Syllabus

Adjusting table to right height
Holds Needleholder benediction sign
Pronation and supinamation at all angles

Understand the working shaft of the needle Picks up needle with pulp of finger to ensure saggital plain Angles the needle according to wrist and elbow angle Mounts the needles at the tip of instrument
Demonstrates the needle 90 degree across and into tissue Demonstrates that body needs to move forehand and backhand 10 x in and out of potato on the top
Demonstrates swapping from forehand to back hand without touching 10 x in and out potato and reverse on the top
10 x in and out potato and reverse on the top, away and to the dominant side
15 x in and out potato and reverse on the top, away and to the dominant side
15 x in and out potato and reverse on all sides
Round the banana with even radial stitches and no skidding
Understands and ties a flat knot with string
Repeatedly ties a flat knot with both hands. Not crossing
Understands a slip knot and tie a piece of string to rigid object without slipping finger on the knot
Can tie and fix a knot both hands with finger on the knot Can tie and Edinburgh knot to fix drain
Can tie with braided suture – 3.0
Can tie with monofilament – 3.0 – one phalanx depth
Can tie at the base of a paper cup without the cup lifting off
Can tie at the base of a paper cup without the cup lifting off Can toe off all the fingers of a surgical glove without the glove going down

Hold the McIndoe scissors correctly and cuts straight strips

Cuts circles out in paper and opens the scissors enough to cut sutures
Can hold and control scissors in the inverted position
Cuts sutures accurately to 1 cm lengths
Cuts sutures accurately to 10mm, 15mm, 20mm lengths
Understands and demonstrated dissection of scissors always seeing the tip
Use scissors effectively and using appropriate retraction with the forceps
Clean dissection of tissue planes – respects the tissues. No crushing or drifting of the forceps
Mounts and removed a scalpel safely and effectively Holds the Mcindoe scissors correctly
Hold and knife properly Cuts a figure out of paper without dog ears
Can make an 5 cm incision supporting wound edges and not slicing the skin Opens the scissors enough to cut the suture
Can makes a straight 10 cm incision Cuts sutures accurately
Can sutures accurately to 10 mm and 20 mm lengths
Understand and demonstrates dissection with scissors – ie always see the tip
Stroke the tissue with a blade to develop the tissue plains Uses the scissors effectively and using appropriate retraction with forceps
Clean dissection of tissue plain – respects tissue plains Confident with knife scissors and appropriate use of forceps
Understand the difference between toothed and non toothed forceps
Pick up rice grains off the table
Pick up black rice out of pile of white rice grains
Pick up rice grains and can sort into containers – white/black
Pick up rice grains and can sorts into numbered teaspoons
Pick up rice grains and insert into end of straw
Pick up rice grains into coloured bendy straw in time frame
All of the above Uses forceps appropriately for dissection without crushing tissue
Shoulders are parallel to the surgeon at all times
Hands are outside the operative field
Hands never crossed
Follows the suture with finger and thumb with no hooking
Lateral hond and not a pull
Suture length maintained
Suture held out in the direction the needle came out of the tissue
Intuitive assisting without much direction
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