PERIOPERATIVE SERVICES SURGICAL TECHNOLOGIST CLINICAL LADDER Interview Questions for Level 3 ST Candidates

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1 CANDIDATE NAME: SERVICE LINE: APPLYING FOR: ST Interview questions are based on the Pillar Goals of the Clinical Enterprise. These goals are represented below. Pillars Goal We nurture a caring, culturally sensitive, and professional atmosphere as we continuously invest in the individual and collective aspirations of our people Collegiality is a central characteristic of our culture and defines how we serve our patients, those we teach, and the local and worldwide community We relentlessly pursue and measure ourselves against the highest quality performance in all areas, from patient care to scholarship We invest our resources in a manner that supports our long term obligation to society, to achieve local, national and worldwide impact in improving health We seek excellence and leadership as we advance our systems of care, educational practices, and our commitment to discovery pg. 1

2 PEOPLE PILLAR Serves as a role model and resource in managing problems Problem solving Manages differences of opinion independently and directly Communication Appropriate time, manner, and place Collaboration Ensures privacy and deals directly and keeps within need to know group only 1. We are all obligated to find a Controls emotions, does not escalate and cools down first, if solution to any problem that necessary affects our patients clinical Listens to understand other s point of view/ position care. In doing this, we have all Clarifies problem collaboratively experienced a difference of Clearly defines problem from all perspectives before problem solving opinion. Describe the situation Distinguishes differences of opinion from conflict and exactly how you handled it. Tries to understand own and other s reasons for their position. Does How have you shared your not just quote policy, but explains why resolution process/results with Explores options for finding common ground collaborative others? If going up chain of command, tells person of plan to do so Follows up to ensure resolution Leads others in problem solving projects and mentors conflict resolution pg. 2

3 SERVICE PILLAR Planning and Managing Care 2. Describe a complex or challenging case or situation. What did you do or direct another to do to significantly impact the outcome? Demonstrates critical thinking skills in relation to anticipating the perioperative needs of the patient and surgeon Demonstrates superior knowledge and expert practice in the primary scrub role for advanced surgical procedures Demonstrates superior knowledge of the various surgical equipment and advanced surgical instrumentation Demonstrates advanced knowledge related to OR emergency situations pg. 3

4 QUALITY PILLAR Continuous Learning 3. Describe how you share your advanced knowledge of surgical procedures and processes with your team to promote optimal care of patients. Provides copy of CEU s obtained (at least 15 CEU s per year) Participates in at least one hospital committee (i.e. Unit Board) Readily shares knowledge of surgeon preferences and case specific information with team for optimal patient care Assumes responsibility for self and ensures that the policies and safety practices of the Operating Room and Hospital are reinforced o Examples of teaching/ sharing knowledge could include one or more of the following: In-services team on recent articles, equipment, or procedure based processes Participates in teaching Medical Student Scrub Classes Participates in teaching portions of Perioperative Internship pg. 4

5 GROWTH & FINANCE PILLAR Planning/Managing Resources - Cost Reduction Efforts 4. To ensure the success of VUMC, it is the responsibility of every employee to participate in identifying opportunities to reduce costs. Describe what you have done to ensure or improve cost effectiveness (or cost/case) in your area (beyond what is expected of everyone). Demonstrates knowledge of product and supply costs Evaluates products or supplies for efficiency, functionality and cost effectiveness Demonstrates awareness of potential adverse outcomes related to patient and staff safety and the financial implications of said adverse outcome o Examples of awareness should include how you have gone over and above to protect patients and staff from an adverse outcome, knowing that a potential conflict with key team members may occur as a result of your being proactive. Possible examples could include one or more of the following: Potential for retained surgical items from incorrect counts Potential for development of a surgical site infection from breaks in sterile technique and non-compliance with dress code policy Potential for the development of a pressure ulcer from incorrect patient positioning Potential for needle sticks from non-compliance with double gloving and use of neutral zone Potential for exposure from non-compliance with PPE s such as eye protection Response: Situation ***Not Acceptable: An example of not opening all the pans on the case cart but only the ones that were needed. That is an expectation of all staff. Action pg. 5

6 INNOVATION PILLAR Problem Solving Communication Collaboration 5. Think about an outcome in your area where your leadership made a difference. What specifically did you do to influence that outcome? What evidence did you use to support your actions? Performs the Preceptor role in training of staff Serves as a mentor and role model Exhibits a higher level of collaboration with peers in making decisions related to surgical patient care Demonstrates ownership of service line instrumentation pans. Collaborates with Sterile Processing to facilitate issues related to missing, incomplete, or incorrect instrumentation Demonstrates advanced knowledge and practice of aseptic and surgical technique pg. 6