Surgical Tech Full-time
Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

This position is an established experienced position to obtain Surgical Technologist Certification. This position requires rotational scheduling and on-call (night, weekend, and holiday) coverage.  Position requirement includes performing duties of a surgical technologist. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. The Technician assists with positioning, surgical prepping, and draping of the surgical patient. Other responsibilities include setting up an operating room before surgery and ensuring all needed equipment and instrumentation is available and in working condition for the scheduled surgical procedure. Surgical specialties include Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients.


Qualifications

NECESSARY QUALIFICATIONS

Education:

High School Diploma or GED

 

Must have completed and provide documentation of at least one of the following:

  • Completion of an approved Surgical Technician training program accredited by the Association of Surgical Technologist (AST)
  • On the Job training in a clinical healthcare setting or military specialty

Certification/Licensure:

  • Must be certified within 6 months after 3-year qualification from the National Board of Surgical Technology and Surgical Assisting (NBSTSA 3yr) – or Surgical Technologist Certification (CST), or current certification from National Center for Competency Testing (NCCT-3yr 6240 hours) – Certified Tech in Surgery (TS-C)
  • Must maintain a current valid certification of the following throughout employment:
    • Basic Life Support (BLS) from the American Heart Association

Experience:

At least nine (9) months of current experience in the specialties of Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients.

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.  All employment references must address and indicate success in each of the following areas:

  • Positive working relationships with others
  • Possession of high ethical standards and no history of complaints
  • Reliable and dependable; reports to work as scheduled without excessive absences or tardies
  • Excellent customer service abilities with effective listening and communication skills
  • Knowledge, ability, and experience to ensure quality patient care during the operative procedure and is constantly on vigil for maintenance of the sterile field and equipment
  • An understanding of the procedure being performed and anticipates the needs of the surgeon
  • Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
  • Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job.
  • Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Physically demanding, high-stress environment; exposure to blood, sharp instruments and other devices, body fluids and tissue, communicable diseases, chemicals, radiation, and repetitive motions. Requires long periods of standing, walking, frequent lifting, bending, and positioning of patients. Requires standing for long periods of time with lead apron for procedures that require radiology support (12 to20 pounds). Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, etc.,, and in moving equipment and medical supplies.

Must be able to work in small areas without contaminating him/herself and the surgical team. Must have the manual dexterity to handle and pass surgical instruments without causing injury to self and the surgical team. Must be able to lift a minimum of 50 pounds. Must be able to push/pull mobile equipment weighing up to 300 pounds.

Mental:

Communication often requires tact and sensitivity, especially when it is related to a stressful situation such as emergencies, death, dying, and catastrophic illnesses.  Must be able to prioritize and use good judgment.  Must be able to multi-task while being frequently interrupted. Concentrate for prolonged periods of time. Communicate in a concise, clear and respectful manner. Must accept a flexible schedule to meet unit needs.

Environmental:

May continually be exposed to infectious diseases, chemical agents, frequently to extremes in temperature or humidity, hazardous or moving equipment, loud noises and occasional exposure to dust, fumes, gases, and unprotected heights.


Responsibilities

ESSENTIAL FUNCTIONS

  1. Must successfully complete a surgical technologist didactic and clinical training. Completion of all clinical requirements and required exams, must be able to scrub all services, including Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Trauma, Urology
  2. Utilize Association of Surgical Technologists (AST) Standards of Practice to plan and implement care of the intra-operative patient.
  3. Maintain highest standards of sterile technique during procedures.
  4. Set up sterile table with instruments, equipment, supplies, and medications/solutions per procedure.
  5. Drape the sterile field (back table, mayo stand, OR table, etc.).
  6. Perform appropriate counts of sponges, needles, and instruments with circulator prior to the operation and before incision is closed.
  7. Scrub daily under registered nurse supervision for different advanced and complex types of surgeries.
  8. Scrub, gown, and glove for surgical procedures and gown and glove the surgeons and assistants.
  9. Ensure all necessary equipment is in good working order.
  10. Pass instruments, etc. to the surgeon during procedure.
  11. Prepare sterile dressings
  12. Clinical duties include the provision of patient care and support of individuals of all ages and their families.
  13. Accept and appropriately label all medications/solutions needed for surgical procedures per policy.
  14. Assist in terminal cleaning and preparing room for the next patient.
  15. Take initiative in reporting equipment in need of repairs and low levels of supplies.
  16. Take apart and reassemble any instrument or piece of equipment that needs attention and prepare instruments for terminal sterilization.
  17. Correct breaks in aseptic techniques by any person to provide optimum patient care.
  18. Monitor, inventory assigned service supplies and order as needed.
  19. Responsible for electronic health records data entry pertinent to patient service role.
  20. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
  21. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
  22. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
  23. Perform other duties as assigned.

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A caregiver in this role works days + on-call shifts from 7:00 a.m. – 3:30 p.m. A caregiver who excels in this role will: Provide quality, individualized patient care in the perioperative, intraoperative and postoperative phases. Follow guidelines for perioperative practices as established by AORN. Review daily assignments and ascertain surgeon-specific preferences and anesthesia. Identify and prioritize individual patient care needs. Plan care based on contemplated procedure, standards of practice, admission assessment and MD preferences. Assemble, check and open sterile packs, sutures and more. Practice and assist others in maintaining aseptic techniques and electrical and environmental safety in department. Comply with required standards for patient positioning, skin preparation, counting and side-site verification. Remain with the sterile setup to assure maintenance of the sterile field. Assist with draping the sterile field. Report and/or correct any break in sterile technique. Prepare and edit surgeon's preference lists to assure quality care of the surgical patient. Communicate pertinent information during procedure and during personnel changes. Assure that equipment and supplies are utilized at appropriate levels and returned to their proper location after use. Collect specimens as directed by the surgeon and identify the origin of each specimen to the RN Circulator. Assist surgeons and assistants with retraction and suction as directed. Assure that all biohazard material is handled and disposed of properly using universal precautions. Keep accurate counts of all sutures, sharps, soft goods and instruments. Assure that all instrumentation is returned to decontamination with proper documentation count sheets. Minimum qualifications for the ideal future caregiver include: Graduate of a Surgical Technology Program accredited through the CAAHEP or ABHES OR completion of a military surgical technology program OR certification as a Surgical Technologist (TS-C through the National Center for Competency Training or CST through the National Board of Surgical Technology and Surgical Assisting) Basic Life Support (BLS) Certification through the American Heart Association (AHA) or American Red Cross Preferred qualifications for the ideal future caregiver include: Certified Surgical Technologist (CST) Certification Two years of experience in a multi-disciplined OR in an acute care hospital Physical Requirements: Workload is heavy and requires constant lifting, moving of patients, equipment, instrument trays, and supplies. Able to lift items up to 50 pounds without assistance and greater than 50 pounds with assistance. Stooping, pushing and pulling required when moving patients or equipment into position for surgery. Ability to work at a fast pace and to prioritize multiple assignments/projects and respond to numerous requests; ability to resolve conflicts among staff and to work collaboratively with department director, physicians and other members of the Healthcare team; ability to ensure operational efficiency; ability to problem solve and make decisions; ability to exercise self-control and tolerate stress when dealing with multiple requests and/or conflicting demands from multiple customers. Needs minimal sustained direction in assessing work load, directing staff and carrying out departmental and professional responsibilities; self-starting and self-motivating; working hours may exceed eight (8) hours per day and is based on what is needed to accomplish completion of the daily surgical schedule. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.