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SRGT-2461-001 Clinical II
Corequisites: SRGT 1261 and BIOL 2402
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.
(4 sem hrs; 24 clinic)
Clinical
Textbooks
**You must purchase Trajecsys for clinical rotation*** NO EXCEPTION
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# |
|
|
|
|
|
SRGT 1441
|
Nancy M. Allmers Joan Ann Verderame |
Lange Review for the Surgical Technology Examination 7th Ed. |
|
SRGT 1441 |
Lani Zielsdorf |
MAVCC Surgical Pocedures 3rd ed. or newest ed.
|
|
SRGT 2461
|
Surg Tech |
Amarillo College Surgical Technology Clinical Handbook (uploaded online) |
|
SRGT 2461
|
Maxine A. Goldman |
Pocket Guide to the Operating Room 3rd or NEWEST ED. (recommended, NOT required) ISBN # 10: 0-8036-1226-5 |
CLINICAL REQUIREMENTS:
** All immunizations up to date and loaded into your COMPLIO PORTFOLIO
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:
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.)
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.
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".
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:
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
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:
*** All appointments should be scheduled outside of clinical days. If you miss clinical, you are required to make up clinical. Missing more than three days can result in failure of the course.
2. Daily Sheets, Case Studies, and Behavioral Assessment 40 %
3. 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 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 _________________.
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. |
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.
12/31/21 7:03 AM
12/31/21 7:18 AM