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Standards for blood banks and blood transfusion services, NACO, Ministry of Health and Family welfare, Govt. of India, New Delhi 2007. Schedule-10 Technol Second ed, I l PAPER I ANATOMY Introduction to the body & PHYSIOLOGY: as a whole I Paper code I sunrncrS __.=-.- -- , l l" Year il[n^: ^ -- --- ----tli ; ;;-:: :: ; -; -::-:-- :l PaperI j ANAToMvaFAvsibl_obV =PepgrII_ _ Paper III P"p"r IV _f Alltolgc y_ ANq !4 r c no e io LoG y Fo I c r r PHYSICS oF ENDoSCoPiC iNsrnuMeNTs & I|q uAlllIENAilqE PREPRATION FOR EN-b-oSaoila pn oiTnrlp F - Paper V Practical & Viva Voce -^-nd . i L \ear PANENT CA_RE Baslctndoscopt "",t"."__- - Advanced Endoscopic procedure E"d"6"opy OT _'rEdi99-lgsqLreqo_4_&lprsJl_ __ Practical & Viva Voce Paper VI Paper VII Paper VIII Paper IX Fape" x tur) The cells, tissues of the body The cell: Structure, multiplication. Tissue: Types, structure, characteristics, functions Epithelium: Simple, Compound Connective: Areolar, adipose, fibrous, elastic, Cartilage, blood and bone I\4uscle: Striated (Voluntary), Smooth (Involuntary, Cardiac) Nervous tissue Fibrous tissue Cell regeneration Membranes: Mucous, Serous, Synovial Musculoskeletal System The Respiratory System: a. Organs: Position and structure b. Nose and nasal cavities c. Functions: respiratory, Olfactory d. Pharynx e. Larynx: Functions - respiratory, vocal f. Trachea, Bronchi, lungs: lobes, lobules, pleura Respiratory functions: External and internal respiration, common terms relating to disease and conditions of the ,yri"_. Anatomy of the esophagus, stomach, duodenum, small bowel. Anatomy of abdomen, omentum, colon, rectum and anal canal. Physiology & Mechanism of stomach and intestinal secretion. Function of stomach, duodenum and gallbladder. Physiology & function of lirer, spleen, colon and rectum. Physiology of defecation. PAPER II PATHOLOGY AND MICROBIOLOGY FOR GIT: General lectures on micro-organisms- classification/ shapes/ Sterilisation and asepsis. Infection- source of infection, , spread of infection, various pathogenic bacteria, viruses and diseaies caused by them igastritis, enteritis, enterocolitis,colitis, etc) Pathology - General- celr injury and adaptation, inflanimation and repair, fluid and hemodynamic derangement in vomiting and dianhoea. l:SoJ"gl of the gastrointestinal tract and genital system. IBS, lBD, koch's abdomen. l|lkpz)___ _tryr€[I -W*-g1 g.rff :q, 20lg___ ]r,r*{I) Common Diseases of Upper Gi Tract, Dysphagia,Achalasia, cancer of the esophagus, Diverticulae, r-orirtuius, nteeding lesions of the esophagus (Varices,Mallorie W"i, feurrj ' Polyps of stomach, gastric cancer, duodenar ulcers, !le1{inelesions, Helicobacter pyrorie infection and Antrar uasrltls Common diseases ofthe colon, cancer colon, polyps,diverticulae, granulomatous colitis, Ulcerative coiitis, crohn's Disease, Functionar diseases, benign strictures ofthe colon, Diseases of Billiary tract, Stones Tumors, Gall Bradder stone and Cancer sequelae Pancreatic diseases needing the ERCp procedure ; PAPER III -PHYSICS OF ENDOSCOPIC INSTRUMENTS &ITS MAINTENANCE: Layout of Endoscopy theatre Principle & Working of GI Scope, Principle& Working of Colonoicopy. Principle& Working of Bronchor"op", Principle& Working of esophagorrop. Principle& Working of Fibre opti. tu.yrrgoscope. sinoscope, basic laparoscope IJse, care, &maintenance of the common types of Instruments, needles, suture and ligatures uied in operation theatre Puri: endoscopy unit - forwarJ viewing, singie channel and double channel endoscopy ancr specific instruments used in endoscopic and colonoscopy proceduies Bio hazards and safety in medicai devices Basics of Video endoscopy Instrurnentation, Mechanics, Mechanics, Magni fi cation etc. C-Arm Image Intensifler PAPER IV PREPRATION FOR ENDOSCOPIC PROCEDURE: cleanliness and sterilization of ER/ operation theatre ancl annexes Fumigation, Asepsis in endoscopy .oo., Fumigation continued Principles of sterilization, modes of sterilization including autoclaving, Pressure sterilization, boiling, dry heat, gas chemical sterilization,Gamma ray sterilization. ur.T-4 fT) Lt:l* il l.t. including €mersency lighting *.ji#:" endoscopist and othirs io "*urti up and drape fbr operation. holding out cap' Tu:f' glwn and gloves fbr endoscopist and others and handling of sterilized articles." washing' cleanilg, testins and repairing of gloves and sorting - themout for packing and sterilization Preparation of dressings, swabs unJ pu.t, packing of drums and sterilization. use. care, and ster'isation of the cornmon types ofinstruments, needles, suture and ligatures used in operation theatre. Procedure for sending specimen ro. uiopry and fluid for curture. Identification of instruments for common Endoscopic procedures operations and examinations, such as:_ GI Scopy, ioiJnJs"opy, Bronchoscopy, .sophagoscofy, Fjbre optic laryngoscopy,sinoscopy, basic iupu.Jr"opy Setting up of tray/ lionevs roi r".i",], endoscopic procedures /surgeries. Assisting the scrub surgeon Scrubbing, gloving & gowning Laying tables for endoicopie " Endoscopy or stores - lndenting, storekeeping, accounting and Inventory Management. ff,ji'.x;: of table for various diagnostic and therapeutic PAPER VI PATIENT CARE: Pati ent Preparati on for di fferent endo scopic examination Special Precaution ilJr_1nOfin', pu,i"nr, with sepsis, blood borne infection - Hep.B, Hcv, rrrrT ei" I cleaning and disinfection of the articles and endoscoql..olm (with special reference to HIV, HBV & HCV )Terminal disinfection oienAoscopy room Preparation of patienr incruding irun.r". & ilril;;ing of the patient Elective and emergency procedures. Ubservation & monitoring the patient in recovery room PAPER VII Basic Endoscopi" p.o..Ju.. , Assisting the endoscopis, in --iuriou, endoscopic and colonoscopicproecdureslike : _Hemionh.pa irg"i""i, iuo,rurrr,., femoral, paraumbilical Abdomlnui iup*oto*y 121(104 iTq-{€lTT_1Tq-q-t, 3lrrftI 25, 2015 Laparoscopy: cholecystectomy, appendicectomy Vagotomy and pyloroplasty,'duriio rio*y, ll eostomy, Colo stomy Appendicectomy Colonoscopy - Endoscopy Diagnostic endocopic procedure- giving oral anaesthetic agent''Diagnostic^ colonoscopic procedure- Assisting the anesthesiologist for induction of anaesthesia and positioning the patient.Biopsy, Injection Sclerotheiapy Gastric Biopsy Basics of Laparoscopy, Instrumentation, Technique Introduction to rigid stope, mechanicsEfC common Laparoscopi" pro..oui"r, app.naix,chorecystectomyetc PAPER VIil- Advanced Endoscopic procedure : Assisting the endoscopisi ;"'' various endoscopic and colonoscopicproecdureslike Introduction to ERC' suite Management: Organis?r]".n. "-f H"rpit"l _ Organisation of ERCP l?ffi1";.lingle and Multiple uniis - Elecive und -.-"rg"n"y Principles of Surgicar Asepsis and ERCp Room: - preparation of tables, equipments, instrumen,r i"r ,rr. procedure - care of ERCp room - before' during.& afterlhe procedure -special precaution in handlings patients with sepsir; fi;;; borne i"ru.ii""-_ Hep.B, HCv' HIV etc - cleanini *a iiri"r.ction of the articles and ERCP room (with special r"f...n."io HIV, HBV & HCV ). ER.P Room eouipments,Instnrmeits and Maintenance: Basic ERCP unit - side documentati"'';;-i":::Xl?firT.H.ff.Trffi ,I;,l*Hf ;:j diagnostic and therapeutic lioceaur.s- various sphincterotomes, guide wires, balr oon.dilootr, uurt.e lirr,"oipry #il;;: vari ous types of stents- plastic and metal. uragnostic ERC' . proced.ures- .preparation of patient incruding transfer & positioning of the patienilAssisting tr,i ""*ir,.riorogist for induction of anaesthesia *i p"riri_"lrrg the patient.Assisting the endoscopist in various di"t;;#;;RCp procedures. Therapeutic ERCp proceduris- Assisting endoscopist for cBD stone removal, CBD and CHD strictur metal stent place*lr,,, getting tissue ri"iliffi:Tfr;flJi::il1,1 Pancrearic srent pracement.Maintaining p;iJnis;f."iln#o.rort in ERCP room: pr.u.nii*-^or'pr,iri.ur, erectrical, chemicar -FF I TII 4 _(.T)__ W$tE EE:!?-qnw.?5,_?q1Q___ l2L(105) injuries/hazards to patient - Maintenance of interpersonal relationship. Pancreatectomy, Drainage of pancreatic cyst(pseudocysr), Resections of Small Bowel, Sigmoid colon andrectum: Hemi & total Colectomy; Colostomy: Closure of colostomy,Rectopexy&abdominoperineal resection,'Drainage of abscess(es) in the region of the liver, Hepatic Resection, liver transplant,Splenectomy; L-R Shunt, Fsophageal Varices, Gastric Varices, Indications of Treatement of Bleeding lesions in the esophaqus. ulue Injection and EVL Gastric Polyp resection, Percutaneous Endoscopic Gastrosfomy. PercuataneousJej unostomy Dilatation of strictures of esophagus, Balloon, Balloons ETC bougies, CRE Basic ERCP Procedure, premedication, position, stone retrievar and placem'ent of stent, removal of stones form pD and CBD Gastroduodental stenting Double balloon enteroscopy, capsule endoscopy, Differnet types ofcapsules colonoscopicPolypectomy colonic dilatation of strictures by Balloon Placement of Expansile stents in colo-rectum Emergency de-rotation of colon in sigmoid volvulus Advanced Iap Surgery. Lap Liver resections etc Therapeutic endoscopic and coronoscopic procedure- initial resustation of the patient- knowing about EVL and EST and assisting the endoscopist .assisting the endoscopist in endoscopic and colonoscopicpolyp_ectomy, Apc and FB removal.Maintaining Patient Safety and comfort in ER: prevention of phvsicai. electrical, chemical injuries/hazards to patient - Maintenan." oi interpersonal relationship, orientation to legal & ethical issues involved in endoscopic room technique Paper IX - Endoscopy OT administration, design, documentation, medico legal, record keeping, Ii: organization of Hospital - organization of Endoscopy rooms - Single and Multiple theatre units - Elective and - emergency endoscopies, ambulatory surgery. #*. TTvq_:.I;, rN ?q.2!j!_-_u4 : -' ,-t, "''..1_!9,_z!l!_-_[ + Admission & Trar-.^ Records nsler procedure; maintenance of oner, r!l Records Operative Communication and health .u* Lf:ider._ patient relationship, Methods of Effe*ive C;;rn;i.111on, Attending skills, Rapporr 3J**i,J:'#,, en'pumy.-^.,"r,,,,, . i;;;;;-. .^, effe*ive Management, need for scientif decision makins lc managements, delegation, Supervision _r.?nniqu.s Assignments_Individual and team function Human relations,.prUli" ..fution., pfunning of courses block Ethicar and regar i.rr.r in dp#iJn,,r.urr. and anestrresia REFERENCE BOOKS: l. Williams pt_, Wa.wick R, Dyson IvI, Bannister LH (eds) Gray,s Anatomy. 36th edition Churchili iiu,n, stone, New york, 19g0.