LAPAROSCOPY UNDER LOCAL ANESTHESIA:
6-DAY REFRESHER TRAINING COURSE
(6 days, 12 sessions)

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

A.M. (3 hours)

Agenda and opening activity

Discussion: Counseling

• Counseling skills
• Informed consent

Role Play: Divide into teams to practice:

• Counseling Lap/LA acceptor
• Verify informed choice and consent

Discussion: IP for Lap/LA

Discussion: Preparing to observe surgery

A.M. (3 hours)

Agenda and opening activity

Discussion: Pain management and pharmacology of drugs

Demonstration and Practice: Standard technique for local anesthesia using photo set and model

Discussion/Demonstration: The role of the nurse/OR attendant

Review key steps in:

• pre-operative assessment
• client preparation
• standard Lap/LA technique

OR Practice: Divide into groups (physician/nurse teams/group)

Group 1: Perform Lap/LA

LUNCH

LUNCH

LUNCH

P.M. (3 hours)

Exercise: Review individual and group learning needs

Discussion: Fundamentals of laparoscopy under local anesthesia

Demonstration: Laparoscopy under local anesthesia

• Photo set
• Pelvic model

Discussion: Key features of Lap/LA, including:

• Client Assessment
• Indications and precautions

Review of day’s activities

Tour of the operating room

P.M. (3 hours)

Exercise: How to use the learning guides (counseling, clinical and verbal anesthesia)

Demonstration by trainer: Standard Lap/LA method using local anesthesia with client

Exercise: Review trainer’s demonstration

Classroom Practice: Doctor/nurse teams practice Lap/LA using pelvic models and learning guides

Review of day’s activities

P.M. (3 hours)

Group 2: Practice client counseling, pre-op assessment and client preparation

Participants assess each other’s performance using learning guides

Group 3: Observe IP practices before and after surgery. Practice assembly/disassembly

Review of cases

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

Discussion: Management of complications

Discussion: Postoperative recovery and followup care

OR Practice:

Group 2: Perform Lap/LA

Group 3: Practice client counseling, pre-op assessment and client preparation

A.M. (3 hours)

Agenda and opening activity

Discussion: Being prepared for emergencies

Discussion: Postoperative recovery and followup care

Discussion: Care and maintenance of laparoscope

OR Practice:

Group 3: Perform Lap/LA

Group 1: Practice client counseling, pre-op assessment and client preparation

Participants assess each other’s performance using learning guides

A.M. (3 hours)

Agenda and Opening Activity

Discussion: Organizing and managing a VS service

• National guidelines
• Facilities/equipment and supplies
• Record keeping/reporting
• Assessing and improving quality of VS services
• Medical standards for mobile Lap/LA services

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

LUNCH

LUNCH

LUNCH

P.M. (3 hours)

Participants assess each other’s performance using learning guides

Group 1: Observe IP practices before and after surgery

Review of cases

Midcourse Questionnaire

Review of day’s activities

P.M. (3 hours)

Group 2: Observe IP practices before and after surgery

Review results of midcourse questionnaire with group and individual participants

Review qualification/certification process with individual participant and plan any followup activities as needed

Review of day’s activities

P.M. (2 hours)

Review of day’s activities

Course summary

Course Evaluation by participants

Closing Ceremony