Clinical I Syllabus for 2024-2025
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Instructor Information

Office Location

West Campus Allied Health 160B

Office Hours

Course Information

AI Statement

Collusion is defined as “the unauthorized collaboration with another person or by any other means, including artificial intelligence (AI) and computer translators, in preparing work for fulfillment of course requirements.” Using AI like (ChatGPT or Google Gemini) to create a document is considered colluding. <strong>The use of Generative Artificial Intelligence on specific assignments is at the discretion of the instructor. </strong>

COVID-19 Protocols

Recording Policy

Disability Statement

If you have a disability (learning, mental, physical) that affects your ability to participate effectively and have access to any program or service at Amarillo College please contact Disability Services at (806) 345-5639 . Our offices are located in the Enrollment Center, Suite 700. More information may be found at www.actx.edu/disability.
Disability Services facilitates access to all programs and services according to the ADA, Americans with Disabilities Act and Section 504 of the Rehabilitation Act, as well as other federal and state laws.

Amarillo College Web Accessibility Policy Statement

Amarillo College is committed to providing equal access to all programs and services, including all working, learning, and service environments that affect equal access for persons with disabilities. This commitment to provide equal access and opportunity for persons with disabilities is in compliance with federal and state law. Amarillo College also strives to provide Electronic and Information Resources (EIR) that are accessible to all authorized users.

If you find you are unable to access material in an accessible format please contact the Disability Services Office at (806) 345-5639 . This office will work in conjunction with other campus resources to address and accommodate your issue in a timely manner.

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:

Tutoring for Success applies to any student whose overall performance in the course falls below 75%. The instructor will create the task in the Student Engagement Portal (Watermark) to direct the student to the appropriate tutoring service, which may be faculty- or SI-led, discipline-specific, and/or general. The tutoring service assigned, the due date for when the tutoring must be completed, and the amount of tutoring required are at the discretion of the instructor. Additionally, the task will alert the student’s success team. Students who do not fulfill the assigned tutoring task may be subject to program- and course-specific penalties that could result in a grade reduction and/or in not being allowed to progress in the course until the tutoring requirement has been satisfied.

Administrative Drop Policy

Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016

Student Withdrawal Procedures

Students who wish to withdraw from a course must complete all steps indicated on the Academic Withdrawal Request form by the course withdrawal deadline.

NOTE: Students who are attending Texas institutions of higher education, for the first time fall 2007 and later, may not withdraw from more than six courses during their academic career. This withdrawal limitation does not include dual credit or developmental classes (Senate Bill 1231 Rule 4.10.) For more information on Drop and Withdrawal Policies, please visit the Registrar's Office Web site.

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-1461-001 Clinical I

Prerequisites

Corequisites: SRGT 1405 and SRGT 1409

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; 16 clinical)

Class Type

Clinical

Syllabus Information

Textbooks

SRGT 1405, 1409, 1441, 1442McKayFlashcards for Differentiating Surgical Instruments       ISBN: 978-0-8036-2897-7 ISBN-13: 978-0-8036-2897-7Colleen J. Rutherford FA DAVISRequired 
SRGT 1405, 1409, 1441, 1442McKayOperating Room Skills: Fundamentals for the Surgical Technologist  2nd Ed.      ISBN: 0135204038Nancy N. DankanichPearsonRequired 
SRGT 1405, 1409, 1441, 1442McKaySurgical Equipment and Supplies 3rd. Ed              ISBN: 9781719648417Colleen J. Rutherford FA DAVISRequired 
SRGT 1405, 1409, 1441, 1442McKaySurgical Technology for the Surgical Technology Printed Workbook 7th ed.         ESBN: 978-035-762-5750Association of Surgical TechnologistsCengageRequired 
SRGT 1405, 1409, 1441, 1442McKayCENGAGE UNLIMITED: Surgical Technology For the Surgical Technologist: A Positive Care Approach  6th Ed.             12 month  subscription    ISBN:  9780357700044.                                  Association of Surgical TechnologistsCengageRequired 
SRGT 1405, 1409, 1441, 1442McKaySurgical Instrumentation     ISBN: 9780323776936Renee NimitsEvolveRequired 
SRGT 1405, 1409, 1441, 1442McKaySurgical Technology Clinical Notebook  (Printed by bookstore) Lisa McKayST Department Required 

Supplies

All students are required to enroll in Surgical Counts  It is a requirement for case tracking. We will give you the website. This maintains a log of surgical cases, and skills assessments for the entire year.

This is for All Clinical, Lab and Class

  • All students will need a set of scrubs (shirt and a pant) in royal blue color.  * You may wait till after first day of class to purchase to assure the right color
  • Purchase two surgical technology patches from bookstore.
  • 3” binder with clear sleeve for name on cover, with  8 dividers
  • Small notepad to fit in pocket with pens
  • Eye protective glasses * may wait to see examples in class
  • Comfortable tennis shoes or running shoes to be able to stand in.
  • Book list is attached.

 

 

 

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:  BIOL 2401

 

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

Log 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

Amarillo College Surgical Technology

Behavioral & Professional Expectations

Students are expected to abide by Amarillo College Student Conduct and the policies set for by the clinical sites…Including Baptist St. Anthony, Quail Surgical Hospital, Panhandle Surgical Hospital, Amarillo Eye and Cataract, Northwest Texas Hospital, Northwest Surgery Center, Moore County Hospital, Golden Plains, and Pampa Regional.  (other facilities may be added)

Below is a list of policies that ALL students will abide by.  If a student does not adhere to the policies, it could result in probation and/or dismissal from the program.  All healthcare providers are required to be ethical, honest, and have integrity for ALL patients regardless of race, color, religion, or age. Students will follow the HIPPA laws for confidentiality for all patients.  Breaking HIPPA is a violation of the law. 

 

1. Falsification of records (includes hospital, patient or school records).

2. Unauthorized absence from assigned duty station during scheduled hours.

3. Loitering, loafing, or sleeping while in assigned clinical area.

4. Refusal to follow instructions in carrying out the duties assigned you by your

clinical instructor, or preceptor, insubordination.

5. Use of abusive or obscene language, or acting in a disrespectful manner to any

faculty member, patient, visitor, staff member, supervisor or classmate

(hospital or school).

6. Illegal conduct of any nature.

7. Smoking in unauthorized area.

8. Use of, or unauthorized possession of intoxicating beverages on school or

hospital premises, or reporting to school or hospital under the influence of

intoxicants.

9. Use of, or unauthorized possession of, narcotics or other drugs illegally,

except by prescription, or reporting to work or school under the influence of

drugs.

10. Threatening, intimidating, or coercing a classmate, co-worker or other

employee of a school or hospital.

11. Fighting, horseplay, harassment, or other disorderly conduct on school or

hospital premises.

12. Possession of a weapon such as a gun, knife (blade in excess of 3 inches), or

any other object commonly considered to be a “weapon” on hospital or school

premises.

13. Gambling, or conducting games of chance, or possession of gambling devices

on hospital or school premises.

14. Creating unsafe or unsanitary conditions.

15. Unauthorized posting or removal of notices in the hospital or school at any

time.

16. Unauthorized possession, use, copying or reading of patient hospital records,

or disclosure of information contained in such records to unauthorized people.

17. Disregard one’s appearance, uniforms, dress or personal hygiene.

18. Larceny, misappropriation, or unauthorized possession or use of property

including food, books and supplies of all kinds belonging to the school,

hospital or to any patient, visitor, co-worker, classmate, etc.

19. Unauthorized solicitation or distribution on hospital premises at any time.

20. Deliberate destruction or misuse of school or hospital property or property of

another classmate, co-worker, patient, visitor, etc.

21. Any negligence involving patient care.

22. Soliciting or accepting gratuities from patients, visitors or staff.

23. Inducing others to commit any breach of the foregoing rules or regulations.

24. Disruptive behavior or intentional creation of distractions, disruptions or

interference with the attention of instructors or other students in the

classroom, or of staff, families or patients in the clinical sites.

25. Wearing earrings at the clinical site that are not kept under the hat.

26. Wearing nail polish at the clinical site.

27. Wearing jewelry in the clinical setting.

28. Wearing perfume and cologne.

29. Not wearing a lab coat when leaving the department in facilities that require a

lab coat is worn when leaving the department.

30. Allowing hair, mustache and/or beard to be exposed in the clinical setting.

31. Not wearing name tag.

32. Parking in unauthorized areas.

***Each student will dress appropriately, with scrub jacket, name tag, and appropriate shoes to get assignment from hospital.  NO sweatpants, athletic leggings, shorts, or t-shirts with inappropriate language or pictures on them will be worn to hospitals.  No flip flops.  No jeans with holes or worn-out jeans will be permitted.  Please dress appropriately to gather your assignments.  You can wear your scrubs, with a scrub jacket.  You can wear nice jeans, with a plain T-shirt and your scrub jacket. YOU MUST always HAVE A SCHOOL CLINICAL ID while you are in the hospital.

You are on a YEAR LONG interview….

 

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.

 

Amarillo College Clinical Orientation

The clinical portion of the program will begin with orientation at BSA and/or Northwest.  You will meet with your clinical instructor at the designated time and location.  If you are running late or will be absent please let your clinical instructor and Lisa know as soon as possible. 

Student Expectations

-Arrive on time

  • The clinical day begins at 7am.  Arrive at your assigned facility 15-30 minutes early to ensure that you are dressed and ready by 7am
  • Clock in using Aviso/Watermark
  • Wear your AC scrubs to your clinical site every clinical day.  You will change into hospital provided scrubs in the locker room at the OR.

-Come prepared

  • Bring your clinical notebook and a pen or pencil. 
  • You will not have your own locker so please do not bring anything valuable that you cannot carry with you in your pocket.
  • You will get a 30-minute lunch break.  You may eat in the cafeteria or bring your lunch

-Arrive eager to learn with a positive attitude

  • Give your full attention when being instructed.  Put your cell phone in your pocket.
  • Be open to receive constructive criticism

-Be respectful of all staff members, instructors, and fellow students

  • Show respect to other’s belongings in the locker room
  • Use appropriate language.
  • Be professional. Every day at your clinical site is a job interview for you.
  • Do not bad mouth or gossip about staff, instructors, or fellow students.

  -Take responsibility for your actions

  • Use your surgical conscience
  • Treat patients the way you want to be treated
  • Don’t lie, blame, or deny when informed about contamination

Daily Clinical Check Off “Case Log” Sheets

    • -You will fill out a clinical check off “case log” sheet for every clinical day even if you are in the instrument processing, anesthesia or observe or scrub. A DAILY sheet must be completed for EVERY DAY you are in clinical….
    • -Make sure you fill out every space and column correctly. 
    • -Have your preceptor sign and date your sheet at the end of the day.  Encourage them to write down any comments or suggestions on this form.  If your preceptor is scrubbed in you may have the OR Nurse sign off on your sheet.
    • -Please keep your signed sheets in your clinical notebook in order of newest to oldest. 
    • -You will also log these daily cases into Surgical Counts before you leave your clinical facility. Points will be docked from your clinical daily grade sheet if you are missing paperwork or cases are not logged on paper and online.

Daily Grade Sheet

-Your instructor will fill out a daily grade sheet for clinical days.  You will be graded on the following areas.

  • Adaptability
  • Appearance
  • Attitude
  • Dependability
  • Communication Skills
  • Human Relations
  • Initiative
  • Personality
  • Quality of Work

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).

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 cell phones are used for SURGICAL COUNTS and communication.  Do not take cell phones out unless you are on break!

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 every six weeks during clinical.

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%

3.  Monthly evaluations (3) averaged = 50%

The following grade scale applies throughout this course:

A= 90 –100

 B= 80– 89.9

 F = 0-79.9

***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

Amarillo College Clinical Orientation

The clinical portion of the program will begin with orientation at BSA and/or Northwest.  You will meet with your clinical instructor at the designated time and location.  If you are running late or will be absent please let your clinical instructor and Lisa know as soon as possible. 

Student Expectations

-Arrive on time

  • The clinical day begins at 7am.  Arrive at your assigned facility 15-30 minutes early to ensure that you are dressed and ready by 7am
  • Clock in using Aviso/Watermark
  • Wear your AC scrubs to your clinical site every clinical day.  You will change into hospital provided scrubs in the locker room at the OR.

-Come prepared

  • Bring your clinical notebook and a pen or pencil. 
  • You will not have your own locker so please do not bring anything valuable that you cannot carry with you in your pocket.
  • You will get a 30-minute lunch break.  You may eat in the cafeteria or bring your lunch

-Arrive eager to learn with a positive attitude

  • Give your full attention when being instructed.  Put your cell phone in your pocket.
  • Be open to receive constructive criticism

-Be respectful of all staff members, instructors, and fellow students

  • Show respect to other’s belongings in the locker room
  • Use appropriate language.
  • Be professional. Every day at your clinical site is a job interview for you.
  • Do not bad mouth or gossip about staff, instructors, or fellow students.

          -Take responsibility for your actions

  • Use your surgical conscience
  • Treat patients the way you want to be treated
  • Don’t lie, blame, or deny when informed about contamination

Daily Clinical Check Off “Case Log” Sheets

    • -You will fill out a clinical check off “case log” sheet for every clinical day even if you are in the instrument processing, anesthesia or observe or scrub. A DAILY sheet must be completed for EVERY DAY you are in clinical….
    • -Make sure you fill out every space and column correctly. 
    • -Have your preceptor sign and date your sheet at the end of the day.  Encourage them to write down any comments or suggestions on this form.  If your preceptor is scrubbed in you may have the OR Nurse sign off on your sheet.
    • -Please keep your signed sheets in your clinical notebook in order of newest to oldest. 
    • -You will also log these daily cases into Surgical Counts before you leave your clinical facility. Points will be docked from your clinical daily grade sheet if you are missing paperwork or cases are not logged on paper and online.

Daily Grade Sheet

-Your instructor will fill out a daily grade sheet for clinical days.  You will be graded on the following areas.

  • Adaptability
  • Appearance
  • Attitude
  • Dependability
  • Communication Skills
  • Human Relations
  • Initiative
  • Personality
  • Quality of Work

 

Calendar

Students are required to complete 125 scrubbed cases prior to the end of the course.

Additional Information

 

  
 

SURGICAL ROTATION CASE REQUIREMENTS:


Objectives: The learner will:
1. Describe the purpose of the observation role.
2. Develop professional competency by performing in the scrub role during an
arranged clinical experience.
3. Evaluate the development of professionalism throughout clinical experiences
using various methods.
4. Utilize sufficient documentation for verifying cases and roles performed.
5. Demonstrate procedural proficiency by completing a minimum of 120 surgical
cases.


I. Role definitions


A. First Scrub Role (FS)
1. To document a case in the FS role, the student shall perform the
following duties during any given surgical procedure with
proficiency:
a) Verify supplies and equipment
b) Set up the sterile field
1) Instruments
2) Medication
3) Supplies
c) Perform required operative counts
1) AST guidelines 1
2) Facility policy
d) Pass instruments and supplies
1) Anticipate needs
e) Maintain sterile technique
1) Recognize sterility breaks
2) Correct sterility breaks
3) Document as needed


B. Second Scrub Role (SS)
1. The SS role is defined as a student who has not met all criteria for
the FS role but actively participates in the surgical procedure in its
entirety by completing any of the following:
a) Assistance with diagnostic endoscopy
b) Assistance with vaginal delivery
c) Cutting suture
d) Providing camera assistance
e) Retracting
f) Sponging
g) Suctioning

 


C. Observation Role (O)
1. The O role is defined as a student who has not met the FS or SS
criteria. The student is observing a case in either the sterile or
non-sterile role. Observation cases cannot be applied to the required
120 case count but must be documented

 

Case requirements – A student must complete a minimum of 120 cases as
delineated below: (refer to diagram A)


A. General surgery
1. A student must complete a minimum of 30 cases in General
Surgery.
a) 20 of these cases must be performed in the FS role.
b) The remaining 10 cases may be performed in either the FS
or SS role.
B. Specialty surgery
1. A student must complete a minimum of 90 cases in various
surgical specialties, excluding General Surgery.
a) A minimum of 60 cases must be performed in the FS role
and distributed among a minimum of four surgical
specialties.
1) A minimum of ten cases in four different specialties
must be completed in the FS role (40 cases total).
2) The additional 20 cases in the FS role may be
distributed amongst any one surgical specialty or
multiple surgical specialties.
b) The remaining 30 cases may be performed in any surgical
specialty in either the FS or SS role.
2. Surgical specialties (excluding General Surgery)
a) Cardiothoracic
b) Genitourinary
c) Neurologic
d) Obstetric and gynecologic
e) Orthopedic
f) Otorhinolaryngologic
g) Ophthalmologic
h) Oral Maxillofacial
i) Peripheral vascular
j) Plastics and reconstructive
k) Procurement and transplant


III. Counting cases
A. Cases may be counted according to surgical specialty2
as defined in the core curriculum.
1. One pathology is counted as one procedure.
2 Programs should contact their accrediting agencies for additional
clarification.   www.arcstsa.org

2. Counting more than one case on the same patient.
3. Diagnostic vs. operative endoscopy cases
a) An endoscopy classified as a semi-critical procedure is
considered a diagnostic case.
b) An endoscopy classified as a critical procedure is
considered an operative case.
c) Diagnostic and operative cases will be counted according to
specialty.
d) Diagnostic cases are counted in the SS role up to a total of
ten of the required 120 cases.
B. Vaginal delivery cases are counted in the SS role of the OB/GYN
specialty, up to a total of five of the required 120.
IV. Documentation2 *
A. Case performed
B. Role performed
C. Performance evaluations
D. Verification by program director
Example: A patient requires a breast biopsy followed by mastectomy.
It is one pathology, breast cancer, and the specialty is general surgery;
therefore, it is counted and documented as one procedure and one
case.
Example: A trauma patient requires a splenectomy and repair of a
LeFort I fracture. Two cases can be counted and documented since the
splenectomy is general surgery, and the LeFort I repair is an oral-
maxillofacial surgical specialty.
Example: A procedure that requires different set-ups and includes
different specialties may be counted as separate cases. A mastectomy
procedure (general surgery) followed with immediate reconstruction
or augmentation (plastics and reconstruction) are counted as separate
cases.
Example: A cystoscopy is a diagnostic procedure. If an adjunct
procedure is performed, it is considered operative; therefore, a
cystoscopy with ureteral stent placement is an operative procedure.
*The surgical technology program is required to verify through the
surgical rotation documentation the students' progression in the scrub
role in surgical procedures of increased complexity as he/she moves
towards entry-level graduate competency.

 
See Diagram in Clinical Notebook...
  
  
  

Syllabus Created on:

08/14/24 3:21 PM

Last Edited on:

08/16/24 12:41 PM