Coastal Alabama Community College

On-the-job Training

• Prepare for Surgical Procedures
  • Prepare the operating room environment according to the surgical procedure
  • Prepare for the specific procedure
  • Establish sterile field
  • Take preoperative precautions
  • Prepare the patient and surgical team
  • Participate in surgical time out
• Perform Intraoperative Duties/Activities
  • Maintain the operating room environment according to surgical procedure
  • Provide the surgical team members with supplies required for the procedure
  • Assemble and test materials and specialty equipment during surgery
  • Anticipate needs during surgery
  • Provide intraoperative assistance when delegated by a surgeon
  • Handle medications, solutions, and specimens appropriately
  • Perform closing sponge, needle, and instrument counts
• Perform Postoperative Procedures and Room Turnover
  • Conduct postoperative patient care
  • Dispose of waste
  • Conduct room turnover after surgery
• Assist Circulator
  • Assist with/provide patient care
  • Assist with supplies and equipment
• Recognize and Demonstrate Knowledge of the Maintenance of Surgical Supplies/Equipment
  • Wash and decontaminate instruments
  • Ultrasound, milk, rinse and dry instruments
  • Assemble instrument trays
  • Prepare for and operate sterilizers
• Provide Safe Environment
  • Maintain a safe preoperative environment
  • Maintain a safe intraoperative environment
  • Maintain a safe postoperative environment
  • Practice precautions with critical equipment
  • Practice general safety precautions
• Perform Departmental Responsibilities
  • Receive/participate in dept. communications
  • Inventory supplies
  • Rotate supplies
  • Order supplies
  • Create/update surgeon preference cards
  • Attend inter/intra departmental committees
  • Maintain cleanliness of department
• Maintain Professional Responsibility
  • Maintain institutional competencies
  • Practice cost containment
  • Attend/contribute to in-service classes
  • Evaluate new equipment
  • Precept new employees/students
  • Participate in performance improvement activities