A practicum that further develops clinical proficiency. Students are assigned to an affiliated agency where they practice skills related to surgical techniques and principles. They participate as members of the surgical team, developing skills necessary to "scrub" and assist in "circulating" during surgical procedures. Students will be required to function in the first-scrub role in most surgical procedures. Twenty-four hours per week.
Goals, Topics, and Objectives
- Preference Cards
- OR Room Setup and Turnovers
- Sterile Field and Aseptic Technique
- Instrumentation and Procedural Steps for All Surgical Specialties
- Draping, Specimens, and Dressings
- Flash Autoclave Use
- Demonstrate skills to assist in the perioperative preparation of the surgical patient.
- Select appropriate surgeon's preference card.
- Handle sterile items, set-up a sterile field, and maintain sterile technique.
- Identify and select the appropriate instruments, sutures, and supplies for procedures.
- Scrub, gown, and set up a sterile field without contamination within an acceptable amount of time.
- Demonstrate principles and practices of surgical asepsis.
- Organize and arrange sterile items on OR back table and Mayo stand.
- Demonstrate proper techniques of safe patient care.
- Demonstrate a safe level of practice and knowledge in all surgical areas. Demonstrate an awareness of the patient as well as the task.
- Operate Flash Autoclaves.
- Demonstrate progressive ability to work as a member of the OR team.
- Apply knowledge of common instruments and schemes for: ophthalmic, cardiovascular, thoracic, neuro, oral, plastic-reconstruction surgery, pediatric, and geriatric surgical procedures.
- Demonstrate anticipation of surgeon's needs and acceptance of responsibilities in the clinical area.
- Assist the surgeon in draping the patient and placement of electrosurgical items, suction, and light handles.
- Demonstrate dexterity and good coordination skills during surgical procedures.
- Count sponges, instruments, and sharps with minimum supervision.
- Explain circulating duties.
- Assist with cleaning and transporting patient from OR table to stretcher.
- Communicate clearly and effectively with peers and hospital staff.
- Utilize concepts of medical, moral, legal ethics, patients' rights, and basic needs.
- Demonstrate ability to do room change-over.
- Demonstrate ability to prepare instruments and supplies for sterilization.
- Demonstrate ability to prepare medications and fluids in the sterile field.
- Explain principles of drains, suction tubes, and dressings.
- Explain patient's vital signs and recognize variations from normal.
- Maintain a Scrub Log as outlined by the department.
- Demonstrate clinical skills for entry level surgical technologist.
Assessment and Requirements
Assessment of academic achievement will include examinations, clinical evaluations, clinical attendance, and student log forms.
A minimum grade of 80% is required to pass this course to complete the Surgical Technologist (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