Surgical Technology Program - Skyline College · At completion of the Surgical Technology Program...
Transcript of Surgical Technology Program - Skyline College · At completion of the Surgical Technology Program...
SurgicalTechnologyProgram
StudentHandbook2016–2017
SurgicalCareersCenterSkylineCollege3300CollegeDriveSanBruno,CA94066
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Ihavereceivedthestudenthandbookinpaperand/ordigitalformat,readthepoliciesandprocedures,andacceptthatIamresponsibleforall the information set forth in the Skyline College SurgicalTechnologyStudentHandbook.StudentName:_________________________Signature:______________________________ Date:_______________
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Welcome to the world of Surgical Technology. This an is exciting, challenging, and
rewardingcareer.Inthisworld,youareaperennialstudent,learningnewproceduresand
techniques,andmeetingnewpeopleeveryday.Atworst,itcanbestressful,bothphysically
andemotionally.Atbest,itcanbefunandasourceofprideasyourisetomeetthechallenges
youwillface.
TheHealthcareProfessionneedspeoplelikeyou,peoplewhoarewillingtoworkhardto
careforotherswhilebravingtherisksfoundintheoperatingroomoftoday.Therecanbe
muchsatisfactionworkingintheHealingArts.We,yourinstructors,wishtotellyouhow
muchwerespectyoufortakingontheresponsibilitiesofthisnewcareer.
TheStudentHandbookisdesignedtoorientyoutotheSurgicalTechnologyProgramandto
be a resource throughout the course. Please, study it carefully prior to the first day of
instruction.Keepithandy;youneverknowwhenyoumightneedtheinformationitcontains.
AliceErskine,MSN,RN,CST,CNOR
ProgramDirector
JayOlivares,BSNCST
ClinicalCoordinator
TableofContents
WELCOME....................................................................................................................................................................B
PROGRAMCALENDAR...........................................................................................................................................2
GOALSTATEMENT..................................................................................................................................................3
PHILOSOPHY..............................................................................................................................................................4
OBJECTIVES................................................................................................................................................................5
ACCREDITATIONS........................................................................ERROR!BOOKMARKNOTDEFINED.
ADMISSIONREQUIREMENTS.............................................................................................................................7
ACADEMICREQUIREMENTS...............................................................................................................................8
PROGRAMREQUIREMENTS.............................................................................................................................10
PROGRAMOUTLINE.............................................................................................................................................12
RESOURCES..............................................................................................................................................................18
POLICIESANDPROCEDURES...........................................................................................................................19
COURSEDESCRIPTIONS.....................................................................................................................................42
DIRECTORY..............................................................................................................................................................46
APPENDIXA:FINALSKILLSEVALUATION(SURG451)......................................................................47
APPENDIXB:SKILLSCHECKLIST(SURG443).........................................................................................49
APPENDIXC:FINALCLINICALSKILLSEVALUATION...........................................................................51
APPENDIXD:SURGICALCASETRACKINGLOG.......................................................................................55
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ProgramCalendar2016–2017
Summer2016MEDA415:LawandEthicsfortheAlliedHealthProfessionalsSURG440:BasicSciencesforSurgicalTechnologyJune6 FirstDayofClassAugust10 FinalExamAugust10‐17 SemesterBreakFall2016SURG441:PatientCareConceptsSURG451:SurgicalSkillsLabAugust17 FirstDayofClassSeptember5 LaborDayHolidaySeptember18–24 NationalSurgicalTechnologistWeekOctober12 FlexDay(noClasses)November11 Veterans’DayNovember26‐27 ThanksgivingBreakDecember14 FinalExamSpring2017SURG442:SurgicalSpecialtiesSURG443:ClinicalPracticeforSurgicalTechnologyTheSTProgrambeginsearlyagainduetoalargeamountofacademicmaterial.January12 FirstDayofClass(SURG442)January16 MartinLutherKing’sBirthdayJanuary17 FirstDayofClinical(SURG443)February17 Lincoln’sBirthday(Observed)February20 Presidents’BirthdayMarch13–17 SpringBreakMay19 LastDayofClinicalMay24 FinalExam May25 SurgicalTechnologyProgramGraduationMay26 CollegeGraduationSummer2017SURG455:CSTExaminationPreparationJune12 FirstDayofClassJune26 FinalExamJune30 CertificationExam
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GoalStatementThe Surgical Technology Program’s goal is to provide an opportunity to develop the
knowledgeandskillsneededtoperformasacompetententry‐levelsurgicaltechnologistin
thecognitive,psychomotor,andaffectivelearningdomains.
AccreditationsSkylineCollegeisaccreditedbytheCommissionforAccreditationofCommunityandJunior
Colleges,3402MendocinoStreet,SantaRosa,CA95403.TheSurgicalTechnologyProgram
is accredited by the Commission on Accreditation of Allied Health Education Programs
(www.caahep.org) upon the recommendation of theAccreditationReviewCommittee on
EducationinSurgicalTechnology.
CommissiononAccreditationofAlliedHealthEducationPrograms
35EastWackerDrive,Suite1970
Chicago,IL60601‐2208
312‐553‐9355
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PhilosophyTofacilitatelearning,thefollowingconceptsareinpracticeinsideandoutsidetheclassroom:
Thereisnosuchthingasastupidquestion.Chancesare,ifyouhaveaquestion,someone
elsemayhavethesameone.So,ASKIT!
IntheORdepartment,weworkasateam.Eachstudentlearnsdifferentlyandcanserve
asaresourceforhis/herfellowstudent.Therefore,weencouragetheformationofstudy
groups.
Educationisparticipatory.Theresponsibilityforthelearningexperiencebelongstothe
studentaswellastotheinstructors.
Learningwilltakeplaceinaninformalatmosphere.Feelfreetostoptheinstructortoask
questions or share information. However, we ask that you respect the rights of any
personspeaking,studentorinstructor,byraisingyourhandbeforeyouspeak.
Ourofficedoorsarealwaysopen.Ifitisnot,pleasewaitoutsideorleaveamessageon
VoiceMail.Wewillgetbacktoyou.
WearebothyourInstructorsandyouradvisors.Letusknowhowwecanhelpyoumeet
thecourseobjectivesandyourprofessionalgoals.Ifnecessary,wecanreferyoutothe
appropriateofficeelsewhereattheCollege.
Attheendofthecourse,thestudentwillhavetheopportunitytoevaluatetheinstructors.
TEACHINGMETHODS
Dailyreview,questionandanswerperiodcoveringthepreviousday'sassignedreading
Self‐instructionmodules,writtenandoncomputer
Lectures,demonstration,audio‐visuals,andclassexercises
Clinicalskillslabs,clinicalperformanceandevaluations
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LEARNINGMETHODS
Owntheresponsibilitytolearn‐Participate!
Beprepared,checkthesyllabusandcourseschedule.Readtheoutlineandassigned
readingsBEFOREthelecturesomisconceptionscanbeclearedupduringthelecture.
Readeachlearningobjectiveandcheckifeachoneweremet.HINT:Objectivesare
cluestowhattheexamswillcover.
LISTEN FIRST! Then, take notes: use key words. Avoid writing every word –
Summarize.
Start your own glossary. Write down words or abbreviations you don't know
orcirclethemwhilereading.Lookthemupandaddtoyourglossary.Practiceusing
themwhendiscussingthematerialwithyourpeers.
Utilizeyourclassmatesforsupport.Remember,youareallinthesameboat.
Reviewclassnoteseverynight.Remember:everytimeyouREADABOUTIT,WRITE
ABOUTIT,TALKABOUTIT,youincreaseyourchancesofLEARNINGIT.
Ifyouarehavingaproblemwiththecoursematerial,oryourclinicalperformance,
seetheinstructorimmediately.
Aboveall,makelearningFUN!
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ObjectivesAt completion of the Surgical Technology Program, the graduate shall, at the level of an
Advanced‐Beginner,beableto:
1. Correlatetheknowledgeofanatomy,physiology,pathophysiology,andmicrobiology
totherolesandresponsibilitiesofaSurgicalTechnologist.
2. Recognize the actions and applications of medications used in the perioperative
setting.
3. Identifycommonly‐usedequipmentandsuppliesusedintheperioperativesetting.
4. Applyprinciplesofasepsistoanyperioperativeevent.
5. Demonstrate safe practices according to the standards of professional healthcare
organizationswithregardstothepatientandmembersoftheSurgicalTeam.
6. PerformcompetentlytheskillsofaSurgicalTechnologist.
7. ApplytheknowledgeandskillsofaSurgicalTechnologisttoaddressthepsychosocial
needsofasurgicalpatient.
8. Uselegal,moralandethicalprinciplestoevaluatethecareofasurgicalpatient.
9. Acknowledgeandvaluethecharacteristicsofdiversecommunities.
10. DemonstrateprofessionalattributesofaSurgicalTechnologist.
StudentLearningOutcomes
Uponcompletionoftheprogram,thestudentshallbeableto:
1. Demonstrate knowledge of surgical technology equal to an entry‐level surgical
technologist.
2. Demonstrate competence in clinical skills equal to an entry‐level surgical
technologist.
3. Demonstratebehaviorappropriateforanentry‐levelsurgicaltechnologist.
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AdmissionRequirements
PREREQUISITES
Math110(ElementaryCollegeAlgebra)
Biology250(HumanAnatomywithLab)
HSCI484orBUS485(MedicalTerminology)
EligibilityforEnglish846(WritingDevelopment)
PHYSICALABILITIES
Abletostandorsitfor8hoursperday
Abletoliftandcarry50lbs.for20feet
Handsandarmsfreeofskindisease
Abletomanipulatesutureasfineasahumanhaireitherwith/withoutglassesorcontacts
EffectiveverbalcommunicationinEnglishwithoutvisualclues
TRANSPORTATION
Reliable transportation to and from the college, clinical site, and field trip assignment is
mandatory.Hospitalsitescanrangefromafewblocksto80milesawayfromyourhome
depending on the availability. Requests for specific clinical placementwill be taken into
consideration;however,thereisnoguaranteethiswillbepossible.
COMPUTERSKILLS
AbletoaccessWebSMART,WebACCESS,andotherwebsites/applications
Useofacomputer,laptop,tablet,and/orsmartphonewithareliableinternetconnection
UseofMSWord,MSExcel,andMSPowerPoint
NOTE: Due to revisions to the Core Curriculum by the Association of Surgical
Technologists,thestudentmustbeabletodemonstratecomputerskillsinordertopass
thenationalCertificationExam.
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ACADEMICREQUIREMENTSCourseName GradedWork Non‐GradedWorkMEDA415:LawandEthicsfortheAlliedHealthProfessionals
I.WrittenAssignmentsII.WeeklyQuizzesIII.ProjectsIV.FinalExam
SURG440:BasicSciences
I.WrittenAssignments1. MedicalTerminology–Translatea
sectionofasurgicaltextbookintolayterms.
2. Pharmacology–Researchandreportonanophthalmicmedicationusingtheinternet.
II.WeeklyQuizzes(~2perweek)III.FinalExamIV.Professionalism(seepage20fortheAttendancePolicy)
Self‐learningmoduleson:ORPharmacology
Microbiology
ConceptualPhysics
SURG441:PatientCareConcepts
I.WeeklyQuizzes(~2perweek)II.FinalExam(comprehensive,includingSURG440,441,and451)
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CourseName GradedWork Non‐GradedWorkSURG451:SurgicalSkillsLab
I.AssignmentsandQuizzesII.SkillsEvaluations(x4)III.Projects
1. OralPresentation2. VideoofSkillsProject
IV.FinalSkillsEvaluation
Additionallabpracticetime(3hoursperweek)Skillschecklist
SURG442:SurgicalSpecialties
I.WeeklyQuizzesII.FinalExam(comprehensiveincludingSURG440,441,451,442,and443)
SURG443:ClinicalPracticeforSurgicalTechnology
FinalClinicalEvaluations(oneforeachrotation)
1. Weeklyclinicalevaluationsfromthepreceptor
2. Surgicalcaselogs–documentationofvarioussurgicalproceduresthestudenthasexperience
3. ORskillschecklist–arecordofclinicalskillsacquiredbythestudentandverifiedbythepreceptor
4. Clinicaljournals–dailyreportsofthestudent’sclinicalexperienceNote:Clinicalevaluations,journals,andtimecardsmustbesubmittedeveryWednesday.
SURG455:CSTExamPrep
I.AssignmentsII.QuizzesIII.FinalPracticeExam
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ProgramRequirements
REQUIREDTEXTS
All textbooksmustbepurchasedprior to the firstdayof class.Failure topurchase thesebookswillplacethestudent'sstandingintheprograminjeopardy.TextbooksandsoftwareareavailableattheSkylineBookstoreoneweekbeforethefirstdayofclass,oron‐lineatwww.amazon.comorothersites.
SUMMER/SURG440:MedicalLawandEthics,5thEdition,BonnieFremgen,2016,PearsonUnderstandingAnatomy&Physiology:AVisual,Auditory,InteractiveApproach,2ndEdition,SloanThompson,2015,FADavisAnyMedicalDictionary,textbookorsoftware.Examples:Mosby’s,Taber’s,orDorland’s
FALL/SURG441&451:SurgicalTechnologyfortheSurgicalTechnologist,FourthEdition,AST,Inc.,2014,DelmarCengageLearningDifferentiating Surgical Instruments, 2nd Edition, Rutherford, 2012, F.A.Davis CompanySurgicalTechnologyLaboratoryManual,Olivares,2016
SPRING/SURG442&443:Alexander’sSurgicalProcedures,Rothrock&Alexander,2012,Mosby
RECOMMENDEDTEXTS(AvailableatAmazon.comorwww.ast.org)
MicrobiologyforSurgicalTechnologists,Price&Frey,2003,ThomsonDelmarLearning
PharmacologyfortheSurgicalTechnologist,2ndEdition,Snyder&Keegan,2006,Saunders
InstrumentationfortheOperatingRoom,EighthEdition,Tighe,2012,Mosby
SurgicalInstruments,4thEdition,Wells&Bradley,2010,Saunders
PocketGuidetotheOperatingRoom,3rdEdition,Goldman,2008,F.A.Davis
Ethics,Legal Issues,andProfessionalism inSurgicalTechnology, Jackson,2007,Thomson
DelmarLearning
SutureandSurgicalHemostasis,Pienik,2006,Saunders
DifferentiatingSurgicalEquipmentandSupplies,Rutherford,2010,F.A.Davis.
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SUPPLIES
Required:
1. SkylineScrubSuit(top,pants,hatandpatch)forLabPractice2. SkylineI.D.BadgewithLanyard3. ClosedToeWalkingShoeswithLeatherUppers(NoSandalsorClogs)
Recommended:
1. Three‐RingBinders,3”,several2. College‐ruledpaper,severalpackages3. 3”x5”IndexCards(Forflashcards)4. PocketDividersforHandouts
5. LunchbagorCooler
ForClinical:
1. CombinationLockforLockeratClinicalsite2. SupportHoseforMenorWomen(Availableatmostdrugstores)3. Pocketnotebook,4”x5”,forClinicalnotes
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ProgramOutlineMEDA415:LawandEthicsfortheAlliedHealthProfessionalsI. OverviewofMedicalLaw,Ethics,andBioethicsII. TheU.S.LegalSystem
A. LegalTerminologyB. LegalConceptsandDoctrinesC. ClassificationsofLaw
III. LegalSystemforHealthcareProfessionalsA. MedicalandNursingPracticeActsB. StandardofCareC. NegligenceD. ScopeofPractice
IV. Professionalism,Communication,andTeamworkA. ProfessionalOrganizationsandCredentialingB. LicensureandCertificationC. EmployabilitySkillsD. EffectiveCommunicationE. ConflictResolution
V. ProfessionalLiabilityandMedicalMalpracticeA. StandardsofConductB. ResIpsaLoquiturC. MalpracticePreventionD. LawofAgency
VI. WorkplaceLawandEthicsA. CodesofEthicsB. DiversityandCulturalConsiderationsC. HealthandSafetyRegulationsD. WorkplacePrivacyandDiscrimination
VII. PatientMedicalRecordA. ElectronicMedicalRecordB. ConfidentialityandHIPAAC. PatientRights
VIII. RelevantEthicalandBioethicalIssuesinHealthcareA. GeneticEngineeringB. OrganTransplantationC. Contraception,ArtificialInsemination,SurrogacyD. DeathandDying
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SURG440:BasicSciencesforSurgicalTechnology
I. BasicSciences
A. AnatomyandPhysiologyB. PathophysiologyC. Microbiology
II. RelatedSciencesA. OperatingRoomPharmacologyB. MedicalTerminology
III. BiomedicalSciencesA. InformationTechnologyB. ElectricityC. ConceptualPhysicsD. Robotics
SURG441:PatientCareConcepts
I. IntroductiontotheProfessionA. TheSurgicalTechnologistandtheSurgicalTeam
i. RolesandResponsibilitiesii. ScopeofPracticeiii. Credentialing
B. ThePatientCareEnvironmenti. AdministrationofPerioperativePatientCareServicesii. HealthcareOrganizationsiii. RegulatingAgenciesiv. TheOperatingRoomSuite
II. ThePreoperativePhaseA. PatientCare
i. BiopsychosocialNeedsofthePatientii. PreoperativePreparationRoutinesandReviewoftheChartiii. Patient’sRightsandConsentsiv. BodyMechanicsv. TransportationandTransfervi. Anesthesiavii. Positioningviii. HazardsandRiskManagement
B. CaseManagementi. CaseSelection&RoomPreparation
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ii. SurgicalInstrumentsiii. Equipmentiv. HazardsandRiskManagementv. SurgicalSpongesandSurgicalCountsvi. AsepsisandSterileTechnique
a. SurgicalAttireb. Handhygienec. SurgicalScrubd. Gowning&Glovinge. SkinPreparationandUrinaryCatheterizationf. CreatingaSterileFieldandDraping
III. TheIntraoperativePhaseA. PatientCare
i. Homeostasisa. TemperatureRegulationb. VitalSignsc. Hemodynamics
ii. EmergencyPatientProceduresiii. HemostasisandBloodLossReplacementiv. TissueReplacementMaterials
B. CaseManagementi. BasicRoutinesii. Variationsiii. IncisionsandExposureiv. WoundHealingv. WoundClosurevi. Dressingsvii. Drains,TubesandCathetersviii. SpecimenCare
IV. ThePostoperativePhaseA. PatientCare
i. PostanesthesiaCareii. DeathandDying
B. CaseManagementi. BasicRoutineii. EnvironmentalSanitationiii. Decontamination
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iv. Disinfectionv. Sterilization
V. AssistantCirculatorRoleVI. ProfessionalPractice
A. Professionalismi. ProfessionalCharacteristicsii. Communicationandteamwork
B. Healthcarefacilityinformationi. Healthcareorganizationandmanagementii. Physicalenvironmentiii. Hazardstopatientsandpersonnel
SURG451:SurgicalSkillsLab
I. TheOperatingRoomA. StructureandFunctionB. FurnitureandEquipmentC. TrafficPatterns
II. OperatingRoomAttireIII. OperatingRoomRoutineIV. SurgicalInstruments
A. IdentifyingTypesandFunctionB. CareandSafeHandlingC. PassingofInstrumentsD. Disinfection,Assembly,andSterilization
V. OperatingRoomSuppliesandEquipmentVI. AsepticTechnique
A. HandHygieneB. SurgicalHandScrubC. GowningandGlovingD. SettingUpaSterileFieldE. OpeningSterileSuppliesF. DrapingthePatientG. PreservingtheSterileFieldH. Troubleshooting
VII. PatientCareA. TransportationandPositioningoftheSurgicalPatientB. SkinPreparationC. AssistingwithHemostasis
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D. AssistingwithWoundClosureE. ProfessionalismF. CommunicationSkillsG. Troubleshooting
VIII. MockSurgeryA. GeneralSurgeryB. Minimal‐InvasiveSurgery(MIS)
i. DiagnosticLaparoscopyii. LaparoscopicAppendectomyiii. LaparoscopicCholecystectomy
C. TonsillectomyandAdenoidectomy(T&A)D. DilatationandCurettage(D&C)E. MinorHandandPlasticProcedures
i. RemovalofMassii. Lumpectomyiii. BreastBiopsies
SURG442:SurgicalSpecialties
I. ContentFormatA. AnatomyB. PhysiologyC. PathophysiologyD. DiagnosticInterventionsE. SurgicalIntervention
i. SpecialConsiderationsii. Anesthesiaiii. Positioniv. SkinPrepv. Drapingvi. Incisionvii. SuppliesandEquipmentviii. Instrumentationix. ProceduralStepsx. Countsxi. Dressingsxii. SpecimenCare
F. PrognosisG. Complications
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II. SurgicalSpecialtiesH. MinimallyInvasiveSurgeryI. GeneralSurgeryJ. ObstetricandGynecologicK. GenitourinaryL. OtorhinolaryngologyM. PlasticandReconstructiveN. OrthopedicO. OphthalmicP. PeripheralVascularQ. CardiothoracicR. NeurosurgeryS. Oral&MaxillofacialT. Transplant
SURG443:ClinicalPracticeforSurgicalTechnology
I. SurgicalCaseRotationRequirementsII. TheRoleoftheSurgicalTechnologistintheScrubRole
a. FirstScrubRoleb. SecondScrubRole
III. EmployabilitySkillsSURG455:CertificationSurgicalTechnologistExamPreparation
I. Introductiona. ImportanceofCertificationb. ExamContentOutlinec. RecommendedResources
II. StudySeminara. ReadingMethodsb. StudyHabitsc. TestTakingStrategies
III. SurgicalCaseManagementa. PreoperativeCaseManagementb. IntraoperativeCaseManagementc. PostoperativeCaseManagement
IV. SurgicalSpecialtiesV. PracticeExam
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Resources
AlliedHealthLearningCenter(Room7211):FREETutoring!Byappointmentinthelearningcenter.Scheduleissubjecttochangeandwillbepostedinthebeginningofthesemester.Computers,books,CDs,&onlineresourcesareavailableforSurgicalTechnologystudentsbypermissiononly.SkylineLibraryandInterlibraryLoanSystem(Building5)SkylineLearningCenter (Building5):FREE! Tutoring inMath,English,Reading,Writing,Test‐takingSkills,StudySkillsAssociation of Surgical Technologists: scholarships, professional development, andpublications(www.ast.org)AssociationofperiOperativeRegisteredNurses:(www.aorn.org)
“Thebestresourcesintheuniversecanonlyhelpifyouutilizethem”
DAYCARE
The Children’s Center offers daycare to low income families from 7:30 am to 5:00 pm.Childrenmustbe18monthsorolderandtheparentmustshowproofoffinancialneed.TheCenterislocatedbehindtheLomaChicaSchool,onthenorthsideofthecollegecampus.Formoreinformation,call650‐359‐8637.Placesfillupquickly,socallassoonaspossible.
DISABLEDSTUDENTS
Incoordinationwith theDisabledStudentsProgram,reasonableaccommodationshallbeprovided to any student deemed qualified by the DSP office. This includes learningdisabilitiesaswellasphysicaldisabilities.Ifastudenthasspecialneeds,s/hemustseetheInstructor on or before the first day of class to submit an accommodation letter and todiscusstheseneeds.Toobtainmoreinformation,theDSPofficenumberis650‐738‐4280.
COUNSELING
Studentsmayfindtryingtobalancework,school,andfamilyadauntingtask.Thedemandsofvocational trainingcanplacestressonanyone.Peopleseekcounseling foravarietyofissues:careers,classwork,finances,anxiety,andproblemswithinstructors.
SmartPeopleAskforHelp.BeSmart Call:650‐738‐4459
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PoliciesandProcedures
ACADEMICINTEGRITY
Plagiarism is defined as copying another’swork, or taking text fromanother source and
passing it off as one’s ownwork. Cheating is defined as copying answers from another
student’stestorobtaininganswersfromanotherresourceduringatest,orchanginganswers
after thegradingof a test.Theworkyou submitmustbeyourown.TheSkylineCollege
StudentHandbookhasacompletestatementdefiningcheatingandplagiarism. Ifyouare
caughtcheating,youwillreceiveazeroonthetestandmustreporttotheSupervisorofthe
AlliedHealthPrograms.Ifthereisasecondincident,youwillbesubjecttodisciplinaryaction
includingpossiblesuspensionordismissalfromtheProgram.
ASSIGNMENTOFCLINICALSITE
The clinical coordinator will assign students according to each student’s academic
performance(attendance,grades,andprofessionaldemeanor).Thelocationofthefacility,
timeofshifts,andpersonnelassignedarenotguaranteed.Negotiationsofassignmentsare
prohibited. A clinical assignmentmay be rescinded ormodified at any time. The clinical
coordinatorwillmakeanefforttoobtainaplacementwithina50‐mileradiusofthestudent’s
home.Refusalofanassignmentforanyreasonwillresultinthelossofthestudent’spriority.
IfaclinicalassignmentisnotcompletedbytheendoftheSpringsemester,thestudentwill
receiveagradeof“Incomplete”andwillbeofferedanopportunityintheSummersemester
if there are sites available andpersonnelwilling to supervise as clinical instructors. The
studentwho refusesanassignmentand/or fails tobegin their trainingby theendof the
Spring,willreceiveagradeof“NoPass.”Anystudentwhoisunabletocompletetheirtraining
bytheendoftheSummer,willreceiveagradeof“Incomplete”andwillhavetoreturnthe
followingyearthecourseisoffered(seeReturningStudent).
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ATTENDANCE
Attendance ismandatory. This includes arriving to class and the clinical site on the
scheduledtime,inappropriateattire,andpreparedtoreportforduty.Regularattendancein
classandclinicalisanobligationassumedbyeverystudentatthetimeofregistration.
ABSENCES
Tardinessx3=1absence
Absencesx3=verbalwarning
Absencesx5=verbalwarning,writtenwarning,deductionofpointsfromgrade
Absencesx7=disciplinaryactionincludingbutnotlimitedtobeingdroppedfromthecourse
anddismissalfromtheprogram.
Collegepolicystates:"Whenrepeatedabsencesplacetheprobabilityofthestudent'ssuccess
in doubt, the professormay drop such a student from the course." Absencemeans non‐
attendance for any reason. This is an intensive vocational training program in which
informationregardingthecareofhumanlivesisofferedateveryclass.Anyabsencemayput
thestudent'schanceofsuccessatrisk.
"Itistheprerogativeoftheprofessortodeterminewhenabsencesareexcessive."
Summer Three(3)absencesareallowed.
Fall Five(5)absencesareallowed.
Spring Three(3)absencesperclinicalrotationareallowed.
***Foreverydayabsentoverthelimit,thestudentwillhavefive(5)PERCENTAGEPOINTS
subtractedfromtheFinalgradeforthesemester.
NOTE:Ifthehospitalmanagementfindstheabsenteeismofthestudenttobeexcessive,they
mayrequestthatthestudentberemovedfromtraining.Thereisnoassurancethatanother
clinical site can be obtained for the student. Therefore, the studentmay be subjected to
disciplinaryactionincludingpossibledismissalfromtheprogram.
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TARDINESS
Frequent tardiness is seen by O.R. managers as unprofessional and can cost a Surgical
Technologisthis/herjob.Therefore,everyclassday,thestudentisexpectedtosigninonthe
attendancesheetby8:00a.m.Everyclinicalday,thestudentwillbeexpectedtodocument
theirhoursonaTimeCard thatwillbesigneddailybytheOperatingRoomNurseManager
orChargeNurse.Time cards are turned into the Instructoronaweeklybasis.Three (3)
occurrencesoftardinessisanequivalentofone(1)absence.
NOTE: For excessive tardiness and/or failure to notify the Program office BEFORE the start time
of Class or Clinical days, the student will have five (5) PERCENTAGE POINTS subtracted from
the next class test. Aswithanyunprofessionalbehavior, thestudentwillbecounseled.Ifthe
patterncontinues,thestudentmayfailtheprogram.
NOTE:O.R.managers routinely review a student’s attendance recordbefore a student is
consideredforclinicalplacement.
NOTIFICATIONPROCEDURE
If,foranyreason,thestudentfindsthats/hewillbelate or absent fromclassortheclinical
site,saidstudentisexpectedto:
1.Keepoffice/cellnumbersoftheInstructorsandClinicalsiteswithhim/heratalltimes.
2. Call the office phone or cell number oftheInstructorsandtheClinicalsiteBEFOREthestart
ofclassortheClinicaldayandleaveamessage.
3.Wheneverpossible, give severaldays’noticeprior to theabsence inwriting.DoNOT
emailtheofficethedayoftheabsence.O.R.NurseManagersdonothavetimetocheckthe
emailforabsentworkers.NeitherdoestheInstructor.
LEAVEOFABSENCE
For leaveofabsence (LOA)ofgreater thanaweek, thestudentmust requestaLeave‐of‐
AbsenceinwritingfromtheProgramDirector.PersonalLeavesaregrantedonacase‐by‐
case basis. For Medical Leaves‐of‐Absence, a letter from the student’s physician must
accompanytherequest.Thelettermustdescribethemaladyandtheestimatedlengthoftime
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the student is unable to attend school. Prior to his/her return from aMedical Leave‐of‐
Absence,thestudentmustsubmitastatementfromthephysicianverifyingthatthestudent
still meets the physical requirements for training in this program. Leaves are granted
accordingtothefollowingandmustmeetallofthefollowingrequirements:
1) Student’s academic standing and clinical performance are acceptable and the
2) Leave will not place the student’s standing at risk and the
3) Malady does not pose a long-term risk to the student working in the O.R.
Note:IftherequestismadeduringSURG440&441theInstructormayexercisethepolicy
forExcessiveAbsences(See“Attendance”)andwithdrawthestudent.Iftherequestismade
duringSURG443,theInstructormayrequirethestudenttomakeupthetimewithExtended
Trainingat theClinicalSiteoratanother siteata laterdate.Thestudentwill receivean
Incompleteonhisorherrecordsuntilsuchtimeastherequiredhoursarecompleted.
BACKGROUNDCHECKS/DRUGSCREENING
Duetoincreasedsecurityathospitalsacrossthenation,theprogramrequiresallcandidates
forthisprogramtosubmittoaBackgroundCheckandDrugScreening.Applicationsforthis
servicearemailedtotheprogramcandidateswhomustassumethefeeof$98.00.(Note:
Thisservicerequiresthestudenttosubmithis/herSocialSecuritynumber.)Shouldthere
be any criminal history or a positive drug screen, the Program Director, Allied Health
Director, theDivisionDeanand theViceChancellorofHumanResourceswill review the
results.Thestudentwillbeadvisedastohisorherstatusintheprogram.Beadvisedthat
the ingestion of controlled substances such as mood regulators, muscle relaxants, and
narcoticanalgesicsplacethestudentandhisorherpatientatriskofinjury.Ifastudentmust
takeanyof thesemedications forhealthreasons, theywillnotbeallowed to train in the
hospital until they can pass a new Drug Screening. The Background Check and Drug
ScreeningmustbecompletedpriortoadmissiontothefirstdayofSURG440inJune.Ifthis
isnotcompletedbythedeadline,thefirstpersononthewaitinglistwillbeaccepted.
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CHANGEOFADDRESS
ItistheresponsibilityofthestudenttonotifySkylineCollegeandtheS.T.ProgramDirector,
inwriting,ofachangeofaddress,telephonenumberoremailaddress.
COMMUNICATIONDEVICES
Cell phones are to be TURNED OFF intheclassroom.Thestudentmayanswerthecellphone
onlyduringabreak.Electronic devices are NOT to be used during testing. If a cell phone goes
off during a lecture or lab, the student responsible will be required to pay a small fee to the Surgical
Technology Club. Theschoolisnotresponsibleforthelossofordamagetolaptopsorother
electronicdevices.
COURSESYLLABUS
TheSyllabus(orClassSchedule)providesthestudentwiththefollowinginformation:the
date,contentoftheday'slectureorclinicallab,tests,AV's,speaker,location,andrequired
reading.Theclassschedulemaybesubjecttochangewitha24‐hourverbal/writtennotice.
Therefore,itisthestudent’sresponsibilitytokeeptheSyllabusathandandrefertoitdaily.
ReadingsassignedforaclassmustbereadPRIORtothatclass.
DISMISSALPOLICY
Violation of any policies set forth in the Surgical Technology Student Handbook and/or
Skyline College Catalog will first result in a verbal counseling. If a second counseling is
required, the Student and the Instructor will meet with the Supervisor of Allied Health
Programs to determine disciplinary action. A written contract of expected behavior or
performancemay be drawn up and signed by the student. A copywill be placed in the
student'srecordsandacopywillbegiven to thestudent.Thestudentshallbeplacedon
probationuntiltheperformancecriteria,aswritteninthecontract,havebeenmet.Failure
tomeetthewrittenbehaviororperformancecriteriamaybecausefordismissal.Thestudent
willbeinformedinpersonandinwritingofthereasonsforhis/herdismissal.
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DRESSCODE
Studentsareexpectedtoappearneatandprofessionalatalltimesinclassaswellasatthe
clinicalsites.Eachclinicalsitecouldbeafuturesiteofemploymentorasourceforaletterof
reference.AsrepresentativesofthecollegeandSTprogram,studentsareadvisedtodress
accordingly.
In lab,studentsarerequiredtoweartheSkylinescrubsuituniform(top,pants,andhat)
In the clinical site,thestudentshallwearahospital‐providedscrubsuitaccordingtothepolicyoftheinstitution.
ThestudentistoweartheSkylineCollegeIDbadgeonthescrubsuitwhileonthehospitalpremises.
Forthesafetyofthestudent,jewelryandvaluablesaretobeleftathome.Nojewelryis
tobewornintheOR.
Contactlensesmaybeworn.Forsurgicalprocedureswherehazardousfumesmayaffectcontactlenses,regularglassesmustbeworn.
Protectiveeyewearmustbewornwhilethestudentisscrubbedinadditiontoeyeglasses.
Nonailpolishorartificialnailsshallbeworn.
WalkingshoesshallbewornintheOR.Clogs,sandals,andbacklessshoesareconsideredunsafeandshouldnotbeworn.
Students (bothmale and female) are encouraged towear some type of support hoseunderscrubstodecreasediscomfortandincreaseendurance.
Any scented lotions and strong perfumes should be avoided due to sensitivity andallergiesofotherpatientsandstaff.
AttheClinicalsite,studentcellphonesandotherelectronicsarenotallowedintheO.R.
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HOURS & LOCATION
Summer: MEDA415:Mon,Wed.12:00pm–2:00pmSURG440:Mon.,Tues.,Wed.,Thur.8:00–11:30amClassstartsonthehour,justlikeintheO.R.Thesehoursincludeda15‐minutebreak.Fall: SURG441:Mon.,Tues.,Wed.,Thur.8:00–11:30am*SURG451:Mon.,Tues.,Wed.,Thur.12:00–2:00pm***Thereisone15‐minutebreakinthea.m.andoneinthep.m.Lunchis30‐minutes.** Note the hours posted in the College Catalog reads: “Plus 3 hours per week byarrangement.”Theseareadditionalrequiredhourstopracticeskillsduringopenlab.Spring: SURG442:Wed.8:00–2:00pm*SURG443:Mon.,Tues.,Thurs.,Fri.7:00–3:30pm(orbyarrangement)***Thesehoursincludetwo15‐minutebreaksanda30‐minutelunch.**Thesehoursarearrangedbytheclinicalcoordinatorandfacility;theyarealsosubjecttochange.Summer: SURG880:Mon.,Tues.,Wed.,Thurs.5:00–8:30pm*Thisreviewcourseisonly2weeksinlength.MostlecturesareheldintheSurgicalCareersCenter,Building7,Room205ontheSkyline
Collegecampus,3300CollegeDriveinSanBrunounlessotherwisenotedontheSyllabus.An
off‐campusfieldtripassignmentmayberequiredandlocatedinoneofourBayAreahospital
affiliates.Thewise student checkstheSyllabusdailyforthelocationoftheclassesandfor
readingassignments.VarioushospitalsitesacrosstheSanFranciscoBayArea(andbeyond)
areutilizedforClinicalExperiencesuchasSeton,Peninsula,Stanford,Kaisers,SantaClara
Valley,SFGeneralandothers.Therefore,reliabletransportationismandatory.
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GradingPolicy
GradingScale
Percentage LetterGrade** PassorNoPass*
93–100% A P
84–92% B P
75–83% C P
70–74% D NP
69%orless F NP
*OnlySURG451andSURG880canbetakenforagradeofP/NP.**This scale was set by the Surgical Technology Program Advisory Board. The guidingprincipleoftheBoardisthateverypatientdeservesasurgicaltechnologistwhoisatleastAverageorabove.Therefore,astudentwitha“D”GPAwillnotgraduatefromthisprogram.
GRADEVALUES
COURSEREQUIREMENTS %OFGRADE
MEDA 415: LAW AND ETHICS FOR THE ALLIED
HEALTHPROFESSIONALS
WRITINGASSIGNMENTS 25%
PROJECTS 25%
MIDTERMANDFINALEXAMS 50%
100%
SURG440:BASICSCIENCESFORST
QUIZZESANDASSIGNMENTS 60%
FINALEXAM 40%
100%
SURG441:PATIENTCARECONCEPTS
QUIZZESANDASSIGNMENTS 60%
FINALEXAM 40%
100%
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SURG451:SURGICALSKILLSLAB PASSorNOPASS
FINALSKILLSEVALUATION PASSorNOPASS
SURG442:SURGICALSPECIALTIES
QUIZZES 60%
FINALEXAM 40%
100%
SURG443:CLINICALPRACTICEFORST
CLINICALPERFORMANCE PASSorNOPASS
PROFESSIONALISM PASSorNOPASS
SURG455:CSTEXAMPREP
QUIZZESANDASSIGNMENTS 60%
FINALEXAM 40%
100%
Eachsemester,thestudentachievespointsfromquizzes,assignmentsandtheFinalExam.
ForExample:SURG 440:Thereare13quizzesandassignmentsworth100pointseach.The
quizwiththelowestscoreisautomaticallydropped.TotalpointspossibleforQuizzesand
Assignmentsper semester=1200.This is used to obtain an average. For example, 1080
pointsdividedby12quizzesandassignments=90%gradeaverage.Multiply thisby the
WEIGHToftheQuizzesandAssignments(60%ofthesemestergrade)andthestudenthas
earned54points.Ifthestudentscoredan85%ontheFinalExam,thisismultipliedbythe
WEIGHToftheFinal(40%ofthesemestergrade)or34points.Thus54+34=Finalgradeof
88%.
Please note: Surgical Technology students are expected to behave in a professional
manner.This means using effective communication, meeting deadlines and due dates,
treatingotherswithrespect,andmaintaininganexcellentattendancerecord.Toreinforce
thisbehavior,pointsaresubtractedfromthestudent’sgradesifunprofessionalbehavioris
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exhibited.Therefore,for every violation of any of the policies regarding behavior or attendance
published in this handbook, the student shall lose five (5) points from the semester total. For
furtherdiscussionofProfessionalism,seePage35.
INCOMPLETES
AgradeofIncompleteisgivenonlyifthestudenthasnotcompletedhisorherSURG443
ClinicalHours.Itisgrantedonacase‐by‐casebasisaccordingtotherulesstatedintheLeave
of Absence policy (See Page 21). Completion of Extended Training is not to exceed one
semesterpast thegraduationdateof theclass.The Instructormust receive inwritingan
agreementfromtheClinicalsiteverifyingtheirpermissiontoallowthestudenttoextend
his/her training.Upon completionof theExtendedTraining, the Instructorwill submit a
Change‐of‐Grade request with Admissions and Records to remove the Incomplete. The
graduatewillthenreceivehis/herCertificateofCompletion.
QUIZZESANDFINALEXAMS
Quizzesandfinalexamsareworth100 points each.StudentsuseaScantron form and a #2
pencil. Alltestsaretimed.Noonemayentertheclassroomonceatesthasbegun.
Afterthequizhasbeencorrected,theScantronisreturnedtothestudentforareview.The
scoresforthetestsandassignmentsareaveragedtogether.Thelowestscoreisautomatically
dropped.Then,thetotalpointsaredividedbythenumberofpotentialscoresminusone.The
pointsearnedareobtainedbymultiplyingthesemesteraveragebythepercentagevaluefor
QuizzesandAssignmentsasstatedabove.
Ifatestexamhasbeenmissedforanyreason,thestudentmustmakearrangementswiththe
Instructortotakethequizwithin 5 class days after his/her return ors/hewillforfeitthegrade.
TheFinalExamsarecomprehensivecoveringallsubjectareasforthesemester.
WRITINGASSIGNMENTS(MEDA415,SURG440,SURG441,SURG455) Assignmentsareworth100 points each.Papersmustbetyped,withcorrectspellingandin
thestudent'sownwords.Assignmentssubmittedaftertheirduedatewillbe marked down 5
points each day they are overdue.
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1. Pharmacology: Student is to prepare a report on an assignedMedication. Thewritten
reportissubmittedtotheInstructorandpresentedtoclass.
2.MedicalTerminology:Studentistotranslateintolaymen’stermsanassignedexcerptfrom
anursingtextbook.Submittedandpresentedtoclass.
GRADUATION
A student who completes the General Education Requirements to obtain an Associate’s
DegreeinSurgicalTechnologyisinvitedtotheCollegeGraduationCeremonies.Advisingon
obtaininganAssociate’sDegreewillbemadeavailabletothestudentintheFallsemester.At
anytime,thestudentmaymakeanappointmentwithacollegecounselortodiscusshisor
herstatus.
GRADUATIONCEREMONY
ThegraduatingsurgicaltechnologistsmaychoosetocelebrateGRADUATIONonthecollege
campusinamannerinkeepingwiththecollegerulesandinrespectfortheprofessionof
surgical technologists. Thismay include a semi‐formal ceremonywith a presentation of
certificates. Another option is an informal luncheon off campus. Arrangements for the
graduationwillbediscussedatmeetingsoftheSurgicalTechnologyClub.
CERTIFICATESOFCOMPLETION
Upongraduation,thestudentwillreceiveaCertificateofCompletionfromtheAdmissions
andRecordsDepartment,andaLetterofRecommendationfromtheProgramDirector.Itis
suggestedthegraduatebringthesedocuments,alongwiththeFinalClinicalEvaluation,the
SkillsChecklistandtheCaseTrackingLogtoanyjobinterview.JobPlacementservicesmay
beofferedthroughtheCounselingDepartment.
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GRIEVANCEPROCEDURE
Should a student disagree with any policy or decision regarding his/her status in the
program,s/hemayinitiatethefollowingprocedureforfilingagrievance:
Step1:ThegrievanceshallbepresentedinwritingtotheInstructorandtheSupervisorof
AlliedHealthProgramswithinthirty(30)calendardaysafterthedateonwhichitarises.The
Instructorshallreplyinwritingwithinseven(7)calendardaysafterreceiptofthegrievance.
Step2:IfthegrievanceisnotresolvedatStep1,thestudentmustthensubmitthewritten
grievancetotheDeanofMath/ScienceandTechnologywithinseven(7)calendardaysafter
the presentation of the Instructor's reply. The dispute is then handled by the college’s
grievanceprocedure.(See the Skyline College Student Handbook).
HEALTHPOLICY
APPOINTMENTS
Doctor,dentalorotherappointmentsshouldbemadeafterclassorclinicalhours.If,under
extenuatingcircumstances,thestudentmustattendanappointmentduringclasshours,the
studentisexpectedtonotifytheInstructor,in writing,prior to making the appointment.NOTE:
ThestudentwillbetraininginaHealthcarefacility.Therefore,ifthestudentpresentswith
contagious symptoms, s/he is strongly advised to stay home and rest. Examples of
contagioussymptomsinclude:
Fever greater than 100° F
Excessive cold symptoms (drippy nose and eyes, sneezing)
Skin eruptions, or recent and/or draining wounds on hands or arms.
Ifthestudentisexperiencingpainforwhichover‐the‐countermedicationsareineffective,
thestudentmustseeaphysicianandreporttotheInstructor.ThestudentmayNOTtrainat
theClinicalsiteifheorshemusttakeacontrolledsubstanceforpainrelief.
ConditionsthatpreventthestudentfromtrainingattheClinicalSite:
1. Aninjurythatleavesanopenordrainingwound
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2. Pain thatmust be treatedby aControlled substance (ex:Vicodin,Demerol, etc)The
studentmayreturntotrainingwhenthewoundhasformedascaborthepainmedication
isnolongerneeded.ADr.’sclearancewillberequiredbeforethestudentisallowedto
returntotraining.(SeeAttendancePolicy
HEALTHSCREENINGS
PriortoentryintoSURG443,everystudentmustpassaPhysicalExamandImmunization
Screening.Requiredscreeningsinclude allofthefollowing:
1.ProofofImmunityto:
HepatitisB
Measles,Mumps,Rubella(MMR)
Varicella
Tetanus,Diphtheria,Pertussis(TDAP)
NOTE:“Proof”meansabloodtest(titer)showingimmunity.
2.Tuberculosis(TB)clearancebyeitherTwoPPDTestsresultsorQuantiFERON,orchestX‐
ray.
3.DocumentedSeasonalInfluenzavaccination
HEPATITISBVACCINATION
TheHep.Bimmunizationseriesconsistsofoneshotfollowedinonemonthbythesecond
shot,followedbythethirdshotsixmonthslater.Thestudentmustthenobtainatiter(or
test)todetermineifs/heis“seropositive”(immune).If,afterreceivingthevaccineseries,
thestudentfailstoseroconvertfromnegativetopositive,s/hemustreceivea“booster”and
have another titer drawn. If, after the booster, s/he is still not considered immune, the
studentshallreceivecounselingbytheInstructorabouthis/herrisksworkinginanO.R.If
thestudentacceptstheserisks,s/hewillbeaskedtocompleteawaiverform.Acopyshall
beplacedinthestudent’srecordandacopyisgiventothestudent.
SEASONALINFLUENZAVACCINE
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Every year a different version of the Influenza (“Flu”) Virus is identified for which Healthcare
providers must be immunized. TheStudentmayusetheservicesofhisorherownpersonal
physicianorusetheservicesofferedattheSkylineCollegeHealthCenter.(Seebelow)
SkylineCollegeHealthCenterServicesBuilding2,Room2209,650‐738‐4270.
SkylineCollegeHealthCenterServices
Building2,Room2209,650‐738‐4270
NursePractitioner/PhysicianAssistantHealthScreenings $30
BloodWork(TestforImmunity) AtCostperTest
TBTestx2 $10/each
Measles,Mumps,Rubella(MMR)Shots
$10
Varicella $10
Tetatus,Diptheria,andPertussis(TDAP) $10
HepatitisB(Series) $30
SeasonalFluShot FREE
INSURANCE
TheSanMateoCommunityCollegeDistrictmaintainsprofessional liability coveragefor
studentsparticipatingintheAlliedHealthoccupationprograms.Incaseofinjuryduetoon
thejobtraining,thestudentisalsoconsideredan“Employee”oftheCollegeDistrictandis,
therefore,entitledtoWorkers’Compensationbenefits.
JOBFAIR
Annually, the jobmarket in theGreater BayArea is surveyed to assess the need for the
Surgical Technology Program. This information is shared with the students. Additional
servicesareavailablethroughtheCounselingDepartment.
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AttheendoftheFinalsemester,theProgramsponsorsaJob Fair. AttheJob Fair,thestudents
areintroducedtorecruitersfrominterestedhospitals.Attendanceismandatory.(Forevery
EmployerinterviewthestudentdocumentsattheJobFair,s/hewillreceive2ExtraCredit
points). AfewweeksbeforetheJob Fair,thestudentswillattendaclassonInterviewing
SkillsandResumeWritingtaughtbyaCareerCounselor.Theclassalsoadvisesondressing
forsuccess.Forwritingaresume,thestudentcanreceive5ExtraCreditpoints.ExtraCredit
pointsareaddedtotheQuizzesscores.
JURYDUTY
If a student receives a summons for JuryDuty from aMunicipal or Superior Court, that
studentmaybeexcusedduetothefacts/heisinaVocationalTrainingProgram.Pleasesee
theInstructorforaletteraskingforadelayintheassignmentuntilaftergraduation.
LATEXALLERGY
BeadvisedthatalargenumberofproductsusedintheOperatingRoomcontainlatexand
thatworkinginthisenvironmentplacesthepersonsensitiveto latexatgreatrisk.If it is
found that a student is sensitive to latex products, the studentmust be evaluated by an
allergistfamiliarwiththeprotocolsoftheCentersforDiseaseControlandPrevention.The
studentshallbecounseledbytheInstructorsandprovidedwithalistofproductscontaining
latexandtheiralternatives.AClinicalSitemustbefoundthatcanmakeaccommodations
suchthatthestudent’shealthwouldnotbeatriskwhiletraining.Ifasitecannotbefound
thatcanaccommodatethelatex‐allergicstudent,sheorhewillnotbeabletocompletethe
program.
NATIONALCERTIFICATIONEXAM
There are three agencies that offer national credentials for the Surgical Technologist.
However,theAssociationofSurgicalTechnologistsrecognizesonlytheNationalBoardfor
SurgicalTechnologistsandSurgicalAssistants(NBSTSA).TheNBSTSAhasverystrictrules
foreligibility:Theapplicantmusthavegraduated froma formalprogramwhich includes
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34
manyhoursofhands‐ontraining,andsaidprogrammustbeaccreditedbytheCommission
onAccreditationofAlliedHealthEducationPrograms(CAAHEP).CAAHEPisaffiliatedwith
and supervised by the American Medical Association. The Skyline College Surgical
TechnologyProgramhasbeenaccreditedbyCAAHEPsince2000.
PREPARATIONFORCERTIFICATIONEXAM
SURG 455 is an intensive review and prep course offered at the end of the program to
preparetheclassfortheNationalCertificationExam.Theclassincludesadiscussionofthe
cost, application to and eligibility for the exam. The class will also cover test‐taking
techniques,andassessments.SeveralnotedPreparationtextswillbereviewed.
RESOURCESFORPREPARATION
Appleton & Lange’s Review for the Surgical Technology Certification Exam, Allmers &
Verderame,5thEdition,Appleton&Lange
Surgical Technology Exam Review, 3rd Edition, Rogers, Boegli, & LaRue, 2013, Pearson
SurgicalTechnologyReview,Chambers&Roche,2010,F.A.DavisCo.
*Surgical Technologist Certifying Exam Study Guide, 2nd Ed., 2007, Association of Surgical
Technologists, Inc.
*This resource is provided as part of the Gold Student Membership Bundle from the Association
of Surgical Technologists. (See Page 36)
OFFICEFACILITIES
The office tools and kitchen appliances are available for student use. The VCR and LCD
projectormaybeusedbypermissiononly.Therearecomputersspecificallyfortheuseof
studentslocatedinThe Allied Health Learning Center, Room 7211. There are also computers
available in Building 6 and in the College Library in building 5.
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35
PROFESSIONALISM
A student in this program is under constant observation by healthcare professionals,
patients,andvisitorsbothattheCollegeandattheClinicalSite.Failuretocomplywiththe
followingrulesofbehaviormaybegroundsfordismissalfromtheprogram.Thestudentis
expectedto
1. Abidebythepoliciesoftheprogramasdefinedinthishandbook.
2. Attendallclassesandclinicaldays.
3. Bepromptandpreparedtoalllearningsites,classandclinical.
4. KeeptheInstructorsandtheClinicalSitemanagersinformedastoabsence/tardiness
5. Arriveateachlearningsitepreparedtolearn,assignedreadingiscompleted,thestudenthas
materialsfortakingnotes,andthestudentisdressedappropriately.
6. Submitassignedcourseworkorrequireddocumentationonitsduedate.
7. Treatallpersonsandpropertywithrespect.
8. Observetheprivacyandconfidentialityofallpersons.
9. Participateinclassdiscussionsandinteamprojects.
10. Acceptconstructivecriticismtoimproveskills
The following is a list of behaviors that constitute as unprofessional and disruptive. Be Advised:
Hospitalsmayfireanemployeewhoexhibitsanyofthebehaviorslistedbelow.Astudent
shallbesubjecttodisciplinaryactionincludingpossibledismissalforanyofthesebehaviors
includingbutnotlimitedto:
1. Frequent absences and/or tardiness.
2. Failure to submit documentation on time, or falsifying documentation.
3. Abusive, lewd, foul, or threatening behavior to patients, other students, faculty, or clinical
staff members
4. Student was observed to be under the influence of drugs or alcohol.
5. Student was observed committing plagiarism, or cheating, or stealing.
6. Student was observed deliberately damaging College or Hospital property.
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PROFESSIONALAFFILIATION
Students are expected to join the professional organization: Association of Surgical
Technologists,Inc.Studentmembershipfeeisusually$45.00.Benefitsinclude:
TheSurgicalTechnologistjournal(12‐monthsubscription)
LowerregistrationforthenationalCertificationExam
Lowerregistrationfeesforthenationalconference
Low‐costmalpracticeinsurance
AvoiceinthenationalandlocalpoliciesaffectingtheSurg.Tech.Profession
***Students will be asked to purchase the Gold Student Bundle for $247.00 which includes the
membership fee, the National Certification Exam fee, and the cost of the Exam Study Guide.
RETURNINGSTUDENTS
Astudentwhoisunsuccessfulduetoacademicornonacademicreasonsandwishestoreturn
totheprogramwillbeconsideredforre‐entryonthebasisoffollowingmerits:
1. Thestudent’sacademicstanding,attendance,clinicalskills,attitudeandbehaviorsduring
hisorherinvolvementwiththeprogram.
2. Clear reasoning for the student leaving the program including academic, finances, job
schedule,home,andfamilyissues.
3. Resolutionorthepotentialforresolutionofthereason(s)forleavingtheprogram.
4. Development of a Student SuccessPlan inorder for the student tobe considered for re‐
admission.Resourcestohelpdevelopthisplanmayincludebutarenotlimitedto,academic
support,financialaid,academicorpersonalCounseling,orconsultationwiththeDisability
ResourceCenterasitisappliedcasebycasebasis.
5. The faculty and clinical instructor’s judgment on the student’s potential to successfully
completetheclassroomandclinicalphaseofthetraining.
6. Theavailabilityofspaceandresourcesintheprogram.
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37
Thedecisiontoallowthestudenttore‐entertheProgramshallbeatthediscretionofthe
ProgramDirectorafterconsultationwiththeDirectoroftheAlliedHealthProgramsandthe
DeanofMath,ScienceandTechnologyDivision.
The Student Success Plan will be developed in collaboration with program faculty and
academiccounselor.Thestudentwillbenotifiedoncethedecisionhasbeenmadeandthe
processforre‐entrywillbediscussed.Thiswillinclude:
Reviewofdeficienciesinstudentperformancetostopoutwithinprogram
Studentsuccessplanstrategiesincludingresourcestosupportsuccessfullycompletion
Pointofre‐entryandspecificpreparationand/oracademic/skillsdemonstrations
Studentresponsibilitiesincarryingoutplan
Student will notify Program Director of intention to re‐enter program during open
applicationperiod for subsequent cohort (January 15-April 1). Studentwill benotifiedof
officialre‐entryfollowingnormaladmissionsprocedures.Studentwillbeexpectedtoattend
new cohort orientation and resubmit/update any requested admissions requirements
(backgroundcheck,drugtest,physical,andimmunizationdocumentation).
Thestudentisresponsibleformeetingexpectationsoftheplanandwillmakeregularcontact
withtheacademiccounselor.TheProgramDirectorisresponsibleformonitoringtheplan
andtoassistthestudentwithresourcestopromotesuccess.IfatanygiventimetheStudent
isnon‐compliantwiththeplan,anearlyalertwillbesentactivatingfurtherstudentsupport
systemsavailableatSkylineCollege.
SURGICALTECHNOLOGYCLUB
TheSTClubisoneofseveralclubsonthecollegecampus.EachClubisrequiredtocreateand
abidebyaconstitution,electofficers,andcreateandadministerabudget.TheSTClubhas
no dues, but monies are available through the Skyline Organization and Club Council
(S.O.C.C.) part of the Student Activities Office. The club members may also engage in
fundraising activities according to rules of the S.O.C.C. Monies can be used to fund club
SkylineCollege
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38
outings,activitiestohonorSurgicalTechnologistWeek(September),andfortheGraduation
ceremony.
SMOKING
Skyline College is a NON‐SMOKING campus. Smoking is prohibited inside healthcare
buildings(hospitalsandclinics).
STRESSANDTHESURGICALTECHNOLOGYSTUDENT
This course is extremely stressfulmentally, physically, and emotionally. Stress has been
knowntoleadtoillnessandinjury.Toreduceorpreventtheeffectsofstress,thestudentis
stronglyencouragedtoadoptthefollowingrecommendations:
REST‐6to8hoursanight.Stressplacesanincreaseddemandontheenergyreserve.
EXERCISE‐20minutesofaerobicactivity3timesaweek.Thishelpsinthreeways:1)relieves
nervoustension;2)increasesstrengthandenduranceneededintheO.R.;and3)promotesa
restfulsleeppattern.Simplewalkingisanaerobicactivity.
NUTRITION–3healthfulmealsaday,especiallyBreakfast,toreplenishtheenergystores
tappedbystress.Actuarialresearchshowsthat75%ofall industrialaccidentshappento
peoplewhodonoteatbreakfast!
DRUGS‐Alcohol,caffeine,nicotineandothersstressthebodyandinterferewitharestful
sleepingpattern.Avoidthem.
ThestudentwillbepracticinginaHIGHRISKENVIRONMENT,caringforHUMANLIVES.The
SurgicalTechnologystudentis,therefore,obligatedtoobtainadequaterestandnutritionto
meetthedemandsoftheirpractice.
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TUITION
Fees* Amount
SkylineEnrollmentFee($46perunit)x33.5unitstotal** $1,541
Non‐ResidentFee($258perunit)x33.5unitstotal $8,643
Parking,HealthCenter,StudentBody,StudentUnion,etc. ~$146
PhysicalExaminationandImmunizations(Skyline/OwnMD) $110/$240
ProfessionalAssociationMembershipandCertificationExamination $247
BackgroundCheck,DrugScreening,andCPRCard ~$198
TextbooksanMisc.Supplies $350
TotalResidentFees $2,592
TotalNon‐ResidentFees $9,694
*FeesaresubjecttochangepertheCaliforniaStateAssembly
**Enrollmentfeesarepaideachsemester
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WORKER’SCOMPENSATION
POLICYANDPROCEDUREFORSTUDENTSINJUREDATTHECOLLEGE
Ifastudentbecomesillorisinjuredwhileinclasss/heshould:
1. ReporttheincidenttotheInstructoroftheSurgicalTechnologyProgram.
2. ObtaintreatmentattheHealthCenter.
3. FileanIncident Report withtheInstructorwithin24hoursoftheincident.
POLICYFORINJURIESOREXPOSEDTOBODYSUBSTANCESATCLINICALROTATIONSITE
Definitions:“BodySubstances”includetissueand/orbodyfluids,especiallybloodandfluids
contaminatedwithblood.“Exposure”meansthesubstancecontactedbareorbrokenskin
and/ormucousmembranes.Thestudentshould:
1. Immediately report accident, injury, needle stick, splash, or other exposure to body
substances.ReporttotheInstructoroftheSurgicalTechnologistprogramandtheO.R.Nurse
ManagerorChargeNurse.
2. Follow the Hospital’s protocol for employees regarding accidents or body substance
exposures.
a. Obtaintreatment
b. Completeallmandatoryhospitalforms(exceptWorker’sComp)
c. Keepcopiesforyourrecords
d. CompletetheSurgicalTechnologyProgram’sIncidentReport
e. CompleteSkyline’sWorkers’CompensationForm
f. SubmitallformstotheProgramInstructorASAP
IftheChancellor’sOfficeoftheSanMateoCommunityCollegeDistrictacceptstheWorkers’
Compensationclaimforms,acopywillbesenttothestudent.Ifnot,thestudentisobligated
topaythefeesfortreatmentrendered.Thestudentisadvisedtokeeptheseformsandany
correspondence in a safe place for up to four (4) years. If the healthcare facility where
treatmentwasobtainedbillsthestudent,heorsheshouldsubmitacopyoftheWorkers’
Compensationformstothehospitalbillingoffice.See Appendix E for a sample of the Incident
Report.
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COURSEDESCRIPTIONS
MEDA415:LAWANDETHICSFORALLIEDHEALTHPROFESSIONALS
Legalrelationshipsofphysiciansandpatients,contractualagreements,professionalliability,
malpractice,medical practice acts, informed consent, and bio‐ethical issues. Emphasis is
placedonlegalterms,professionalattitudes,andtheprinciplesandbasicconceptsofethics
andlawsinvolvedinprovidingmedicalservicesforthealliedhealthprofessional.
SURG440:BASICSCIENCESFORSURGICALTECHNOLOGY
Reviewofhumananatomy for surgicalprocedures and commondisease states requiring
surgicalintervention.Thecoursealsocoversmicrobiologyandoperatingroommedications
pertinenttothesurgicaltechnologist.
SURG441:PATIENTCARECONCEPTS
This course provides the student with a theoretical and practical understanding of the
technologyandpracticesusedincaringforapatientundergoingasurgicalprocedure.
SURG451:SURGICALSKILLSLAB
DuringSURG451,thestudentisexpectedtoacquireanddevelopclinicalskillsatthelevelof
abeginner.Thestudentwillreceiveaskillschecklist(AppendixA).Everyweek,additional
hours must be documented to practice skills. The skills must be demonstrated at an
“acceptable” level to the instructor. The student is expected to practice these skills
independently(withoutsupervision)andingroups.Thestudentwillprepareforthefinal
skillsevaluationattheendofthesemester.Thefinalskillsevaluationiscumulativeandwill
beperformedinasimulatedmocksurgery.Thisclassisamandatoryrequirementandthe
studentmustreceiveagradeof“pass”toprogresstoSURG443:ClinicalPractice.
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SURG442:SURGICALSPECIALTIES
Coversthemostcommonproceduresandequipmentutilizedbythesurgical technologist
during specialty surgery. These surgeries include neurological, cardiac and pediatric
procedures.Preparesthestudentforthenationalcertificationexamination. Thiscourseisa
series of lectures, demonstrations and online videos of the various surgical specialties.
Courseworkincludesstudyquestionsfromthetextandweeklyquizzes.TheFinalExamis
200multiple‐choicequestionscoveringMEDA415,SURG440,441,442andisgradedby
Scantron.The student must achieve a grade of 75% or better to pass the Surgical Technology
Program.
SURG443:CLINICALPRACTICEFORSURGICALTECHNOLOGY
Moststudentswillhaveone8‐weekClinicalRotationateachoftwo(2)differenthospitals
selected by the Instructor. The site selection will be based in part on proximity to the
student’shomeandthestudent’scompatibilitywiththeO.R.environment.To pass this course,
the student must 1) complete a minimum of 500 hours and, 2) achieve skills in surgical technology
at the level of an Advance Beginner (See Final Evaluation, Appendix C). They must also achieve
the Standard Level of Case Requirements (Appendix D).
The student is to be assigned to appropriate learning opportunities while in Clinical. A
Preceptormustalwaysbeimmediatelyavailabletoscrub‐inwiththestudent.Sometimes,a
HospitalmaybeshortofO.R.staffandmayaskthestudentto“fill‐in”.Astudentmay not be
assignedinplaceofatrainedemployee.Thispolicyisinplacetoprotectthepatientfrom
harm,andthestudentandthehospitalfromlegalliability.
SURG 443: Clinical Practice for Surgical Technology isgradedasCredit/NoCredit(pass/fail).
Ifforanyreasonthestudentisnotabletocompleteaclinicalrotation,whetherduetolack
ofproficiencyinskillsorunprofessionalbehaviors,orduetotheSite‐requestedremovalof
thestudentfromtheClinicalSite,s/hewillreceiveaNoCredit(fail)forthatclass.
To complete the program, the student MUST PASS SURG 443.
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CLINICALTRAINING(SURG443):DOCUMENTATION
Prior to beginning Clinical Training, the studentwill receive the Clinical Handbook. The
HandbookcontainsClinicalObjectivesforeveryweektoguidethestudentandhisorher
Preceptorinthetraining.TheobjectivesareusedbythePreceptortoevaluatethestudent's
weeklyperformance.TheseWeeklyClinicalEvaluationsaredue every Wednesday.Attheend
of the First Rotation, the Preceptors will be asked to complete a Final Evaluation. (See
Appendix B).TheFirstRotationEvaluation isgradedtogive feedback to thestudentand
identifyareaswherethestudentneedsimprovement.TheFinalClinicalEvaluationisgraded
asPass/Fail.To pass the Surgical Technologist Program, the student MUST satisfactorily meet
the Clinical Objectives by receiving a Passing grade on the Final Clinical Evaluation (see
Appendix C).
Documentation:TimeCard
The hours that the student has spent in the Clinical Training must be verified by the StudentTime
Card. This is to be signed DAILY by the Charge Nurse or Nurse Manager. Each week, the student
submits the Time Card along with the other required documents. (See below). Topassthiscourse,
the student must train for a minimum of 500 hours and remain in training until the
completionoftheSpringsemester.
Documentation:ClinicalJournal
During the First Clinical Rotation, the student is expected to submit a report of a surgical procedure
for every day of training during the previous week. The report is to follow a specific format. It is
submitted for review by the Instructor every Wednesday. These reports are used as a learning tool
to record the Clinical experience and as an evaluation tool for the Instructor. In addition, this has
been proven helpful in reducing stress when the student uses it to vent his/her feelings about
Clinical. The contents of these reports are kept in strictest confidence. While the reports are only
required for the First Clinical Rotation, the student is encouraged to keep documenting his/ her
experiences throughout both rotations.
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Documentation:SurgicalCaseTrackingLog
Thestudentisexpectedtodocumentproficiencyonanumberofselectedtypesofsurgical
procedures.ThestudentwillbegivenadiscwiththeCaseTrackingprogramthatallowsthe
studenttotracktheseprocedures.AsummaryissubmittedtotheInstructorattheendof
thesemester.(SeeAppendixD).Topassthiscourse,thestudentmustdocumentaminimum
of125ofselectedtypesofsurgicalproceduress/heiscapableofperformingindependentof
thePreceptor.
Documentation:ClinicalSkillsChecklistThe student is also expected to acquire a minimum number of selected skills. It is the
student’sresponsibilitytoseekoutopportunitiestolearntheseskillsanddocumentthem
ontheClinicalSkillsChecklist(SeeSampleinAppendixB).TheChecklistwillbecollectedat
thecloseofeachrotationandreviewedbytheInstructor.Topassthiscourse,thestudent
mustacquiretherequiredminimumnumberofselectedskills.
SURG455:CERTIFICATIONEXAMPREPCOURSE
PreparationandreviewfortheCertifiedSurgicalTechnologist(CST)examinationofferedby
theNationalBoardofSurgicalTechnologyandSurgicalAssisting.
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DIRECTORYDepartmentofScience,Math,andTechnology(SMT) Office(650)738–4221
Fax(650)738–4299
RaymondHernandez,MPH
DeanofScience,Math,andTechnology
Office(650)738–4354
IjazAhmed,MD
DirectorofAlliedHealthPrograms
Office(650)738–4457
AlanaUtsumi
ProgramServicesCoordinator
Office(650)738‐4310
AliceErskine,MSNRNCSTCNOR
DirectorofSurgicalTechnology
Office(650)738–4470
Cell(510)427–9148
JayOlivares,BSNCST
DirectorofClinicalEducation
Office(650)738–4416
Cell(510)359–3101
InstructionalAide
TBA
Office(650)738–4416
Note:Please,makeeveryefforttodiscussyourconcernsduringregularofficehours(0800‐
1700).KEEPthephonenumbersoftheinstructorshandyincaseofanemergency.
Alice’scellphonenumberisforEmergenciesONLY!
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NOTE:SURG451canonlybetakenwithagradeofP/NP.Topasstheclass,thestudentmustachieveaminimumgradeof75pointsoutof100,or75%onthefinalskillsevaluation.AsecondandFINALattemptwillbegivenforstudentswhodonotmeettheminimumgrade.Agradeof74%orlessonthesecondandfinalattemptwillresultinagradeofN/Pforthecourse.Thisformisasampleandsubjecttochange.
4 3 2 1 1. Proper OR Attire Dressed in proper
OR attire Missing article Missing two or
more articles Missing three or more articles
2. Verification of Sterility
Sterility of all instruments and supplies were verified
One item unverified
Two or more items unverified
Three or more items unverified
3. Opening Sterile Field
Sterile field was opened accordingly
1 field was opened inappropriately
2 or more fields were opened inappropriately
3 or more fields were opened inappropriately
4. Opening Sterile Supplies
All supplies were opened appropriately
1 item was opened inappropriately
2 or more supplies were opened inappropriately
3 or more supplies were opened inappropriately
5. Hand Scrub Covered all surfaces
Missing 1 surface Missing 2 or more surfaces
Missing 3 or more surfaces
6. Hand Drying Hand drying correctly
Hand towel touched scrubs but was changed
Hand towel touched scrubs and was ignored
Hand Drying inappropriately
7. Gowning Gowning appropriately
N/A N/A Gowning inappropriately
8. Gloving Gloving according to close glove technique
N/A N/A Gloving incorrectly
9. Sharps Safety All sharps were secured and accounts for
1 sharp unsecured or unaccounted for
2 or more sharps unsecured or unaccounted for
3 or more sharps unsecured or unaccounted for
10. Surgical Counts All counts were performed appropriately
1 count was missed or performed inappropriately
2 or more counts were missed or performed inappropriately
3 or more counts were missed or performed inappropriately
11. Draping Mayo Stand
Mayo stand draped correctly
N/A N/A Mayo stand draped incorrectly
12. Time Out Time out preformed before surgery start; participated appropriately
Time out performed before surgery start; participated inappropriately
Time out performed after surgery start
Time out not performed
13. Initial Counts Counts were performed appropriately
1 item was unaccounted for
2 or more items were unaccounted for
3 or more items were unaccounted for
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Student: Askanurseorsurgicaltechatyoursitetoinitial yourabilitytoperformtheseskills.Then, have them sign next to their initials at the end of this form.Evaluator: Pleaseobservethestudentforcompetencyinthefollowingskills.Verifybysigningattheendofthisform.Thankyou. Pass Fail No Exp. 1. Transporting Patients to the O.R.
a. Stretcher b. Bed c. Crib d. Wheelchair
2. Second Circulator Duties a. Preparation of Patient for Anesthesia
1. Transfer patient from stretcher to OR table 2. Secure patient, use of arm-boards 3. Position patient for spinal/epidural
b. Positioning the Patient 1. Supine 2. Jackknife 3. Lithotomy 4. Fracture Table 5. Supine for Hand 6. Supine for Knee Arthroscopy 7. Lateral for Thoracic/Urology 8. Head and Neck 9. Lateral for Hip 10. Prone
c. Set-up for Endoscopy d. Set-up Hypothermia Blanket e. Set-up Liposuction machine f. Set-up Headlights g. Cleaning/Outdating/Putting Away Go-backs h. Picking Cases i. Labor and Delivery
i. Scrubbing in a C-Section ii. Assist w/ Vaginal Delivery
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Student:_____________________________________Date________________
Evaluator(s):_________________________________________________________________
Evaluator:Topassthiscourse,thestudent’stechnicalandprofessionalskillsmustbeatthelevelofanAdvancedBeginner.Thisisdefinedasaprofessionalcapableofmakingchoicesandemonstratingindependentpracticemorethan90%ofthetimeoncasesforwhichs/hehasexperience.S/hemustbeindependentonatleast5differentsurgicalprocedurescoveringavarietyofsurgicalspecialties.Thankyou.
Criteria/Category
1. Studentscrubsindependentlyonatleast5differentprocedures. PASS FAIL(Pleaselisttheseprocedures)
1.____________________________
2.____________________________
3.____________________________
4.____________________________
5.____________________________
COMMENT:
2. Studentmakesefforttoobtainassignment;preparesbyobtaininginformationregardingDr’spreferencecard,procedure,A&P. PASS FAIL
COMMENT:
3. Studentfollowsprinciplesofasepsisconsistently. PASS FAIL
COMMENT:
4. Studentconsistentlyidentifieswhenaseptictechniqueisbroken. PASS FAIL
COMMENT:
5. Studentmakesappropriatecorrectionwhenbreaksoccur. PASS FAIL
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COMMENT:
6.Onroutinecases,studentsetsupMayostandandbacktableinanorganizedandefficientmanner. PASS FAIL
COMMENT:
7. Studentdemonstratesknowledgeofinstrumentationinatleastfour(4)surgicalspecialties. PASS FAIL
COMMENT:
8. Studentcorrectlyidentifiessuturesandtheirappropriateusage. PASS FAIL
COMMENT:
9. Studentcorrectlyidentifiesmeds,theirusesandactions. PASS FAIL
COMMENT:
10. Studentaccuratelylabelsmeds;studentprovidesinfotosurgeon,anesthesiologist&circulatorrenameandquantityofmedsused. PASS FAIL
COMMENT:
11. Studentinitiatesspongeandsharpscounts;studentperformscountsaccuratelyandinatimelyandefficientmanner. PASS FAIL
COMMENT:
12. Studentdemonstratesincreasingspeedinpassinginstrumentsandsuturesinasafemanner. PASS FAIL
COMMENT:
10. Studentdemonstratesincreasingabilitytoanticipatesurgeon’sneeds.
PASS FAIL
COMMENT:
15.Studentrespondstoconstructivecriticismprofessionally. PASS FAIL COMMENT:
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14.Studentcommunicateswithteammembersinanappropriateandeffectivemanner.
PASS FAIL
COMMENT:
15. Studentispunctual. PASS FAIL
COMMENT:
16. Studentusesfreetimeeffectively;e.g./cleaning,pickingcases,assistingotherO.R.teams.
PASS FAIL
COMMEMT:
17. Studentdemonstratesprinciplesofcostcontainment. PASS FAIL
COMMENT:
18. StudentdemonstratescharacteristicsandskillsofasurgicaltechnologistatthelevelofanAdvancedBeginnerandisemployable. PASS FAIL
COMMENT:
Evaluator’sSignature:_____________________________________________________
Student’sSignature:_______________________________________________________
Student’sComments:_____________________________________________________
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INSTRUCTIONSONUSINGYOURCLINICALCASETRACKINGLOG(Version2.0‐2007)
1.Welcometothe2007versionoftheClinicalCaseTrackingLog(CCTL).Thissoftwarehas
beenupdatedfrompreviousversionsandshouldbecompatibleonmostcurrentMicrosoft
Windows© based operating systems. To get started, insert the CD‐R disc into your
computer'sCDdrive.ThiswillbetheD‐driveonmostcomputers.
3.IftheCDdoesnotRunimmediately,clicktheStartbuttonandthenclickMyComputer.
YouwillnowseeaniconnamedDVD/CD‐RWDrive(D:).ClickthisicontoRuntheCDinyour
drive.
4.TheMS‐EXCEL©iconwillappear,withtheCCTLtag,onyourdesktop.YoumustnowSave
andre‐namethisfile.Todoso,clickFileonyourToolBarandthenclickSaveAs.Re‐name
yourfileandmoveittoaFilelocationofyourchoice.Itmaybeveryhandytojustkeepthis
fileonyourDesktop.
5.IMPORTANT:ThisprogramrunsMS‐EXCEL©inthebackground.Becausethereisnoauto‐
savefeaturebuiltintoMS‐EXEL©,YOUMUSTSAVEYOURDATAFREQUENTLY,oryoumay
loseallorpartofyourwork.
6.Thereare19weeksshownforeachcaseactivity.Check thedatesandcorrect themas
needed.
7.TheIndexofCaseswassetupforyousothatyoucanenterandtrackimportantcourse
andpersonaldataasneeded.
8.Thetotalsboxeswillautomaticallytallyasyouenteryourcompletedcasesoneachofthe
worksheets.TheoveralltotalswillautomaticallytallyontheProgramTotalsforyouroverall
casesummaries.
9.WhenyouhavesuccessfullycopiedtheCCTLprogramtoyourcomputer,pleasereturnthe
CDtoyourprofessor.
10.YouarenowreadytogetstartedandbestoflucktoyoufromtheentireCCTLteam.
A sampleof theFinal Summaryof thisExcel Spreadsheet isbelow.Thisprogramwillbe
availableonWebAccessordirectlyfromtheInstructor.