Tools for Trainers: Model Laparoscopy Under Local Anesthesia Training Course Schedule (10-day)

Tools for Trainers

Model Course Schedules

Days 1-3 | Days 4-6 | Days 7-9 | Day 10
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LAPAROSCOPY UNDER LOCAL ANESTHESIA TRAINING COURSE SCHEDULE (Standard Course: 10 days, 20 sessions)
DAY 1	DAY 2	DAY 3
A.M. (3 hours) Welcome Introductions Overview of the course Goals Objectives Schedule Course materials Identify participant expectations Precourse Questionnaire Discussion: Current status of FP nationally, including rationale for VS Exercise: How People Learn Demonstration: Using the ZOE model pelvic model photoset	A.M. (3 hours) Agenda and Opening Activity Discussion: Preparing to observe surgery Exercise: How to use the learning guides (counseling, clinical and verbal anesthesia) Demonstration by trainer: laparoscopy under local anesthesia with client Exercise: Review trainer’s demonstration Classroom Practice: Physician/ nurse teams practice laparoscopy using pelvic models and learning guides	A.M. (3 hours) Agenda and Opening Activity Discussion/Demonstration: The role of the nurse/technician in surgery Review key steps in: pre-operative assessment client preparation standard laparoscopy technique OR Practice: Divide into 3 groups (2 physician/nurse teams/group) Group 1: Assist/perform laparoscopy Group 2: Practice client counseling, pre-op assessment and client preparation Participants assess each other’s performance using learning guides; practice laparoscopy Group 3: Observe IP practices before and after surgery
LUNCH	LUNCH	LUNCH
P.M. (3 hours) Exercise: Review individual and group learning needs Discussion: Fundamentals of laparoscopy under local anesthesia Demonstration: Laparoscopy photo set pelvic model Review of day’s activities Tour of the operating room	P.M. (3 hours) Discussion: Key features of laparoscopy, including: client assessment indications and precautions recognizing and managing intra-operative problems Discussion: Pain management Demonstration: Standard technique for local anesthesia using photoset and model Classroom Practice: Physician/nurse teams practice laparoscopy using pelvic models and learning guides Review of day’s activities	P.M. (3 hours) Review of cases Discussion: Family planning counseling counseling skills method-specific counseling informed consent Role play: Divide into teams to practice: counseling VS acceptor verify informed choice and consent Participants assess each other’s performance using learning guide Review of day’s activities

DAY 4	DAY 5	DAY 6
A.M. (3 hours) Agenda and Opening Activity Review key steps in: IP practices during and after surgery Pain management OR Practice: Group 2: Assist/perform laparoscopy Group 3: Practice client counseling, pre-op assessment and client preparation Participants assess each other’s performance using learning guides; practice laparoscopy Group 1: Observe IP practices before and after surgery	A.M. (3 hours) Agenda and Opening Activity Discussion: Being prepared for emergencies Review: recognizing and managing intraoperative problems OR Practice: Group 3: Assist/perform laparoscopy Group 1: Practice client counseling, pre-op assessment and client preparation Participants assess each other’s performance using learning guides, practice on model Group 2: Observe IP practices before and after surgery	A.M. (3 hours) Agenda and Opening Activity Discussion: Pharmacology of drugs for pain management OR Practice Groups 1 and 2: Perform laparoscopy Group 3: Observe/assist setting up procedure room traffic flow in OR surgical attire decontamination of instruments/gloves handling contaminated wastes Trainers assess performance using competency-based checklist
LUNCH	LUNCH	LUNCH
P.M. (3 hours) Review of cases Demonstration: IP overview (videotape) Discussion: Infection prevention for laparoscopy services Demonstration/Exercise: setting up procedure room traffic flow in OR surgical attire handwashing, surgical scrub, gloving Review of day’s activities	P.M. (3 hours) Review of cases Discussion: Care and maintenance of laparoscopy equipment; processing of equipment between cases Demonstration: Instrument processing: decontamination, cleaning, high-level disinfection and sterilization of equipment Practice: Assembly/disassembly of Laprocator and trocar Review of day’s activities	P.M. (3 hours) Review of cases Demonstration/Exercise: decontamination of instruments and gloves handling contaminated wastes instrument, glove, needle and syringe processing Practice Session Discussion: Postoperative recovery and followup care Review of day’s activities

DAY 7	DAY 8	DAY 9
A.M. (3 hours) Agenda and Opening Activity Discussion: Chapter 9 OR Practice Groups 1 and 3: Perform laparoscopy Group 2: Observe setting up procedure room traffic flow in OR surgical attire decontamination of instruments/gloves handling contaminated wastes Trainers assess performance using competency-based checklist	A.M. (3 hours) Agenda and Opening Activity Discussion: Quality Service OR Practice Groups 2 and 3: Perform laparoscopy Group 1: Observe setting up procedure room traffic flow in OR surgical attire decontamination of instruments/gloves handling contaminated wastes Trainers assess performance using competency-based checklist	A.M. (3 hours) Agenda and Opening Activity OR Practice Groups rotate according to needs of participants Trainers assess performance for qualification using checklist
LUNCH	LUNCH	LUNCH
P.M. (3 hours) Review of cases Discussion: Management of complications Discussion/Demonstration: Cardiopulmonary resuscitation (CPR) video Midcourse Questionnaire Review of day’s activities	P.M. (3 hours) Review of cases Discussion: Organizing and managing a VS service facilities equipment and supplies record keeping reporting evaluation Review results of Midcourse Questionnaire with group and individual participants Review of day’s activities	P.M. (3 hours) Review of cases Discussion: Organizing and managing a VS service assessing and improving quality of VS services medical standards for mobile laparoscopy services Trainers review qualification process with individual participants and plan any followup activities needed Review of day’s activities

DAY 10

A.M. (3 hours)

Agenda and Opening Activity

OR Practice

Groups rotate according to needs of participants

Trainers assess performance for qualification using checklist

LUNCH

P.M. (3 hours)

Discussion: Problems and constraints to VS service delivery in participant’s own clinic setting

Course summary

Course Evaluation by participants

Closing Ceremony

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