Clinical II Syllabus for 2011-2012
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Instructor Information

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Course

SRGT-2461-001 Clinical II

Prerequisites

Corequisites: SRGT 1261 and BIOL 2402

Course Description

A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(4 sem hrs; 24 clinic)

Class Type

On Campus Course

Syllabus Information

Textbooks

 

REQUIRED COURSE TEXTBOOKS: (most current editions)

 

            1.         Surgical Technology Student Handbook, Surgical Technology Department.

            2.         Pocket Guide to the Operating Room 3^rd Edition, Maxine A. Goldman.

            3.         Surgical Technology Principles and Practice 4^th Edition, Joanna Fuller

            4.         Surgical Procedures, MAVCC

            5.         Review for the Surgical Technology Examination, 5^th Edition, Appleton & Lange

Supplies

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Student Performance

COURSE DESCRIPTION: A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills and concepts.  Direct supervision is provided by the clinical professional. (4 sem hrs. 24 clinical)

 

PREREQUISITES:  SRGT 1261, BIOL 2402 or concurrent enrollment.

 

STATEMENT OF PURPOSE:  SRGT 2461 is designed to provide the student the opportunity to function actively in the role as a surgical technologist and health care team member in a clinical setting under the direct supervision of faculty and health care staff. Application of basic principles and practices combined with a supervised clinical experience participating in common surgical procedures is the focus.

 

COURSE GOALS AND COMPETENCIES:  Given the course textbooks, personal notes, handouts, and other course materials, the student shall accomplish each of the following course goals as evaluated by the course instructor.

 

Goals:

 

            1.         Demonstrates professional conduct and ethical practice.

2.         Performs as an active member of the surgical technology team in the clinical perioperative environment.

3.         Demonstrates responsibility for professional growth and development.

4.         Participates as an active surgical team member by scrubbing on assigned procedures.

5.         Applies knowledge and skills gained from previous courses.

6.         Interacts effectively as a responsible team member with faculty, staff members, fellow students, physicians, and other health care personnel.

 

The student will know that these goals have been successfully completed when he/she earns a final course grade of “C” or higher as evaluated by the faculty in the department.

 

Competencies:

 

            1.         Follows dress code of the program and clinical facility.

            2.         Arrives punctually, leaves clinical facility at the designated time.

3.         Communicates with program faculty regarding absences, tardiness, and attendance.

            4.         Maintains confidentiality regarding patient’s right to privacy and dignity (HIPAA).

            5.         Demonstrates initiative, enthusiasm, and self-motivation.

            6.         Utilizes time in the clinic setting constructively.

7.         Demonstrates adequate preparation for clinical assignments by completing and turning in assignments according to policies and instructor.

8.         Responds appropriately to questions, suggestions, and/or constructive criticism.

9.         Demonstrates cooperation and mutual respect for faculty, staff members, fellow students, physicians, and other health care personnel.

10.       Communicates information at an appropriate time and place and to the appropriate source.

11.       Respects the right of those in authority to make decisions and complies with those decisions.

12.       Demonstrates ability to pull case set-ups and obtain necessary equipment and supplies.

13.       Obtains and places equipment and supplies in OR room necessary for procedures with assistance from OR personnel.

14.       Opens sterile supplies in aseptic manner.

15.       Demonstrates knowledge and understanding of surgeon’s preference cards.

16.       Demonstrates proper scrubbing technique.

17.       Gowns and gloves self and others using correct method.

18.       Immediately reports any break in sterile technique.

19.       Demonstrates ability to set up mayo and back table.

20.       Demonstrates knowledge of basic instruments.

21.       Demonstrates knowledge of draping materials and sequence.

22.       Uses/passes instruments and suturing materials correctly.

23.       Displays knowledge of surgical procedure and operative sequence.

24.       Observes universal precautions.

25.       Identifies specimens and properly care for them.

26.       Identifies, receives, and prepares medications properly.

27.       Performs case and room breakdown.

28.       Properly cares for instruments after procedure.

29.       Follows HIPAA regulations as discussed in class (Patient Rights & Confidentiality).

30.       Assists with preparations for following cases.

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

 

HOSPITAL COMPLIANCE POLICY:  According to the “Affiliation Contract” between Amarillo College and the medical facility, “all students will be subject to the rules and regulations pertaining to regular employees of the medical facility.”  The medical facility reserves the right to reject or terminate a student’s clinical experience. If such action is taken the student will be automatically dismissed from the program and given a failing grade.  The student will not be eligible for readmission to the program at any future time.

 

STUDENTS’ RIGHTS AND RESPONSIBILITIES: Amarillo College students should be familiar with the contents of Amarillo College’s Rights and Responsibilities document.  Copies of the pamphlet are available free to students from the Business Office, Registrar’s Office and the Dean of Student Services.

 

STUDENT GRIEVANCE PROCEDURE: A student who has a problem with the course or the course instructor should make every attempt to resolve the problem with the course instructor.  If that is not successful, the student may appeal the decision of the instructor to the program director, the chairman of Allied Health, the Associate Dean, and the President of the college – in that order.

 

CLINICAL POLICIES: 

 

1.         Clinical hours are from 7:00 a.m. – 3:30 p.m.  This means the student shall be dressed in OR attire and ready to begin work at 7:00 a.m. and will leave at 3:30 p.m. In some instances, you may need to arrive earlier. The instructor will let the student know 1 day ahead of time if they are to arrive earlier than 7:00 a.m.

 

            A 30-minute lunch break is incorporated into the clinical time. Depending on the surgical schedule, lunches may be of a shorter duration. Instructor will make every effort to make sure each student has lunch daily. When possible, students will relieve other students for lunch breaks.

 

2.         During the clinical experience absenteeism will not be tolerated except in extreme cases, to be determined by the instructor. Any student missing three (3) or more clinical days for any reason will receive a ten (10) point deduction from their final clinical average for the course. In cases of illness, a doctor’s verification will be required before returning to the clinical or classroom setting.  Any type of appointment will need to be made outside of clinical time.

 

3.         Absences must be reported to the clinical unit no later than 30 minutes before the clinical start time (6:30 a.m.)  It is imperative for the efficiency of the operating room that absences be reported on time.  These numbers are direct line to the operating room:

 

                         BSA – 212-5721;

 NWTH – 354-1735; 

 Panhandle Surgery – 351-3518;

             Northwest Surgery Ctr. – 359-7999;

Moore County – 934-1059

Pampa Regional – 1-806-665-3721

 

 

 (Be sure and get the name of the person you talk to if you are calling to report an absence).

            The numbers are listed on your clinical schedule.

 

            Failure to report an absence (NO CALL/NO SHOW) will result in immediate dismissal from the program.

 

It is unacceptable to send information concerning the absence of a student with another student.  The absent or ill student must convey the necessary information.

 

4.         Arriving late on the clinical unit is unacceptable. A student arriving late will be sent home and given an absence at the instructor’s discretion.

 

5.         Dress codes will be followed according to the hospital and class syllabus. Name- tags are to be worn on scrub clothes and student lab coats. Protective eyewear is to be worn at all times in the operating room. Shield masks without protective eyewear will not be allowed.          

 

6.         Personal phone calls to and from the clinical site are not permitted unless an emergency occurs.  DO NOT BRING YOUR CELL PHONES TO CLINICAL!!!

 

7.         All outside appointments are to be made at a time other than clinical and classroom hours.  The instructor must be notified at least one (1) day in advance if an appointment is necessary during class/clinical times.  

 

8.         The student will be responsible for keeping all written and clinical assignments current. Incomplete clinical assignments will result in an unsatisfactory clinical grade. Case studies are due prior to clinical start time for each case.

 

9.         Clinical notebooks are due on Tuesday.  All assignments and logs should be complete and up-to-date.  The student will earn an unsatisfactory clinical grade for failure to turn in their notebook or incomplete notebook information.

 

10.       Students will receive a collaborative written evaluation from the instructors each month during the clinical rotation (Spring – Feb., Mar., Apr.) & (Summer – June, July).

 

A satisfactory passing score is required for each monthly evaluation to continue in the program.  Students must complete all critical and surgical procedures in order to successfully complete the program. Successful completion of exit competencies is also necessary.

 

11.       Failure to comply with hospital policies, program policies, or Ethical Standards of Health Care Professions, regarding client rights will result in dismissal from the Surgical Technology Program.

 

 

 

 

Probation Defined

 

Probation is a trial period in which the student must improve or be withdrawn from the program.  A student may be placed on probation in the Surgical Technology program by the program director for any of the following reasons:

           

1.      Academic failure

2.      Unsatisfactory performance in the clinical setting

3.      Unsafe or unprofessional practice

4.      Inability to maintain physical or mental health necessary to function in the program

5.      Lack of attendance.

 

 

Probation Procedure

 

Probation may begin only following a conference with the student.  Members present may include the Department Head, a clinical instructor and/or Amarillo College counselor, or non surgical technology instructor.  Amarillo College probation status forms will be filled out and signed by the parties attending the conference. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grading Criteria

REQUIRED EXAMINATIONS:  This clinical component will consist of daily procedure check-off lists, daily case studies/procedure cards, instrument quizzes, daily clinical logs, weekly notebook compliance, daily demonstrations/return demonstrations, clinical evaluation procedures, and three monthly evaluations (Feb. Mar. Apr.). The monthly evaluation will be competency-based evaluations demonstrating clinical proficiency.  There is no final comprehensive examination for this clinical course.

 

GRADING:

 

1.                  Daily Sheets (Notebook contents, logs, case studies, check-off lists and Attendance ) = 30%

2.                  Behavioral Assessment Sheet = 20%

            2.         Monthly evaluations (3) averaged = 50%

 

The following grade scale applies throughout this course:

A= 89.5 –100

            B= 79.5 – 89.4

            F = 0-79.4

 

***NOTE:  A grade of “C” or“D” is NOT possible in this course.

 

COURSE DROP DATE:  The last day to withdraw or drop this course is __________________.

Attendance

 

ATTENDANCE POLICY:  A student who plans to succeed in this course should plan to attend all clinical sessions regularly and promptly.  It is imperative for the efficiency of the operating room and maximum exposure for the student that regular attendance is stressed. The allowed absences for clinical rotation are 3. ALL CLINICAL DAYS WILL BE MADE UP AT THE END OF THE SEMESTER.  If any student misses more than three (3) clinical days for any reason, she/he will receive a five-point deduction from their final clinic grade/average for the course.

 

 All clinical absences must be reported directly to the instructor or office personnel at the clinical site at least 30 minutes prior to the start of the clinical day.  Arriving late on the clinical site is unacceptable.  A student arriving late will be sent home and given an absence at theinstructor’s discretion.  Three (3) tardy's will equal one (1) absence. Appointments will need to be made outside of clinical time. 

 

***NOTE:  FAILURE TO COMMUNICATE AN ABSENCE FOR ANY REASON TO THE CLINICAL INSTRUCTOR AT THE APPROPRIATE TIME MAY RESULT IN DISCIPLINARY ACTION OR COMPLETE DISMISSAL FROM THE PROGRAM AT THE DISCRETION OF THE PROGRAM DIRECTOR.

 

Any student leaving the clinical site without the permission of the clinical instructor will automatically be dismissed from the program and given a failing grade.  Readmission to the program will be at the discretion of the program faculty the following year.

Calendar

Additional Information

COURSE REQUIREMENTS:

 

1.         Completion of assignments

            A.        reading assignments

            B.        written assignments

            C.        clinical assignments

2.         Accurate documented participation in a minimum of 125 surgical procedures.

3.         Satisfactory completion of three (3) circulating surgical technologist check sheets.

4.         Satisfactory completion of ten (10) selected case studies.

6.         Satisfactory achievement of competencies on the clinical evaluation tool.

7.         Satisfactory scores on each of the nineteen (35) clinical evaluation   procedures.     

8.         Each student much achieves satisfactory completion on the competency exit evaluation tool.

 

 

 

CASE REQUIREMENTS

 

Surgical Technology students are required to complete a minimum of 125 cases in the scrub solo or scrub assist roles as identified below.  Of the 125 cases scrubbed in on, 35 must be in the scrub solo role.  With each case scrubbed in, in the scrub solo role, a student evaluation sheet must be complete and signed by the preceptor.  These forms will be added to the clinical notebook and will be kept in the student’s permanent record. 

 

Of the 35 cases:

                        10 should be level I core cases

                        10 should be level II core cases

                        10 should be level I specialty cases

                           5 should be level II specialty cases

 

Core Surgical Procedures	Specialty Surgical Procedures
General	Ophthalmic
Obstetrics/ Gynecology	Oral and Maxillofacial
Otorhinolaryngologic	Plastic and Reconstructive
Genitourinary	Cardiothoracic
Orthopedic	Peripheral Vascular
	Neurosurgery

 

Definitions of Scrub Solo and Scrub Assist:

 

First Scrub Role (SS) - The student assumes responsibility for more than 90% of the first scrub role. The student will perform the following duties with proficiency:

 

• Check supplies and equipment needed for the surgical procedure
• Scrub, gown and glove
• Set up the sterile back table and mayo with instrumentation, supplies, equipment, and medication/solutions
• Perform appropriate counts with the circulator prior to the procedure and upon closing
• Gown and glove additional surgical team members
• Assist with draping the sterile field
• Pass instruments and supplies to the sterile surgical team members during the procedure
• Maintain the highest standard of sterile technique during the procedure
• Prepare sterile dressing
• Perform terminal activities of cleaning and preparation of instruments, supplies, and the operating room.

 

First Scrub with Assist (SA) – The student will perform more than 70% of the above duties during the surgical procedure.