Job Summary/Overall Objectives
The Team Lead 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.
Essential Job Functions
* Collaborates with Surgeon, Clinical Specialty Coordinator, Supervisor, and
Director to develop service line goals including: Doc preference cards,
efficiency metrics, orientation assistance, and overall service line
excellence
* 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, especially within the cardiac surgical specialty.
* Updates cardiac 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.
* Other duties as assigned.
Competency and Experience [Knowledge, Skills and Abilities]
Required Qualifications/Experience
* Graduate of an accredited school of Surgical Technologist.
* One (1) to three (3) years’ experience as a Surgical Technologist.
* Strong leadership ability, good organizational skills, independent and
critical thinking skills, sound judgment, and knowledge of legal aspects and
liability of nursing practice.
* Strong ability to communicate complex and/or controversial topics and
concepts to a wide and diverse audience.
Preferred Qualifications/Experience
* None preferred.
License, Certification & Clearances
* Certified First Assistant preferred.
* Current Basic Life Support (BLS) approved curriculum of the American Heart
Association (CPR and AED) program required.
* Act 33 with renewal
* Act 34 with renewal
* Act 73 FBI Clearance
* Act 81 Compliance
Position Type/Expected Hours of Work
* Incumbent will be scheduled based on operational need (rotate shifts,
standby, on-call, etc.).
* Travel may be expected locally between System locations.
Equal Employment Opportunity
Independence Health and its affiliated companies are Equal Opportunity
Employers. It is their policy to prohibit discrimination of any type and to
afford equal employment opportunities to employees and applicants without regard
to race, color, religion, sex, sexual orientation, national origin, age, marital
status, disability, veteran status, or genetic information, or any other
classification protected by law. Independence Health and its affiliated
companies will comply with all applicable laws and regulations.
Disclaimer
This job description is not designed to contain a comprehensive listing of all
activities, duties or responsibilities that are required of the employee.
Moreover, duties, responsibilities and activities may change or new ones may be
assigned at any time with or without notice.
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.
Work EnvironmentEffective March 2020 or during pandemic: goggles, face shield
and mask are required according to CDC guidelines
When lift requirement is in excess of 50#, lift assistance (2 person) and/or
transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
Physical Condition
Essential
Marginal
Constantly
Frequently
Occasionally
Rarely
Never
Extreme Heat
x
Extreme Cold
x
Heights
x
Confined Spaces
x
Extreme Noise(>85dB)
x
Mechanical Hazards
x
x
Use of Vibrating Tools
x
x
Operates Vehicle
x
Operates Heavy Equipment
x
Use of Lifting/Transfer Devices
x
x
Rotates All Shifts
x
x
8 Hours Shifts
x
x
10-12 Hours Shifts
x
On-Call
x
x
Overtime(+8/hrs/shift; 40/hr/wk)
x
x
Travel Between Sites
Direct Patient Care
Respirator Protective Equipment
x
x
Eye Protection
x
x
Head Protection (hard hat)
x
x
Hearing Protection
x
Hand Protection
x
x
Feet, Toe Protection
x
x
Body Protection
x
x
Latex Exposure
x
x
Solvent Exposure
x
Paint (direct use) Exposure
x
Dust (sanding) Exposure
x
x
Ethylene Oxide Exposure
x
Cytotoxic (Chemo) Exposure
x
Blood/Body Fluid Exposure
x
x
Chemicals (direct use) Exposure
x
x
Mist Exposure
x
Wax Stripper (direct use)
x
Non-Ionizing Radiation Exposure
x
x
Ionizing Radiation Exposure
x
Laser Exposure
x
x
Physical Demands
When lift requirement is in excess of 50#, lift assistance (2 person) and/or
transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
Physical Condition
Essential
Marginal
Constantly
Frequently
Occasionally
Rarely
Never
Bending (Stooping)
xx
x
Sitting
x
Walking
x
x
Climbing Stairs
x
Climbing Ladders
x
Standing
x
x
Kneeling
x
x
Squatting (Crouching)
x
x
Twisting/Turning
Keyboard/Computer Operation
x
x
Gross Grasp
x
x
Fine Finger Manipulation
x
x
Hand/Arm Coordination
x
x
Pushing/Pulling(lbs. of force)
x
x
Carry
Transfer/Push/Pull Patients
Seeing Near w/Acuity
x
x
Feeling (Sensation)
x
x
Color Vision
x
x
Hearing Clearly
x
x
Pulling/Pushing Objects Overhead
x
x
Reaching Above Shoulder Level
x
x
Reaching Forward
Lifting Floor to Knuckle
###
10-29#
30-49#
Lifting Seat Pan to Knuckle
###
1-29#
30-49#
Lifting Knuckle to Shoulder
###
10-29#
Lifting Shoulder to Overhead
###
10-29#
When lift requirement is in excess of 50#, lift assistance (2 person) and/or
transfer device is required.