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CLUSTER Health Science Education

CONCENTRATION Surgical Technologist

WEVIS CODE HE0782

National Consortium for Health Science Education Health Care Standards http://www.healthscienceconsortium.org/docs/therapeutic_svcs_pathway.pdf National Board of Surgical Technology and Surgical Assisting (NBSTSA) http://nbstsa.org International Association of Healthcare Central Service Material Management https://www.iahcsmm.org

Sample of reported job titles upon completion of the Surgical Technologist Specialization: Central Supply Technician, Central Services Technician, Surgical Technician, Surgical Technologist

Sample of reported job titles upon completion of additional education: First Assist in OR, Endoscopic Technologist

INDUSTRY CREDENTIALSCertified Central Supply Technician, Certified Surgical Technician, Certified Surgical Technologist, Central Services Technician (Sterile Processing and Materials Management), CPR/AED Healthcare Provider or Professional Rescuer, First Aid, Bloodborne Pathogens Training: Preventing Disease Transmission

RECOMMENDED PREREQUISITE0714 Introduction to Health Care

REQUIRED COURSES Note: A minimum course completion score of 80% is required for progression to next course.

WVEIS Code Course0651 Core Requirements for the Surgical Technologist0652 Patient Care Concepts and the Surgical Technologist0653 Patient Care Concepts and Surgical Technology Clinical0654 Operating Room Policy and Surgical Procedures0655 Operating Room Policy and Surgical Procedures Clinical0656 Introduction to Central Supply and Employability Skills

ELECTIVE COURSE1060 Essentials of Addiction and Prevention

SKILL SETSCareer Preparation SkillsSafety PracticesLeadership DevelopmentPatient/Client Customer ServiceLiteracy and NumeracyAcademic FoundationTechnical Skills

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http://careertech.k12.wv.us/documents/1060EssentialsofAddictionandPrevention.docx

https://www.iahcsmm.org/

http://nbstsa.org/

http://www.healthscienceconsortium.org/docs/therapeutic_svcs_pathway.pdf

Skill sets for Career Preparation Skills, Safety, Leadership Development and Patient/Client Customer Service should be integrated throughout the concentration as remaining skill sets are delivered.

Skill Set Career Preparation SkillsKnowledge Objectives

HE.1

Students will demonstrate knowledge of

career paths. goal development and achievement. attitudes and work habits that support career retention and advancement. personal qualities and abilities needed to be effective with children. communication in varied contexts.

Performance Objectives

HE.2HE.3HE.4HE.5HE.6

HE.7HE.8HE.9

HE.10

Students will

relate skills and abilities to possible career pathways. explain methods of goal development. discuss methods of time management and task coordination. practice professionalism in punctuality, appropriate dress, task completion, etc. investigate methods of supervision such as giving and receiving feedback and

instruction. develop and present a statement of their personal work ethic beliefs. prepare an application, cover letter, resume and thank you letter. create a personal portfolio for use when applying for employment. practice simulated job interviews.

Skill Set Safety PracticesKnowledge Objectives

HE.11


infection control. controlling the growth and spread of microorganisms.


HE.12HE.13HE.14

Students will

explain principles of infection control. perform hand washing according to Centers for Disease Control regulations. don and remove non-sterile gloves.

Skill Set Leadership DevelopmentKnowledge Objectives

HE.15


public speaking. parliamentary law. leadership concepts. characteristics of effective teams and organizations.

Performance Objectives Students will

HE.16HE.17HE.18HE.19HE.20

develop and deliver speeches. participate in meetings using parliamentary procedure. attend leadership conferences and training (local, state and/or national). volunteer in community service opportunities. participate in career development events.

Skill Set Patient/Client Customer Service2

Knowledge Objectives

HE.21


customer service. patient/client satisfaction. patient/client needs assessment. quality for services.


HE.22HE.23HE.24HE.25

HE.26

HE.27HE.28

HE.29

HE.30

HE.31HE.32

HE.33

Students will

demonstrate respectful and empathetic treatment of all patients/clients. hear and work to resolve complaints from patients/clients or the public. check completed work for spelling, punctuation and format. greet visitors or callers and handle their inquiries or direct them to the

appropriate persons according to their needs. answer inquiries pertaining to patient/client care policies and services and

work to resolve patient/client complaints. measure and assess patient/client and employee satisfaction. confer with patients/clients by telephone or in person to provide information

about health care or services, take orders from superiors, obtain details of complaints and forward to instructor/supervisor.

keep records of patient/client interactions, recording details of inquiries, complaints or comments, as well as actions taken per health care institution guidelines.

check to ensure that appropriate changes were made to work toward resolving patient/client problems.

describe points of patient/client safety and respond to questions. investigate and work to resolve complaints regarding food quality, service or

patient/client care within your scope of practice. identify the characteristics of each health care industry’s target market.

Skill Set Literacy and NumeracyKnowledge objectives

HE.34Students will demonstrate knowledge of

literacy and numeracy skills required to solve complex real-world problems associated with their career/technical content area improve their thinking and reasoning skills.

Performance ObjectivesHE.35

HE.36

HE.37

HE.38

Students will utilize a variety of technical sources (e.g., Internet, manuals, journals,

directions, reports, etc.) to complete career/technical assignments and projects demonstrate writing skills required to complete career/technical assignments

and projects demonstrate accuracy in calculating and measuring graphical work required to

complete career/technical assignments and projects analyze tables, charts, graphs and multiple data sources to complete

career/technical assignments and projects

Core Requirements for the Surgical Technologist WVEIS 06513

Skill Set Academic FoundationKnowledge Objectives

0651.1


anatomy and physiology. medical terminology.


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0651.10

0651.11

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0651.15

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Students will

describe the organization of the body. describe the chemical basis for life. describe cells and tissues. describe and structure and function of each of the following body systems.

o integumentary systemo skeletal systemo muscular systemo nervous systemo endocrine systemo cardiovascular systemo respiratory systemo lymphatic system

immune systemo digestive system

metabolismo urinary systemo reproductive system

male female

o special senses eyes ears

analyze blood as a system of the body. identify and apply terms associated with the systems of the human body. utilize medical terminology related to surgery. apply medical terms in relation to the human body in health and disease. apply medical terminology related to common diagnostic procedures and

pharmacology. recognize, define and pronounce the terms associated with basic examination

procedures. identify and describe the basic examination positions. describe the four vital signs recorded for most patients. recognize, define and pronounce terms associated with frequently performed

blood and urinalysis laboratory tests. recognize, define and pronounce terms associated with radiography and other

techniques. differentiate between projection and position in relation to radiography. describe basic radiographic projections. analyze unfamiliar medical terms using your knowledge of word parts.

Skill Set Leadership Development

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Knowledge Objectives

0651.19


surgical technology program requirements.


0651.20

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0651.30

0651.31

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0651.36

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Students will

discuss philosophy, rules and regulations consistent with the technology center, surgical technology career major.

apply safety principles to provide a safe physical environment and prevent occupational hazards for self and others.

explore individual learning styles. demonstrate knowledge of basic computer components and programs. classify personal traits or attitudes desirable in a member of the healthcare team. summarize basic professional standards of healthcare workers as they apply to

hygiene, dress, language, confidentiality and behavior (i.e. courtesy and self-introductions).

apply employability skills in healthcare. exemplify professional characteristics. apply concepts of effective communication techniques. engage in continuous self-assessment and career goal modification for personal

and professional growth. compare careers within the health science career pathways (diagnostic services,

therapeutic services, health informatics, support services, or biotechnology research and development).

recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential.

develop components of a personal portfolio. demonstrate process for obtaining employment. list areas of employment for a surgical technologist. identify various functions of professional organizations and relate their

significance to the field of surgical technology. identify the roles and responsibilities of each team member in the operating

room. explain the importance of credentialing in the field of surgical technology. define legal and ethical responsibilities of the surgical technologist. define the scope of practice for the surgical technologist.

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Patient Care Concepts and the Surgical Technologist WVEIS 0652


0652.1


surgical instrumentation and equipment. materials management. essentials of surgical asepsis.


0652.2

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Students will

identify the various types of materials used in the manufacturing of instrumentation.

distinguish between basic categories of instrumentation. explain how instruments are inspected for signs of improper functioning. describe the care and handling of powered equipment. differentiate between rigid and flexible endoscopes. distinguish between the different types of endoscopes. describe the care and handling of various endoscopes. distinguish between manual and automated asset management systems. describe the process involved in outsourcing equipment and technology. identify agencies involved in regulating equipment management. explain the process involved in product evaluation. briefly describe principles utilized that aid in low acquisition costs. identify various methods used for inventory management. describe the process involved in materials distribution. relate the principles of quality management as it applies to customer service. discuss the principles of aseptic technique. demonstrate the principles of aseptic technique in scrubbing, gowning and

gloving. distinguish between sterilization, disinfection and asepsis. identify the variables related to the sterilization process. demonstrate decontamination and cleaning of instruments. demonstrate various methods for packaging and loading items for sterilization. select appropriate sterilization methods for specific items. differentiate between the methods of monitoring the sterilization process. demonstrate competency in the use of the flash sterilizer and the Steris sterilizer. discuss the use of the steam autoclave and the Sterad sterilizer. differentiate between concurrent and terminal disinfection.

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Skill Set Technical SkillsKnowledge Objectives

0652.28


surgical technology practices.


0652.290652.300652.310652.320652.33

0652.34

Students will

demonstrate knowledge of surgical conscience. identify the roles of the surgical team members in the clinical and/or lab setting. differentiate between types of sterilization and disinfection methods. demonstrate central sterile processing techniques in the healthcare setting. adhere to Standard Precautions in decontamination of instruments and

equipment. adhere to Standard Precautions in decontamination of

instruments and equipment.

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Patient Care Concepts and Surgical Technology Clinical WVEIS 0653


0653.1


care of the surgical patient. pharmacology for the surgical technologist. microbiology and wound healing.


0653.20653.3

0653.40653.50653.60653.70653.80653.9

0653.100653.110653.120653.130653.140653.15

0653.16

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0653.32

Students will

identify the purposes of pre-operative routine. demonstrate skill in transporting patients safely including the use of wheelchair,

gurney, Isolette and hospital bed. distinguish between acute and chronic conditions. discuss characteristics of patients with special or complex needs. identify basic surgical positions and their variations. distinguish between types of equipment used in patient positioning. identify antiseptic agents used for surgical skin preparation. demonstrate surgical skin preparation used for common surgical sites. list types of surgical specimens. demonstrate care and handling of specimens on and off the sterile field. demonstrate urinary catheterization. demonstrate the ability to obtain baseline vital signs. demonstrate the use of basic mathematic skills. identify commonly used drugs in surgery, their actions, indications and side

effects. describe different types of anesthesia monitoring devices utilized in order to

maintain homeostasis. compare methods, agents and techniques of anesthesia administration. discuss characteristics of iv solutions, blood replacements, blood components

and blood substitutes. demonstrate the receiving and handling of pharmacological agents on the sterile

field. explain anesthesia complications and interventions. demonstrate ability to utilize the metric system of conversion. identify classifications of microorganisms and the diseases specific to each. identify structures and characteristics of different microorganisms. correlate the impact of microbiology in relationship to the practice of sterile

technique and infection control in the operative setting. analyze the various immune responses that occur in the body as defenses to

invasions by pathogens. distinguish among the phases of wound healing. describe factors that present possible complications to wound healing processes. correlate the impact of the infection process to surgical procedures. discuss anatomy, physiology and pathology of each core procedure. analyze the diagnostic and surgical interventions related to each core procedure. demonstrate the selection of supplies, equipment and instrumentation for each

core procedure. identify incisions used for each core procedure. demonstrate the steps for each core procedure.

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discuss the post-operative complications of each core procedure.


0653.35


surgical technology practices.


0653.360653.370653.38

0653.39

0653.40

0653.41

0653.420653.43

0653.44

Students will

demonstrate communication and interpersonal skills. demonstrate knowledge of responsibility toward the learning experience. demonstrate an understanding of surgical conscience and the role of the surgical

technologist. demonstrate the need for preoperative planning and individualized preparation

for each core surgical intervention. demonstrate an understanding of the basic sciences related to core surgical

procedures. demonstrate knowledge of specific skills necessary to function safely and

effectively as a surgical technologist during core surgical procedures with assistance.

demonstrate skills of accurate counts in core procedures with assistance. demonstrate an understanding of legal and ethical responsibilities as applied to

the surgical technologist's role. employ consistent post-procedural decontamination and preparation for

subsequent patient care.

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Operating Room Policy and Surgical Procedures WVEIS 0654


0654.1


the concepts related to each of the following surgical procedures: neurosurgery, cardiothoracic, peripheral vascular, oral, maxilofacial, plastic and opthalmic surgery.

biomedical science related to surgery.Performance Objectives

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0654.4

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Students will

discuss anatomy, physiology and pathology of each specialty procedure. analyze the diagnostic and surgical interventions related to each specialty

procedure. demonstrate the selection of supplies, equipment and instrumentation for each

specialty procedure. identify incisions used for each specialty procedure. demonstrate the steps for each specialty procedure. discuss the post-operative complications of each specialty procedure. define electricity. identify terms relating to electricity and electrical flow. identify the basic principle of electrical flow. identify the types of electrical current. identify the components of an electrical receptacle. define the terms related to physics. apply the principles of physics to the safe patient care in the operating room. discuss the basic concepts related to robotics. describe the concepts of geometry that are used in the design of surgical robots. identify the basic mechanical components of the robotic system. list the clinical applications of robotics in the operating room. apply the principles of robotics to safe patient care in the operating room.


0654.20


surgical technology practicum requirements.


0654.210654.220654.23

0654.24

0654.25

0654.26

Students will

demonstrate critical thinking and problem solving skills. demonstrate independence and responsibility for learning. differentiate roles and responsibilities within the surgical technologist’s scope of

practice. demonstrate pre-operative planning and individualized preparation for surgical

intervention during specialty procedures. demonstrate an understanding of the basic sciences related to specialty surgical

procedures. demonstrate knowledge of the specific skills necessary during specialty

procedures with proficiency.10

0654.27

0654.28

0654.29

demonstrate documentation of accurate counts in specialty procedures with proficiency.

adhere to legal and ethical responsibilities as applied to the surgical technologist’s role.

employ consistent post-procedural decontamination and preparation for subsequent patient care.

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Operating Room Policy and Surgical Procedures Clinical WVEIS 0655


0655.1


pre-operative preparation. intra-operative procedures. post-operative procedures. administrative and personnel duties. equipment sterilization and maintenance. critical thinking.


0655.20655.30655.4

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0655.6

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Students will

identify surgeon’s preference card. verify availability of surgery equipment(e.g., reserve equipment for surgery). prepare and maintain operating room environment according to surgical

procedure (e.g., temperature, lights, suction and furniture). review chart (identify and check laboratory results are within normal limits,

physician orders, operative consent, allergies, and history and physical). obtain and apply additional equipment (e.g., pneumatic tourniquet, sequential

compression devices, thermoregulatory devices). prepare skin for surgery. (e.g., hair removal, surgical preparation). transfer patient to operating room table. position the patient. drape the patient. obtain instruments, supplies, and equipment and verify readiness for surgery. check package integrity of sterile supplies. don personal protective equipment. open sterile supplies while maintaining sterile technique. perform surgical hand scrub, gowning and gloving. assemble, inspect and set up sterile instruments and supplies for surgical

procedures. gown and glove sterile team members. verify identity of patient and operative site (time out). obtain, assemble and test positioning equipment. apply patient safety measures (e.g., safety strap, elbow protectors, gel pads). apply patient monitoring devices. consider the needs of special patient populations (e.g., pediatric, geriatric,

immune compromised). provide intra-operative assistance under the direction of the surgeon. count instrument pre- and intra-operatively with circulator. identify instruments by:

a) function.b) application.c) classification.

count sponges and sharps pre- and intra-operatively with circulator. anticipate the steps of surgical procedures. differentiate among the various methods and applications of hemostasis (e.g.,

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0655.450655.460655.470655.480655.490655.500655.510655.52

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0655.580655.590655.600655.61

mechanical, thermal, chemical). specify methods of operative exposure. place and secure retractors. verify with surgeon the correct type and/or size of implantable devices. pass instruments and supplies during surgery. irrigate, suction, and sponge operative site. monitor and maintain aseptic technique throughout the procedure. assemble, test and operate specialty equipment during surgery. utilize the following specialty equipment:

o argon beam coagulatorso computer navigation systemso thermal ablationo robotic technologyo laser technologyo ultrasound technology (e.g., harmonic scalpel, phacoemulsification)o endoscopic technology

verify and label medications and solutions at the sterile field. mix medications and solutions at the sterile field. calculate and report the amount of medications and solutions used. monitor and maintain adequate supplies and solutions. prepare drains, catheters and tubing for insertion. verify, prepare and label specimen(s). observe patient’s intra-operative status (e.g., monitor color of blood, onset of

blood loss, monitor position of patient during procedure). apply thermal surgical techniques and safety precautions as directed by the

surgeon (e.g.,cryo-surgery, laser surgery, ESU). prepare suture materials. cut suture material as directed. identify appropriate usage of sutures/needles and stapling devices. provide assistance with internal stapling devices. provide assistance with stapling skin tissue. perform appropriate actions during an emergency. initiate preventative and/or corrective actions in potentially hazardous situations. perform video recording and/or still photography or procedures (e.g.,

endoscopic). connect and activate drains to suction apparatus. prepare and apply sterile dressing. assist in the placement of wound drainage systems. apply casts, splints, braces and similar devices. evaluate patient immediately post-operative and report findings (e.g., bleeding at

surgical site, hematoma). transfer patient from operating table to stretcher. remove drapes from patient. perform room clean up after surgery. dispose of contaminated waste and drapes after surgery in compliance with

Standard Precautions. dispose of contaminated sharps after surgery in compliance with Standard

Precautions. return unused supplies and equipment to designated location.

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prepare instruments for decontamination and sterilization. revise surgeon’s preference card as necessary. utilize computer technology for:

o surgeon’s preference cards.o interdepartmental communication.o continuing education.o research.

follow disaster plan protocol. recognize safety and environmental hazards (e.g., fire, chemical spill, laser

smoke). follow proper cost containment processes. apply ethical and legal practices related to surgical patient care. use interpersonal skills (e.g., listening, diplomacy, responsiveness) and group

dynamics. understand the importance of cultural diversity. operate sterilizing devices according to manufacturer’s recommendations. troubleshoot equipment malfunctions. decontaminate and clean instruments and equipment. inspect, test and assemble instruments and equipment. package and sterilize instruments and equipment. perform quality assurance functions (e.g., biological monitoring of sterilization

methods). maintain equipment records and logs (e.g., STERIS, attest, laser log, steam

sterilizers). use appropriate medical terminology and abbreviations. demonstrate knowledge of the following anatomical systems as they relate to the

surgical procedure:o cardiovascularo digestiveo endocrineo integumentaryo lymphatico muscularo nervouso peripheral vascularo reproductiveo respiratoryo sensoryo skeletalo urinary

demonstrate knowledge of human physiology as it relates to the surgical procedure for the following systems:

o cardiovascularo digestiveo endocrineo integumentaryo lymphatico muscular

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o nervouso peripheral vascularo reproductiveo respiratoryo sensoryo skeletalo urinary

identify the following surgical pathologies:o abnormal anatomyo disease processeso fractureso malignancies

apply the following principles of surgical microbiology to operative practice:o classification and pathogenesis of microorganismso factors influencing wound healing (e.g., condition of patient,

wound type)o infection control procedures (e.g., aseptic technique)o principles of tissue handling (e.g., Halsted principles, tissue manipulation

methods, traction/counter traction)o stages of, and factors influencing wound healingo surgical wound classification

identify and address factors that can influence an infectious process. apply the following principles of surgical pharmacology to operative practice:

o anesthesia related agents and medicationso blood and fluid replacemento complications from drug interactions (e.g., malignant hyperthermia)o methods of anesthesia administration (e.g., general, local, block)o types, uses, action, and interactions of drugs and solutions (e.g.,

hemostatic agents, antibiotics, iv solutions)o weights, measures, and conversions

15

Introduction to Central Supply and Employability Skills WVEIS 0656


0656.1


different departments of central services. anatomy and physiology. introduction to microbiology. decontamination, disinfection and sterilization.


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Students will

explain the importance of registration and certification. identify regulatory agencies and their functions involved in central service. describe the organizational structure for central service staff. identify responsibilities for central service employees. identify legal and ethical responsibilities of the central service technician. briefly describe future healthcare trends and explain ways central service

personnel can adapt to meet these changes. identify basic communication skills needed to develop interpersonal

relationships with patients, families and team members. describe the organization of the human body from the simplest to the most

complex. explain the structure and function of each major system. identify how each organ system aids the body in maintaining normal life

processes. identify the various classifications of microorganisms. identify the components of a cell. distinguish between animal and plant cells. describe how bacteria is classified according to shape, gram staining and growth

requirements. describe the principles of microorganism in relation to the transmission of an

infection. briefly describe how infection control practices are used to inhibit the growth of

microorganisms. explain the process involved in decontamination of surgical instrumentation and

supplies. distinguish between disinfection and sterilization. differentiate between the three levels of disinfection. identify common disinfectants utilizes in the central service area. describe the process involved in preparing items for sterilization. identify advantages and disadvantages of different types of sterilization

processes. identify variables related to the sterilization process and the materials to be

processed. identify process monitoring devices and methods.

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0656.26


central service techniques. materials used for decontamination and cleaning of instrumentation. sterilization methods. disinfection methods. surgical conscience.


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Students will

demonstrate central sterile processing techniques in the healthcare setting. demonstrate decontamination and cleaning of instrumentation. demonstrate the ability to utilize various types of sterilization methods. demonstrate knowledge of surgical conscience. identify the roles of the surgical team members in the clinical and/or lab setting. differentiate between types of sterilization and disinfection methods. demonstrate central sterile processing techniques in the healthcare setting.

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