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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
The Tutoring for Success policy applies to any student whose grade or performance in the course falls below a departmentally determined minimum threshold. In either of those cases, the instructor will direct the student to the appropriate tutoring service, which may be faculty-led, discipline-specific, and/or general. Under this policy, the instructor will follow specific departmental guidelines governing the use, duration, and grade component of the tutoring need.
Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016
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.
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 .
SRGT-2360-001 Clinical III
Corequisites: SRGT 2461 and SRGT 1442 or Department Chair consent
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.
(3 sem hrs; 9 clinic)
Clinical
REQUIRED TEXTBOOKS: Book list is for entire program 2021-2022
*These books were already purchased ******
Surgical Technology Principles and Practice By JoAnna Fuller
Lange - Surgical Technology Review
Pocket Guide
Recommended Board Vitals App
CLINICAL REQUIREMENTS:
** All shots updated on Complio....It is the responsibility of the student to print off and maintain a copy of your shot records. The program will not be able to give you a copy if lost.
COURSE DESCRIPTION: A health-related work-based learning experience that enable the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.
(3 Sem hrs, 16 hrs) Course is 8 weeks, clinical 32 hours per week.
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.
Content:
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
nonsterile role. Observation cases cannot be applied to the required
120 case count but must be documented.
II. 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 amongst a minimum of four surgical
specialties.
A minimum of ten cases in four different specialties
must be completed in the FS role (40 cases total).
b). The additional 20 cases in the FS role may be
distributed amongst any one surgical specialty or
multiple surgical specialties.
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 specialty
as defined in the core curriculum.
1. One pathology is counted as one procedure.
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.
2. Counting more than one case on the same patient.
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.
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.
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
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.
Documentation "Daily Check-Off will show the list below"
These are a permanent record in your file, correct spelling and signature are required!!
A. Case performed
B. Role performed
C. Performance evaluations
D. Verification by program director
PREREQUISITES: SRGT 2361, SRGT 1442 or concurrent enrollment, or permission of department chair.
STATEMENT OF PURPOSE: SRGT 2360 is designed to provide the student the opportunity to function actively in the role of a surgical technologist and health care team member in a clinical setting under the direct supervision of faculty and health care staff. Refinement and application of basic principles and practices combined with entry-level employment competency expectations is the focus. Preparation for the National Certification Examination for Surgical Technologists is also included.
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 team in the clinical peri-operative environment.
3. Demonstrates responsibility for professional growth and development.
4. Participates as an active surgical team member by scrubbing, circulating, or assisting on assigned procedures.
5. Applies knowledge and skills gained from previous surgical experiences to refine entry-level competencies.
6. Performs entry-level competencies with little supervision and instruction from faculty or staff.
7. Interacts effectively as a responsible team member with faculty, staff members, fellow students, physicians, and other health care personnel.
8. Documentation of active participation in no less than 150 surgical procedures.
9. Preparation for employment realities.
10. Introduce theory and instrumentation for specialty procedures.
COMPETENCIES: Given the course textbooks, personal notes, handouts, evaluations, and other course materials, the student shall be able to perform each of the following on a written evaluation with an accuracy of not less than 80% as evaluated by the course instructor.
1. Demonstrate the principles of aseptic technique by creating and maintaining a sterile field begins with the surgical scrub and ending with the patient leaving the operating room.
2. Create and maintain an orderly sterile field and work area within 15 minutes prior to onset of a basic surgical procedure.
3. Follows dress code of the program and clinical facility.
4. Arrives punctually, leaves clinical facility at the designated time.
5. Communicates with program faculty regarding patient’s right to privacy and dignity.
6. Maintains confidentiality regarding patient’s right to privacy and dignity.
7. Accepts responsibility for own professional growth and development.
8. Interacts effectively as a responsible team member with faculty, staff members, fellow students, physicians, and other health care personnel.
9. Works as a part of the surgical team and accepts all assigned cases as a challenge.
10. Demonstrates by, behavior the patient’s inherent right to privacy, dignity, and confidentiality.
11. Obtains and places equipment and supplies in OR room necessary for procedures.
12. Identifies the principles of aseptic technique and applies these techniques at all times.
13. Displays step-by-step progress of specific surgical procedures to include case set-up, draping, operative sequence and instrumentation.
14. Applies knowledge of normal and pathologic anatomy and physiology.
15. Follows established policy and procedure for all counts.
16. Anticipates the needs of the surgeon in order to expedite the procedure.
17. Identifies specialty instruments when exposed to them.
18. Identifies and passes specimens off the field correctly if applicable.
19. Identifies, receives, and prepares medications properly.
20. Observes universal/standard precautions.
21. Performs case and room breakdown.
22. Demonstrates awareness and recognizes the duties of the circulating nurse.
23. Participates as a second assistant.
24. Acceptable performance evaluation on selected procedures.
25. Obtain a passing score of 75 or better on the comprehensive summative examinations.
UPON COMPLETION OF CLINICAL I, II, and III:
1. Completion of assignments
A. reading assignments
B. written assignments
C. clinical assignments
2. Accurate documented participation in a minimum of 120 surgical procedures in First Scrub Role and Second Scrub Role as defined below.
3. Satisfactory completion of three (3) circulating surgical technologist check sheets.
4. Satisfactory completion of 8 selected case studies, one per week to discuss at post conference.
6. Satisfactory achievement of competencies on the clinical evaluation tool.
8. Each student much achieves satisfactory completion on the competency exit evaluation tool.
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".
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 student’s responsibility to contact Disability Services (SSC 125, 371-5436) as soon 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.
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:
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 During both clinical II and Clinical III will receive a ten (10) point deduction from their final clinic grade/average for the course. All clinical absences must be reported directly to the instructor or office personnel at the clinical site at least 30 minutes prior to the start of the clinical day. Arriving late on the clinical site is unacceptable. A student arriving late will be sent home and given an absence at the instructor’s discretion. Three (3) tardy’ s will equal one (1) absence. Appointments will need to be made outside of clinical time.
***NOTE: FAILURE TO COMMUNICATE AN ABSENCE FOR ANY REASON TO THE CLINICAL INSTRUCTOR AT THE APPROPRIATE TIME MAY RESULT IN DISCIPLINARY ACTION OR COMPLETE DISMISSAL FROM THE PROGRAM AT THE DISCRETION OF THE PROGRAM DIRECTOR.
Any student leaving the clinical site without the permission of the clinical instructor will automatically be dismissed from the program and given a failing grade. Readmission to the program will be at the discretion of the program faculty the following year.
Summary of Semester
WEEK 1-3
All General and OB/GYN, ENT, Procedures check off s complete
Intermediate Eval Given
WEEK4-6
All Ortho, EYE, GU procedures check offs complete
Advanced Eval Given
WEEKS 7-8
Continue working on Case Load and Surgical Procedures check off sheets.
Exit Tool Complete, Case numbers reviewed and " Surgica Counts" downloaded and saved for file.
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 806- 212-5721;
NWTH 806-354-1735;
Panhandle Surgery 806-351-3518;
Surgery Ctr. 806 - 359-7999
Moore County 806-934-1059
Pampa Regional 806-665-3721
Quail Surgical 1-806-354-6100
(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) 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. CELL PHONES must be kept in pocket unless you are on break or lunch.
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.
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