ST: Clinical 1 | Madison College Outline of Instruction

31512330 ST: Clinical 1

Course Information

Description

Apply basic surgical theories, principles, and procedural techniques in the operating room. Students begin to function as team members under the guidance of the instructor and authorized clinical personnel. Surgical rotation case requirements are documented.

Total Credits

Course Competencies (Course Outcomes)

Adapt to clinical site with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you demonstrate problem-solving skills

you demonstrate conflict management skills

you seek out learning opportunities

you respond to changes in the operative milieu

you watch the operative field

you follow the surgical sequence

you ask questions pertaining to procedure

you verbalize needs to circulator

you keep surgeon informed
Practice standard precautions with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you wear personal protective equipment as needed for the procedure

you wash your hands as needed

you protect unopened supplies from contamination

you follow facility routines regarding contamination

you follow facility routines regarding specific precautions

you report breaks in technique
Maintain sterile technique with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you demonstrate surgical conscience in all sterile activities

you correct contamination identified by self or staff

you confer with staff regarding any compromise in technique you do not understand

you demonstrate integrity in working in the sterile environment

you follow basic rules of aseptic technique
Perform preoperative case management with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you use preference card to pull assigned cases

you select items to be opened

you arrange furniture in the OR for assigned case

you bring in needed equipment for the assigned case

you place sterile supplies on appropriate surfaces for opening

you assist with opening supplies

you open your own gown and gloves

you scrub for assigned case

you use medical terminology

you gown and glove self

you gown and glove other team members

you set up sterile field

you prepare sharps for use

you perform counts with circulator

you hand drapes to the surgeon or assistant

you assist with draping

you prepare for assigned cases
Perform intraoperative scrub techniques with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you put up light handles, cautery and suction as needed

you have sponges in place

you hand sharps safely

you hand instruments

you prepare sutures and needles

you handle solutions safely

you label all solutions and or medications

you respond to surgeon effectively

you communicate with circulator effectively

you maintain organized sterile tables

you handle specimens appropriately

you initiate counts at appropriate times

you perform counts following facility policy

you prepare dressings as needed

you anticipate surgeon's needs
Perform postoperative case management with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you maintain sterile field until patient is removed from the room per hospital policy

you handle all materials safely

you place sharps in proper container

you handle all biohazardous waste following facility policy

you follow policy regarding aftercare of instruments

you remove gown and gloves properly

you use non-sterile gloves for clean up

you follow policy for waste, linens, etc.

you transport dirty cart to designated area

you follow policy for room cleanup

you return unneeded supplies to proper places
Operate within the legal, moral, and ethical responsibilities of the surg tech with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you perform counts with the circulating RN

you request assistance with anything you are unsure of

you keep patient information private except as needed

you do not abandon any patient

you speak up for the patient as needed

you take part in the "time out" to identify surgical site with the rest of the team

you follow directions of the staff/team

you call for instructor when needed

you report incidences to preceptor or appropriate clinical staff

you complete written incidence reports as necessary
Manage pharmacological agents with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you research all medications prior to use

you follow procedure for receiving medications

you label medications and solutions

you identify medication when handing to the surgeon

you keep track of amount of medication used during the procedure and report to circulator

you dispose of unused medications appropriately

you handle medications

you ask questions if unsure of anything regarding medications or solutions
Demonstrate professionalism with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you arrive at clinical to receive assignment in a timely manner

you demonstrate critical thinking

you ask questions appropriate to the assignment as needed

you research any procedure you are uncertain of using reference materials

you practice ethical behaviors

you communicate effectively

you help maintain a safe environment for the surgical patient

you follow facility policies regarding the operating room environment

you notify instructor and/or clinical site of absence before scheduled time

you work as a member of a team

you accept constructive comments and feedback from others

you maintain a positive attitude

you seek out learning experiences
Assist with circulating duties with assistance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you check the patient's identification

you help move the patient onto the OR bed

you participate in operation site identification during "time out" as defined by facility

you assist anesthesiologist as needed

you assist with positioning the patient

you assist with skin preparation following facility guidelines

you assist with attaching cautery, suction and other equipment as needed

you pay attention to the progress of the procedure

you respond to requests from the sterile team as appropriate

you respond to emergencies as they present themselves

you assist with blood replacement as appropriate

you monitor the patient as appropriate

you assist with securing dressings at end of procedure

you stay available for anesthesiologist during extubation

you assist with moving the patient to the recovery cart

you assist in moving the patient to the PACU as needed

you help with room turn over

you perform any charting duties as appropriate