Clinical II Syllabus for 2018-2019
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Instructor Information

Office Location

West Campus Allied Health 160B

Office Hours

Course Information

COVID-19 Protocols

Recording Policy

Disability Statement

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Administrative Drop Policy

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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 ResourcesStudent Resources Website

Department Expectations

Occupational License Disclaimer

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.

Hours

(4 sem hrs; 24 clinic)

Class Type

Clinical

Syllabus Information

Textbooks

        Spring 2015 Textbooks

 

 

Clinical Notebook

*You will need a white 3” Notebook with clear pockets on front

*Set of eight dividers

*a pencil pouch

* Small pocket notebook

*Pens and Pencils

 

                                                                                                                                                                                        *Check One

Course Rubric

and Number

Author

Title, Edition, Copyright, ISBN#

Publisher

 

SRGT 1441

 

Emily Rogers

Emily Boegli

Kat LaRue

Pearson’s Surgical Technology Exam Review 3Rd Edition

 

ISBN # 978-0-13-500048-9

Pearson

 

SRGT 1441

 

Nancy M. Allmers

Joan Ann Verderame

Appleton & Lange Review for the Surgical Technology Examination 6th Ed.

McGraw Hill

 

 

SRGT 1441

Lani Zielsdorf

MAVCC Surgical Pocedures

3rd ed.  or newest ed.

 

MAVCC

 

SRGT 2461

 

Surg Tech

Amarillo College Surgical Technology Clinical Handbook  (uploaded online)

ST DEpt

 

SRGT 2461

 

Maxine A. Goldman

Pocket Guide to the Operating Room 3rd or NEWEST ED.

ISBN # 10: 0-8036-1226-5

FA Davis

 

Supplies

 

CLINICAL REQUIREMENTS:

 

  1. Current physical examination from personal physician. 
  2. Current immunizations:
    1. Tetanus/Diphtheria
    2. Measles
    3. Mumps
    4. TB
    5. Hep B vaccine series
    6. Meningitis if under age 30
    7. Varicella titer  or statement verification
    8. All students must have FLU shot by Oct. 1. Documentation is required.
  3. CPR certification – 8 hour for healthcare professionals
  4. Liability insurance ( in tuition)
  5. Name tag with photo
  6. Eye protection
  7. Royal blue scrubs
  8. New comfortable shoes to wear only in OR
  9. Surgical Technology patch to be purchased at book store. Sew on right sleeve
  10. 2” white three ring binder with clear insert on front, dividers (8)
  11. Small pocket notebook with pens

 

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)

 

*Student’s will complete a total of 120 cases as described below:

  • General Surgery – 30 (20 cases in first scrub role)
  • 90 cases in the various surgical specialties (60 cases in the first scrub role) Only 15 cases can be counted in any “one” surgical specialty. (Surgical specialty is defined as CV, ENT, EYE, GU, Neuro, Ob/Gyn, Oral/Maxillofacial, Ortho, PV, Plastics, and Procurement/Transplant.
  • First and Second Scrub roles are defined on following pages.

 

 

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.

 

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.         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 “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.

                                        

 

            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.

 

 

 

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
    • 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.

 

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.   

 

  • 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.

 

 

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.

 

 

 

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;

             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.

 

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 students responsibility to contact Disability Services (SSC 125, 371-5436) as soon as possible

 

 

 

 

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.  The monthly evaluation will be competency-based evaluations demonstrating clinical proficiency.  There is no final comprehensive examination for this clinical course.

 

GRADING:

 

  1. Attendance                                                     10%
    1. 1 Day missed -  grade 85
    2. 2 Day missed  - grade 75
    3. 3 Day missed-  10 point deduction off final grade

 

  1. Behavior Assessment                                      10%
  2. Daily Sheets                                                     20%
  3. Clinical Notebook for semester                       10%
  4. Clinical Evaluations                                        50%

 

The following grade scale applies throughout this course:

 

A= 91 –100

            B= 80 - 90

            F= less than 79.9

 

***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 (3) 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. ALL CLINICAL ABSENCES will be made up on a Friday.  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.

 

 

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

 

 

Calendar

 

Schedule for students at clinical sites will be given first week of class. 

 

Weeks

Assignments

1

Re-orient to facilities

2-4

Student focus will be on General surgery.  With clinical instructor, students will select cases, identify mentor, and prepare for their day. 

4-6

Students will focus on OB/GYN.  With clinical instructor students will select cases either in L&D or in OR, participating in OB/GYN procedures. Students will also continue with general cases as needed.

7-8

Student focus will be on GU cases.  Students will continue gaining cases in general and OB/GYN as needed.

9-10

Student focus will be on ENT surgical procedures.  Student will again, continue with above list. 

11-16

Student focus will be on Ortho surgical procedures.  Students will again continue with above list to acquire as many cases in the first scrub role as possible. 

 

 

Additional Information

 

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.

 

Syllabus Created on:

12/11/18 11:06 AM

Last Edited on:

12/11/18 11:10 AM