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Division of Health Sciences / Surgical Technology Program

Dear Prospective Student:

Thank you for your interest in the Surgical Technology Accelerated Alternate Delivery

(AADP) Bridge Program at Gulf Coast Community College. The AADP is available to

individuals employed as a surgical technologist prior to March 1, 2000 or graduates of

non-accredited surgical technology schools or military trained surgical technologists who desire

certification. The program is designed to prepare students to sit for the certification

examination for Surgical Technologists.

The following courses are recommended to meet part or all of the medical terminology

and anatomy and physiology requirements: OST1257 Medical Terminology and BSC1005 General

Biology or EMS 2010 Anatomy and Physiology. They are offered via distance education online

or a traditional classroom setting (exception EMS2010). They can be taken at your local

college or through GCCC. Transcripts can be evaluated for appropriate substitutions. Courses do

not have to be taken in sequence; however, you may find it helpful to complete the anatomy

and physiology requirements prior to the STS0120, STS0121, or STS0122 classes since they

cover a large portion of anatomy and physiology as a review.

Please read everything in the attached application packet to learn about our program.

Additional information regarding surgical technology can be obtained at www.ast.org, the

official web site of the Association of Surgical Technologists. If you decide that you would like

to pursue certification as a Surgical Technologist, you can begin the process of applying for

admission by following the instructions found within. If you have any further questions, please

feel free to call Peggy Tucker (850) 873-3589 or Libby McNaron at 850-873-3551.

We look forward to working with you in the future.

Sincerely,

Libby McNaron, RN, CST, CNOR, BSN, MS

Program Coordinator

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Surgical Technology Bridge Program

Accelerated Alternate Delivery Program (AADP) Policies

(For qualified students entering the program January 2005 or later)

General Information

The Accelerated Alternate Delivery Program in Surgical Technology was developed to assist non-certified

currently practicing surgical technologists to obtain the educational background they need to be eligible to sit for

the Liaison Council on Certification for the Surgical Technologist (LCC-ST) National Certification Examination.

Surgical technologists interested in this program must fit into one of two groups:

1.

On the job trained surgical technologists who completed training before March 1, 2000 or

2.

Formally trained surgical technologists who completed their education from a non-Commission on

Accreditation of the Allied Health Education Programs (CAAHEP) accredited program in surgical

technology.

The Accelerated Alternate Delivery Program in Surgical Technology is a 5 college credit/42 Vocational credit

program. Up to twenty-seven one-half (27.5) of those vocational credits in lab skills and clinical experience may

be granted by documented work experience in the field. The documentation includes a portfolio package

produced by the applicant. Competency validation is completed by applicant’s supervisor and/or proctor.

Clinical Lab Examination is one multiple choice and short answer examination that covers the same skills and

principles that traditional and distance education students have to verbalize during testing skills stations for those

courses. A course lab manual outlining the core skills and principles is provided for applicant review prior to the

examination. See Fee Schedule in application packet for portfolio/testing fee. The remaining fourteen one-half

(14.5) vocational credits and the 5 college credits representing 10 courses must be successfully completed.

Of those courses, 3 courses can be challenged by examination: HSC0005 Orientation; STS0003 Introduction; and

STS0155 Surgical Techniques. To challenge, you register for the course and complete the pre-assessment

examination for that course. The Pre-assessment examination for each course must be completed with a 70%

score or C to successfully challenge the course. In the event, you score less than 70%, you must successfully

complete all of the course assignments, examinations, and final examination (not the same examination) as

outlined in the course syllabus

.
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GULF COAST COMMUNITY COLLEGE CURRICULUM OUTLINE

School Year– Alternate Delivery Bridge Program

Course

Number

Course

Class Ho

urs Lab Hours Clinical Ho urs Total Clock Ho urs Voc Hours Cred it Hours

Textbook

#BSC 1005 Science 3 hrs., 3 crs. General Biological 45 45 3 Completes all course requirements or an alternate A&P course for course substitution.

Recom- mended Prereqs #OST 1257

Medical Terminology 2 hrs.,

2 crs.

30 30 2 Completes all course requirements or analysis of transcript for course substitution if applicable.

TOTAL HRS. 75 75 5

HSC 0005 Orientation to

Health Sciences 45 45 1.5

1. Berry & Kohn’s Operating Room Technique; 10th Edition; ISBN 0-323-00968-9; Mosby

2. Taber’s Cyclopedic Medical Dictionary; Current Edition; F.A. Davis

3. Note: Can Register and Complete Final Examination for Course Completion or completes all course requirements.

HSC 0005L

Orientation to Health Sciences

LAB

15 15 .5 Challenge by passing the Clinical/Lab Exam (study guide

provided) and completing the validation portfolio.

STS 0003 Surgical Technology Introduction to 90 90 3

1. Surgical Technology for the Surgical Technologist; Delmar; 2004 Ed ISBN 1-401-83848

2. Study Guide to Accompany Surgical Technologist; Delmar; 2004 Ed ISBN 1-401-83849-9

3. Note: Can Register and Complete Final Examination for Course Completion or completes all course requirements.

STS 0003L

Introduction to Surgical Technology

LAB/Clinical

52 8 60 2 Challenge by passing the Clinical/Lab Exam (study guide

provided) and completing the validation portfolio.

STS 0804 Basic Microbiology 60 60 2

Microbiology for Surgical Technologists, Price & Frey; Thomson: Delmar Learning; 2003

ISBN 0-7668-2699-6

Completes all course requirements or course substitution.

STS 0803 Pharmacology & Anesthesia 45 45 1.5

Pharmacology for the Surgical Technologist; Snyder and Keegan; Saunders; ISBN0-7216-6321-4

Completes all course requirements or course substitution.

STS 0803L Pharmacology LAB 15 15 .5 Challenge by passing the Clinical/Lab Exam (study guide

provided) and completing the validation portfolio.

STS 0155 Surgical Techniques

& Procedures 105 105 3.5

Note: Can Register and Complete Final Examination For Course Completion or completes all course requirements.

Spring Courses

STS 0155L Surgical Techniques

& Procedures LAB 60 75 135 4.5

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

SEMESTER

TOTALS 345 142 83 570 19

STS 0120 Surgical Specialties

I 30 30 1

Alexander’s Care of the Patient in Surgery; 12th Edition; ISBN 0323-001622-7; Mosby . Completes all course requirements. STS 0120L Surgical Specialties

I LAB 15 15 .5

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

Summer Courses STS 0255L Surgical Procedures

Clinical I 180 180 6

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

Semester Totals 30 15 180 225 7.5

STS 0121 Surgical Specialties II 30 30 1 Completes all course requirements.

STS 0121L Surgical Specialties II LAB 15 15 .5 Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

STS 0256L Surgical Procedures

Clinical II 180 180 6

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

STS 0122 Surgical Specialties III 30 30 1 Completes all course requirements.

STS 0122L Surgical Specialties

III LAB 15 15 .5

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

Fall Courses

STS 0257L Surgical Procedures

Clinical III 190 190 6.5

Challenge by passing the Clinical/Lab Exam (study guide provided) and completing the validation portfolio.

SEMESTER

TOTALS 60 30 370 460 15.5

GRAND TOTALS 510 187 633 1330 42 5 Challenge Credits 27.5; 5 College Credits (Precourses) and

14.5 Vocational Credits Didactic Completion

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Gulf Coast Community College

Surgical Technology Program

Health Sciences Building

Third Floor – HS305

PROGRAM HISTORY

Prior to 1996, surgical technicians at Bay Medical Center were trained through a six-month course, which consisted of classroom instruction and on-the-job training. In June of 1996, Bay Medical Center established the need for a formal intensive training program for Surgical Technologists in the panhandle Florida area. The first full-year class started in January of 1997 with employees and prospective employees. Licensure in January of 1998 established the Bay Medical Center Surgical Services Training Center to train individuals interested in becoming Surgical Technologists. Five classes graduated from this program, and it was established that there was a continuing need for such a program in Bay County. The program of Surgical Technology was transferred to Gulf Coast Community College in 2002 with the full support of Bay Medical Center, Gulf Coast Medical Center, and the Surgeons of Bay County. The first class at Gulf Coast Community College began in January of 2003.

ACCREDITATIONS

Gulf Coast Community College is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) to provide the non-degree program of Surgical Technology. 35 East Wacker Drive, Suite 1970; Chicago, Illinois 60601-2208; E-mail: caahep@mcs.net; http://www.caahep.org; Phone: 1-312-553-9355. The college is also accredited by the Southern Association of Colleges and Schools Commission on Colleges, 1866 Southern Lane; Decatur, Georgia; 30033-4097; Phone: 1-404-679-4500; Fax: 1-404-679-4558.

AFFILIATIONS

Gulf Coast Community College is affiliated with Bay Medical Center, Gulf Coast Medical Center, The Eye Center of North Florida, Northwest Florida Surgery Center, and Panama City Surgery Center. Affiliations are necessary to complete the clinical component of any clinical course taken.

FACULTY AND STAFF

The Chair of the Health Sciences Division oversees the administrative operations of the Surgical Technology program. Libby McNaron RN, BSN, CNOR, CST, MS is the Program Coordinator who coordinates education and the selection process with the secretary for the school. Phone: (850) 769-1551, Ext. 3551. E Mail: lmcnaron@gulfcoast.edu. She is a Registered Nurse who became nationally certified by examination as an Operating Room Nurse in 1990 by the Certification Board Perioperative Nursing. She has been a Registered Nurse since 1982 as a graduate of George Wallace Community College in Alabama. She received her Bachelors Degree in Nursing from Graceland College in Iowa. She received her Masters in Human Resource Management from Troy State University and a certificate in Human Resource Development from Florida State University. Adjunct faculty that meets credentialing requirements is employed as needed. All faculties are required to have the appropriate credentials and/or experience as required by the accreditation agency for their position. Clinical preceptors include the core staffing for the Operating Room at the assigned affiliate facility. Surgeons, Registered Nurses, experienced operating room technicians, and Certified Surgical Technicians supervise and coordinate the clinical experience. Adjunct faculty, clerical and other support staff is available as needed to assist with instruction, clerical duties, inventory and ordering, cleaning and maintenance.

DIVISION OF HEALTH SCIENCES MISSION STATEMENT

To maintain high levels of academic and clinical standards while providing the medical community with effective and highly motivated health professionals. This goal is achieved by meeting the myriad needs of students through supportive academic advising, counseling, and innovative instructional techniques.

PROGRAM MISSION AND PURPOSE

To educate students in the specialty of Surgical Technology and promote knowledge-based critical thinking in the safe practice of surgical technology. To provide a training program designed to assist qualified, motivated students the opportunity for professional success while increasing the quality and efficiency of patient care in Bay County and surrounding communities.

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PHILOSOPHY

The Surgical Technology Staff believes that students, preceptors, and teachers are unique individuals with inherent rights, privileges, and dignity. These shall be mutually recognized during the teaching/learning process and a rapport shall be developed which respects the rights of all. In order to enhance the personal fulfillment of each student, we are challenged to provide an unbiased educational environment. Education is a continuous process of acquiring new knowledge and skills, which increasingly improve reasoning and judgmental abilities. Learning is most effective when new knowledge and skills are put to immediate use. Therefore, clinical experience and practice lab stations, from simple to complex assignments, are planned to correlate with theory throughout the program. The department reserves the right to determine the quality of academic and clinical performance and has the responsibility to plan the curriculum based on sound educational principles. The student has the responsibility to actively participate in the learning process by completing assignments, studying, utilizing the practice lab to improve skills, asking questions, seeking understanding, and completing all requirements as assigned.

The program is a competency-based instructional program, which enables students to utilize their abilities and strive for continuous maximum self-growth. Evaluation is an ongoing component of the competency-based instruction. It is essential to measure student and teacher effectiveness.

SURGICAL TECHNOLOGY

Surgical Technology is a rewarding career opportunity. In this program of study, students are taught the technical skills necessary to become employed as an entry-level Surgical Technologist (Operating Room Technician - Occupational Title 678).

Surgical Technologists are allied health professionals who are an integral part of the team of medical practitioners providing surgical care to patients in a variety of settings. This individual works under the medical supervision to facilitate the safe and effective conduct of invasive surgical procedures. While working under the supervision of a surgeon the surgical technologist ensures that the operating room or environment is safe, that equipment functions properly, and that the operative procedures is conducted under conditions that maximize patient safety. A surgical technologist possesses expertise in the theory and application of sterile and aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician’s performance of invasive therapeutic and diagnostic procedures.

Scrub, circulating, and second assisting Surgical Technologists/Operating Room Technicians have the primary responsibility for maintaining the sterile field, understanding the procedure being performed, anticipating the needs of the surgeon, maintaining knowledge base, maintaining quality patient care during the operative procedure, and being constantly vigilant that all members of the team adhere to aseptic technique. They handle the instruments, supplies, and equipment necessary during the surgical procedure. The Surgical Technologist/Operating Room Technician must be able to stand for long periods of time.

CAREER OUTLOOK AND OPPORTUNITIES

Career possibilities include being a Staff Technologist in the Operating Room, Labor and Delivery, Outpatient Surgery, for a Physician, or self-employed. Other opportunities include becoming a chief technologist, central sterile manager, materials manager, surgery scheduler, clinical preceptor, or educator. Associated careers include medical sales representatives, office manager, tissue/organ procurement and transplantation technician, research or veterinary assistant, or becoming a laser or endoscopic technician. Additional training may open doors to becoming a Surgical First Assistant. The Surgical Technologist may chose to pursue a college education to become a surgical nurse or surgeon. Other doors may be opened in the health care field as outlined by the Association of Surgical Technologists brochures.

The 2000-2002 Occupational Outlook Handbook (OOH), published by the Bureau of Labor Statistics, states that there were 72,000 surgical technologists employed in 2002. The profession is expected to grow faster than the average to the year 2012: projections estimate there to be greater than a 36% increase. Total job openings due to growth and net replacements, 1996-2006, are estimated to be 25,000. Median annual earnings of surgical technologists were $31,210 in 2002. The middle 50 percent earned between $26,000 and $36,740. The lowest 10 percent earned less than $21,920, and the highest 10 percent earned more than $43,470. Median annual earnings of surgical technologists in 2002 were $33,790 in offices of physicians and $30,590 in general medical and surgical hospitals.

STUDENT TIME COMMITMENT

Student time commitment for the Bridge program is highly individualized according to the individual. It is highly recommended that you complete one step of the process or one course at a time via blackboard. The more time you devote to the completing the program requirements completing class or passing challenge exams, the sooner you will complete the program. It is conceivable that you can complete the program in approximately 6 months or faster according to your timeline and the number of courses you must take. At a minimum, it is recommended that you complete an assignment every week and set up a scheduled study time to keep you on track. We ask that you contact the program at least weekly via email, phone, or mail to submit work or have questions answered. We look forward to helping you along this path of discovery to a successful career. Certification is an important aspect of maintaining your career mobility and ensuring that you are not limited in your choices. We commend you for seeking to attain certification in your chosen profession.

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FEE SCHEDULE

Accelerated Alternate Delivery Program

OJT Employed prior to March 1, 2000, or Surgical Technologist Military Trained

or Non-CAAHEP accredited program

Who Desire Certification

In-State Out-of-State

ENROLLMENT FEES:

TABE Test $No Fee $No Fee

TEXTBOOK FEES:

Textbooks (Approximate) (List Provided)

Required texts Maximum Possible if all texts purchased: $ 500.00 $ 500.00 (Varies with # courses taken)

Examination Fees (PAE; Self Assess) $ 70.00 $ 70.00

ASSOCIATION FEES:

Association of Surgical Technologists (Optional) $ 45.00 $ 45.00

TUITION FEES (See current College Catalog):

BSC 1005 & OST1257 (Pre-courses) $ 311.80 $1,148.90

Core Didactic Courses $ 787.36 $3,144.40

LAB FEES:

Spring Term No charge – Must submit documentation:

Summer Term Validation of competency and pass Fall Term Written examination for credit to beawarded.

Lab/Clinical Skills Examination/Portfolio assessment $ 32.00 $ 32.00

GRADUATION FEE:

Graduation Pin/Invitations (Optional) $ 65.00 $ 65.00

Distance Education Fees ($5/Course) :

$ 100.00 $ 100.00

Total (Approximate) Program Fees

$1,911.16 $5,105.30

Fee schedule includes approximate fees for the entire program if all courses are taken. Fees are approximately $53.48 per credit hour in state and $213.90 out of state. Fees are subject to change without notice – see current information available in the Office of Admissions. Anyone requiring financial aid must initiate arrangements with the Financial Aid Office. Refund policy is outlined in the current Gulf Coast Community College Catalog.

Note: Additional expenses required include the physical (medical) examination from your physician of choice and the Certification Exam. Additional purchases may be offered but are not required such as a school shirt, etc. The certification examination application will be completed as part of the required graduation exercises. Cost for the examination is approximately $190.00 for an AST member.

Textbooks may be purchased at any bookstore or through the school. Required textbooks must be purchased prior to the first day of class. Textbooks, which are issued as reference guides, must be returned in good condition without writing or defacement. The Student must replace reference guides that are defaced or written in. (Cost, Shipping and 10% to replace the item.) Approximate fees may be subject to change due to price changes from the manufacturer or provider.

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Frequently Asked Questions:

1. How do I complete a course?

a. There is no classroom attendance. You must have access to the Internet to study. You will need to log on weekly for your assignments and to complete exams. You will never be required to log on at a specific time.

b. You will have to schedule exams with the instructor. Exams may be taken by proctored examination. The proctor for your examinations is established during the first week of the course and must be approved by the course instructor.

c. Study time is at your convenience to fit your schedule.

2. When do classes begin?

a. You can start courses upon approval by the course instructor.

b. All courses must be completed within the allowed time for that course. An extension may be granted in the event of emergency or hardship. Each course mirrors the course taught in-class on campus at Gulf Coast Community College.

3. What will I need?

a. A computer that has reasonable access to the World Wide Web. For software requirements you will need Microsoft Word. It must be able to view Microsoft PowerPoint or have Adobe Reader. You can download a free Microsoft PowerPoint viewer from www.microsoft.com.

4. How do I get my textbooks?

a. You will need to purchase textbooks for your on-line courses. A textbook list is located within this information packet. The textbook needs to be the most current version. You can either purchase them from the bookstore or you can order them from another bookstore.

b. The correct edition will be listed on the syllabus for the course.

5. How much does the program cost?

a. The approximate cost of your program will be outlined in the application packet and the student handbook. See course fee schedule. All figures are based on the current rates at the time of publication and do not reflect any annual increases that may occur.

b. See the current polices in the student handbook at the time of enrollment in the course for the approximate cost of the course.

6. How do I get information on the course?

a. All courses can be accessed at www.gulfcoast.edu in the section “Blackboard”. b. You will need an email address and will log into your course via the Internet.

c. Upon acceptance into the program for your first course, you will be provided instructions for the program. You will select a user name and password that allows you to access to your courses through a program called Blackboard anytime from any computer with internet access sufficient to meet the program needs.

d. You can access your courses any time. You will have access to your course whenever it is convenient for you -- 24 hours a day, seven days a week.

7. Who will be my instructors?

a. You will be assigned an instructor. The instructor for the course that you register for will teach and assign homework during the course. All assignments are posted on the blackboard and in the course syllabus. Additional homework may be assigned as necessary for remedial assistance if assignments or tests indicate a lack of understanding of the course

objectives.

b. Your grade will be based on the work that you submit such as discussion boards, assignments submitted, and exams. All exams must be completed with a minimum grade of “C” 70% or greater. In the event, an exam is completed with less than 70%; the student will be required to retake the examination. It is important that students understand the material and can validate their understanding in preparation for the certification exam. The original grade stands for final course grade computation.

c. Your instructor will be available by phone at posted times for direct verbal communication. Contact via phone is required during the first week of the course to provide live interaction and whenever it is necessary to meet the course objectives. d. There is continuous student-teacher interaction during the course with the posting of assignments, responding to questions,

and open discussion boards.

8. Is there a limit to the number of students who can enroll in each course?

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9. Will I need to travel to take my exams?

a. All assignments and quizzes are taken or submitted online at your convenience.

b. Most Exams will be proctored to protect the content of the exam. During the first week of the course, you will select a proctor and notify your instructor of the proctor arrangements for approval. Once the proctor is approved by your instructor and you are ready for the examination, you can schedule the exam and the proctor will be notified of the exam password. Proctor must validate that the exam was completed following the guidelines of the examination.

10. What are the withdrawal policies?

a. Students who withdraw must notify the Registrar in writing. Absence from meeting course objectives or lack of computer access does not constitute withdrawal. All refunds of tuition, registration, student, and lab fees are completed according to the current GCCC student handbook policy. Students will follow the current GCCC Drop Policy located in the GCCC student handbook policy. A student handbook policy manual is made available to all students. Students are expected to review student handbook policies after acceptance into the program.

b. Students will receive a “W” for courses dropped at the Registrar’s Office during the drop period. Students who wish to drop or add courses must do so through the Registrar’s Office after consultation with their Student Advisor. Students who cease attending but fail to notify the Registrar’s Office will receive a grade based on the work completed in the course as determined by the faculty member. If unusual circumstances such as illness occur a student may petition the course instructor to request to receive a “W” for courses dropped after the drop period.

11. I have not earned my high school diploma or GED: can I enroll in an associate degree program?

a. Applicants must have a high school diploma or GED for entrance into the technology program.

b. This is validated during the application process. Application for GCCC is available on line and can be submitted on line. It is the student’s responsibility to request transcripts and testing scores to be sent to GCCC for validation. The surgical technology program application is completed and submitted for the selection process.

c. Students must also complete the TABE examination during the application process which is required for graduation from a Florida vocational program. There is no cost for this examination. Success centers and Workforce centers have

computerized programs to help with passing the exam. Students must score a grade level of 10 in Math and 11 in Reading and Language to graduate successfully from the program.

12. How long should it take me to complete my program?

a. To complete your certificate requirements in the shortest possible time, you should take the courses outlined in the prescribed curriculum. Students can complete the program in as little as 12 months.

b. Students who interrupt training or those who do not take classes for a period greater than 15 months must retake the core courses to continue in the program.

13. Is there a time limit when I need to complete the program?

a. Student enrolled in the Accelerated Alternate Delivery Bridge Program courses continuously have approximately 21 months or 2 years (GCCC offers semesters not quarters) to complete the certificate program.

14. Is GCCC accredited?

a. The Surgical Technology program of study is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Graduation from this program meets one of the criteria for application to take the Certification exam. Successful completion of the examination allows the use of the credentials CST or Certified Surgical Technologist.

15. Can I transfer the credits that I earn to another college?

a. The transferability of a course is always up to the institution to which the student is transferring.

16. Can I transfer credit that I have earned from another college?

a. You may transfer credit from another accredited college recognized by GCCC for the courses that are outlined in the curriculum provided it meets acceptable time limitations.

b. The Course instructor will review transcripts and may request additional information such as a course syllabus or course outline to identify that course content has been covered prior to accepting transfer credit or allowing a course substitution.

17. Do I need to maintain a certain grade point average?

a. Yes. You are required to attain a C (70) or higher in each of your curriculum subjects in order to continue to the next course in the program.

18. How do I log the cases?

a. You may log cases on a current basis (easy to do as you work – you can log approximately125 cases in about 6 weeks if you work full time) or you may log cases from the past. Most OR’s are required to maintain a log of all cases completed. They do this through a computer program or a manual OR Logbook. If it is a logbook, you scroll through looking for your name and record the dates/case that you first scrubbed a case. Most computer programs can print out a “competency list” for each individual.

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AADP – Bridge Program

Student Checklist Surgical Technology

Initial Application Responsibilities

_______ 1. Complete general admission application to Gulf Coast Community College – Form available at

the Office of Admissions or online at www.gulfcoast.edu.

_______ 2. Request OFFICIAL transcripts showing attainment of high school diploma or equivalent (GED) to be sent to Admissions Office of Gulf Coast Community College. Forms are available in the

Admissions Office.

_______ 3. Request OFFICIAL transcripts from all schools and colleges attended to be sent to the Admissions Office of Gulf Coast Community College. Forms are available in the Admissions Office. Grade point average (GPA) of 2.0 or greater (on a 4.0 system) for all school, college and/or university coursework attempted. A GPA less than 2.0 may be acceptable, but the student will be admitted on probation.

_______ 4. Submit Surgical Technologist (ST) Accelerated Alternate Delivery Bridge Program application

form – Form available in this application packet. Additional forms available by calling (850)

873-3589. Submit to Surgical Technology Health Sciences Division Room HS305 or via mail to L.

McNaron, Coordinator.

_______ 5. Submit Applicant’s Verification of Eligibility For Program Form documenting employment verification or graduate of non-CAAHEP approved school or military training status. Attach to the

application form.Note: Once you have submitted this form and your application forms, you

may sign up for classes. Credit for the clinical and lab segments will not be awarded until the rest

of the portfolio is submitted and approved.

_______ 6. Submit Duties Acknowledgement Form. Attach to the application form.

_______ 7. Have two (2) letters of reference mailed from former employers to Surgical Technology

Program Coordinator, 5230 West Highway 98, Panama City, FL 32401.

_______ 8. If you have not taken General Biology or some other anatomy and physiology course, take the

CPT (College Placement Test). You must score a Reading score of 83 to sign up for General

Biology. It is offered via distance education or you may take at any local college and transfer credit in. _______ 9. Schedule initial advising (with Instructor or general Health Sciences Advisor) to enroll in

recommended prerequisites (Medical Terminology and General Biology) if not already completed. If you have already completed these courses, contact Libby McNaron for a transcript review.

_______ 10. Complete the TABE Examination –

a. If you wish to study prior to taking the TABE exam, you may purchase a GED study guide

(for reading, writing and math) at a commercial bookstore or you may visit the Workforce

Center at the corner of 19th Street and Highway 231 (Monday-Friday) to practice on the

Aztec program available on their bank of computers. This is a timed test.

b. Located out of our region: call your local college testing center for time, date, and place.

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i. Call Peggy Tucker at (850) 873-3589 or Libby McNaron at (850) 873-3551 to schedule a time to take the TABE test at this college.

ii. Exam is administered in room 61 of the Student Union West Building – testing

phone number is 769-1551 Ext: 3533.

d. It is not required that students pass the exam to apply or enter the program. If you do

not pass the exam on the first try, you may retake the exam after studying either on your own or at your local developmental studies site on campus.

_______ 11. If you are selected for the program, request a Portfolio package to be completed for

evaluation and validation of the 27-½ hour’s vocational credits in Clinical and Lab experience. _______ 12. Call Program Coordinator at 873-3551 or 873-3589 to review application folder and to

complete an evaluation of transcripts or previous training / experience and begin

registration process.

_______ 13. Register for classes. See curriculum outline. Complete the pre-assessment exam by

proctored blackboard exam for courses that you are challenging.

REMEMBER: You are responsible for getting the above items sent to us. Once you begin the program, you have 2 years to finish the courses.

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Minimum Placement (TABE) Test Requirements

(Level A 7 & 8)

In order to graduate from any vocational program, the student must demonstrate a

tenth grade

score in Math with

an

eleventh grade

in Reading and Language Arts. The purpose of the

TABE

is to document these requirements.

You may take the TABE examination at any local testing center and request results be sent to Gulf Coast

Community College. It is your responsibility to verify that results have been received and posted at Gulf

Coast Community College.

To take the examination at Gulf Coast Community College:

1. If you wish to study prior to taking the TABE exam, you may purchase a GED study guide (for reading, writing and math) at a commercial bookstore or you may visit the Workforce Center at the corner of 19th Street and Highway 231 (Monday-Friday) to practice on the Aztec program available on their bank of computers.

2. Call Peggy Tucker at (850) 873-3589 or Libby McNaron at (850) 873-3551 to schedule a time to take the TABE test. 3. Exam is administered in room 61 of the Student Union East Building – testing phone number is 769-1551 Ext: 3533.

4. It is not required that students pass the exam to apply or enter the program. However, students who have completed the exam with the requirements for graduation will be given greater consideration in the selection process.

Scores can be recorded by the person administering the exam or recorded by the instructor from the

computer student record. The results are only official once they are posted on the student’s GCCC record.

Score Grade SS

GE

Acceptable

Signature

Reading

Language

Math

Student:

After you have taken the TABE test, please return this form, with scores to the instructor for

advising.

Instructor Review:

______

Student has met all requirements

______

Student has not met all requirements

Student Review:

I,

___________________________________________________________,

(Please Print Name)

understand that minimum passing scores (tenth grade Math and eleventh grade Language and

Reading) on the TABE test are required to meet this program. I understand that if I do

not meet these requirements prior to starting the program, I am responsible for remediation

and re-testing prior to applying for graduation.

____________________________

Student’s

Signature

_______________________________________

___________________________

Advisor’s

Signature

Date

(12)

GULF COAST COMMUNITY COLLEGE

HEALTH SCIENCES DIVISION

5230 West U.S. Highway 98

Panama City, FL 32401-1058

(850) 873-3589 or 913-3311

(850) 747-3246 - FAX

1-800-311-3685

APPLICATION FOR ADMISSION

-SURGICAL TECHNOLOGIST PROGRAM – AADP – Bridge Program – Accelerated Alternate Delivery Program

Answer ALL Questions: Please TYPE or PRINT (please use

black

ink)

Name ____________________________________________________________________________________

First Middle Last Maiden Name

Male

F

Female

F

Email Address:____________________________________________

Home

Address:__________________________________________________________________________________

Street & No. City State County Zip

Permanent Mailing Address

(if different from above)

____________________________________________________

Social Security Number___________________________ Phone: Area Code: (_____) ____________________

Business Phone: Area Code: (_____) _______________________

EDUCATION

Official Transcript(s) must be received by the Office of Admissions & Records.

ALL schools and colleges attended must be listed for the application to be complete.

Name of School Location of School

From Month/ Year To Month/ Year

Did you Receive Diploma? Degree?

Certificate?

What was your Major/Minor?

High School or GED:

College or University:

College or University:

Type Issued by Which State or Agency License No. Date

Professional Licenses________________ ________________

______________ _____________

or Certifications

________________

________________

______________ _____________

(13)

CONTACT INFORMATION Please provide information about two people who will always know where to locate you.

Name

1.___________________________

2. __________________________

Mailing

Address

_____________________________

____________________________

Telephone

Number

_______________________

_______________________

HEALTH RELATED WORK EXPERIENCE AND / OR VOLUNTEER EXPERIENCE

EMPLOYER:______________________________________________________________________________

Address _____________________________________________Telephone No. ______________ Ext._______

Street & No.

City

State

Supervisor’s Name ________________________________________

Title ___________________________

Dates employed: From __________ To ____________ Nature of Your Job Duties ________________________

Mo./Yr. Mo./Yr.

Reason for Leaving ______________________________________________ Full _______ Part-Time _______

__________________________________________________________________________________________

EMPLOYER:______________________________________________________________________________

Address __________________________________________

Telephone No. ______________Ext._______

Street & No.

City

State

Supervisor’s Name ________________________________________ Title _____________________________

Dates employed: From __________ To ____________ Nature of Your Job Duties ________________________

Mo./Yr. Mo./Yr.

Reason for Leaving ______________________________________________Full _______ Part-Time _______

PLEASE READ AND SIGN THE FOLLOWING

I hereby certify that the information contained in this application is true and complete to the best of my

knowledge. I understand that any misrepresentation or falsification of information is cause for denial of

admission from the College. I understand that illegal use, possession, and/or misuse of drugs are reasons for

immediate dismissal from any of the programs in the Health Sciences Division. I understand that background

checks and drug screening tests are routinely used at most healthcare facilities for employment purposes. It is

possible to graduate from a program and obtain certification, but be denied some employment options due to an

unfavorable background check or drug screen. The school does not guarantee employment at any facility.

Please Note: We offer this information contained in this statement and the application packet so that you can

make an informed decision concerning making application to our program.

Signature of Applicant _______________________________ Date_________________________

RETURN APPLICATION TO:

Gulf Coast Community College

Attention: Surgical Technology Program

Health Sciences Division

5230 W. U.S. Highway 98

Panama City, FL 32401-1058

IN CASE OF EMERGENCY NOTIFY:

Name _________________________________________

Address _______________________________________

Street & No.____________________________________

______________________________________________

City State Zip

Phone (______) _________________________________

(14)

Surgical Technologist

Duties Acknowledgement Form

AADP Bridge Program

Duties and Responsibilities:

A surgical technologist is a healthcare professional whose primary responsibility is to maintain the sterile field,

understand the procedure being performed, anticipate the needs of the surgeon, maintain a current knowledge

base, maintain quality patient care during the operative procedure, and maintain constant vigilance regarding the

adherence of aseptic technique by all members of the surgical team. They handle the instruments, supplies, and

equipment necessary before, during, and after the surgical procedure. In addition to the technical aspects of the

profession, the technologist must always be aware of the patient’s condition and needs.

Special Qualifications:

In addition to minimum requirements regarding reading, language, and math skills, the student must, unassisted:

1. Demonstrate ability to comprehend and interpret written material. Able to make appropriate judgment decisions.

2. Follow written and oral/verbal instructions. Possess short- and long-term memory sufficient to perform tasks such as, but not limited to, mentally tracking surgical supplies and performing anticipation skills during the operation.

3. Synthesize information from written material and apply the knowledge to various situations. 4. Demonstrate the use of positive coping skills during patient, staff, and faculty interactions.

Psychomotor Qualifications:

1. Vision – normal, corrected. Demonstrate sufficient visual ability enough to load a fine (10-0) suture onto needles and needle holders with/without corrective lenses and while wearing safety glasses. Demonstrate sufficient peripheral vision to anticipate and function while in the sterile surgical environment.

2. Hearing – normal, corrected, or aid able. Hear and understand muffled communication without visualization of the communicator’s mouth/lips and within 20 feet. Hear activation/warning signals on equipment.

3. Smell – Able to detect odors sufficient to maintain environmental safety and patient needs.

4. Touch – normal tactile sensitivity. Manipulate instruments, supplies, and equipment with speed, dexterity, and good eye-hand coordination.

Physical Qualifications:

1. Able to stand, bend, stoop, and/or sit for long periods of time in one location with minimum/no breaks. 2. Able to lift a minimum of 20 pounds.

3. Able to refrain from nourishment or restroom breaks for periods up to 6 hours. 4. Ambulate/move around without assistive devices.

5. Able to assist with and/or lift, move, position, and manipulate the patient who is unconscious with or without assistive devices. 6. Successfully complete a CPR certification course.

Communication Qualifications:

1. The ability to interact and verbally communicate with others. Demonstrate positive interpersonal skills during patient, staff, and faculty interactions.

2. Demonstrate calm and effective responses, especially in emergency situations. 3. Knowledge of basic written, grammar, and spelling skills.

4. Ability to communicate and understand fluent English both verbally and in writing.

I have read the above and feel that it is within my ability to carry out the duties, responsibilities, and qualifications of a surgical technologist. I do____ do not ____ (check one) require any special accommodations to meet the above

requirements. In the event that I am selected for the program, I understand that a TB Skin Test or CXR done; a Medical Examination Report from Personal Physician (Health Status) and an Immunization Record is not required for the AADP Bridge Program due to the lack of clinical or lab classes. I attest that I am currently functioning in the surgical setting and meet all the requirements for employment in my job description as a surgical technologist or operating room technician.

_________________________________________ __________________________

SIGNATURE DATE

(15)

Surgical Technology Bridge Program

Accelerated Alternate Delivery Program

Verification of Eligibility for Program

By Applicant:

Applicant must submit proof of eligibility by either of the following ways:

1.

Employment Verification: You must document that you have been employed as a surgical

technologist or operating room technician prior to March 1

st

, 2000.

Document that you have been employed as a surgical technologist or operating room technician

with no breaks in service longer than 2 years. Include all places of employment. Be sure to

document prior to March 1

st

of 2000. Please have 2 Letters of recommendation from current or

former supervisors regarding clinical competency in surgical technology sent to the attention of

the coordinator of surgical technology program.

Employment

Dates

Facility

Address and

Phone Number

Supervisor’s

name and

title

Position Held Number of

Hours

worked

per week

Completed by College Personnel:

Validation by

College Personnel

2.

Graduate of Non-CAAHEP School:

You must document that you have been trained as a surgical technologist in a military or a

Non-CAAHEP approved school.

School Dates

School

Address

Phone Number

Instructors

Name and

Title

Name of Program Transcript

Available/

Requested

Validated by

College Personnel

I verify that the above information provided on this form is accurate and complete to the best of my knowledge.

Applicant Signature__________________________Date____________________

Note: Once you have submitted this form and your application form, you may sign up for classes. Credit for the

clinical and lab segments will not be awarded until the rest of the portfolio is submitted and approved.

References

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