FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION

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FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION POSITION TITLE: REPORTS TO: OPERATING ROOM SURGICAL TECHNICIAN SURGICAL SERVICES RN II or O.R. CIRCULATING NURSE DATE: AUGUST 2004 I. POSITION SUMMARY: The Operating Room Surgical Technician is an LPN or Nurse Assistant who is a member of the surgical team, and is responsible for arrangement and handling of surgical instruments and sterile supplies during surgical procedures. The OR Surgical Technician works with professional nursing staff, non-professional nursing staff, and facility employees from ancillary departments, physicians, and patients. II. EDUCATION REQUIREMENTS/LICENSURE/CERTIFICATE/REGISTRATION: 1. Must have graduated from high school or passed equivalency exam. 2. Must be a graduate of accredited school of nursing with current RN/LPN registration with state of Pennsylvania. 3. Certification as Surgical Technician. III. CUSTOMER FOCUSED EXPECTATIONS: While performing the essential functions of this position, the Operating Room Surgical Technician will understand and strive to keep the mission, vision, and values of the Fulton County Medical Center, and be committed to the improvement and best interests of the facility and the services provided by the Surgical Department. IV. TYPICAL PHYSICAL DEMANDS (Subject to modification or accommodation as required) 1. Work involves standing/walking 90 percent of the time, with frequent exertion of physical effort in positioning, lifting or moving patients and equipment; bending, squatting, twisting and kneeling during normal shift. 2. Standing or walking throughout facility frequently. 3. Sitting occasionally on a hard or cushioned chair. 4. Reaching to heights of up to two feet overhead. 5. Able to move rapidly in response to unpredictable emergencies that could happen one or more times per shift. 6. Near visual acuity with color perception in order to decipher fine print. 7. Auditory acuity sufficient to hear phone conversations, overhead pages and alarms. 8. Ability to operate hand and foot controls on beds and wheelchairs. 9. Manual dexterity, digital sensitivity and flexibility. 10. Good hand/eye coordination. V. TYPICAL MENTAL DEMANDS: (Subject to modification or accommodation as required) 1. Demonstrates the ability to work under pressure or stress. 2. Demonstrates the ability to communicate effectively in both written and verbal form. 3. Demonstrates the ability to establish priorities among the essential functions of the job and coordinate these functions with others. 4. Demonstrates the ability to speak, read, and write the English language. VI. VII. WORKING CONDITIONS: Exposure to electrical current, infectious diseases, and blood-borne pathogens. May be required to wear respirator. EQUIPMENT USED: 1. Endoscopes 2. Instruments 3. Scrub brushes 4. Syringes 5. Needles 6. Knives 7. TV monitors

8. Light Sources 9. Insufflator 10. Cautery Equipment 11. Camera 12. Video processors 13. Printers 14. Operating Room Table 15. Stretchers 16. Blood Pressure Monitors VIII. IX. FACILITY WIDE COMPETENCY REQUIREMENTS (See Attached) ESSENTIAL FUNCTIONS (See Attached) X. NON-ESSENTIAL FUNCTIONS (See Attached)

Mid Probation End Probation 45 days after hire 90 days after hire Annual Employee Name: Department: Current Title: Supervisor Name/Title: Methods of Measurement Include the Following: AGES SERVED Direct Observation Documentation Neonates (< 30 days) Adults (> = 18 years and < 65 years) Feedback from staff or patients PI Reports Infants (> 30 days and < 1 year) Geriatrics (> = 65 years) Period Covered by this Evaluation: Pediatrics (> = 1 year and < 13 years) Not Applicable Adolescents (> = 13 years and < 18 years) FACILITY WIDE COMPETENCY Rating D M E Comments INSTITUTIONAL AND/OR PROFESSIONAL STANDARDS Comply with regulatory agencies, and institutional and operating systems. Adhere to all Hospital Policies and Procedures as they apply to the area. Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as they are described in the annual education module. Protect patient/customer confidentiality. Comply with HIPAA regulations as they apply to the job. PERFORMANCE IMPROVEMENT Adhere to current organizational Performance Improvement priorities Participate in quality studies through data collection Make recommendations and take actions to improve structure, system or outcomes CUSTOMER SERVICE Demonstrate the values of the organization: respect, honesty, integrity, compassion, fairness, innovation and stewardship of our resources. Demonstrate commitment to serving the customer. Demonstrate excellence in communication with the customer. Create a welcoming environment for the patients, family and other interdisciplinary team members

ESSENTIAL FUNTIONS I. Patient Care Responsibilities: A. Assists Registered Nurse in planning Patient care. B. Documents patient care on perioperative record. C. Collaborates with other health team members. D. Participates in performance improvement activities. E. Patient Identification 2 identifiers. II. Implements Patient Care: A. Maintains Asepsis B. Performs circulating duties under supervision of an immediately available registered nurse on selected low risk (surgery/anesthesia) patients. C. Delivers patient care D. Performs Scrubbing Duties 1. Assembles packs, gowns, and instruments for surgical cases. 2. Controls instruments and needed sterile supplies. 3. Counts sponges, instruments, and needles according to policy, in conjunction with the circulating nurse. 4. Demonstrates correct use of sterile technique during surgery, and in application of post-operative dressing. 5. Assists OR staff in movement of patients to PACU. 6. Works as a team member to prepare the OR for subsequent cases and assures that the OR is always ready to receive a surgical case. 7. Washes, rinses, and dries instruments following surgical cases. 8. Prepares surgical trays per central supply protocol following surgical cases. 9. Assists in maintenance of adequate stock of supplies in the OR/PACU/CS area. 10. Provides for necessary cleaning of the OR after a surgical case, either directly or indirectly. 11. Understands and performs special skills related to work area. a. Cleans and disinfects endoscopes according to policy and procedure. b. Performs scrub tech duties for all surgical cases (ex. arthroscopy, carpal tunnel, hernia, gall bladder) III. Care of environment and equipment: A. Maintains unit. B. Maintains and cleans equipment. C. Maintains a clean and safe environment for patients and staff. IV. Information Processing and Documentation: A. Communicates patient information to physician, anesthesia, circulating RN, or RNII. B. Documents information. V. Job Characteristics: A. Works efficiently with acutely ill patients, including emergency situations. B. Works independently as a self-starter but can work as a cooperative team member. C. Embraces change and keeps current with knowledge of new surgical procedures. D M E Comments

VI. Equipment, Machines, Tools: A. Is knowledgeable of equipment used in surgical procedures, their reference manuals and resources for consultation: 1. Peri-operative suite in total 2. Positioning equipment 3. Tourniquets 4. Endoscopy equipment 5. Instrumentation 6. Electro cautery equipment 7. Autoclaves 8. Steris system 9. Ultrasonic cleaner Non Essential Functions: D M E Comments 1. Participates in professional development activities: a. In-service classes or on-line courses. b. Shares knowledge with others. c. Reads in-house communications 2. Work Habits: a. Complies with attendance policies. b. Dresses according to the departmental dress code c. Organizes times, sets priorities d. Spends free time in a constructive manner 3. Initiative and judgment: a. Makes necessary work related judgments based upon factual information b. Completes assignments with minimal directions and in a timely manner c. Adapts to a changing work load Comments: D= Does Not Meet Expectations M= Meets Expectations E= Exceeds Expectations Future Plans and Actions:

Employee Comments: To update our files, please answer the following questions: Have you received a higher education degree in past 12 months: Yes No Please forward to Human Resources Have you received a certification in the past 12 months: Yes No Please forward to Human Resources I have reviewed this Performance Evaluation Employee Signature Date Evaluator Signature Date Department Head or Designee Signature Date