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May 14, 2024
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ST 250 - Clinical ExternshipCredits: 12 Instructional Contact Hours: 16
Gains supervised clinical experience in hospital and ambulatory operating rooms. Evaluates each student's progress in the theoretical, behavioral, and practical application of concepts of surgical technology.
Prerequisite(s): ST 207 , ST 210 , ST 220 , ST 230 and ST 240 , each with a minimum “C” (2.0) grade Corequisite(s): ST 251W Lecture Hours: 0 Lab Hours: 540 Meets MTA Requirement: None Pass/NoCredit: No
Outcomes and Objectives
- Demonstrate communication skills.
- Communicate in acceptable English and use medical terminology accurately and appropriately.
- Demonstrate critical thinking skills
- Integrate and correlate concepts from different courses, utilize both inductive and deductive reasoning skills, and demonstrate problem-solving skills in both hypothetical and clinical situations.
- Demonstrate interpersonal skills
- Work constructively within a group.
- Demonstrate respect and consideration for others.
- Listen to, respect, and critically evaluate the ideas and opinions of others.
- Respond appropriately to other’s communications.
- Value differences and diversity within a group.
- Identify and analyze one’s own values and responses.
- Respect the perspectives, values, and choices of others.
- Demonstrate information literacy
- Demonstrate the ability to access, analyze, and use information from personal, print, media, and electronic resources to expand his/her understanding of subject matter.
- Adhere to standard principles of aseptic technique and to acceptable standards of behavior and interpersonal interactions.
- Demonstrate appropriate employment behaviors, including acceptable attendance and punctuality and adherence to all hospital and departmental policies.
- Display adherence to correct O.R. attire at all times.
- Demonstrate adherence to principles of Standard Precautions and other measures for protection of self and others at all times.
- Demonstrate correct and safe processing, wrapping and/or sterilization of supplies and equipment as appropriate to the department.
- Demonstrate recognition of any breaks in sterile technique and the ability to take proper steps to correct them.
- Demonstrate proper and safe disposition of all surgical supplies and equipment upon completion of the procedure and assist in room cleanup as appropriate to departmental policies and practices.
- Assist with stocking rooms and/or preparation for cases as appropriate to the department.
- Demonstrate positive interpersonal skills, courtesy and consideration with patients, staff and physicians.
- Communicate effectively and appropriately with staff and physicians.
- Exhibit strict adherence to confidentiality of patient information at all times and in all situations.
- Demonstrate a positive attitude regarding duties and responsibilities.
- Demonstrate initiative, resourcefulness, and enthusiasm for new experiences.
- Exhibit mature attitude, self-control, and adaptability in unfamiliar or stressful situations.
- Demonstrate the ability to organize and complete work assignments within appropriate time frames.
- Demonstrate cost consciousness and awareness of efficient utilization of supplies.
- Exhibit a positive attitude toward evaluation of his/her performance, and toward any suggestions or corrections.
- Show the ability to evaluate oneself, recognize one’s own limitations, and seek appropriate assistance if needed.
- Demonstrate appropriate selection and utilization of resources for enhancement of knowledge and skills.
- Demonstrate competence in the Scrub role.
- Demonstrate correct scrubbing, gowning and gloving procedures.
- Correctly gown and glove others.
- Demonstrate proper set-up procedures, as appropriate to departmental practices and within acceptable time limits.
- Assist in draping the patient without contamination.
- Properly prepare the field for the commencement of surgery.
- Demonstrate correct and safe passing of knives and other sharps, and their appropriate disposition after use.
- Demonstrate proper passing of instruments, in position of use.
- Demonstrate proper passing of ties, use of electrosurgical apparatus, and handling of chemical and mechanical hemostatic devices.
- Maintain the supply of sponges on an exchange basis, appropriately discarding used sponges.
- Demonstrate appropriate exchange of instruments between the Mayo stand and the back- table.
- Maintain organization, efficiency and conservation of movements throughout the case.
- Anticipate sequential patterns of instrument use.
- Anticipate the needs of the surgeon, as appropriate to experience level.
- Recognize and respond to hand signals.
- Anticipate the need for additional supplies and properly receive sterile items from the circulator.
- Demonstrate proper handling and operation of special equipment, including stapling devices.
- Identify medications and solutions on the sterile field in an acceptable manner.
- Demonstrate correct and safe handling of syringes and hypodermic needles.
- Anticipate and properly prepare irrigation solutions.
- Demonstrate accurate identification and appropriate care of specimens.
- Select appropriate suture materials and sizes.
- Demonstrate correct and safe handling, passing, and disposition of suture needles.
- Properly prepare wound drains and dressings.
- Demonstrate the ability to scrub minor cases without assistance
- Demonstrate the ability to scrub commonly performed major cases with minimal assistance.
- Demonstrate correct and safe Circulating duties as an assistant to staff Circulating personnel, as appropriate to the departmental policies and practices of the affiliating institution.
- Correctly dispense sterile supplies onto a sterile field.
- Assist with transportation of patients.
- Assist with transfer of a patient on and off the operating table.
- Assist with patient positioning for anesthesia and surgery.
- Correctly perform a preoperative wash prep.
- Correctly perform a bladder catheterization.
- Anticipate the need for additional supplies during surgery.
- Arrange discarded sponges for blood-loss estimate and for count.
- Assist with filling out operative records and forms.
- Demonstrate appropriate care of specimens, including culture media.
- Perform appropriate counts in accordance with departmental policy.
- Tape dressings after wound closure.
- Demonstrate competence in performing the intraoperative functions of Second Assistant to the Surgeon
- Demonstrate proper sponging and suctioning techniques.
- Hold retractors correctly and assist in providing wound exposure.
- Cut sutures correctly.
- Place skin staples with the surgeon.
- Assist in the application of wound drains and dressings.
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