College of Southern Idaho

COLLEGE OF SOUTHERN IDAHO

SURGICAL TECHNOLOGY PROGRAM

STUDENT HANDBOOK 2010-2011 Edition

Revised June 2010 PROGRAM MANAGER: JANET Milligan RN, BS ed Certified Perioperative Nurse

INTRODUCTION TO SURGICAL TECHNOLOGY Welcome to the Surgical Technology Program! This handbook has been prepared to assist you in a smooth start and a successful finish in the Surgical Technology program. Please read this handbook thoroughly and address any questions to the Program Manager.

After reviewing the handbook and any additional information provided at the time, you will be asked to sign and submit one copy of the signature form located in the back of the Handbook. These must be returned to the program manager.

It is important to keep this handbook available for reference throughout the educational process (which is 3 semesters). The handbook is designed to supplement the CSI College Catalog and CSI General Student Handbook.

The Program Manager is here to assist, support, guide, and encourage, as well as teach you as you strive to meet the high standards of the Surgical Technology program. If you need additional help in meeting the challenges of the program, don't hesitate to make an appointment with the Program Manager.

STATEMENT OF EQUAL OPPORTUNITY College of Southern Idaho offers equal access and equal opportunity in its employment, admissions, and educational activities. The college will not discriminate on the basis of race, color, religion, sex, age, marital status, national origin, or against any qualified handicapped individual in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this policy statement, the college will not tolerate such conduct.

TECHANICAL STANDARDS: In compliance with the title 1990 Americans with Disabilities Act, the following standards have been established. According to the nature of the work required in surgical technology and the educational requirements of the surgical technology curriculum the student must be able to meet the following:

Standard Examples of necessary behaviors (not all inclusive) Interpersonal abilities sufficient to interact o Establish a rapport with clients, families, and colleagues. with individuals, families, and groups from a variety of social, emotional, cultural and intellectual backgrounds. Communication abilities sufficient for o Collect and document data interaction with others in verbal and o Explain treatment procedures written form o Obtain and disseminate information relevant to patient care and work duties. Critical thinking ability sufficient for o Identify cause and effect relationship in clinical situations 2 clinical judgment o Apply knowledge from lecture, lab and clinical areas o Utilize basic mathematical skills Physical abilities sufficient to maneuver in o Move around and within sterile field, small spaces, and reach for needed o Move around and within sub-sterile area equipment o Administer CPR o Transfer patients from stretchers/ wheelchairs o Transfer anesthetized patients to and from the operating room table to stretcher o Assist in positioning non-mobile patients on the operating room table. Gross and fine motor abilities sufficient to o Move, calibrate, pass equipment and supplies including provide safe and effective patient care sharp instruments o Lift and carry at least thirty (30) pounds of weight to safely transport and use instrument trays and ancillary aids (x-ray cassettes, positioning equipment, portable equipment from one operating room to another including emergency equipment o Able to stand for 4 hours (8 hours on call) without a break Auditory ability sufficient to monitor and o Hears patitne cries of distress assess health needs o Sound of instruments being properly utilized o Monitor alarms o Monitor vital signs o Understand and correctly carry out oral instructions given by instructors and clinical personnel where all personnel are wearing surgical masks. (covering the lips and lower face) Visual ability sufficient for physical o Observes client responses such as skin color and facial assessment, performance of surgical expression technology procedures, and maintenance o Interprets monitors of environmental safety o Reading computer screens, small print, handwritten notations o Visually monitoring patient for retention of correct position, correct breathing, and motion o Reading and carrying out written instructions on preference cards, requisitions, treatment cards, notes and other records Tactile ability sufficient for assessment o Perform palpation techniques, functions of surgical and performance of surgical technology technology such as insertion of a urinary catheter procedures Emotional stability and mental alertness in o Maintaining a calm and efficient manner in high stress/ high performing the surgical technologist role pressure situations anytime of a 24 hour period with patients, visitors, staff, and peers (and students) o Does not use or abuse drugs or alcohol including prescribed drugs that may alter speed or perception of surroundings. Olfactory ability sufficient to perform o Distinguish drugs and liquid or gaseous chemicals surgical technology procedures

ADMINISTRATION, FACULTY, AND STAFF CONTACT INFORMATION The following people are available to assist you at the College of Southern Idaho. Dr. Mark Sugden HSHS and Biology Department 732-6705 Dean Vicki Stearns Administrative Assistant 732-6700 3 Rae Jean Larson Secretary 732-6701 Janet Milligan Program Manager 732-6706 Cell 208-308-9110 Jo Riter Adjunct Clinical faculty at MVRMC 732-737-4821

CAMPUS TELEPHONE NUMBERS  The main college number is (208) 733-9554.  The toll free number is 1-800-680-0274 ( only good in Idaho).  The office fax number is (208) 736-4743.  The Health Science and Human Service extension is 6701 or 6700.  Individual instructors can be reached through college extensions.  If a student is in the Burley area, the main college campus switchboard number is 678-0594. The Burley office number is 678-1400.  The Hailey office number is 788-2038.  The Northside Gooding office number is 934-8678.

Web pages of interest  General information about CSI: http://www.csi.edu/catalog/general.asp  CSI policies and procedures: http://www.csi.edu/catalog/policies.asp  CSI instructional calendar: http://www.csi.edu/catalog/instructionalCalendar.asp  CSI student services: http://www.csi.edu/catalog/services.asp  CSI Degree and Certificate requirements: http://www.csi.edu/catalog/requirements.asp  Statement on Disabilities: http://www.csi.edu/level3.asp?id=108&level=2 and http://www.csi.edu/prospectiveStudents_/studentServices/Disabilities/students/index.asp

CURRICULUM FOR SURGICAL TECHNOLOGY Program courses Required co-requisites (BIO 127 and ALLH 101 are required before spring semester) ALLH 202 is strongly suggested for completion before entering the program.

SUMMER ALLH 202 Introduction to Allied Health 2 credit hours SEMESTER BEFORE ENG 101 or MATH 123 or PSYCH 101 3 credit hours THE PROGRAM Or BEGINS dual Credit ALLH 101 and ALLH 202 in High School 4 credit hours FALL SEMESTER SURT 101 Surgical concepts (online) 2 credit hours SURT 105 Surgical techniques 6 credit hours SURT 105 L Surgical techniques lab 0 credit hours SURT 108 clinical practicum I 0 credit hours BIO 127 Human Structure and Function and lab 4 credit hours ALLH 101 Medical terminology 2 credit hours MATH 123 Math in Modern Society 3 credit hours no more than 14 credits SPRING SEMESTER SURT 110 Leadership for surgical technology 2 credit hours (online) 0 credit hours SURT 115 Clinical practicum II 3 credit hours SURT 150 Surgical Anatomy 6 credit hours SURT 160 Surgical Procedures 3 credits ENG 101 English Composition 3 credits PSYCH 101 General Psychology no more than 14 credits 4 SUMMER SUFA 288 Surgical Pharmacology (online) 2 credit hours SEMESTER SURT 285 Clinical Practicum 6 credit hours ALLH 202i independent study introduction to allied 2 credit hours health

PROGRAM OBJECTIVES/OUTCOMES The graduate of this program should be able to: 1. Demonstrate application and knowledge of competencies of aseptic technique. 2. Demonstrate knowledge of basic sciences related to surgical technology. 3. Practice within ethical and legal standards in relation to patient, physician, hospital, and personnel. 4. Apply knowledge of anatomy and physiology to surgical procedures. 5. Prepare and function as a Surgical Technologist during pre-, intra-, and post-surgical procedures. 6. Recognize and assist with emergency situations. 7. Establish and maintain effective interpersonal relationships. 8. Demonstrate continuing educational growth. 9. Demonstrate employability skills. 8. Demonstrate knowledge of AIDS and other blood borne diseases. 9. Demonstrate application and knowledge related to workplace and patient safety.

GENERAL INFORMATION AND REQUIREMENTS

TEXTBOOKS The textbooks for the Surgical Technology program can be purchased in the campus bookstore. A current list of required and recommended textbooks is available in each syllabus.

STUDENT RECORDS A file is maintained for each student in the Health Sciences and Human Services office. The file includes admission data, course evaluation and other information regarding progress in the program. Arrangements to view individual files must be made with the Program Manager/instructor.

PARKING Please obey the CSI parking policy. Violations can lead to a parking fine which must be paid, or the student can be prevented from future registration. No cars are to be parked on the grass. Cars parked on the grass will be towed at owner's expense. When parking at clinical facilities, please check with Program Manager/instructor and/or facility before clinical starts as to their parking regulations.

SPEEDING ON CAMPUS The speed limit on campus is posted multiple times. Please be aware that CSI is a pedestrian friendly traffic zone. The pedestrian ALWAYS has the rite of way. You must break for pedestrians; you must defer to the pedestrian the rite of way even if they are not in the crosswalks. Pedestrians are encouraged to pay attention to the busy traffic and cross at the crosswalks.

SURGICAL TECHNOLOGY PROGRAM Advisory committee The Program manager/instructor recognizes the importance of student input into the Surgical Technology program; therefore, a student representative is asked to volunteer to serve on the Advisory Committee.

The Advisory Committee usually meets once a year, and as needed, and keeps minutes under the heading of Surgical Technology Program Advisory Committee.

5 ASSOCIATION OF SURGICAL TECHNOLOGY (AST) All students are expected to joint the AST as a student member in January of each year. This will allow students to take the certification exam post graduation at a lower rate and by joining in January it allows students several months post graduation to take the exam. Students may join earlier (and are encouraged to do so) but are REQUIRED to join by January. AST offers a student rate membership fee and offers a reduced rate for the national examination fee. AST offers many other memberships services.

There are awards and scholarships available to students who are members of the association. You may find them on the web site at http://www.ast.org/Content/Education/Scholarships.htm

6 POLICY AND PROCEDURES FOR THE SURGICAL TECHNOLOGY PROGRAM

1. HONESTY/ETHICAL LEGAL BEHAVIOR Unethical or illegal behavior policy

Any student involved in unethical or illegal behavior is jeopardizing the successful completion of the Surgical Technology Program and may be dismissed from the program. Ethical/legal behaviors include, but are not limited to:

 identifying citations when using resources (texts);  submitting one's own work; including proper format for referencing  Immediately reporting errors in clinical; including incorrect counts, needle sticks, patient safety incidents, student safety incidents.  Keeping testing information (test questions and answers) confidential so that each student might excel on their own merit.

 Improper or immoral interpersonal relationships Students may not make any affiliation with any of the medical or operating room staff members outside of the operating room and outside of a professional relationship. Any familiar interpersonal relationship will be viewed as disruptive behavior by both the operating room clinical and by the program manager and will result in the student’s expulsion from the program.

Because behavior in classroom, skills laboratory and the clinical setting transfers to the graduate in the world of work, students will be dismissed from the Program for ANY CONDUCT (In lab, classroom, or clinical) involving:  theft  lying  drug use or abuse (including prescription drugs)  alcohol use in the classroom or clinical sites  cheating including plagiarism as defined below

The following information on plagiarism was taken from the website http://www.plagiarism.org “The expression of original ideas is considered intellectual property, and is protected by copyright laws, just like original inventions. Almost all forms of expression fall under copyright protection as long as they are recorded in some way (such as a book or a computer file). According to U.S. law, words can really be stolen.”

Aaccording to the Merriam-Webster Online Dictionary, to "plagiarize" means:  to copy something from other person’s work  to copy another person’s idea or written work and claim it as original  steeling somebody’s work or idea

Additionally the Encarta thesaurus used these words to describe plagiarism:  copying  lifting  stealing  illegal use  breach of copyright

7 In other words, plagiarism is an act of fraud. It involves both stealing someone else's work and lying about it afterward.

All of the following are and will be considered by our program plagiarism:  turning in someone else's work as your own  copying words or ideas from someone else without giving credit  including “cutting and pasting” from an internet source without citation  failing to put a quotation in quotation marks  giving incorrect information about the source of a quotation  changing words but copying the sentence structure of a source without giving credit  copying so many words or ideas from a source that it makes up the majority of your work, whether you give credit or not  listing a false citation for works

Most cases of plagiarism can be avoided, however, by citing sources. Simply acknowledging that certain material has been borrowed, and providing your audience with the information necessary to find that source, is usually enough to prevent plagiarism.

2. SUBSTANCE ABUSE Zero tolerance policy Rationale: It is the policy of the College of Southern Idaho Surgical technology Program that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance or alcohol is prohibited while in the clinical setting, on college premises, or as a part of any college-sponsored activity. Any student violating this policy will be subject to disciplinary action up to and including expulsion and referral for prosecution.

Due to the serious nature of the surgical technologist’s job and to protect our patients, students will be required to take a toxicology screen (at the students' expense) and at the discretion of the faculty.

Toxicology exam may be required for one or any of the following but not exclusively for these reasons:  Late to class or late to clinical  Missed or late assignments  Unsafe clinical behavior  Disruptive behavior  Incorrect counts in clinical  Injury on clinical A failed toxicology exam or refusal to take the exam will result in expulsion from the program.

Background check policy Rationale: It is the policy of the College of Southern Idaho Surgical technology Program that students will have undergone and successfully passed a background check performed by a qualified entity or agency. Students will have submitted a background check with admission papers. To be admitted (or remain admitted) to the surgical technology program students must NOT have a history or criminal record (including conviction, plea agreement, withheld judgment, or pending charges) concerning any of the following crimes (felony or misdemeanor). 1. Sexual assault, rape, indecent exposure, lewd and lascivious behavior, or any crime involving non- consensual sexual conduct. 2. Child abuse or neglect, sexual exploitation of children, child abduction, contributing to the delinquency or neglect of a child, enticing a child for immoral purposes, exposing a minor to pornography or other harmful materials, incest, or any other crime involving children as victims or participants 8 3. Vulnerable adult abuse, neglect, or exploitation 4. Homicide or manslaughter 5. Assault or battery occurring within the prior 7 years 6. Drug trafficking or other offenses involving narcotics, alcohol or controlled substance during the prior 5 years 7. Theft, embezzlement, fraud, or other crimes involving dishonesty committed during the prior 5 years 8. Driving under the influence during the prior 2 years

3. ATTENDANCE POLICY Attendance is required for all scheduled classroom activities including lab hours and clinical contact time (and in fall semester this includes open lab contact hours)

Continued absence will jeopardize the student's potential for being successful in the course. If tardy or absent from class when a pop quiz is given, the student will receive a "0" grade.

Unsatisfactory clinical or lab is defined as: . More then one clinical absences In the event of illness, it is the student's responsibility to notify the Program Manager and clinical facility at least one hour prior to clinical time. Should the student miss one day of clinical during the semester, the student must immediately notify the program manager as well as the clinical site. Even with notification this will still be noted as an absence. . More than one lab absence . Less than 4 hours per week of open lab practice time . Any clinical site refusing to host the student in their facility . Student unable to pass the fall semester lab practical with 75% . Repeated complaints from any clinical site regarding the students performance . Repeated unsatisfactory clinical reviews (from the clinical preceptor, employers, or your instructor)

In the event of illness, it is the student's responsibility to notify the Program Manager and clinical facility at least one hour prior to clinical time. Should the student miss one day of clinical during the semester, the student must immediately notify the program manager as well as the clinical site.

If the student is in good standing, has properly notified the Program Manager when absent, and resolved the problem causing the absence, the Program Manager has the option (not a requirement) to allow the student to continue in the course. Extenuating circumstances will be handled by student and Program Manager on an individual basis.

On the third absence from the clinical, the student will automatically receive a failing grade unless there are extenuating circumstances. Extenuating problems such as emergency surgery, severe illness, pregnancy delivered or family emergency may be petitioned as a hardship case by making an appointment with the Chairperson of Health Sciences and Human Services. See the clinical make-up hours policy listed below.

 A sick child is NOT a reason to leave your clinical setting. Make a backup plan.  A sick child is NOT a reason to be absent from your clinical rotation. Make a backup plan.

9 Fall and Spring Open lab practice:  Open lab is REQUIRED lab practice time.  You are NOT in open lab unless you have clocked in.  Students are required to attend 4 hours per week for 8 weeks to gain entry to clinical. For a total of 40 hours.  Open lab time is an extreme necessity to pass the fall final lab practical.  Students who do not take open lab seriously or practice with their classmates do not typically do well on the fall semester lab final.  Students with an unsatisfactory lab or open lab or clinical performance may NOT advance to the next semester. The fall semester has a comprehensive lab practical in December. Students MUST pass the lab practical with 70% to gain entry to spring semester. a. There is an additional requirement for students to have recorded 30 additional open lab hours after starting clinical and before their scheduled lab practical.

4. ASSIGNMENTS  A syllabus is available at the beginning of each semester for the surgical technology program and contains a semester calendar listing subjects to be covered and classroom assignments.  Syllabi will be E-mailed or available on Blackboard, before the semester’s start for students to review.  It is the responsibility of the student to maintain a copy of their original papers and study sheets. In the event the instructor should misplace the paper the student will be asked to re-submit the paper without penalty.  Most written assignments will come with instruction as well as a grading rubric to help guide the student to a successful learning and grading experience.  Assignments will NOT be accepted as E-mailed documents. Students MUST print up their own assignments and present them for grading to the instructor.

5. GRADING LATE ASSIGNMENTS POLICY  The student should seek help with assignments whenever needed.  Tutors are available at CSI at no cost for each student in every subject.  Late assignments will receive a ZERO. (late assignments will slow the learning process of your classmates)  It is the student's responsibility to take note of specific testing times and due dates as they are announced.  Students are given ample time to test. Test dates will NOT be extended. Exams not taken on time will result in a ZERO.

6. E-MAIL POLICY  Students are REQUIRED to have E-mail.  If you do not have a home computer there are MANY on CSI campus for you to use  Your instructor’s primary method of contacting you when you are not in the classroom or lab is by E-mail.  E-mail will be the PRIMARY route for notification of your clinical assignment or changes in clinical rotation, and occasionally an additional assignment as needed.  Student MAY NOT submit homework from their CELL PHONES as a text message.  Student MAY NOT submit homework in any form other than a word, excel or powerpoint document.

10 7. CELL PHONE POLICY  Your cell phone will be turned off during class time, and structured lab time.  You may NOT have your cell phone at your clinical setting. You may not receive phone calls at your clinical setting.  YOU man NOT text message or face book while at clinical!  IF an emergency occurs your family members can reach your instructor and she will notify the clinical site.

8. TARDINESSS Policy When a student exhibits inappropriate behavior, i.e., tardiness to clinical or skills lab, the Program Manager/instructor of the student will handle the situation at his/her discretion.

 In most situations, the student will be counseled verbally the first time; the second time a contact record will be completed, signed by the student and placed in the student's file.  Being tardy to clinical will result in the student being sent home for the day. Should this happen the students will receive a clinical absence.  Continued tardiness to clinical or skills lab will be considered a clinical absence. Please refer to the drug testing policy

9. POLICY FOR CHILDREN ON CAMPUS  Unsupervised children are not allowed on the campus.  If you child may not come to lab (it is an unsafe environment for them)  Children tend to distract your class mates from paying attention to the lesson. College employees will not baby-sit or supervise children for students.

10. DROP PROCEDURE policy Withdrawing from a course is a formal procedure which the student must initiate. If the student stops attending and does not withdraw, the student will receive a grade of "F". (See the Withdrawal Policy).

Students are encouraged to discuss plans to withdraw with the Program Manager. Students often drop when assistance may be available that would enable them to continue.

11. SEXUAL HARASSMENT POLICY The CSI sexual harassment policy is clearly stated in the College of Southern Idaho catalogue. Please review this policy at: http://www.csi.edu/prospectiveStudents_/studentHandbook/student/policy/sexual.html

12. FREEDOM FROM DISCRIMINATION policy

“The College of Southern Idaho subscribes to the policy of providing equal educational and employment opportunities, services, and benefits to students and employees without regard to age, race, color, national origin, sex, religion, and/or disability, in accordance with the Title VII of the Civil Rights Act of 1964, Title IX of the Educational Amendment of 1972, Section 504 of the Rehabilitation Act of 1973, Americans with Disabilities Act of 1990, and all other state and federal non- discrimination statutes. Appropriate consideration shall be given to veterans in accordance with applicable state and federal laws and regulations.” -CSI student handbook

UNDER THE STUDENTS RIGHTS AND FREEDOM’S as defined in the student handbook students in our program have: 11 “The right to enjoy all College privileges regardless so age, sex race, color, religion, national origin, disability or veteran status.”

13. POLICY FOR TAKING TEST/EXAMINATION

1. In the fall and spring semesters exams are taken in the testing center at CSI. Please go to http://www.csi.edu/ip/adc/testing/testing.htm online to see the testing center policies.

2. there is ample time for students to take exams and there will be no exam’s taken late, and NO make up exams. It is imperative that students stay on schedule with these weekly exams.

3. Exams may be given on Blackboard and with an assigned date. They will be announced in the course syllabus.

4. If an exam is not taken the student will earn a grade of ZERO on that unit exam.

5. Regarding test materials and information, the instructor holds students to the following statement:

"I understand that the content of this test/exam is confidential. I agree that I will not divulge any questions on this test/exam to any individual or entity. I understand that the unauthorized possession, reproduction, or disclosure of any test/exam materials, including the nature or content of test/exam questions before, during and after the examination is in violation of law. A violation of this type can result in a civil liability and/or disciplinary actions by the licensing agency, including the denial of certification, and expulsion from the surgical technology program.”

6. Major tests will be given as per the course calendar or as discussed with the class. NOTE: Your instructor can/and most likely will change the syllabi without your consent, but with your knowledge. This will be done to accommodate a clinical site, or the instructor’s schedule. Flexibility is a positive trait in the OR.

14. POLICY FOR GRADE INFORMATION 1. No grades will be given over the telephone to a student or any other person 2. Test scores, clinical grades and lab grades may be E-mailed to you at the instructor’s discretion. 3. Grades will be printed on a regular basis and delivered into the student mailbox only if they are not available online or if the student is in danger of failing. 4. TEST REVIEW: Although reviewing the exam is very valuable to students test review in class takes too much valuable class time. Students who want to review their exams may come to the instructor’s office and request the exam. The exams may not be copied or taken from the instructor’s office. All student exams will be kept ONLY for the semester. Once grades are posted with the CSI registrar the exams will be shredded. Student work will be returned to the students. 5. Students have access to their grades online at anytime. There will be no MIDTERM review, however if at any time in the program the student's grade drops below 70%, a printout of student activity will be mailed to the student with a grade deficiency notice. Accompanying the deficiency notice will be a request to meet with the instructor where an antidotal record/formal contract will be written by the instructor and signed with the student.

With regard to the tests, exams or quizzes: a. No make-up test, exam or quiz will be given tests must be taken ON TIME. 12 b. The final must be taken as defined in each course manual. c. All tests/exams and quizzes may be reviewed by students and the instructor at the student’s request. (not during classroom time) d. Students may petition a test answer, in writing, and with documented proof that they are correct. f. All exam scores must average 70% total (together) to pass the course. g. A grade of 70% and below indicates unsatisfactory performance, and the student cannot progress to the next Surgical Technology Course or successfully pass from the program. h. the final grade is the final grade. A 69.9 is NOT a 70%

The scale for determining a letter grade is as follows: 90-100= A 80-89 = B 70-79 = C 70↓ = Failing

5. Progression from the skills lab to the hospital facilities will be contingent upon: a. Satisfactory performance of basic skills demonstrated during the Skills Lab. b. A passing instrument exam score. Passing is defined as 70% (69.9 is NOT 70%)

6. The student must pass the Lab Practical Exam in December with a 75%. There is NO provision in the program for a RE-TEST of the lab practical exam in December. Once a grade is issued the grade will stand.

15. STUDENT GRIEVANCES AND PETITIONS

POLICY for student Grievances: In cases of unusual circumstances, provision for review has been established through a college committee. This committee has the authority to review all matters pertaining to academic regulations and academic progress if such circumstance seems to be in the best interest of the student and of the college. Please refer to the college catalog.

Grade Appeal Policy A student may appeal a grade that he or she feels is unfair through the grade appeal process. The entire grade appeal process focuses on fairness and due process for students and faculty. There are specific guidelines and procedures which must be followed in each grade appeal, and this detailed information is available from the Office of Admission and Records. Also see the CSI Student Handbook.

STUDENTS MAY REQUEST TO BE RE-EVALUATED for a paper which has earned less than 70%: 1. Request for re-evaluation of a written paper must be made prior to issuance of the semester grade. 2. Write request for second grade to the Dean of HSHS with a copy to the Program Manager. a. Clearly state rationale for this request and identify specific areas where you find grade questionable. b. Turn in an unmarked copy of the paper you wish reviewed with statement to the Dean of HSHS. Please note: a. A grade of "I" will be submitted as final grade until the paper is reviewed. b. Due to faculty commitments-a minimum of 30 days will be required for review of paper. c. Should the paper grade be changed (higher or lower) the second grade stands. d. The final grade will be computed on the second grading should there be a grade change.

13 e. The Registrar will be notified of the change from "I" to.

16. INCLEMENT WEATHER PROCEDURE In the event of severe inclement weather, the procedure for the Surgical Technology Program will be as follows: Faculty Responsibilities: 1. Classes and clinical experiences are canceled only when the college has been officially closed. 2. Clinical instructors will be responsible for notifying clinical agency assigned that clinical experience has been canceled due to weather conditions. 3. If weather conditions become severe during the clinical day, the Chairperson will contact the Program Manager if classes are canceled. Should classes close, students will be instructed to return home. In the clinical setting the instructor will make a reasonable decision as to when to release the students (i.e. immediately, after completion of patient care, post conference, etc.) 4. This procedure will be discussed by the instructor and his/her respective clinical agency.

Student responsibilities: 1. Each Surgical Technology student will make a reasonable judgment of weather conditions based on listening for radio/T.V. announcements and checking with Highway Patrol as to travel conditions. Based on the information received, students will notify clinical instructor and assigned facility that they will not be in for clinical experience.

17. FORMAL WITHDRAWAL PROCEDURE

Students may withdraw from ST courses up to the drop date and receive a "W" in the course. Students receiving a "D" or "F" in an ST course must also follow this procedure beginning with #3. Students considering withdrawing should discuss options with the instructor or program director.

Procedure for withdrawal: 1. Complete a add/drop form 2. Make an appointment and meet with the instructor. The instructor will sign the drop slip. 3. Inform the program manager of the withdrawal. To be eligible to apply for readmission to the ST program, the student, regardless of reason for withdrawal, must first arrange an exit interview with the instructor and complete the exit interview process. This is to be done as soon as possible, but not later than two weeks after the end of the course. 5. During the exit interview, the student and instructor will discuss issues relevant to the exit from the ST program. Any remedial work assigned on the Exit Interview Form must be completed prior to readmission. Documentation of remediation (i.e., grade reports, letter from instructor) must be submitted to the office of Health Sciences and Human Services before readmission will be considered. 6. The student will not be readmitted to the program without completing the exit interview and/or prescribed learning contract.

18. READMISSION POLICY: ELIGIBILITY GUIDELINE FOR READMISSION

 Students who withdraw (or fail) from the program in the fall semester must re-apply for regular admission to the Surgical Technology Program.  There is no guarantee that the student will be re-admitted. The program is limited entry, and very competitive. 14  A student who has failed any part of the didactic portion of the surgical technology program may NOT re-apply to the program without making major changes in the events that caused the student NOT to progress. This may include counseling as well as a written plan of action from both the student as well as the program director.  Students must have a satisfactory clinical grade to be allowed readmission to spring semester. Students who have failed or withdraw from a course due to unsatisfactory clinical performance are NOT eligible for readmission.  A student may be denied readmission based solely on the advice of the interviewing team and/or the advisory committee.  Readmission will be contingent on space available.

READMISSION PRIORITY The instructor and Chairperson of Health Sciences and Human Services will review all files of students requesting readmission to the Surgical Technology Program. After meeting the above stated criteria, the following guidelines will determine placement: First Priority: Students who withdraw for personal/health reasons, and are in good academic and clinical standing (grade C or above). Examples may include: family crisis, personal health, pregnancy, finances. Second Priority: Students who withdraw and/or fail a course for academic reasons (low test scores- grades below C or failure to pass the lab practical)

RE-ADMISSION PROCESS

1. To be eligible for readmission, the student must schedule an interview with the Program Manager/Instructor. 2. The student must follow the current application process to enter the program during the first (fall) semester. Students may be subject to the additional questions during the interview process  What caused your failure in the program last time?  What have you done to change the circumstance(s) that causes your failure in the previous fall semester?  Given that you have had a seat in the program before why should you be considered to take a seat again this year instead of someone else? 3. To return in the second (spring) semester, or if returning for completion of the eight week summer session, (Students must reapply for the program and follow the application process)  With instructor permission students may “delay” graduation by taking a 1 semester leave from the program. A plan of action MUST be in place before leaving and will only be granted if they are in good standing in the program, they are passing the clinical portion of the program and if they have extenuating circumstances.  Students may be required to pass a computer or written instrumentation test with a grade of "80%" or higher.  The student may be required to take a written final exam on surgical techniques with a grade of "75%" or better.  Any contractual agreements made at the time of withdrawal must be completed prior to consideration for readmission.  The student must re-enter the Surgical Technology Program ONLY within one year of dismissal to insure continuity in his/her program of learning, Or must repeat the entire 11 months and only after re-submitting the admission requirements.  All decisions are final.

19. STUDENT WORK POLICY  The Surgical Technology student must not be substituted for paid personnel to conduct the work of 15 the clinical facility during their required clinical supervised practice hours.  Their clinical phase of instruction will be educational, focusing on clinical competencies for each surgical area.  When a student demonstrates proficiency, the student may be permitted to function alone with appropriate supervision and direction (preceptor available). This policy will be monitored by the coordinator of the Surgical Technology Program when he visits or calls the clinical facility.  Students hired by a facility and who are working for that facility when they are NOT in clinical, will not be covered under the liability insurance purchased by the College of Southern Idaho.  Students may not have worked at any job within 8 hours of any clinical practice.

20. LASER PROCEDURE POLICY Surgical Technology students are required to have a baseline eye examination before scrubbing on laser procedures. The ocular examination should include:

a. Ocular history b. Visual acuity c. Central vision field examination d. Contrast sensitivity test e. Fundoscopic examination

All Surgical Tech students are to follow OSHA and Hospital Policy and procedures for working safely with lasers.

16 13. CLINICAL PROCEDURES and POLICY

THIS SECTION WILL BE REVIEWED AGAIN AT 7 WEEKS JUST 1 WEEK BEFORE CLINICAL ROTATIONS BEGIN IN THE FALL SEMEMSTER.

To gain entry into clinical students MUST have satisfied the following” 1. 70% on the instrument exam in lab (which includes a count) 2. completed all required paperwork 3. Satisfactorily completed all the required open lab time (40 hours) 4. Proven competency at the following: scrub, gown, glove, (open and closed gloving) gloving the surgeon, opening the back table and opening basic supplies, able to demonstrate proper ‘stance” while scrubbed (not touching goggles or mask, and keeping your hands up.)  Students who do not prove competency at the start of clinical will be held from clinical and asked to attend open lab until proven competency. This time will be considered a clinical ABSENCE. 5. IHC paperwork (and/or step test) completed as indicated in the syllabi.

Clinical Performance 1. Clinical rotations will be posted. 2. The clinical performance grade will be determined by a combination of the following:  Clinical preceptor appraisal  Surgical Technology Program Manager/ or adjunct’s appraisal  Self-appraisal forms  Clincal documents binder.  Time card turned in  Attendance  Lab Skills final exam (passing at 75%)

The clinical supervised practice is evaluated as: Satisfactory (S)or Unsatisfactory (U).

In order for students to proceed to the next course or graduate from the Surgical Technology Program, a Satisfactory (S) clinical performance rating is required.

As listed on the clinical evaluation form, if a student earns repeated unsatisfactory in the clinical area (skills lab or hospital), he/she will receive a failing mark (U) in the Surgical Technology course, which would prevent the student's progress in the Surgical Technology Program.

 Assigned and satisfactory completion of written work is a vital part of the clinical grade.  Students will make a Clinical Documents Binder (a 3” Binder) with dividers to house all program Clinical log sheet, time cards, clinical competency, evaluation by preceptor. At the end of the program binders will be retained by the instructor. o The documents are required in order to receive a grade. An "I" (incomplete) grade will be given until the paperwork is completed. The missed clinical day will be unexcused.

 Students who do not hand in the log sheets or the evaluations in the required time will be held from clinical until the documents are handed in. This will result in a clinical absence.

 Suspensions from the clinical setting may be made for (but not limited to) disruptive behaviors and/or incompetent actions of the student, conferencing with the instructor, suspension from clinical settings will result in a non-passing clinical grade 17 CLINICAL MAKE-UP HOURS Policy o Make-up hours may or may not be granted, depending upon circumstance of absence and the availability of the operating room staff for a preceptor. Students must request a makeup day with a Request for clinical makeup hour’s form must be used.

o More clinical days missed than the allowed minimum (listed below) will result in a clinical unsatisfactory and the student will not be allowed to complete the program. Missed clinical day will affect the student’s grade.

 Fall = 9 hours (1 ½ days)  Spring = 16 hours (2 days)  Summer = all days must be done as assigned.

If a student is proving to be unsatisfactory (in any area and for any reason) the following discipline will occur:

o A formal contact record will be written to document the occurrence(s). o Steps to resolve the problem will be discussed, and the student is expected to improve. o If the identified actions/behaviors continue, the formal written contract will be enforced. The formal contract will identify specific areas for improvement, a plan to achieve expected outcomes, a specified time period to correct the deficiency, and a designated time period for evaluation. o Repeated incompetent actions and/or disruptive behavior in the clinical settings may be grounds for removal from the clinical prior to the completion of the clinical rotation. o If the identified problems do not resolve, the student will receive a clinical Unsatisfactory and will be dismissed from the program.

18 CLINICAL SUPERVISED PRACTICE AND STUDENT CLINICAL ASSIGNMENTS

Clinical assignments are made considering the needs of the clients, learning needs of the student, and availability of surgical cases. Students may have assignments changed due to cases canceled, employee orientation needs, and other factors. Students are expected to scrub on cases assigned.

EXPECTED BEHAVIOR WHILE IN THE CLINICAL SETTING 1. Breaks are limited to 5 minutes. (If your room is to turn around fast you may not get a break). Lunch breaks are 30 minutes. You may NOT leave the building. 2. Students are not expected to take a break unless directed by preceptor, and/or RN circulator, and/or charge nurse, and/or instructor. 3. In case of an emergency, a family member should call the College and leave a message with the Secretary who will notify the instructor who will notify the student. Family members MAY NOT call the operating rooms, and they MAY NOT come to your clinical setting for any reason. 4. A student is expected to perform only those skills in which he/she has checked off on in the skills laboratory and/or been taught by preceptor in OR. 5. Students are not permitted to take doctor's telephone orders. 6. Students are not permitted to give information about the patient's condition on the phone or in person. 7. Students are expected to have current CPR certification and medical insurance until they graduate in July. 8. If absent, call clinical facility and instructor of Surgical Technical program one hour before time to report. 9. If you are sick or need to leave the clinical facility, report to your instructor. a. A doctor's excuse will be needed to return to clinical after any type of illness. 10. Students are expected to be appropriately dressed according to CSI dress policy, the agency's dress policy, and surgical environment. 11. Students are not allowed to use agency phones for personal calls. a. Cell phones will be left in the student’s car and not in their pocket in clinical. b. You may NOT text message/facebook etc while at clinical even if on break. 12. Students are to have lunch when their preceptor has lunch. Afterwards they are to report back to assigned room. 13. Students are not to argue with preceptor, RN circulator, surgeon, or any supervisor. FOR ANY REASON. If you have a grievance you will call your instructor. 14. Violators will be counseled; however, excessive violation of the above rules will be subjected to disciplinary action and will be regarded as unprofessional behavior and will result in a clinical unsatisfactory. 15. The clinical supervised practice component of the course involves:  performing surgical skills  giving safe care to surgery patients  safe practice for students  medication handling  completion of specific written and/or oral assignments  demonstration of professional  demonstration of ethical behavior  Professional attitude in dress, communication, and punctuality

A clinical evaluation tool with criteria is the document used to record progress in the clinical supervised practice setting. The criterion for evaluation accompanies the evaluation tool, thereby providing students and faculty with guidelines for satisfactory and unsatisfactory behavior. Students, faculty, and preceptors are involved in the evaluation process. All students are evaluated bi-weekly, and at the end of the semester in each clinical course. Each student will do a self-evaluation in the fall and spring semester and a clinical competency form in all three semesters. 19 o If the student performs unsafe care or exhibits inappropriate behavior during the course of the semester, the instructor will identify and discuss this problem with the student as soon as possible after the occurrence.

Some examples of inappropriate behavior and unsafe practice include:

1. UnProfessional or unethical association with medical or operating room staff. 2. Attending clinical while under the influence of any substance affecting a student's ability to respond in a reasonable and acceptable manner. INCLUDING: Prescription or Dr. Ordered Medication that might alter the student’s performance. 3. Performing unsafe care, thereby causing physical injury or emotional stress to a patient or injury to self or other team members. 4. Failing to maintain confidentiality (in clinical as well as in lab and classroom situations) 5. Falsifying any information concerning the patient, staff, peer group, log sheets, preceptor evaluation of student, preceptor clinical test of student, and case study. 6. Inability to perform skills learned in skills laboratory. 7. Performing skills that are not appropriate for level of practice. 8. Removing any item from a patient or hospital without permission. 9. Leaving clinical without prior permission of the instructor 10. Unprofessional behavior as deemed by the Hospital staff or your instructor. 11. Refusal of the assignment or changing own assignments without notifying the instructor will result in: Dismissal from the clinical practice experience and/or Dismissal from the Program. 12. If you are a hospital employee you may NOT open any electronically keyed doors with your hospital badge while at clinical as a CSI student. 13. CSI name tag is to be worn daily on scrubs. 14. Smoking is permitted in designated areas at lunchtime only, and only then if permitted by facility regulations. 15. Cell phone usage is strictly prohibited while in the clinical setting. 16. Arriving late to clinical. Late is 5 minutes. Arriving late will result in the clinical site asking you to leave for the day resulting in an unexcused clinical absence.

NOTE: According to the CSI contract with the clinical agencies, the clinical agencies can deny placement of CSI students. If any agency denies placement of a student, this could impact the student's progression in the curriculum.

13. Policy on High Risk Patients;

Students in the College of Southern Idaho Surgical Technology program will not be caring for high risk patients. This includes patients with AIDS, HIV and HEPATITIS in any form.

This policy change has been adopted because in the beginning of your education in surgical technology you are not practiced enough to keep yourself safe even if you want to, and try to. Accidents happen including needle sticks and the potential risk for you is too great while you are still learning your craft.

Saint Luke’s Magic Valley has already adopted this policy effective immediately for all students. For you students (surgical technology program students) this will include ALL your clinical sites.

If you are scrubbed in a case and you learn that the Patient has AIDS, HIV or HEPATITIS you will excuse

20 yourself from the operation as a scrubbed person. You may stay and observe. You may have to say that it is against the policy of CSI to allow you to scrub on high risk patients. It may become your responsibility to leave the case.

15. ACCIDENT / INCIDENT POLICY

POLICY: All students enrolled in the Surgical Technology program: who are involved in an accident/incident, incorrect count or medication error in sterile field are required to complete an Accident/Incident Report Form. The student should notify the RN in charge of the operating room assigned and surgeon. The OR manager/charge nurse will be notified. The instructor will be notified

1. Any occurrence deemed of a severe nature by the Program Manager must be reported to the department Dean immediately. All sharps and/or needle sticks are deemed severe.

2. Regardless of the type of occurrence, it must be reported to the Program Manager, Preceptor, RN Circulator and Charge Nurse immediately. The program manager will ask students to come by the office or the lab filing cabinet, and pick up a “incident” packet.

3. If the occurrence is in the clinical facility, in addition to our policy students will complete the facility incident report form and follow the policy and procedure for reporting.

4. Students in the program are required to carry a personal health insurance throughout the time that they are in the program. Students who let their health insurance lapse will have to pay for all medical bills incurred at clinical. Including lab work and ER charges.

5. In the event of a sharps or needle stick: The hospital forms, the security forms, a copy of your medical insurance card and a copy of the bill MUST be turned into the program manager for the bill to be submitted to CSI for payment. Failure to turn in the forms within 1 week may cause the student to be responsible for the bill.

 As part of our needle stick prevention policy: students will watch a video on preventing needle sticks and take a post exam before they attend clinical. In the event of a needle stick students will remediate by watching the video, and taking the exam again to prove competency in this area. This will be finished and documented on the incident form before being submitted to the CSI business office.

 Students will re-watch the movie for EVERY needle stick they are involved in.

6. In the event of an incorrect count and as part of our program incorrect count prevention policy: Students will be required to watch an AORN video on Counting Instruments, Sharps and Sponges before they attend clinical. Students who are involved in an incorrect count will fill out a CSI incident sheet (in the lab filing cabinet) and will document that they have gone through remediation by watching the counting video before submitting the required paperwork.

To facilitate student’s compliance with the incorrect count and sharps sticks prevention policies: a copy of the video is in the Program manager’s office, the CSI library, as well as with Jo Riter at SLMV. Students may choose to watch these videos in these remote locations but the incident form must then be signed by the librarian or by Jo (as well as by the program manager) before the incident report is turned in. Failure to turn in an incident report my result in a unnecessary clinical absences, which will result in grade failures.

21 CSI Photo consent release and Leadership (marketing) activities release form

I, ______will allow the College of Southern Idaho and the CSI Surgical Technology program to use my image. This consent also extends to any persons or agencies employed by the College Of Southern Idaho to use, re-use, publish or re-publish my image.

I understand that my image may be used in whole, in part, or in a composite with or without my name for illustration, promotion, art, advertising, marketing, trade or any other purpose deemed necessary by the College of Southern Idaho.

I understand that my image may be used in, but not limited to, CSI Class Schedules, CSI Media guides, CSI catalogs, CSI Student Handbooks, CSI Student Viewbooks, CSI brochures, CSI Program brochures, CSI leaflets or posters, the CSI Website, CSI advertising or CSI Public Service Announcements.

I waive any right to inspect or approve the finished product that may be used in conjunction with my image. I release the College Of Southern Idaho, its Board of Trustees, its employees, and the State of Idaho from any liability in the use of my image, including any claims of libel or invasion of privacy.

I understand and agree that no financial compensation is offered or expected now or in the future for the use of my image.

I further agree that part of my placement in the program will include promotion or marketing the Surgical Technology program. I may be required to “work” in the lab or to help tour groups on or off campus or to assist in a hands-on activity or to “work” in a career fair to promote the career of surgical technology. These activities will be part of the professional and leadership learning activities and may or may not involve release from clinical or lab time. There will be no expectation of a GRADE for these activities.

This agreement will be kept in my student file.

Instructor’s signature ______date ______

Subject’s printed name______Subject’s address______Phone______Signature______Date:______

22 I ______Have read the CSI Surgical tech handbook and I agree to abide by the policy and procedures within this handbook.

Failure to follow the Policy of the CSI the CSI Surgical Tech program handbook and the Policy and procedures of the contracted clinical sites of the Surgical Tech program will result in dismissal of the program without readmission.

Signed

Dated: ______

Signature witnessed by classmate