ST Clinical Practice 1 | Madison College Outline of Instruction

10-512-137 ST Clinical Practice 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.

Total Credits

Course Competencies (Course Outcomes)

Adapt to clinical site with continuous guidance

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 ask questions pertaining to clinical site routines

you verbalize needs to instructor
Practice standard precautions with continuous guidance

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 continuous guidance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you demonstrate surgical conscience in all activities

you recognize and correct contamination identified by self or staff

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

you adhere to principles of sterile and aseptic technique
Perform preoperative case management with continuous guidance

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 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

you use medical terminology

you perform in a timely manner
Perform intraoperative case management with continuous guidance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you apply light handles and attach cautery and suction as needed

you have sponges in place

you hand sharps safely and correctly

you hand instruments safely and correctly

you prepare sutures and needles safely and correctly

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 begin to anticipate surgeon's needs

you perform in a timely manner
Perform postoperative case management with continuous guidance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you maintain sterile field until patient has left the room

you handle all materials safely

you place sharps in proper container

you handle all biohazardous waste following facility policy

you follow policy regarding care of instruments

you assist with patient transfer as needed

you remove gown and gloves properly

you use non-sterile gloves for clean up

you follow policy for disposal of linens

you transport dirty cart to designated area

you follow policy for room cleanup

you return unneeded supplies to proper places

you perform in a timely manner
Operate within the legal, moral, and ethical responsibilities of the surgical technologist with continuous guidance

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 maintain patient confidentiality

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 continuous guidance

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 safely

you ask questions if unsure of anything regarding medications or solutions

you evaluate medication type, strength and dosage
Demonstrate professionalism with continuous guidance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you arrive at clinical to receive assignment in a timely manner

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

you demonstrate critical thinking

you ask questions appropriate to the assignment as needed

you research assigned procedures

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 work as a member of the team

you accept constructive comments and feedback from others

you maintain a positive attitude

you seek out learning experiences

you accept assignments willingly
Assist with circulating duties with continuous guidance

Assessment Strategies

in the clinical setting with a checklist

Criteria

you check the patient's identification

you help transfer 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 members in a timely manner

you respond to emergencies as they present themselves

you assist with securing dressings at end of procedure

you stay available for anesthesiologist during extubation

you assist with patient transfer to the recovery cart

you assist in transporting the patient to the PACU as needed

you help with room turn over