Surgical Technologist-Certified (CST) / Scrub Tech

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JOB SUMMARY:

· The Certified Surgical Technologist (CST) works under the supervision and delegatory authority of a surgeon in collaboration with the Surgery RN to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room is safe, that equipment functions properly, and that the operating procedure is conducted under conditions that maximize patient safety

· Demonstrate the application of the principles of asepsis and sterile technique to combine knowledge of human anatomy, surgical procedures and implementation and tools and technologies to facilitate a physician’s performance of invasive therapeutic and diagnostic procedures

PREVIOUS EXPERIENCE NEEDED:

· None

TRAINING & EDUCATION NEEDED:

· High School Diploma or Equivalent

· Graduate from Surgical Technologist school; will allow to complete certification within first eight months

· Current license as a CST (Scrub Tech)

· Current BLS Certification or ability to obtain within 3 months of hire

· ACLS, PALS, ENPC, TNCC, NRP, and MOAB certification training per Department Requirements as listed in the Employee Education policy

· Working knowledge and experience in a hospital, operating room, or ambulatory surgery center

· Ability to anticipate the needs of the physician and has equipment, medical gases and supplies readily available for all procedures

· Requires prioritization and time management skills

· Critical Thinking: Ability to organize equipment, instruments and supplies for cases according to patient needs and physician preference cards

· Effective communication skills oral and written

FUNCTIONAL REQUIREMENTS:

· Able to communicate in the English language and make assessments by speaking, hearing, seeing, feeling, reading, and writing

· Works primarily in hospital setting, including clinical/patient care areas and office or classroom/ meeting areas

· Considerable walking, standing, stooping, bending, lifting (occasionally over 25 pounds)

· Mental effort is required to assess, plan, and make recommended decisions in a complex environment

· Potential exposure to blood/body fluids, including infectious diseases

· Must be able to maneuver throughout halls, stairways, and patient rooms in response to emergencies

· Interpretation of environmental input requires visual and auditory skills

· In the event there is a need to evacuate the building, lifting is required to transport patients to safety

· A significant amount of keyboarding and writing is required

· Wearing of personal protective equipment (PPE) such as gloves, masks, gowns and goggles may be required

· Fine motor skills

· Long periods of intense concentration

PHYSICAL REQUIREMENTS:

Key: Occasional (1-3 hours per day or <33%)

Frequent (3-7 hours per day or 33-66%)

Constant (7 or more hours per day or >66%)

· Lifting:

Must be able to lift 20 lbs. from shoulder height to waist/cart frequently

Must be able to lift 30 lbs. from floor to shoulder height on occ. basis

Must be able to lift 35 lbs. from floor to waist/cart on occ. basis

· Push/Pull:

Must be able to push/pull 30 lbs. at shoulder height/extended reach on occ. basis with awkward weight distribution and twisting/turning

Must be able to push/pull 22 lbs. at waist level frequently

Must be able to push/pull 40 lbs. at waist level on occ. basis

Must be able to lift/carry 35-40 lbs. at waist level on occ. basis

Must be able to push/pull 75 lbs. at waist level on occ. basis while maneuvering patient beds

(75 lbs. required to initiate move and 35 lbs. to maintain movement of bed)

· Standing/Walking/Sitting:

Must be able to stand for 5-8 hours

Must be able to walk for 5-8 hours

· Lower Extremities:

Must be able to kneel and squat on occ. basis

· Upper Extremities:

Must be able to grip/grasp/pinch instruments frequently

· Equipment:

Must be able to use a computer and perform keyboarding frequently

· Environmental Factors:

May be required to work on a slippery surface

May be required to work with noisy equipment during specific operative procedures

May be required to work extended hours beyond 8-12 hours on occ. basis

Will work in environmental temperatures of 67°- 80° F

POPULATION-SPECIFIC COMPETENCIES:

1. Interprets the appropriate life span needs of patients and provides appropriate population-based care according to the department skills checklist for identified populations and age groups identified below:

Neonate: Birth to 27 days of age

Pediatric: Greater than 27 days of age to 13 years of age

Adult: Greater than 13 years of age to 65 years of age

Geriatric: >65 years of age

No daily direct patient care contact

2. Must demonstrate knowledge of the principles of growth and development over the life span of

patients/families and possess the ability to assess data reflective of the patient's life span

JOB DUTIES:

· Assure the operating room is prepared for the daily schedule, including:

o Preparation of supplies

o Sterilization of equipment

o Cleaning of the operating room

o All equipment is present

· Opens sterile packs, instruments, and supplies, maintains a sterile environment throughout the procedure and preparing set-up of all surgical cases

· Reporting and troubleshooting all broken or defective supplies or equipment

· Checking and supplying the operating room at the end of the scheduled cases

· Responsible for all parts of the sterilization process following OSHA, CDC, IAHSCMM, AORN, and manufacturer's standards

· Maintains appropriate records and monitors quality control and infection prevention standards

· Monitors surgery schedules, identifying all cases' general, specific, and potential needs

· Organizing supplies and equipment in a space-efficient manner

· Utilizes One Source to maintain equipment manuals

· Provides in-service to staff on sterile technique, equipment, and procedures in the operating room

· Maintains a count sheet for all equipment when warranted

· Ensures surgeon's preference cards are current, accurate, and accessible

· Provides emotional support for the patient

· Assists in reviewing all policies and procedures yearly

· Attends updates and continuing education courses relevant to specialty areas

· Maintains a safe environment for treating the surgical patient, including safeguards to protect the patient from cross-infection

· Attends and/or completes yearly in-services and monthly staff meetings

· Assists in the implementation of quality assurance projects

· See individual department competency/orientation/evaluation skill checklist for specific duties

· Demonstrates appropriate competencies in the department with initial orientation competency due within 90 days of hire and annual competencies to be completed by September 30th

· Maintains competency through completing education assigned on Elsevier or other learning management systems as well as mandatory in person education

· Complies with Attendance Management Policy in regards to attendance and timeliness, understanding the expectation of maintaining as absence percentage of 3% or less

· Accepts other duties within scope of practice at the direction of the person-in-charge

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