection
Group discussion on deviation, average deviation and mean deviation its applications and practical uses |
5 hr
1 hr |
| V | Probability and standard Distribution | Explain Meaning of probability of standard distribution, The binominal distribution, The normal distribution, Divergence from normality – skewness, Kurtosis | Cover to Meaning of probability of standard distribution, The binominal distribution, The normal distribution, Divergence from normality – skewness, Kurtosis |
Didactic Lecture through power point projection
Tutorials |
4 hr
1 hr |
| VI | Sampling Techniques | Enumerate sampling, Raw data its methods, criteria and uses. To be able to know application of sampling in community. Should know test of significance. |
Introduction: Uses, applications and practical approach Criteria for good samples Application of Sampling in Community Sampling Methods, Sampling and Non- Sampling errors Sampling variation and tests of significance.
|
Didactic Lecture through power point projection
Tutorials and Group discussion on application of sampling in community |
4 hr
2 hr |
| VII | Health Indicator | Discuss Importance of health indicator, Indicators of population, morbidity, health services, Calculation of rates and ration of health | Cover to Importance of health indicator -Indicators of population, morbidity, health services -Calculation of rates and ration of health |
Didactic Lecture through power point projection
Tutorials and Group discussion on Importance of health indicator, Indicators of population, morbidity, health services, |
4 hr
2 hr |