Clinical III Syllabus for 2014-2015
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Instructor Information
Instructor
Lisa McKay (Curriculum Vitae)Phone
8063563663Office Location
West Campus Allied Health 168
Office Hours
Friday 9-12 By appointment
Course Information
Recording Policy
Disability Statement
Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.
Statement for Mental Health and Advocacy & Resource Center:
As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc
Amarillo College Tutoring for Success Policy:
Administrative Drop Policy
N/A
Student Withdrawal Procedures
N/A
Privacy Statement
The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students. If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .
Course
SRGT-2360-001 Clinical III
Prerequisites
Corequisites: SRGT 2461 and SRGT 1442 or Department Chair consent
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
(3 sem hrs; 9 clinic)
Class Type
On Campus Course
Syllabus Information
Textbooks
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\\ REQUIRED TEXTBOOKS: Book list is for entire program 2012-2013
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\ Course Rubric \\ and Number \ | \
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\ Author \ | \
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\ Title, Edition, Copyright, ISBN# \ | \
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\ Publisher \ | \
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\ \\ Summer \\ SRGT 1405, 1409 \\ \\ \ | \
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\ JOANNA FULLER \ | \
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\ SURGICAL TECHNOLOGY PRINCIPLES AND PRACTICE \\ 5TH EDITION or Newest edition 2010 \\ ISBN#978-1-4160-6035-2 \ | \
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\ Saunders \\ Elsevier \ | \
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\ Summer \\ SRGT 1409,1441, 1442 \ | \
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\ Colleen J. Rutherford \ | \
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\ Differentiating Surgical Instruments. \\ 2nd Edition \\ ISBN#978-0-8036-2545-7 \ | \
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\ F.A.Davis \ | \
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\ Summer \\ SRGT 1409 \\ \ | \
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\ MAVCC \ | \
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\ SURGICAL TECHNIQUE \\ 3RD EDITION \\ WWW.MAVCC.COM \\ \ | \
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\ MAVCC \ | \
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\ Fall \\ SRGT 1405 \\ \ | \
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\ MAVCC \ | \
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\ Introduction to Surgical Technology \\ Newest EDITION \\ WWW.MAVCC.COM \\ \ | \
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\ MAVCC \ | \
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\ Fall \\ SRGT 1441 & 1442 \ | \
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\ MAVCC \ | \
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\ Surgical Procedures \\ NEWEST EDITION \\ WWW.MAVCC.COM \ | \
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\ MAVCC \ | \
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\ Fall \\ SRGT 1405 \ | \
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\ Katherine C. Snyder, and Kris Keegan \ | \
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\ Pharmacology for the Surgical Technologist, 3rd edition \\ ISBN: 978-1-4377-1002-1 \ | \
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\ Elsevier/ \\ Evolve \ | \
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\ FALL \\ SRGT 1441 & 1442 \\ \\ \ | \
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\ JANE C. ROTHROCK \\ & Sherri M. Alexander \ | \
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\ Alexander’s Surgical Procedures \\ ISBN: 978-0-323-07555-8 \\ \\ \\ \ | \
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\ \\ Elsevier \ | \
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\ FALL \\ SRGT 1441,1442 \\ Clinical \ | \
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\ Maxine A. Goldman \ | \
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\ Pocket Guide to the Operating Room 3rd Edition, Maxine A. Goldman \\ ISBN: 10:0-8036 1226-5 \\ \ | \
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\ F.A. Davis \ | \
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Supplies
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\\ CLINICAL REQUIREMENTS:
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- \ Current physical examination from personal physician. \
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Current immunizations:\
- 2. Performs as an active member of the surgical team in the clinical peri-operative environment.
- Students will complete a total of 120 cases.
- Students will complete 30 in General surgery (20 cases must be in the first scrub role)
- Students will complete 90 cases in the various surgical specialties, 60 cases will be in the first scrub role and evenly distributed between a minimum of 5 surgical specialties. 15 is the maximum number of cases that can be counted in any one surgical specialty.
- Students will maintain a “daily sheet” with the surgical procedure, scrub role, and routine for case, documented by assigned mentor and clinical instructor.
- 10 endoscopy cases and 5 vaginal delivery cases may be counted towards second Scrub Role cases.
- Observation cases must be documented, but do not count towards the 120 required cases.
- Counting cases are as follows: cases will be counted according to surgical specialty
- Trauma patient requires a splenectomy and repair of a Lefort1 fracture. Two cases can be counted and documented since the splenectomy is general surgery specialty and repair of Lefort I is Oral/Maxillary surgical specialty.
- Patient requires a breast biopsy followed by mastectomy. It is one pathology, breast cancer, and the specialty is general surgery. It is counted and documented as one procedure - one case.
- Verify supplies and equipment needed for the surgical procedure.
- Set up the sterile field with instruments, supplies, equipment, medications and solutions needed for the procedure.
- Perform counts with the circulator prior to the procedure and before the incision is closed.
- Pass instruments and supplies to the sterile surgical team members during the procedure.
- Maintain sterile technique as measured by recognized breaks in technique and demonstrate knowledge of how to correct with appropriate technique.
- Sponging
- Suctioning
- Cutting suture
- Holding retractors
- Manipulating endoscopic camera
- \ Academic failure \
- \ Unsatisfactory performance in the clinical setting \
- \ Unsafe or unprofessional practice \
- \ Inability to maintain physical or mental health necessary to function in the program \
- \ Lack of attendance. \
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Attendance 10%\
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- \ 1 Day missed - grade 85 \
- \ 2 Day missed - grade 75 \
- \ 3 Day missed- 10 point deduction off final grade \
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- \ Behavior Assessment 10% \
- \ Daily Sheets 20% \
- \ Clinical Notebook for semester 10% \
- \ Clinical Evaluations 50% \
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 75 or better on the comprehensive summative examinations.
UPON COMPLETION OF CLINICAL I, II, and III:
1. Completion of assignments
A. reading assignments
B. written assignments
C. clinical assignments
2. Accurate documented participation in a minimum of 120 surgical procedures in First Scrub Role and Second Scrub Role as defined below.
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.
8. Each student much achieves satisfactory completion on the competency exit evaluation tool.
CASE REQUIREMENTS (AST Core Curriculum for Surgical Technology 6th Ed.)
Surgical Rotation Case Requirements
Surgical Specialty
Total # of cases required
Minimum # of First Scrub Cases Required
Maximum # of Second Scrub Cases that can be applied towards 120 cases.
General Surgery
30
20
10
Surgical Specialties: CV, ENT, Eye, GU, Neuro, OB-Gyn, Oral/Maxillofacial, Orthopedics, PV, Plastics, and Organ Procurement/Transplant
90
60
30
Diagnostic Endoscopy:
10 Diagnostic endoscopy cases/second scrub role
L & D
5 vaginal delivery cases/second scrub role
Totals
120
80
40
First Scrub Role
The student surgical technologist shall perform the following duties during any given surgical procedures with proficiency. The following list is provided to identify the items that must be completed in order to document a case in the first scrub role. A student not meeting the five criteria below cannot count the case in the first scrub role and the case must be documented in the second scrub role or observation role.
Second Scrub Role
The second scrub role is defined as the student who is at the sterile field who has not met all criteria for the first scrub role, but actively participates in the surgical procedures in its entirety by completing any of the following:
Observational Role
The observation role is defined as the student who is in the operating room performing roles that do not meet the criteria for the first or second scrub role. These observation cases are not to be included in the required case count, but must be documented by the program.
Students Rights and Responsibilities
Student Rights and ResponsibilitiesLog in using the AC Connect Portal
In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .
If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".
Expected Student Behavior
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\\ Probation Defined
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\\ 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:
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\\ Probation Procedure
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\\ 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.
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\\ 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.
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\\ 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.
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\\ STUDENTS WITH DISABILITIES: Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements, and is the student’s responsibility to contact Disability Services (SSC 125, 371-5436) as soon as possible
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\\ DISCLAIMER:
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\ The policies and procedures contained in this course syllabus are subject to change in the event of extenuating circumstances or by mutual agreement between the instructor and ALL of the students.
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\ Students are real people that experience real problems from time to time. Depending upon the circumstances surrounding a specific problem, it may be appropriate for the instructor to approve an exception to a certain syllabus policy. Any such exception will be made on an individual basis and at the sole discretion of the instructor and will not be considered cause for a precedent.
\Grading Criteria
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\\ 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. The monthly evaluation will be competency-based evaluations demonstrating clinical proficiency. There is no final comprehensive examination for this clinical course.
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\\ GRADING:
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\\ The following grade scale applies throughout this course:
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\\ A= 91 –100
\\ B= 80 - 90
\\ F= less than 79.9
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\\ ***NOTE: A grade of “C” or “D” is NOT possible in this course.
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. Any student missing (2) or more clinical days for any reason will receive a ten (10) 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 the instructor’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
Summary of Semester
WEEK 1-2
All General and OB/GYN, ENT, Procedures check off s complete
Clinical Evaluation #1
WEEK 3-4
All Ortho, EYE, GU procedures check offs complete
Clinical Evaluation #2
WEEKS 5-6
Continue working on Case Load and Surgical Procedures check off sheets.
Continue working on Case Load, All Surgical Procedures check off sheets complete.
Additional Information
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\\ 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.
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\\ CLINICAL POLICIES:
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\\ 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.
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\\ 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.
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\\ 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.
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\\ 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:
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\\ BSA – 212-5721;
\\ NWTH – 354-1735;
\\ Panhandle Surgery – 351-3518;
\\ Surgery Ctr. – 359-7999;
\\ Moore County – 934-1059
\\ Pampa Regional – 1-806-665-3721
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\\ (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.
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\\ Failure to report an absence (NO CALL/NO SHOW) will result in immediate dismissal from the program.
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\\ 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.
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\\ 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.
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\\ 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.
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\\ 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!!!
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\\ 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.
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\\ 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.
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\\ 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.
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\\ 10. Students will receive a collaborative written evaluation from the instructors each month during the clinical rotation.
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\\ 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.
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\\ 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.
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Syllabus Created on:
11/30/-1 12:00 AM
Last Edited on:
11/30/-1 12:00 AM