Surgical Technologist II - Operating Room - 1.0 FTE - AM Shift Variable

Washington Hospital Fremont, CA, US

$57.81 - $69.71 / hour

Salary Range: $57.81 - $69.71 plus applicable shift differential

Division: Perioperative Services, Operations and Support

Job Title: Surgical Technologist II

Job Code: 10C

Position Summary

The scrub surgical technologist handles the instruments, supplies, and equipment necessary during the surgical procedure. Protects patient safety by following regulations and standards, accounts for all items post-operatively to avoid retained objects, and maintains sterile technique during procedure. Assist in prepping room for patient care, and room turn-over.

In addition to performing the essential functions listed below, may also be assigned other duties as required.

Statement of Accountability

Reports to Nurse Manager, Charge Nurse or Circulating Nurse

Qualifications

Education
Licensure
Work Experience
Skills/computer/ specific technical
Other qualifications, miscellaneous

Specify if qualifications are Required or Preferred

Surgical Tech II

Graduate of a Surgical Technology program required
Minimum of two years of Operating Room experience as a Surgical Technologist required
Operating Room Surgical Technician Certification preferred
Current CPR certification required

Specialty Pay: Surgical Tech 1 & 2 would be eligible for specialty pay consideration of 5% differential to base pay rate. Initial receipt and continuation of specialty pay is based on:

Must perform as a resource person for co-workers in one or more surgical specialties.
Must provide two pre-approved education/training sessions for co-workers annually.
Completion of assigned project work during the year.
Must be an employee at Washington Hospital for six months before applying for staff specialty pay.
Must have no Step 3 or higher counseling in the past 12 months.

Division: Perioperative Services, Operations and Support1

Title: Surgical Technologist II Job Description

Essential Job Responsibilities

Achieving Results

Key Components: assess, plan, evaluate, demonstrate initiative, quality of work, productivity

Demonstrates initiative, responsibility, and accountability in achieving the Hospital, Division, and Unit goals and mission.
Performs data collection and assessment of unit needs in an ongoing and systematic manner.
Evaluates the effectiveness of the plan through observation of the efficient running of the unit.

Demonstrates Skill

Key Components: competency, job knowledge, organizational skills, analytical skill, management of information, employee & patient safety

Formulates a plan in collaboration with the charge nurse/manager that ensures that direct and indirect services are provided for the unit.
Implements clinical and technical aspects of care in a knowledgeable, skillful, consistent manner.
Provides developmentally appropriate care to support patients during hospitalization.
Demonstrates a knowledge base sufficient for the performance of assignments.
Demonstrates an awareness and sensitivity to patients’ rights.
Demonstrates effective communication skills using interest based communications and following chain of command.
Demonstrates professional responsibility to following Hospital, Divisional, and unit based policies and procedures.
Demonstrates integrity and fosters teamwork among colleagues.
Demonstrates self-responsibility and accountability for assigned tasks.

Planning & Coordinating

Key Components: delegates, decision making, problem solving, management of resources

Utilizes available resources to problem solve effectively.

Professionalism

Key Components: dependability, interpersonal skills, teamwork, patient first ethic, customer service, communication skills, punctuality/attendance, receptiveness to criticism, judgment, confidentiality

Assists in circulating role when directly supervised by a Registered Nurse.
Performs efficiently and effectively during emergency situations.
Functions with an awareness and application of safety practices as identified within the OR and hospital.
Functions to establish priorities of the unit’s needs in an organized manner based on available resources, of time, personnel, equipment and supplies.
Maintains flexibility regarding staffing/daily assignments.
Educates patients about healthcare matters under the supervision of the RN.

Improving the Organization

Key Components: performance improvement, quality initiatives

Participates in interdisciplinary performance improvement activities.
Provides quality customer service and responds appropriately to customer compliments and complaints.
Participates in OR Q.A.&I. Activities and completes assigned tasks utilizing appropriate policies and procedures.

Self-Development

Key Components: maintain license/certification, education and training

Demonstrates an awareness of self-responsibility and accountability for improving own level of practice.
Participates actively in staff development for unit and divisional personnel.

Regulatory Compliance

Key Components: JCAHO, Title 22, OIG, HIPAA, State/Federal laws, hospital policies

Demonstrates awareness of, and compliance with, patient safety and regulatory and licensing standards; i.e., JCAHO, Title 22 OSHA, EMTALA, HIPAA, and other service specific regulations.
Demonstrates awareness of legal issues in all aspects of patient care, promoting safe practice in order to reduce risk.

Prepared by:

Felipe Villanueva, Director of Perioperative Services

Date:

6/27/23

Approved by:

Nicholas Legge

Title:

Chief of System Operations & Management Support Services

Date:

Personnel Office Review:

Date:

Revised Date:

6/27/23

Page 1

Physical Requirements

Job #: 10C Job Title: Operating Room Surgical Technologist

Physical Activities – General description. Show average time (0 – 8 hours) per workday.

a. Sitting: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

b. Walking: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

c. Standing: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

d. Bending: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

e. Squat, kneel, None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs) crawl:

Weight lifted / force exerted. Show average time (0 – 8 hours) per workday:

a. 0 -25 lbs. (light): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

b. 26 - 50 lbs. (med): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

c. 51 + lbs. (heavy): None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

d. Describe type of activity: Pushing/Pulling Reaching above shoulder level Lifting Carrying.

e. Details of heaviest item/activity:

Repetitive use of hands. Show average (0 – 8 hours) / workday:

a. Both hands: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

b. Dominant only: None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs))

c. Dexterity: Simple grasping Power grasping Fine manipulation.

Describe any special activity:

Repetitive use of feet (other than walking/standing), i.e. foot control. Show average time (0 – 8 hours) workday:

a. Right Left Both None/minimal (0-1) Occasional (1-2) Frequent (3-4) Continuous (5+ Hrs)

Describe any special activity:

Vision requirements: Basic Vision Requirements; including Close Vision (clear vision at 20 inches or less) and Distance Vision (clear at 20 feet or more).

Specific Vision Requirements:

a. Color Vision (ability to identify and distinguish colors)

b. Peripheral Vision (ability to observe up/down or left/right while eyes are fixed on a given point)

c. Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships)

Describe any special vision requirement:

Hearing requirements: Basic Hearing Requirements; including ability to hear alarms and pages, ability to hear communications, requests or instructions from patients, staff or public.

Describe any special hearing requirement:

Work Environment - This job requires exposure to the following environmental conditions:

a. Blood or body fluids e. Toxic or caustic chemicalsi. Electrical shock risk.

b. Wet, humid conditions (non-weather) f. Outdoor weather conditionsj. Risk of radiation

c. Work near moving mechanical parts g. Extreme cold (non-weather)k. Vibration

d. Fumes or airborne particles h. Extreme heat (non-weather)

i. Noise level for work environment is: Very Quiet Quiet Moderate Loud Very Loud

Other (if applicable):

Page 1

Job Hazard Analysis

Department: Perioperative Services Job Code: 10CTitle: Surgical Technologist II

Hazards Which May Be Encountered

Injury

Methods To Prevent Injuries

Lifting Objects/Patients

Back Injuries

Hernias

Understand A&P of back, causes of back pain, preventive approaches, use of aids when lifting.

Preventive measures when lifting and use aids when lifting.

Slip/Trip/Falls

Contusions, Sprains, Strains

Avoid undue speed. Use handrails. Clean up spills immediately.

Fires & Natural Disasters

Burns & All Types of Injuries

Recognize possible causes of fires. Smoking materials, faulty equipment. Employees should educate patients. Compressed gasses are flammable & under pressure so must be handled with care. Workers need to be familiar with disaster plans and know exit routes.

Electrical Hazards

Shocks & Burns

Be aware of unsafe equipment and appliances. Complete electrical safety education and seek assistance if any unsafe areas are noted.

Assaults

Minor Injury to Death

Employees need to be cognizant to potential dangers to ensure safety. Awareness of existing security measures and defensive behavior can protect employee from assaults.

Needles & Sharps

Cuts, Punctures, Lacerations

Sharps should be discarded in designated containers. Employees should exam & handle soiled linens & similar items as if they contained hazardous items.

Obstacles & Broken Objects

Abrasions, Contusions, and Lacerations

Arrange furniture to allow free movement about the room. Keep doors & drawers closed when not in use. Clean/discard broken objects properly (i.e. broken glass should be swept up - not picked up with fingers).

Possible Exposures to Infections Hepatitis/Tuberculosis/Cytomegalovirus/Varicella/AIDS/Herpes/Staph Infections, Lice/Scabies/Rubeola

Infection

Use Infection Control procedures as defined in Infection Control manual. These include hand washing, protective clothing, knowing the risks. Label linens and wastes properly.

Possible exposure to acids & other chemicals used within the hospital

Refer to MSDS's

Employees should follow procedures as explained in their department Hazardous Material training and refer to MSDS's before using/handling any chemical. Follow procedures and do not use any chemical without proper labeling.

Latex

Dermatitis to death

Alert supervisor if you feel that you are allergic to latex materials. Use non-latex gloves for sterile procedures.

Soaps, Detergents, Cleaning Solutions

Dermatitis

Follow Departmental procedures. Protective clothing is available if Dept. is unable to substitute agents that do not cause dermatitis.

Ergonomic Problems

Wide Variety of Musculoskeletal nervous disorders

Body mechanics, positioning of equipment/furniture, and repetitive actions can cause employees to experience a variety of physical problems. Employees should follow safe body mechanics as described in hospital education. Employees are encouraged to seek assistance from their supervisor if they feel a task is causing them to experience physical problems. Work site evaluation may be indicated and this should be discussed with manager.

Possible Chemical Exposure

Refer to MSDS's

Employees work with a variety of chemicals within the lab setting. Employees receive training upon hire and also are expected to review the Chemical Safety Plan yearly. Employees are expected to follow safe working procedures as instructed.

Possible Exposure to Radiation

Sterility, Cancer, Shortened Life Expectancy

When appropriate, employees should wear film badges (they are monitored routinely) and use lead aprons, gloves, or shields. Identify and appropriately manage radiation therapy patients and their secretions.

Possible Exposure to Chemotherapeutic Agents

Refer to Hazardous Materials Binder

Employees should be aware of procedure for chemo spills.

Exposure to Video Display Terminals

Eye strain & stress in addition to ergonomic complaints

It is unknown if significant visual dysfunction results from long-term use of VDT's. Problems may be controlled with control of lighting and glare, the color contrast, and workers should have adequately corrected vision. Employees should seek assistance from their supervisor if they feel VDT is causing problems for them.

Possible exposure to patient medications during the course of their administration. Generally those drugs given by aerosol or in liquid/IV form present the greatest possibility of exposure because there may be exposure through skin/mucous membrane contact (ex. ganciclovir sodium)

Refer to MSDS’s

Employees should follow procedures as explained in their department’s Hazardous Material training and refer to MSDS’s before handling any drug with potential hazards.

Exposure to Chemical Agents

Burns

Irritations

Burns & Irritations

Ammonia solution is frequently used as cleaning agent and the gas is used as a refrigerant. Gloves should be worn and other precautions as described in training and MSDS.

Chlorine solutions are often used as disinfectants. Gloves should be worn and other precautions as described in training and MSDS.

Drain cleaners are often used and splashing may occur. Protective clothing should be used and other precautions as described in training and MSDS.

Exposure Microwave Radiation

Radiation Effects

Doors may not close completely due to: hinges & catches may loosen; spilled food; if interlock system fails. Regular maintenance is done but employees should report any problems & clean all spills.

Possible Heat Stress

Weakness, Nausea, Dizziness

Employees need to be aware of symptoms and the need for water consumption.

Possible injuries due to Improper Storage. Possible injuries due to working compressed and/or oxidizing gases.

All types of injuries

Employees should follow safety procedures of fuel & Cylinders of Oxidizing Gas as outlined in their department.

Possible Exposure to Waste Anesthetic Gases

Refer to Drug Reference

Employees should be cognizant of hazards of anesthetic gases and follow procedures as outlined and trained in their department.

Possible Falls

Contusions, Fractures

Employees often must use ladders and do some climbing as part of their job. Employees should never use ladders in need of repair. Employees should follow safety procedures as outlined in department.

Potential Hazards from Office Work

Variety Musculoskeletal

Employees need to be cognizant of potential dangers to ensure safety. Each Department provides office safety classes to alert employees to potential dangers.

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Lucile Packard Children's Hospital Stanford Palo Alto, CA

$53.28 - $60.39 / hour

Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P138416-2214 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Surgical Technologist II acts as a member of the surgical team providing patient care to the patients undergoing surgical procedures in all areas, including a variety of complex procedures, by assisting the surgeon with instrumentation. Under some supervision, prepares the appropriate instrumentation and materials for use during and on the surgical field, passing instruments, assisting with room turnover, and performs other scrub duties as directed. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Under minimal supervision, provides surgical support to physicians and patients undergoing a surgical procedure in all surgical areas including some complex cases. Anticipates the needs of the surgeon by passing instruments, supplies and equipment in a timely manner. Adheres to all policies and practices for safe identification and handling of specimens and medications. Has knowledge of medications and its intended use on the field. Is aware of patients' weight and maximum doses of medication when appropriate, Is aware and knows patient allergies. Handles specimens and medications using correct technique and according to departmental policy and procedure. Provides information related to care/preparation of surgical instruments/equipment for sterilization/disinfection procedures. Performs the necessary surgical counts on sharps, small items, instruments and sponges with the circulating nurse prior to opening, during, and after closing the incision. Prepares the surgical field by opening correct supplies and preparing instruments and equipment needed for the scheduled case. Assures all materials are available and in working order and verifies own skill in using equipment correctly. Provides indirect patient care activities such as patient transportation. Assist with standard work and cleaning at completion of procedure. Maintains aseptic technique; actively monitors situations that could lead to a breach in aseptic technique. Communicates and immediately corrects breaks in aseptic technique. Ensures that equipment is functioning properly and immediately notifies appropriate personnel of any problems. Tests equipment prior to use on field. Adheres to the LPCHS unit policies regarding equipment maintenance. Assists with restraining uncooperative/combative patient in a safe manner. Serves as a role model for Surgical Tech I. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Completion of an accredited program recognized by the National Board of Surgical Technology and Surgical Assisting or formal structure surgical program (e.g., military services). Experience: Two (2) or more years of progressively responsible and directly related work experience License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Ability to apply judgment and make informed decisions. Ability to work independently. Ability to foster effective working relationships and build consensus. Ability to solve problems and identify solutions. Ability to speak/write effectively at a level appropriate for the job. Knowledge and theoretical understanding of normal/abnormal anatomy/physiology. Knowledge and understanding of surgical procedures to anticipate needs/request from surgeons. Requests instruments and supplies based on procedures and case progress. Knowledge of computer systems and software used in functional area. Knowledge of general safety procedures. Ability to use judgment to determine own work flow. Ability to provide appropriate care based on the needs of the individual taking into consideration age, culture, and developmental issues. Knowledge of normal anatomy and physiology, anticipates and responds to needs of surgeons by requesting instruments/supplies based on procedure and case progress. Ability to provide leadership and influence others. Skill in critical thinking. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $53.28 to $60.39 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.