SRG-209: Surgical Externship I

Health & Human Services
Surgical Technician
Academic Level
Course Subject
Surgical Technology
Course Number
Course Title
Surgical Externship I
Credit Hours
Instructor Contact Hours Per Semester
240.00 (for 15-week classes)
Student Contact Hours Per Semester
240.00 (for 15-week classes)
Grading Method
SRG-152 with a C or higher grade
Catalog Course Description

A clinical practicum further developing concepts presented in previous SRG courses. Students are assigned to an affiliate agency where they actively participate as members of the surgical team, developing skills necessary to “scrub” and assisting in “circulating” during surgical procedures under supervision. Sixteen hours per week.

Goals, Topics, and Objectives

Core Course Topics
  1. Preclinical lab practice and assessments
  2. Preference Cards
  3. OR Room Setup and Turnovers
  4. Sterile Field and Aseptic Technique
  5. Instrumentation and Steps for Course Specialties
  6. Draping
  7. Intraoperative Scrubbing
Core Course Learning Objectives (Separated)
  1. Demonstrate skills to assist in the perioperative preparation of the surgical patient.
  2. Select appropriate surgeon's preference card.
  3. Handle sterile items, set-up a sterile field, and maintain sterile technique.
  4. Identify and select the appropriate instruments, sutures, and supplies for procedures.
  5. Scrub, gown, and set up a sterile field without contamination within an acceptable amount of time.
  6. Demonstrate principles and practices of surgical asepsis.
  7. Organize and arrange sterile items on OR back table and Mayo stand.
  8. Demonstrate proper techniques of safe patient care.
  9. Demonstrate a safe level of practice and knowledge in selected surgical areas. 
  10. Demonstrate an awareness of the patient as well as the task.
  11. Apply knowledge of common instruments and schemes for: general surgery, gynecology, urology, otorhinolaryngology, orthopedic surgery, and endoscopy procedures.
  12. Demonstrate anticipation of surgeon's needs and acceptance of responsibilities in the clinical area.
  13. Assist surgeon in draping the patient and placement of electrosurgical items, suction, and light handles.
  14. Demonstrate dexterity and good coordination skills during surgical procedures.
  15. Count sponges, instruments, and sharps at the appropriate time.
  16. Explain circulating duties.
  17. Assist with cleaning and transporting patient from OR table to stretcher.
  18. Communicate clearly and effectively with peers and hospital staff.
  19. Utilize concepts of medical, moral, legal ethics, patients' rights, and basic needs.
  20. Demonstrate ability to do room change-overs.
  21. Demonstrate ability to prepare instruments and supplies for sterilization.
  22. Maintain a Scrub Log as outlined by the program.
  23. Demonstrate basic skills for an entry level surgical technologist.

Assessment and Requirements

Assessment of Academic Achievement

Assessment of academic achievement will be based on examinations, clinical evaluations, clinical attendance, and student log forms.

This course requires a minimum 80% average to pass the course.

General Course Requirements and Recommendations

Students must pass this course with a “C” or better grade to remain in the SRG Program. Students must follow all classroom/ clinical policies described in the most current SRG Clinical Student Handbook. By the completion of SRG-290 and including clinical case load from SRG-209 and SRG-290 students MUST complete the following Surgical Rotation Case Requirements:

  • The total number of cases the student must complete = 120.
    • Maximum number of Second Scrub Role cases that can be applied towards the 120 cases are 10 in General Surgery and 30 in the other surgical specialties.
  • Student must complete 30 cases in General Surgery.
    • 20 of these cases must be in the First Scrub Role.
  • Students must complete 90 cases in various surgical specialties.
    • 60 must be in the First Scrub Role.
    • These cases must be evenly distributed between a minimum  of 5 surgical specialties.
    • No more than 15 cases can be counted in any one specialty.
  • Up to 10 diagnostic Endoscopic cases and 5 vaginal delivery cases can be counted towards the maximum number of Second Scrub Role cases.

Required: Textbook(s) as determined by program faculty


Satisfies Wellness Requirement

Approval Dates

Effective Term
Fall 2021
ILT Approval Date
AALC Approval Date
Curriculum Committee Approval Date