(3 Sem hrs: 17 clinical)

End-of-Course Outcomes:  As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Surgical technology students must complete a minimum of 125 cases in the scrub solo (SS) role and scrub assist (SA) roles.  Of the 125 cases scrubbed, students must complete 35 cases in the scrub solo role as described on p. 4. 

PREREQUISITES: SRGT 2461, SRGT 1442 or concurrent enrollment, or permission of department chair.

STATEMENT OF PURPOSE: SRGT 2360 is designed to provide the student the opportunity to function actively in the role of a surgical technologist and health care team member in a clinical setting under the direct supervision of faculty and health care staff.  Refinement and application of basic principles and practices combined with entry-level employment competency expectations is the focus.  Preparation for the National Certification Examination for Surgical Technologists is also included.

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

1.         Demonstrates professional conduct and ethical practice.

2.         Performs as an active member of the surgical team in the clinical peri-operative environment.

3.         Demonstrates responsibility for professional growth and development.

4.         Participates as an active surgical team member by scrubbing, circulating, or assisting on assigned procedures.

5.         Applies knowledge and skills gained from previous surgical experiences     to refine entry-level competencies.

6.         Performs entry-level competencies with little supervision and instruction from faculty or staff.

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

8.         Documentation of active participation in no less than 150 surgical   procedures.

9.         Preparation for employment realities.

10.       Introduce theory and instrumentation for specialty procedures.

COMPETENCIES: Given the course textbooks, personal notes, handouts, evaluations, and other course materials, the student shall be able to perform each of the following on a written evaluation with an accuracy of not less than 80% as evaluated by the course instructor.

1.         Demonstrate the principles of aseptic technique by creating and maintaining a sterile field begins with the surgical scrub and ending with the patient leaving the operating room.

2.         Create and maintain an orderly sterile field and work area within 15            minutes prior to onset of a basic surgical procedure.

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

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

5.         Communicates with program faculty regarding patient’s right to privacy and dignity.

6.         Maintains confidentiality regarding patient’s right to privacy and dignity.

7.         Accepts responsibility for own professional growth and development.

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

9.         Works as a part of the surgical team and accepts all assigned cases as a challenge.

10.       Demonstrates by, behavior the patient’s inherent right to privacy, dignity, and confidentiality.

11.       Obtains and places equipment and supplies in OR room necessary for         procedures.

12.       Identifies the principles of aseptic technique and applies these techniques at all times.

13.       Displays step-by-step progress of specific surgical procedures to include case set-up, draping, operative sequence and instrumentation.

14.       Applies knowledge of normal and pathologic anatomy and physiology.

15.       Follows established policy and procedure for all counts.

16.       Anticipates the needs of the surgeon in order to expedite the procedure.

17.       Identifies specialty instruments when exposed to them.

18.       Identifies and passes specimens off the field correctly if applicable.

19.       Identifies, receives, and prepares medications properly.

20.       Observes universal/standard precautions.

21.       Performs case and room breakdown.

22.       Demonstrates awareness and recognizes the duties of the circulating nurse.

23.       Participates as a second assistant.

24.       Acceptable performance evaluation on selected procedures.

25.       Obtain a passing score of 70 or better on the comprehensive summative examination.

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

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

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