Surgical Technology. Application Booklet

Surgical Technology

Application Booklet

Moore Norman Technology Center

Surgical Technology

Application Booklet

2015-2016

Surgical Technology

Information Session Schedule

This is a time for you to meet with the instructor and hear about the career major first hand as well as have the opportunity to ask questions. You must attend one of the meetings to be considered for acceptance in the career major.

Thursday, January 22, 2015 9:00 am Health Careers Building, Room 316 Tuesday, February 10, 2015 1:30 pm Health Careers Building, Room 316 Monday, March 9, 2015 10:00 am Health Careers Building, Room 316 Thursday, April 9, 2015 11:00 am Health Careers Building, Room 316 Wednesday, April 22, 2015 1:30 pm Health Careers Building, Room 316 Thursday, April 30, 2015 9:00 am Health Careers Building, Room 316

It is an application requirement to attend one of these sessions as soon as possible. Call Information and Enrollment at 405.364.5763, ext. 7260 to enroll in an information session.

DEADLINE FOR APPLICATION:

12:00 p.m. (noon) on May 15, 2015

Dear Prospective Student:

Thank you for your interest in Moore Norman Technology Center and our Surgical Technology career major. We know you have a choice when it comes to your education, and we hope you will consider attending Moore Norman Technology Center.

This booklet of information is intended to provide general information about our career major, as well as guide you through the application and enrollment process. Although there is a great deal of information, we hope it is presented in an easy to follow format. Enclosed for your benefit is a list of questions to ask of any Surgical Technology career major that you are considering.

Health care professionals are in high demand today, especially surgical technologists. Surgical Technology can be a rewarding career choice with opportunities for advancement and additional education. We believe our career major at Moore Norman Technology Center is one of the best in the state with a dedicated faculty and excellent facilities.

As you consider one of the most important decisions of your life, we hope you will find Moore Norman Technology Center‘s Surgical Technology career major as the next step for you. Please feel free to contact Information and Enrollment at 405.364.5763, ext. 7260 if you have any questions or would like additional information.

Sincerely,

Kim Shannon, RN, CST Coordinator

Dana Fuller-Miles, CST Instructor

SURGICAL TECHNOLOGY

APPLICATION BOOKLET

2015-2016

TABLE OF CONTENTS

Page (s)

1. Information Session Schedule 2

2. Surgical Technologist Career Major Information 5-7

3. Surgical Technology Career Major Costs 8

4. Financial Aid Information 9-10

5. Frequently Asked Questions 11-13

6. Application Process

a. Surgical Technologist Application Process 14

b. Check List & Point Check List 15-16

c. Application Points List 17

d. Immunization Requirements 18-19

e. Hep B Waiver, Flu and TDAP Agreement 20

SURGICAL TECHNOLOGY

(1300 Hours)

2015-2016

The Moore Norman Technology Center (MNTC) Surgical Technology Career Major provides training and skills necessary to become a surgical technologist. Our goal is to prepare competent entry-level surgical technologists in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning

domains. A surgical technologist is an integral member of the surgical team, responsible for preparation of sterile supplies, equipment and instruments, and assisting the surgeon in their use. The surgical

technologist most frequently serves as instrument handler, setting up instruments, and then passing them to the surgeon. A surgical technologist may also assist the surgeon by performing tasks such as retracting incisions, cutting sutures, and utilizing suction to maintain a clear field of vision for the surgeon.

The MNTC Surgical Technology Career Major is accredited by the Accreditation Review Committee for Education in Surgical Technology (ARC/STSA) in cooperation with the Commission on Accreditation of Allied Health Programs (CAAHEP). This recognition means the MNTC Surgical Technology Career Major meets national standards set for Surgical Technology education. Only graduates of CAAHEP accredited Surgical Technology Career Majors are eligible to take the exam to become a Certified Surgical Technologist (CST). IMPORTANT NOTICE TO MNTC STUDENTS WHO PLAN TO ATTEND DURING THE 2015-16 SCHOOL YEAR

Changes to the statewide Cooperative Alliance college credit program are being considered and could affect the amount of college credit you can earn beginning with the 2015-16 school year. We have learned recently that Cooperative Alliance admission changes could take effect in Spring 2015.

The Higher Learning Commission, the accrediting body for higher education in 19 U.S. states, is requiring changes to Oklahoma’s Cooperative Alliance college credit program. Currently, Oklahoma colleges and technology centers are determining methods for implementation with the least negative impact on our students. Before we can implement the changes, however, the HLC must approve our recommendations for doing so.

The Higher Learning Commission’s accreditation allows colleges and universities the ability to offer federal financial aid and is not affiliated with Moore Norman Technology Center.

See our website for the most current information on college credit. If you have questions, please call MNTC at (405) 364-5763, ext. 8228.

Who Can Enroll?

The Career Major is open to post-secondary adult students only. Students must be at least 18 years old by the first day of class. Enrollment is limited. Students must meet ALL entrance requirements. It is the applicant's responsibility to be sure their documentation is turned in and complete.

Schedule

Students will attend class Monday - Friday from 9:00 a.m. – 4:10 p.m. each day until Clinicals begin in December. From November – May, students will attend Clinicals on Mondays, Tuesdays, Wednesdays, Thursdays and some Fridays from 6:30 a.m. - 3:15 p.m. and attend class on Fridays from 9:00 a.m. – 4:10 p.m. The Career Major is completed in two consecutive semesters, August through May.

Career Major Expenses:

Please refer to the website for our current Expense Sheet information including tuition, books, fees and supplies for In-District and Out-of-District.

Entrance Requirements:

• Attend a required Surgical Technology Career Major information meeting • Official high school transcript or GED Certificate

• Minimum of 12 college hours with GPA of 2.5 OR

o Minimum ACT composite score of 19 (Residual ACT scores will be accepted) OR o Minimum COMPASS scores of:

 Reading 80+

 Writing 82+ on Sentence Skills

 Math Pre-Algebra 33-100, Algebra 26-44 • Abstract Reasoning and Fine Finger Dexterity tests

• Provide documentation of immunizations, titers, skin tests, OSBI background check, Hepatitis B waiver, and Flu Vaccine Agreement.

• Students must provide own transportation to class and Clinicals

• CPR-BLS for Healthcare Providers – to be taken after acceptance into the Career Major

• Drug screening and national background check will be required after enrollment and conducted randomly.

Students must purchase 5 sets of program specific scrub clothes, safety goggles, flash drive, and work/clinical shoes. The style, size, and other order information will be provided once accepted into the career major.

Surgical Technology Courses

Course Hours

Surgical Techniques I 178

Surgical Techniques Practicum I 173

Anatomy, Physiology, and Pathology 130

Surgical Techniques II 138

Surgical Techniques Practicum II 260

Surgical Techniques III 139

Surgical Techniques Practicum III 244

Medical Terminology 48

Course Description

Surgical Techniques I: This course will prepare the student to enter the clinical phase of the program. Covered in this course of study is the basic knowledge the student will need before assuming the clinical responsibilities of an entry-level surgical technology student.

Surgical Techniques Practicum I: This course will prepare the student to enter the clinical phase of the program. Covered in this course of study are the basic hands-on skills and competencies the student will need to master before assuming the clinical responsibilities of an entry-level surgical technology student. Each of these skills is covered in theory within Surgical Techniques I. Anatomy, Physiology, and Pathology: This course covers the human body in health and in disease. Surgical Pathology is emphasized throughout.

Surgical Techniques II: This course covers the techniques and theories of the common surgical specialties and procedures listed below. Surgical pathology and anatomy will be reviewed throughout.

Surgical Techniques Practicum II: This course is all clinical in nature and setting. The student will be assigned to specific clinical sites and will be directed by the clinical preceptors of that facility as well as being monitored by the MNTC faculty. They will be actively using the skills and knowledge they acquired in the classroom and laboratory in a real OR setting.

Surgical Techniques III: This course covers the techniques and theories of the common surgical specialties and procedures listed below as well as addressing special needs patients,

contemporary issues in present day surgery, and the preparation of a resume, cover letter, and interviewing techniques. Surgical pathology and anatomy will be reviewed throughout.

Surgical Techniques Practicum III: This course is all clinical in nature and setting. The student will be assigned to specific clinical sites and will be directed by the clinical preceptors of that facility as well as being monitored by the MNTC faculty. They will be actively using the skills and knowledge they acquired in the classroom and laboratory in a real OR setting.

Medical Terminology: This self-paced, independent study course presents a study of basic medical terminology. Emphasis is placed on spelling, definition, usage, and pronunciation.

Surgical Technology Costs

1st Payment Period Invoice: In-District Out-District

Tuition $1,137.50 $1,462.50

Drug Screening (Performed onsite at MNTC after acceptance) (Fee) $45.00 $45.00

Liability Insurance (Fee) $20.00 $20.00

Nationwide Background Check(Fee) $45.00 $45.00

1 ST Logo Hooded Jacket (Supplies) $32.00 $32.00

AST Study Guide Gold Bundle (includes AST membership & CST exam) (Book) $261.00 $261.00

Pearson's Surgical Technology Exam Review, 3rd _{Edition(Book)}

ISBN:0135000483 $88.00 $88.00

Surgical Technology, Principles & Practice, 6e (Book)

ISBN:9781455725069 $97.00 $97.00

Memmler’s The Human Body in Health and Disease 12e Text, Study

Guide & Prep U Package (Book) ISBN: 9781469811987 $105.00 $105.00

NESA Portal (Fee) $20.00 $20.00

Medical Terminology E-Course (Fee) $50.00 $50.00

Surgical Notes (Book) ISBN:9780803625921 $25.00 $25.00

Identifying Surgical Instruments (Book) $30.00 $30.00

Surgical Instruments Primer (Book) $10.00 $10.00

OKSA Conference (Fee) $15.00 $15.00

1st Invoice Subtotal $1,980.50 $2,305.50

2nd Payment Period Invoice: In-District Out-District

Tuition $1,137.50 $1,462.50

Northstar Learning (Fee) $45.00 $45.00

1 Set of Passport Pictures (Fee) $15.00 $15.00

1 Graduation Picture Package (Fee) $35.00 $35.00

2nd Invoice Subtotal $1,232.50 $1,557.50

Invoice Items Total $3,213.00 $3,863.00

Required Student Purchase Items: In-District Out-District

* 5 Pair Scrubs(Supplies) $250.00 $250.00

* 4 GB Flash Drive (Supplies) $20.00 $20.00

* Athletic Shoes (Supplies) $100.00 $100.00

* Safety Goggles (Supplies) $10.00 $10.00

Student Purchase

b l $380.00 $380.00

Career Major Grand $3,593.00 $4,243.00

* Not available for purchase at MNTC - prices may vary by retailer and student preference.

Please visit the MNTC website www.mntc.edu for career major updates and the most current cost information. If you have questions regarding career major costs, please contact the MNTC Bursar Office @ 405.364.5763, ext. 7201 or ext. 7410.

Federal Financial Aid

Federal Financial Aid is available to adult students attending a 600+ hour career major at MNTC. The career majors eligible to participate in Student Financial Aid (SFA) funds are approved and accredited by the Oklahoma Department of Career and Technology Education (ODCTE). For a complete list of approved career majors, contact the Financial Aid office, located in Information and Enrollment, just inside Entry B.

Federal Financial Aid Programs Offered at MNTC

As of the 2006-2007 school year, MNTC no longer participates in the Federal Student Loan programs; therefore, subsidized and unsubsidized loan programs are not offered to our students as a funding source.

The following are the financial aid programs available, if a student qualifies:

• Oklahoma Tuition Aid Grant Program (a state/ federally funded program): This program is administrated by the Oklahoma State Regents for Higher Education. The OTAG program is funded with both state and federal LEAP (Leveraging Educational Assistance Partnership) funds. An applicant is considered for this program if the FAFSA form was completed by March 1.

• Federal Pell Grant (Pell) Program: This is a need-based program, and eligibility is pre-determined by the Department of Education. The amount for the award year can be up to $5,635.

• Federal Supplement Educational Opportunity Grant (FSEOG) Program: This program is offered to students based on need. To qualify for FSEOG, the Expected Family

Contribution (EFC) must be zero. The funds will be awarded to the students who have completed their application and been accepted until funds are exhausted. The amount for the award year can be up to $500.

Other Financial Assistance

Other federal/state funding agencies have assisted MNTC students in the past and will continue to assist for the current school year. To find out more about the agencies and available assistance, contact a Career Advisor 405.364.5763, ext. 7260 or the Financial Aid Coordinator at

405.364.5763, ext. 7209.

• Vocational Rehabilitation Services • Veteran Administration Benefits • Bureau of Indian Affairs (BIA)

How to Apply for Financial Aid Programs (SFA)

To apply for the Pell, FSEOG and OTAG, applicants must complete the Free Application for Federal Student Aid form called the FAFSA. NOTE: Students must apply for all other assistance or scholarship program(s) through the required agency or organization offering the funds.

The FAFSA may be submitted in the following ways:

• By mailing the paper FAFSA to the Federal Processor (The FAFSA form is available by calling 1-800-4-FED-AID and requesting a paper application be mailed to you, or by printing a PDF version available at fafsa.gov).

• Through the Internet by using FAFSA on the web at: fafsa.ed.gov

In order for MNTC to receive a student’s FAFSA information, our school code must be reported on the FAFSA. Our school code for the FAFSA is 012272.

Upon completing the FAFSA online, contact the Financial Aid office within three to five days at 405.364.5763, ext. 7209 to begin completing the remaining portions of the financial aid process.

Non-Discrimination Statement

There will be no discrimination in the technology center because of race, color, sex, national origin, religion, disability, veteran status, sexual orientation, age, or genetic information in its programs, services, activities and employment. The following people have been designated to handle inquiries regarding the technology center's non-discrimination policy: MNTC’s Human Resources Director (for employees) and the Educational Services Director (for students). Inquiries concerning application of this policy may be made by calling 405.364.5763 or by visiting the Franklin Road Campus at 4701 12th _{Avenue NW, Norman, Oklahoma 73069.}

International Applicants

International Applicants must provide a high school equivalency assessment letter indicating foreign country education is equivalent to U.S. High School education, during the application period. The evaluation and may be obtained through World Education Services at www.wes.org.

Make an Informed Decision

Questions to ask and responses to look for in a Surgical Technology career major

1. How long has the Surgical Technologist career major been in operation? What percent of its graduates were able to find jobs in their field?

MNTC’s: MNTC’s Surgical Technologist career major was established in 1998. To date, all of our

graduates who have attempted to obtain employment have been hired as surgical technologists prior to or within six months of graduation.

Other School: Other School:

2. How many students does the career major accept each year? How many have graduated? What is the career major’s retention rate?

MNTC’s: We accept 20 qualified applicants per year. Small classes allow for frequent one-on-one

attention from the instructors and adequate clinical opportunities. We have had an 82% retention rate for the past 16 years.

Other School: Other School:

3. How many full time instructors are available for the students?

MNTC’s: We have a RN, CST with an extensive surgical background and a nationally Certified

Surgical Technologist (CST) who exclusively teach the Surgical Technology career major. Both participate in every aspect of classroom and clinical preparation and training.

Other School: Other School:

4. What is the

total

career major cost?

MNTC’s: Based on previous year expense information; less than $4000 for in-district includes

tuition and fees (for out-of-district see a Career Advisor). Other School:

5. Are there any other expenses? Books, scrubs, tests, etc?

MNTC’s: You will be provided with all the textbooks, workbooks, study guides, and core syllabus

required. You will be given a hoodie jacket, and picture ID badges. Each student receives a membership to Heath Occupation Students of America (HOSA), The Oklahoma State Assembly (OKSA) and the Association of Surgical Technologists (AST). The AST provides discounts on conferences and a monthly magazine, and HOSA provides leadership opportunities along with state and national competitions. A pre-certification exam to identify each student’s strengths and weaknesses prior to their taking the national certification exam and the cost for applying and taking the CST examination are all included in MNTC’s tuition and fees.

Other School: Other School:

6. Where are Clinicals?

MNTC: We have clinical rotations in several departments at the following health care facilities:

Integris Baptist Medical Center, Integris Southwest Medical Center, Lakeside Women’s Center, Mercy Health Center, Midwest Regional Hospital, Norman Regional Hospital, Norman Regional HealthPlex, Oklahoma Center for Orthopedic and Multi-Specialty Surgery Hospital (North and South facilities), Oklahoma Heart Hospitals, North & South (Possibly), OU Medical Center: Children’s, Edmond Medical Center, Everett Tower Labor & Delivery, OU Adult Operating Room, Summit Medical Center (Possibly), Southwest Ambulatory Surgical Center, Surgical Hospital of Oklahoma and St. Anthony Shawnee.

Other School: Other School:

7. Is the school and the career major accredited by the agencies that make policies for surgical technology? And why is accreditation important to the student?

MNTC: We are fully accredited by the Oklahoma Department of Career and Technical Education

(ODCTE), the Oklahoma State Department of Education and North Central Association, and specifically for Surgical Technology by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Only graduates from Career Majors accredited by CAAHEP are eligible to take the national certification exam offered by the Liaison Council on Certification for the Surgical Technologist (NBSTSA). Many employers are demanding that their surgical

technologist become certified, and in the case of an entry-level surgical technologist, they use certification as a requirement for new hires.

Other School: Other School:

8. How can I be absolutely sure that a career major is accredited by the proper agency?

Ask to see the official certificate from CAAHEP and go to the Internet sites:

www.arc-stsa.org or www.caahep.org or www.ast.org to look up the school in question.

MNTC: We proudly display the certificates and are listed on all the websites as being fully

accredited. Other School: Other School:

9. How do I know if the career major has adequate supplies and equipment for practice prior to being sent to a clinical setting?

Ask to see the lab facility. It should have a specialized “scrub” sink, operating table, stainless steel back table, mayo stand, and kick bucket. There should be a large variety of surgical instruments to provide hands on memorization and passing skill. Ask to see their supply of gowns, gloves and assorted drapes.

MNTC: We have a large lab with 2 complete simulated OR suites. We have thousands of

instruments and shelves full of gowns, gloves, drapes, etc. Other School:

Other School:

10. How can I tell which career major is best for me?

Visit each of the career majors that you are considering. Talk to the instructors, look at the facility, tour the lab, and ask friends and family members what they know about the career major and/or the school. It is important that you are well informed before you make any decision.

MNTC: We have information meetings to address all of these questions and any others you may

have. Our application booklet (where you found this) is designed to help make your educational journey easier.

Other School: Other School:

We hope this fact finding sheet helps you make an informed decision about the career major you are investigating. If we may be of help please call 364-5763 ext.7260 or 7535

SURGICAL TECHNOLOGY

APPLICATION PROCESS

Deadline Date: May 15, 2015

1. Pick up an Application Booklet at MNTC or print from online at mntechnology.com. • Carefully review the information booklet contents.

2. Schedule and attend an Information Session Meeting with the Instructor (dates and times listed on page 2).

• Call (405) 364-5763, ext. 7260 to schedule your information session time. 3. Complete a current MNTC application.

• Complete an application online at www.mntc.edu/apply. 4. Meet with a Career Advisor.

• Call (405) 364-5763, ext. 7260 to schedule an appointment with a Career Advisor at either the Franklin Road or South Penn Campus. The Career Advisor will make a referral for assessment testing.

5. Complete Assessments.

• Call (405) 364-5763, ext. 7263 to schedule your assessment tests.

• Every applicant MUST take the Abstract Reasoning ($13) and the Fine Finger Dexterity (Free) tests.

• If you do not have an ACT score of 19 or higher, you must also complete the COMPASS exam or 12 hours of college credit with a 2.5 GPA.

• Obtain assessment scores. If your scores are below the required minimum, contact your career advisor to attend a COMPASS workshop and/or re-test plan.

6. Required Transcripts.

• Obtain and submit official high school transcripts or GED certificate; also ALL college transcripts from any colleges you have attended.

7. Submit Documentation of Required Immunizations (listed on page 18).

8. Obtain and submit an Oklahoma State Bureau of Investigation (OSBI) Background Check (information listed on page 21).

9. If needed, complete and turn in all required financial aid documentation.

10. Turn in all completed documentation to the Health Administration Building, Franklin Road Campus, by May 15, 2015 at 12:00 p.m. (noon).

All completed applications will be reviewed and students will be notified of selection.

If selected, you will be required to submit documentation of an additional TB skin test. You will also be required to attend a free CPR for Health Care Providers class at MNTC (taken in the summer preceding enrollment date). Documentation of this TB skin test and CPR certification must be submitted on the first day of class. If you do not complete and bring documentation of these requirements, you will be withdrawn from the career major.

Check List for Applying to the Surgical Technology Career Major

□

□□

Meet with a career advisor. Call 405.364.5763, ext. 7260 to set up an appointment.

□

□□

Schedule appointment for an information session (dates listed inside application booklet). The career advisor can assist with registering. Begin gathering other documentation.

□

□□

Attend the information session. Bring the application booklet with you and be prepared to spend up to 2 hours at this meeting.

□

□□

Completed application online.

□

□□

Call 405.364.5763, ext. 7263 to schedule your aptitude tests or provide documentation of test results for: Abstract Reasoning, Fine Finger Dexterity, and Compass (if you do not have an ACT score of 19 or 12 hours of College Credit with a minimum 2.5 GPA). The ACT is not offered by Moore Norman

Technology Center. You will be required to pay a $13 testing fee when you arrive at the testing center. o If your scores are below the minimum for acceptance into the career major you may re-take the

test(s) with a career advisor referral. *ACT residual testing Scores are accepted.

□

□□

Review your test results with an advisor. Get a copy and submit with other required documents to the Health Administration office.

□

□□

Gather and copy all the following documentation: o MMR (2 of these)

 Or positive titer for Mumps  Or positive titer for Rubella  Or positive titer for Rubeola

o Hepatitis B series (3 immunizations) OPTIONAL

o Signed declination form for Hepatitis B series, even if you had the series (included in this application booklet)

o TB Skin Test (Jan-May 2015)

 Or positive reaction report and negative chest X-ray o Tetanus vaccination within the last 8 years (2007-2015) o Varicella (2 of these)

 Or positive titer for chicken pox o High School transcript or GED

 Any college transcript(s) you may have.

 Letter from you stating you have completed all general education courses for an associate’s in applied science (not a requirement, but worth an extra application point).

o If you have applied to this career major in the past, please include a letter from you stating the year you first applied (not a requirement, but worth an extra application point).

o Be sure to keep a complete copy of all the records and documents you submit.

□

□□

Submit OSBI background check results (see Page 12 for details on obtaining this report) to the Health Administration Office.

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To be considered for enrollment in the upcoming Surgical Technology class, you must submit ALL required documentation in a folder or large envelope, labeled with your name, phone number and address, to the Moore Norman Technology Center’s Health Education office by noon on May 15, 2015. No documentation will be accepted after this date unless a second round is required.

You will be notified by the first week in June 2015 if you have been accepted into the career major or are on the waiting list. If accepted, you will be required to receive another TB skin test between June 1 and Aug 1, 2015, and a flu vaccine in October 2015. You also will be required to attend a free CPR for Health Care Providers class at Moore Norman Technology Center between June 1 and Aug 1, 2015. Call early to schedule a spot in one of these CPR classes as they fill up quickly. You must bring documentation of the 2nd _{TB Skin test and the CPR card on the 1}st _{day of class. If}

you do not complete and bring documentation of these last 2 requirements you will be dropped from the roster, and the next person on the waiting list will be contacted and enrolled. You may be required to complete an online Medical Terminology course prior to the first day of class. You will be notified during the information session if this will be required as well as how you can enroll.

Name Date submitted: Telephone number

Complete this list and submit it with documentation of all the following transcripts, immunizations, waivers, and/or testing for Surgical Technology

Student must complete:

Date and results of Immunizations, Titers, Waivers, Tests

Office Use Only _{Items required for acceptance Points}

Circle points that apply

MUST have High School Transcript

or

₁

one of these GED

MUST have ACT (composite of 19 or

>

)

or

1

one of these Compass scores of: Reading 80+,

writing 82+, Pre Algebra 33-100, Algebra 26-44

or

*12 hrs college with 2.5 GPA

MUST have ALL Rubella vaccination (or titer)

1

immunizations Rubella vaccination (or titer)

or titers Rubeola vaccination (or titer)

for each Rubeola vaccination (or titer)

Mumps vaccination (or titer) Mumps vaccination (or titer)

Or

or

Both of these MMR vaccination #1 ₁

MMR vaccination #2

MUST have TDAP vaccine (booster) after June ₂₀₀₇ 1

MUST have both

of these Varicella (or titer) 1

or titer Varicella (or titer)

MUST have 1

prior then TB Skin Test (Jan-April 2015) 1

1 after acceptance TB Skin Test (after acceptance) ₀

MUST have! HEP B Waiver 1

Must have at least

a 40% *Abstract Reasoning 40% (10) or higher Actual Score

Must have at least

a 10 *Fine Finger Dexterity 10 or higher Actual Score

Must have Attend Information Session 1

Must have

Clear OSBI Background Check (all three sections)

Not Clear OSBI Background Check

10 0

Previous Applicant ₁

Will graduate with

Associate Degree 1

Total Points

*In the event of a tie, we will use: 1st _{Abstract Reasoning scores –}

Surgical Technology Career Major

Immunization / Screening Requirements

The following documented immunizations, titers, and records must be submitted prior to acceptance in the Surgical Technology Career Major. You must submit documentation to the Health Education Office.

• Measles, Mumps, Rubella (MMR)

You must have documentation of receiving 2 MMR vaccinations, or positive titers (blood tests that show immunity to Rubeola, Mumps, and Rubella)

• Hepatitis B Waiver

You MUST have a signed declination statement before being accepted into the Career Major. • Tuberculosis Skin Test

You must submit documentation of having had a recent (January 2015-April 2015) NEGATIVE TB (PPD) skin test. For positive reactors, you must show proof of the positive reaction and then have a negative chest X-Ray. If accepted into the Surgical Technology Career Major, you must receive and submit another negative TB skin test dated June 1 to August 1, 2015. Be sure to get your TB skin test prior to taking any other immunizations or you will be required by your physician to wait one month after receiving a vaccine such as an MMR.

• Varicella Immunization

You must have documentation of receiving 2 vaccinations, or have a positive titer (blood test showing immunity to Varicella). Submitting a physician’s statement that you had chicken pox will not be accepted.

• TDAP (Tetanus) Vaccine must have documentation of receiving a booster immunization no later than June 2007.

• HS transcript or GED

International students must provide documentation of HS completion.

• ACT score or COMPASS scores, or college transcriptsACT (composite of 19 or > residual scores are permitted) or Compass scores of: Reading 80+, writing 82+, Pre Algebra 33-100, Algebra 26-44 or 12 hrs college with 2.5 GPA

• Abstract Reasoning score 40% or greater • Fine Finger Dexterity score 10 or higher • OSBI background check

Immunization Sites

Location

Norman Regional Hospital

901 N. Porter, Norman, OK Health Promotion Department Gloria Moran, Nurse

307-3172

Cash or Check only – no credit cards By appointment only

*Free MMR @ Cleveland Co. Health Dept

Services Offered/Costs

TB Testing $13 Hep B vaccines $40 each Varicella Titer $35 Hep B Titer $31 Rubella Titer $25 Rubeola Titer $45 Mumps Titer $38 Flu Vaccinations $25

Norman Regional Occupational Medicine

724 24th _{Avenue NW Suite 200}

Norman, OK 360-6868 Appt. Preferred: M-F 8:00 am – 5:00 pm

***Advise MNTC student to get this pricing.

TB Skin Test $20 Hep B vaccines $75 each MMR Titer $135 Varicella Titer $45 Hep B Titers $70 MMR vaccines (series of 2) $85 each

Concentra Medical Center

6101 W. Reno Oklahoma City, OK 495-3085

M-F 8:00 am – 6:00 pm

TB Skin Test $39.50 not on Thursday Varicella Titer $102.50

Hep B vaccines $112.50 each MMR Titers $189.00 MMR vaccines $93.50 each

Healing Hands TB Wellness

411 NW 11th

Oklahoma City, OK 272-0476

Mon, Tues, Wed, 8:30 am – 3:30 pm Fri 9:30 am – 3:30 pm

TB Skin Test $20

St. Anthony Hospital Lab

1000 N. Lee, 3rd _{floor of Hospital}

Oklahoma City, OK 272-7068

Open 24 hrs/day 7 days a week

MMR Titers $86 Hep B Titers $8 Varicella Titers $25 MMR, Varicella, Hepatitis $119

*Please add one $10 charge per patient for the draw fee.

Integris Southwest Medical Center

4200 S. Douglas Suite 214 Oklahoma City, OK 636-7336

Student Price List: Mon, Tues, Wed, Fri 7:00 am – 4:00 pm

TB Skin Test $15 not on Thursday Hep B vaccines $40 each

Hep B Titer $40 Rubella Titer $30 Rubeola Titer $30 Mumps Titer $30 Varicella Titer $30

Integris Baptist Medical Center

3435 NW 56th _{Suite 909 Building A}

Oklahoma City, OK 951-2903

Monday – Friday 7:00 am – 4:00 pm No cash accepted – check, money order or credit card/debit card

Rubella Titer $30 Rubeola Titer $30 Mumps Titer $30 Varicella Titer $30 Hep B vaccine/Titer $40 each

TB Skin Test $15 not on Thursday

WAIVER/RELEASE FROM ANY & ALL LIABILITY BY STUDENTS AT

MOORE NORMAN TECHNOLOGY CENTER IN HEALTH RELATED TRAINING

Whether or not the student takes HBV Vaccinations the undersigned student expressly waives any claim(s) and/or releases Moore Norman Technology Center and its employees and agents from any and all liability for exposure and/or infection of any sort, relating to and arising from participation in Moore Norman Technology Center Health Occupations Career Major.

Signature Date

FLU AGREEMENT

I agree to either take the seasonal flu vaccination (at my own cost) or obtain required documentation from my physician if I am prevented from taking it due to a medical decision/condition.

Printed Name

Signature Date

DATES OF HEP B IMMUNIZATIONS 1st

(Must be verified) Signature

2nd

(Must be verified) Signature

3rd

OSBI Background Check Information

As a part of the Moore Norman Technology Center’s Surgical Technology Career Major, you will be required to practice your skills in facilities requiring background checks. Before you can be assigned to a hospital, clinic, or other facility for your clinical or externship experience, you must have a background check that includes a sex offender check. If your criminal history is positive, the facility will then review your personal criminal history background. Each facility has the right to accept or reject any student based on information shown in the criminal history background check. Moore Norman Technology Center cannot overrule the decision of the clinical or

externship sites. Criminal offender, sex offender and violent offender reports must be obtained no earlier than January, 2015. All three boxes must be checked on your OSBI application. Fingerprints not required.

An applicant, whose background check does not come back clear, will be considered on a case by case basis, for admission to the Surgical Technology Career Major.

If you have lived in Oklahoma less than one year, you must submit the information from the state where you previously resided as well as the OSBI report. These reports must also include

information regarding sex offender history.

It is your responsibility to obtain your record from the Oklahoma State Bureau of Investigation (OSBI) and provide it with your documentation. The OSBI office is located at 6600 North Harvey off NE 63rd_{, Oklahoma City, OK, one block west of Broadway Extension, Building 6 in the Broadway}

Executive Park. The telephone number is 879-2689, ext. 0. The cost is $19.00; OSBI accepts cash or credit card. They will not accept checks. You will be required to bring your social security number, date of birth, full name and payment with you to be able to complete the process. If you get your background check from the OSBI office, bring the original document; photocopies, faxed copies, or other forms cannot be accepted. If you are a MNTC Hire student, the DHS background check with this program will meet the requirements for this career major. See Becky Boyd with any questions.

Another background check (nationwide) and drug screening will be required shortly before the clinical phase of the career major begins. A positive result on either may deny you entry into any clinical sites and henceforth graduation from the Surgical Technology Career Major.

If you have any questions, contact the Information and Enrollment Center at 405.364.5763, ext. 7260.