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SRGT-1261-001 Clinical I
Corequisites: SRGT 1405 and SRGT 1409
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 ResourcesStudent Resources Website
Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:
Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact:
Melodie Graves
Justice Involved Advocate
Student Service Center 117
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me
You can also contact the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.
(2 sem hrs; 8 clinic)
Clinical
The Following Book list
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The Following books must be purchased.
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CLINICAL REQUIREMENTS:
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. Hours (2 sem hrs; 8 clinic)
*Student’s will complete a total of 120 cases as described below:
PREREQUISITE: SRGT 1409, or concurrent enrollment.
STATEMENT OF PURPOSE: SRGT 1261 is designed to prepare the student to enter the surgical environment. This course provides an introduction to the operating room, observation of surgical procedures, direct participation in the preoperative (pre-op, intra-op, post-op) preparation of individual cases and professional roles and responsibilities of individual members of the surgical team.
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.
COURSE GOALS AND COMPETENCIES: This course will consist of hands on instruction, skill assessments, reading and writing assignments, observations, participation in surgical procedures.
GOALS:
1. Distinguish the various roles and responsibilities of surgical team members.
2. Develop knowledge of operating room policies and procedures.
3. Observe a variety of surgical procedures.
4. Identify needs and participation in the preoperative preparation of the surgical suite.
5. Participate as an active surgical team member by scrubbing on assigned procedures.
6. Define basic principles of instrument care.
7. Define and demonstrate principles of sterilization and disinfection.
8. Demonstrate Surgical Conscience in perioperative phases.
9. Identify basic instrumentation and instrument sets.
10. Demonstrate the proper technique in the preparation, passing and utilization of instruments.
11. Identify suturing materials and needle types and use.
12. Identify and demonstrate knowledge of commonly used surgical equipment and supplies.
The student will know that these goals have been successfully completed when he/she earns a final course grade of “B” or higher as evaluated by the faculty in the department.
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.
CASE REQUIREMENTS (AST Core Curriculum for Surgical Technology 6th Ed.)
· 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
o 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.
o 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.
Surgical Rotation Case Requirements
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Surgical Specialty |
Total # of cases required |
Minimum # of First Scrub Cases Required |
Maximum # of Second Scrub Cases that can be applied towards 120 cases. |
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General Surgery |
30 |
20 |
10 |
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Surgical Specialties: CV, ENT, Eye, GU, Neuro, OB-Gyn, Oral/Maxillofacial, Orthopedics, PV, Plastics, and Organ Procurement/Transplant |
90 |
60 |
30 |
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Diagnostic Endoscopy:
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10 Diagnostic endoscopy cases/second scrub role |
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L & D |
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5 vaginal delivery cases/second scrub role |
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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.
· 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.
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:
· Sponging
· Suctioning
· Cutting suture
· Holding retractors
· Manipulating endoscopic camera
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.
Clinical I Orientation – Students will orient each hospital site by rotating in each area as listed below:
Once skill assessments are complete, students may begin:
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".
Students will adhere to all policies for the Operating Room Department of each facility. Students will also adhere to the policies noted within the Amarillo College Surgical Technology Handbook.
Students will be given a universal precautions, HIPPA, and patient confidentiality policy to sign.
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. See above attendance policy.
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
PSH 351-3518 Northwest Surgery Ctr. – 359-7999
Moore County 934-1059 Pampa Regional – 1-806-665-3721
Physicians at Quail Creek 354-6100
(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) could 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 first clinical day. 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.
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.
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.
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.
REQUIRED EXAMINATIONS: The clinical components will consist of weekly competency check lists, worksheets, instrument quizzes; return demonstrations, written assignments, monthly progress evaluations (June and July) and an affective behavior assessment. There is no final comprehensive examination for the clinical course.
Grading:
1. Clinical Evaluation Tool I , Tool II Behavioral Assessment 60 %
2. Orientation worksheet, Daily sheet, other NB assignments 40%
3. Absenteeism - For each day missed a 10 point deduction will be off final grade.
a. ALL clinical days will be made up the following week, NO EXCEPTIONS
b.
c.
Students will take an instruments exam each Tuesday during the semester. If the student does not score a 90 or above on the exam, a second exam will be given, if the student does not score a 90 or above on the second exam attempt, the student will be placed on probation it will be at the discretion of the program director if the student is dismissed from the program. Instruments are a MUST KNOW, you cannot function in the First Scrub Role if you do not know your Surgical Instruments.
Students will have an open lab on MONDAY from 10-3 pm each week. This time will also be used for group and individual tutoring.
All students are responsible for their own professional growth and development.
The following grade scale applies throughout this course:
A= 90
B= 80
F= less than 79.9
NOTE: A GRADE OF “C” OR “D” IS NOT POSSIBLE IN THIS COURSE.
Students will take an instruments exam each Tuesday during the semester. If the student does not score a 90 or above on the exam, a second exam will be given, if the student does not score a 90 or above on the second exam attempt, the student will be placed on probation it will be at the discretion of the program director if the student is dismissed from the program. Instruments are a MUST KNOW, you cannot function in the First Scrub Role if you do not know your Surgical Instruments.
Students will have an open lab on MONDAY from 10-3 pm each week. This time will also be used for group and individual tutoring.
All students are responsible for their own professional growth and development.
MAKE-UP POLICY:
No clinical absences allowed.
Written assignments, worksheets, and checklists are due at the beginning of the clinical day assigned and will not be accepted at a later date or time. It is the responsibility of the student to obtain assignments due to absence or tardiness.
ATTENDANCE POLICY:
Students expecting to graduate from the surgical technology program are expected to complete all portions of the clincal sessions. If a student is absent, a doctor's note will be required. ALL student absences will be made-up on days other than class, lab, or scheduled clincal. A student who has to make up a clinical day, will schedule a day with the clinical manager, Holly Bentley, for the following week. If a students fails to follow the attendance policy, they are in jeopardy of failing clinical and will not be able to complete program.
A student arriving late consistantly will be released from the program. A student will need to plan for early clinical by obtaining childcare and transpertation. It is the responsibility of the student for their own professional growth and development. Students must remember that they are on a year-long interview with potential employers.
***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.
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Assignments |
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Weeks 1 & 2 Tour and orientation to operating room suite (front board, dressing room, PPE, etc. *Orientation worksheet |
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Weeks 3 & 4 Instrument processing and supplies *Skill assessment on wrapping, autoclaves etc. |
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Weeks 5-6 Detail orientation to operating room and setup to include equipment, furniture, and supplies. *OR scavenger hunt/seek and find |
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Weeks 7-8
Transporting patients and orientation to cleaning, lab runner, transporters, and anes tech. *Skill assessment for transport of patient. Body mechanics in service and skill assessment Tool I evaluation |
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Week 9 & 10 Orient with circulator, follow patient through holding, OR, and to PACU. |
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Week 11 & 12 Observe assigned procedures-may scrub only after all skill assessments for scrubbing, gowning and gloving are met. *Observation worksheet
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Week 13 & 14 Scrub in and observe with mentor, may pass as student and mentor discretion |
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Week 15 & 16 Student scrubs in on surgical procedure and observe or second scrub role. Tool II evaluation |
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DISCLAIMER:
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.
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.
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