Job Code 470

CASS REGIONAL MEDICAL CENTER

Job/Position Description

Employee Name: __________________________________________________

Department Name: Surgery

Title: Surgical Scrub Tech

EEOC Classification: Technician/Non-Exempt

Date: ________________________________

PART ONE: Dimension and Description

Primary Purpose: To assist the surgical team before, during and after surgery.

Formal Policy-Setting Responsibilities: Formally responsible for providing input into policies associated with the job’s purpose and essential responsibilities.

Routine Decision Making: Determine instrumentation needed for each case and alternate supplies that can be used.

Formal Supervisory Responsibility: No formal supervisory responsibility.

Required Knowledge: Knowledge of instrumentation; functioning of equipment; location of all supplies and equipment; understanding of surgical procedures; maintenance of sterile field.

Required Skills and Ability: Ability to maintain attention to detail; mechanical ability.

Unusual Working Conditions: Risk of blood, body fluid contamination.

Education and Certification/ Registration required for the Position: High school. Certification or training as a scrub tech preferred. BLS required.

Age Specific Competencies: Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 yrs-12 yrs); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

PART TWO: Essential Responsibilities and Tasks

A. Assists surgeon during surgical procedures. (30% of the time)

1. Maintains an orderly and sterile instrument table and Mayo for the purpose of efficiency.

2. Follows aseptic technique, when opening supplies and setting up procedures and draping.

3. Demonstrates competence in care of specimens and accurately handles specimens at all times.

4. Anticipates the needs of the surgeon during the intraoperative phase.

5. Obtains knowledge regarding new procedures by reading and researching as needed.

B. Prepares room prior to surgical cases. (25% of the time)

1. Pulls supplies for next day’s cases daily from departmental supplies according to physician’s preference cards.

2. Checks all equipment/instrumentation needed prior to each procedure to ensure proper functioning.

3. Consistently ready and prepared for assigned cases.

C. Maintains instruments and equipment for surgical cases. (15% of the time)

1. Fully responsible for care of instruments prior to, during and after the surgical case including appropriate transporting to decontamination.

2. Follows manufactures instructions for the sterilization equipment; knows responsibilities and the necessity for biological/chemical monitoring.

3. Able to accurately see and read color changes to biological and chemical monitors.

4. Wash, wrap and process instrumentation for the Sterrad.

5. Cleans and stores all equipment after each use.

6. Notifies supervisor whenever maintenance is needed on equipment.

D. Follows AORN guidelines before, during, and after surgery. (5% of the time)

1. Scrubs hands according to standards before each case.

2. Drapes patients according to standards each time.

3. Accurately completes Operating Room counts (instruments, sponge, needle, ect.); follows proper procedure in the event of incorrect counts; reports all discrepancies to the circulating RN and surgeon and/or corrects immediately.

E. Maintains a clean work environment. (10% of the time)

1. Cleans rooms after each use by wiping down surfaces, mopping floors, making table up, and emptying trash and linens.

2. Stores equipment in pre-assigned areas each day.

F. Ensures patient safety during procedures. (5% of the time)

1. Assists with positioning of patient prior to each procedure.

2. Positions tables and work surfaces to prevent pressure on patient’s bodies each case.

G. Develops and promotes hospital/unit initiatives and professional relations. (5% of the time)

1. Establishes and maintains effective communication and good working relationship with co-workers for the patients benefit.

2. Utilizes initiatives; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste.

3. Participates in planning ways to solve problems and make improvements in the department as needed.

4. Represents the organization in a positive and professional manner.

5. Utilizes AIDET (acknowledge, introduce, duration, explain and thank) initiatives to include managing up with each patient.

G. Other duties as directed. (5% of the time)

ESSENTIAL PHYSICAL REQUIREMENTS

TYPE OF WORK (Check One)

Sedentary Work: Lifting 10# maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Jobs are sedentary; if walking and standing are required only occasionally.

Light Work: Lifting 20# maximum with frequent lifting and/or carrying of objects weighing up to 10#. Even though the weight lifted may be only a negligible amount, a job is in this category when it requires walking or standing to a significant degree or pushing and pulling of arm and/or leg controls.

Medium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#.

x Heavy Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 50#.

Very Heavy Lifting: Lifting objects in excess of 100# with frequent lifting and/or carrying of objects weighing 50# or more.

PHYSICAL DEMANDS (Check those which apply)

x Lifting: Raising or lowering an object from one level to another (includes upward pulling).

x Carrying: Transporting an object, usually holding it in hands or arms or on the shoulders.

x Pushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions).

x Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking).

Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, ropes, and the like, using the feet and the legs and/or hands and arms.

Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats.

x Hearing: Ability to determine audible communication.

x Stooping: Bending the body downward and forward by bending the spine at the waist.

x Kneeling: Bending the legs at the knees to come to rest on the knee or knees.

x Crouching: Bending the body downward and forward by bending the legs and spine.

x Crawling: Moving about on the hands and knees or hands and feet.

x Reaching: Extending the hands and arms in any direction.

x Handling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved).

x Fingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling).

Repetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers.

x Feeling: Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips.

x Speaking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

x Seeing: Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects.

Including Major Visual Functions

Acuity, far - clarity of vision at 20 feet or more.

x Acuity, near - clarity of vision at 20 inches or less.

x Depth perception - ability to judge distance and space relationships so as to see objects where and as they actually are.

x Field of vision - area seen up and down or to the right or left while eyes are fixed.

x Accommodations - adjustment of the lens of the eye to bring an object into sharp focus.

x Color vision- the ability to identify and distinguish colors.

WORKING CONDITIONS (Check those which apply)

x Inside: Worker spends approximately 75% or more of time inside.

Outside: Worker spends approximately 75% or more time outside.

In/Outside: Activities occur inside or outside in approximately equal amounts.

Extremes of Cold: Temperature sufficiently low to cause marked bodily discomfort unless worker is provided with exceptional protection.

Extremes of Heat: Temperature sufficiently high to cause marked bodily discomfort unless worker is provided with exceptional protection.

Temperature Changes: Variations in temperature which are sufficiently marked and abrupt to cause noticeable bodily reactions.

x Wet: Contact with water or other liquids.

Humid: Atmospheric condition with moisture content sufficiently high to cause marked bodily discomfort.

x Noise and Vibration: Sufficient noise, either constant or intermittent to cause marked distraction or possible injury to the sense of hearing and /or sufficient vibration (production of an oscillating movement or strain on the body or its extremities from motion or shock) to cause bodily harm if endured day after day.

x Hazards: Situations in which the individual is exposed to the definite risk of the bodily injury.

x Fumes: Smoky or vaporous exhalations, usually odorous, thrown off as the result of combustion or chemical reaction.

x Odor: Noxious smells, either toxic dust, fumes, gases, vapors, mists or liquids which cause general or localized disabling conditions as a result of inhalation or action to the skin.

Toxic Conditions: Exposure to toxic dust, fumes, gases, vapors. Mists or liquids which cause general or localized disabling conditions as a result of inhalations or action to the skin.

Infectious Disease: Risk of exposure to biohazardous materials, blood, body fluid contamination.

Dust: Air filled with small particles of any kind, such as textiles dust, flour, wool, leather, feathers, etc., and inorganic dust including silica and asbestos, which make the workplace unpleasant or are the source of occupational disease.

Poor Ventilation: Insufficient movement of air causing a feeling of suffocation; or exposure to drafts.

Identify and describe any additional physical demands or unusual working conditions that were not previously covered. __________________________________________________________