SCRUB TECHNICIAN - NORTH OAKS SURGERY CENTER

Status:  PRN - As Needed

Shift:     PRN as needed; Monday - Thursday 6:30am - 3: 00 pm or 7:30 - 4:30 pm PRN as needed. No Call

Exempt: No 

Summary:

The Surgical Technologist participates as a member of the surgical team under direct supervision of the Registered Nurse.The Surgical Technologist in the Operating Room will be a graduate of an accredited school for surgical technologists or have military corpsman training and experience in a full service operating room. 

Other information:

Education:
Graduate of an accredited scrub technician program.

Experience/Skills:
Experience as a Sterile Technician is preferred.

Physical Demands:
Strength:Medium
Push:Frequently
Pull:Frequently
Carry:Frequently
Lift:Frequently
Sit:Occasionally
Stand:Constantly
Walk:Frequently

Responsibilities:

I.Acts as a scrub nurse during the operative procedure.

A.Pre procedure

1.Prepares for the surgical procedure by reviewing physician pick list and preferencecards.

2.Sets up surgical equipment required for the procedure.

3.Selects appropriate sterile supplies as listed on the physician profile.

4.Understands and applies principles of sterilization when operating auto clave.

5.Sets up table, instruments and supplies at the appropriate time according to established protocol.

6.Counts instruments, sponges and needles with the circulating nurse.

7.Assist with maintenance of accurate pick list and preference cards.

B.Procedure

1.Understands and applies principles of aseptic technique.

2.Demonstrates integrity in aseptic technique.

3.Scrubs, dons gown and gloves in accordance with established policies and procedures.

4.Maintains the sterile field by monitoring the sterility of all supplies used during the operative procedure.

5.Performs pre-op skin prep using sterile technique.

6.Complies with AORN standards on confinement and containment.

7.Assess and anticipate the surgeon’s needs for exposure and selects appropriate method.May not aid in exposure by cutting tissue or performing blunt dissection.

8.Assist in preparation, positioning and draping of patient and operative area according to need.

9.Demonstrates methods of tissue handling that promote tissue preservation and wound healing.

10.Provides appropriate retraction with protection of anatomical structures.

11.Utilizes appropriate suctioning techniques to maintain a dry field.

12.Provides adequate exposure by appropriate sponging techniques.

13.Utilizes sponges/laps appropriately for pressure and hemostasis.May not control blood flow, prevent hemorrhage (cauterizing bleeder) but may apply ESU to hemostat with physician direction.

14.Operates tables, lights, suction equipment, ESU and other diagnostic equipment safely and effectively.

15.Passes instruments during surgery, recognizing and interpreting the immediate situation to anticipate surgeon needs.

16.Prepares and manages medications and solutions at the operative field.

17.Assists in closing of body planes and skin.May cut suture.May not apply or tie suture.May apply staples after skin approximated by the surgeon.

18.Assists in application of casts and splints.

19.Counts instruments, sponges, etc. as established by policy when relieved during a case.

20.Prepares specimens as directed by the surgeon and according to policy for delivery to the lab.

C.Post Procedure

1.Remove used instruments and supplies from the OR.

2.Disposes of hazardous items per established protocols.

3.Cleans instruments and returns to Sterile Processing per established protocols.

4.Communicates any change regarding physician preferences to the service specific team leader.

5.Report any stated physician concerns to Unit Coordinator.

D.Functions as a Sterile Processing Technician

1.Practices and understands universal precautions in the Receiving of contaminated equipment in the decontamination area of the department.Dons gown, gloves, mask and safety eyewear in accordance with established policy and procedure. Decontaminates all equipment.

2.Demonstrates working knowledge of all decontaminating and sterilization equipment.

3.Maintains proper workflow patterns.

4.Properly inspects, assembles, wraps/containerizes and processes all instruments/equipment.Monitors and documents processing equipment functions.

5.Has expanded knowledge of all surgical instrumentation.

6.Responsible for maintaining all general and medical supplies in Sterile Services Department.

7.Responsible for maintaining adequate sterile stock levels in OR.Maintains a safe and clean environment by keeping work areas clean and neat at all times.

8.Monitors the sterility of all supplies in Sterile Services and in the OR.

9.Assists in the care and handling of professional supplies.Is aware of the need for special handling or surgical instruments and supplies.

10.Monitors all sterilization equipment in the operating room.

11.Demonstrates working knowledge of OSHA and AAMI standards with regards to the safe use of ethylene oxide, peracetic acid, hydrogen peroxide plasma, and the handling of bio-hazardous waste.

12.Actively participates in the orientation of new employees.

13.Participates intra-departmentally in the Quality Improvement process.

14.Precepts Operating Room personnel in the learning of instrumentation identification.

15.Precepts Operating Room personnel in the teaching of decontamination with sterilization procedures.

II.Maintains a safe environment by following established OR protocols.

A.Removes equipment not working properly from the immediate work environment and reports to coordinator and Biomed.

B.Reports any non-functioning supplies during a procedure to Risk Management.Procures non-functioning supply for Biomed/Vendor evaluation.

C.Is knowledgeable of all hospital safety related codes and performs duties in drills and actual emergencies.

D.Maintains clear pathways.

E.Reviews the operation of emergency equipment.

F.Reports unsafe conditions and incidents.

III.Demonstrates good interpersonal relationships.

A.Extends courtesy and consideration for others in interpersonal relationships.

B.Demonstrates professional manner in work setting.

C.Accepts and acts upon constructive criticism to upgrade abilities.

D.Seeks clarification of duties when indicated.

E.Channels suggestions, criticisms and questions to appropriate persons.

IV.Maintain an employment record in accordance with hospital policy.

A.Complies with attendance policies.

B.Reports all accidents and injuries.

C.Adheres to acceptable dress code.

V.Maintains and increases standards of performance and education.

A.Attends department unit meetings.

B.Participates in in-service classes.

C.Shares knowledge with others.

D.Demonstrates interest in professional literature and trends associated with national organization.

VI.Performs other duties as requested.

VII.Follows North Oaks Health System’s Compliance Program and Federal and State Regulatory guidelines.

VIII.Is able to demonstrate competency in age specific criteria as applicable to job scope.

IX.Performs all duties in a safe manner and follows North Oaks Health System’s safety policies and procedures.