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SURGICAL TECHNOLOGIST - OPERATING ROOM

Description

**Sign-On Bonus Available- dependent on experience level - Minimum $5,000 - Student Debt Program to assist with outstanding school loans**

Job Summary:

The Surgical Technologist I assists with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon.

Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.

TECHNICAL STANDARDS

Essential Functions: Defined as duties specific to the job, that, if removed, would change the entire purpose of the job; to include the Essential Physical Demands and Essential Working Conditions of this position.

+ Core Essential Functions:

+ Regular, consistent, on-site, and timely attendance.

+ Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and/or their professional standards of care.

+ Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness.

+ Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy.

+ Involves the patient/family and other health care providers when appropriate.

+ Completes patient care related activities within schedule time periods.

+ Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist.

+ Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care.

+ Communicates pertinent information for interdisciplinary patient care conferences, shift reports.

+ Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confers with the OR CNC when there is a need to alert the physician.

+ Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer services.

+ Assists in data collection process as requested.

+ Recommends modifications for performance improvement.

+ Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards.

+ Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate.

+ Maintains accountability for actions taken.

+ Effectively functions as a resource person.

+ Acts as a patient advocate.

+ Performs effectively in the role of preceptor/mentor to new hires and/or students.

+ Assists in maintaining/decreasing organizational/department costs.

+ Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies.

+ Participates in preparation for continuous survey readiness for inspections and surveys.

+ Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections.

+ Provides for patient safety in compliance with hospital and nursing department policies.

+ Utilizes two forms of patient identification before implementing any form of patient care.

+ Assumes appropriate code team role during code situations, including internal and external.

+ Functions as the scrub member of the surgical team.

+ Obtains necessary instruments and supplies from Central Service.

+ Performs duties/responsibilities as a central service technician as necessary or assigned.

+ Arranges sterile setup for each specific operative procedure coordinating with surgeon preference.

+ Updates physician preference cards.

+ Assists in moving, lifting and positioning the patient.

+ Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID.

+ Assists the surgeon in performing the surgical procedure.

+ Handles specimens appropriately.

+ Performs OR counts accurately and takes appropriate action in response to incorrect counts.

+ Maintains the ability to adapt to the changing needs of the surgical team.

+ Assists with the cleaning and setting up of surgical cases.

+ Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation.

+ Specialty Essential Functions:

+ Marginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%).

+ Performs other duties as required.

+ Required Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job.

Education:

+ Successful completion of surgical technology program.

Certification / Licensure / Regulation:

+ Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program (can acquire within six (6) months of hire or transfer in unit)

+ Act 33 with renewal

+ Act 34 with renewal

+ Act 73 FBI Clearance

+ Act 81 Compliance

Prior Experience:

+ None

Other Skills and Abilities:

+ Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties.

+ Able to comply with "on call" requirements.

Preferred Factor:

These are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist.

+ CST Certification; 1-3 years surgical scrub experience preferred.

The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document.

Met

Not met

N/A

Explanatory Statement

House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act

Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician

and Surgical technologist)

Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must:

Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential

Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements.

Section 302: Employment and continuing education

(a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above.

(b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.)

(c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements

Section 501:

Surgical Technologist (ST) must meet at least one of the following:-

Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] *

OR

-Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force.

OR

-Provides evidence of an ST certification from an accredited certification program.

OR

-Was employed to practice surgical technology by the health care facility on or before December 29, 2020.

OR

-Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020.

OR

-A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required.

Section 502: Continuing education:

(a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall:

(1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility.

(b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall:

(1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection.

(c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements.

Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if:

(1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility.

+ Essential Working Conditions:

Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift

Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift

Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift

Rarely = (Less than 1/4 hours) or < 2 reps/shift

Sedentary Work -

Exerting up to 10 pounds of force occasionally.

Light Work -

Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly.

Medium Work -

Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force occasionally.

Heavy Work -

Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly.

Very Heavy Work -

Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds or force frequently, and/or in excess of 20 pounds of force constantly to move objects.

Working Conditions:

Never

Extreme Cold

Extreme Heat

Heights

Confined Spaces-Cramped Quarters (Labeled)

Extreme Noise (> 85 dB)

Operates Vehicle

Operates Heavy Equipment

Occasionally

Use of Lifting/Transfer Devices

Use of Vibrating Tools

Overtime (more than 8 hrs. /shift, 40 hours/week)

Frequently

On Call

Mechanical Hazards

Constantly

Rotates all shifts

8 hour shifts

10 - 12 hour shifts

Protective Equipment:

Never

Hearing

Rarely

Feet, Toes

Frequently

Eye

Constantly

Head (hard hat)

Hands

Body

Respirator-Breathing Equipment

Occupational Exposures:

Never

Solvents

Paints (direct use of)

Ethylene Oxide

Cytotoxic Drugs (Chemo)

Mists

Wax Stripper (direct use of)

Ionizing Radiation

Rarely

Dust (Sanding)

Occasionally

Chemicals (direct use of)

Lasers

Constantly

Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.)

Radiation

Blood and Body Fluids

VII. Essential Physical Conditions:

Marginal

Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift

Essential

Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift

Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift

Rarely = (Less than 1/4 hours) or < 2 reps/shift

Physical Demands:

Never

Climbing Stairs

Climbing Ladders

Rarely

Kneeling

Squatting (Crouching)

Occasionally

Keyboard/Computer Operation

Bending (Stooping)

Sitting

Frequently

Walking

Constantly

Standing

Use of Forceful Hand Grasp

Fine Finger Manipulation

Hand / Arm Coordination

Pushing / Pulling

Sensory Requirements:

Constantly

Seeing Near-with Acuity

Hearing Clearly

Feeling (Sensation)

Color Vision

Over Shoulder Work:

Occasionally

Pulling or Pushing Objects Overhead

Reaching Above Shoulder Level

Lifting: floor to standing position:

Never

50 pounds

> 50 pounds

Occasionally

20 - 29 pounds

30 - 49 pounds

Frequently

10 - 19 pounds

Lifting: waist to shoulder level:

Never

50 pounds

> 50 pounds

Occasionally

30 - 49 pounds

Frequently

10 - 19 pounds

20 - 29 pounds

Lifting: shoulder to overhead:

Never

30 - 49 pounds

50 pounds

> 50 pounds

Rarely

20 - 29 pounds

Occasionally

10 - 19 pounds

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)