Surgical Technician Program. Application and Information Packet HEALTH PROFESSIONS. DEADLINE: Third Friday in November for spring semester

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Updated 09/24/2018 Surgical Technician Program Application and Information Packet HEALTH PROFESSIONS DEADLINE: Third Friday in November for spring semester

Health Professions Program at Utah State University-Eastern Blanding Campus Surgical Technician The Surgical Technician Program is an Associate Degree program that can be completed in four semesters, after completing one semester of prerequisites. The prerequisites must be completed prior to the student applying for and being accepted into the Surgical Technician (ST) Program. Surgical Technologists, also called Surgical Technicians assist in operations under the supervision of surgeons, registered nurses and other surgical personnel. Duties may include: helping to set up the operating room, prepare and transport patients for surgery, adjust lights and equipment, pass instruments and other supplies to surgeons and surgeon assistants, hold retractors, cut sutures, and help count sponges, needles, supplies and instruments. Students receive an Associate of Applied Science Degree in Surgical Technology from Utah State University upon completion of academic coursework and clinical experience. Upon the successful completion of coursework, students will be eligible to sit for and pass the National Board of Surgical Technology and Surgical Assisting (NBSTSA) certification examination. If the student successfully passes this national board, they will obtain the Certified Surgical Technologist (CST) certification. The USU Eastern Surgical Technician Program complies with the national requirements for Surgical Technicians. Students successfully completing the program will be well prepared for a career in Surgical Technology. Surgical Technician Entrance Requirements Utah State University Eastern has an open admission policy. Applicants will be admitted without regard to race, color, religion, sex, national origin, age, disability, or veteran s status. In addition, discrimination on the basis of sexual orientation for employees in all aspects of employment and for students in academic programs and activities is prohibited. High school graduation or GED is required to be accepted into the program. Acceptance into this program will be by the selection process. General Admissions Procedures To be officially admitted to the college as a full-time matriculated student, an applicant must submit the following: 1. A completed Application for Admission. 2. A $55 nonrefundable application fee. 3. Official transcripts of all previous high school and/or their GED and college work if the student is a transfer student. 4. Placement and evaluation exam. ACT (American College Test), or Accuplacer Exam for English & ALEKS Exam for Math.

Notification of acceptance and resident status will be sent from the Health Professions Department Chairperson. If a student's application is incomplete at the time of registration, the student will not be admitted to the program. Students applying for financial aid, must be a high school graduate or GED recipient, and be matriculated before receiving aid. A declaration of a major is accomplished through the Application for Admission. Students desiring to change their majors after acceptance are required to complete "A Change of Major" form at the Admissions and Records Office. Returning Students A student who has been away for more than 2 semesters, must submit a new application for admission along with a $20.00 reapplication admission fee. Those who have attended other colleges or universities in the interim will be asked to submit transcripts of all college credits. Enrollment Prior to High School Graduation An academically qualified high school student who wishes to enroll at USU Eastern Blanding must fill out a Concurrent Enrollment-Early College form as well as a Student Acknowledgement & Parental Consent Agreement form. Students may work concurrently on high school classes and the college courses required for acceptance into the ST Program, while still in high school. Transfer Students A transfer student from another college or university must submit the following: 1. A completed Application for Admission. 2. A $55 one-time nonrefundable application fee. 3. Official transcripts of all previous college work. (Official transcripts must be sent directly from the previous school. Hand carried transcripts will not be accepted.) 4. ACT or Accuplacer test scores. If a transfer student has completed 20 hours and has taken an English course equivalent to our English 1010, they will not be required to take the above tests. 5. A transfer student cannot transfer credits with D or E (F) grades or credits from developmental or remedial courses. Grades of B or better will be allowed for all classes required for the Program. Credits from remedial classes will not be accepted. 6. The student must be in good standing and eligible to re-enroll at the college or university where they were most recently registered. 7. Transfer students will not be matriculated until official transcripts of all high school, previous college or university work are submitted to USU Eastern Blanding.

Application Requirements Checklist (Checklist in PDF format to print and turn in with paperwork) 1. Complete The Medical Assistant Application and return it to: Staff Assistant for Health Professions/ Tara Dawn Olsen Bradford Lee Technology Utah State University Eastern Blanding Campus 576 West 200 South Blanding, UT 84511 2. Students must have a minimum GPA of 3.00 for admittance into the program and maintain a 3.00 GPA throughout the program 3. Advising - Students interested in the Surgical Technician (ST) Program must complete a ST Program Application, be accepted and provide all required documents PRIOR to registering for ST classes. 4. Registration Date and Time - Please visit the USU Eastern Blanding Website for registration information. 5. The background check must be ordered and/or uploaded to your Compliance Tracker packet through CastleBranch. Please use this link: portal.castlebranch.com/ut61 A fee will be charged. Background Check Drug Screen Student must pay LaPriel Nakai (Cashier) $45.00 for the drug screen. She will give the student a receipt which they should bring to their instructor or Health Professions staff assistant. Required Immunizations All immunizations below are required. All records must be complete and on file with with Program Instructor PRIOR to beginning your program: Twinrix (Hepatitis A & B) series: The first injection of the series needs to be completed prior to Semester One or in the initial weeks of the semester. The second injection is given one month after the first injection. The third injection is completed six months after the first injection of the series. MMR: Documentation of two MMR immunizations, or a titer indicating immunity, needs to be completed prior to the end of Semester One. If you do not have childhood immunization records, it is recommended that you begin these

immunizations or obtain a titer before beginning the program. All students born after 1964, that received their MMR immunization, will require a booster. TB: Documentation of a recent two-step TB test is required during the initial weeks of semester one. You can have this test up to 3 months before starting the program. TB tests are good for one year. If yours will expire prior to completion of the program, you will need to repeat it. Varicella: At least one Chicken pox vaccination or titer indicating immunity. Tdap: At least one pertussis immunization as an adult. Meningococcal: One dose Influenza: Seasonal as required by facility. *Students will be required to turn in a packet to Staff Assistant with all of the above records. Students should keep a copy of all records for their own files. Practicum Orientation Prior to initiating any clinical surgical externship experience, students are required to attend an orientation with the appropriate sites that they will be attending for their surgical experience. Clinical Experience Surgical Technician Surgical Externship: Our ST students will train in various surgical settings. After students demonstrate proficiency in surgical lab technique, students will be placed in Surgical Externship Rotations to get the best experience possible. These clinical rotations are an important part of the program. Students must commit to attending all surgical rotations that they are scheduled to participate in.

Program Requirements Application packet deadline: Third Friday in November (spring) The ST application must be submitted by the third Friday in November for spring semester. Students may be enrolled in pre-requisite classes with a minimum grade of B or higher. These classes are approved for concurrent high school enrollment. PREREQUISITES BIOL 2060 Microbiology 4 NURS 1008 Medical Terminology 2 MATH 1050 College Algebra 4 OR STATS 1045 Introduction to Statistics with elements of Algebra 5 ENGL 1010 Introduction to Writing 3 TOTAL 13-14 ** All course prerequisite courses must have a B or higher grade to allow an applicant to apply for and be selected to join the Surgical Technician Program. SEMESTER ONE SURG 1030 Surgical Technology I Didactic 6 SURG 1035 Surgical Technology I Laboratory 4 SURG 1600 Surgical Technology Clinical Competencies I 2 HEAL 1500 Anatomy & Physiology 3 TOTAL 15 SEMESTER TWO SURG 1040 Surgical Technology II Didactic 6 SURG 1045 Surgical Technology II Laboratory II 2 SURG 1700 Surgical Technology Clinical Competencies II 4 TOTAL 12 SEMESTER THREE SURG 1050 Surgical Technology III Didactic 6 SURG 1055 Surgical Technology III Laboratory 2 SURG 1800 Surgical Technology Clinical Competencies III 6 TOTAL 14

SEMESTER FOUR SURG 1060 Surgical Technology IV Didactic 6 SURG 1065 Surgical Technology IV Laboratory 2 SURG 1900 Surgical Technology Clinical Competencies IV 6 TOTAL 14 National Certification and Examination: After the successful completion of the required course work and externship, students may sit for the National Board of Surgical Technology and Surgical Assisting Certificate examination to become a Certified Surgical Technologist (CST). Successful graduates may schedule an examination appointment on line at any time using this link: www.nbstsa.org/cst-firsttimeretake-applicants and following directions.

Health Professions: Surgical Technician Program Apply to Utah State University Eastern Blanding Campus Pre-requisite: ENGL 1010 Pre-requisite: MATH 1050 or STAT 1045 Pre-requisite: NURS 1008 Pre-requisite: BIOL 2060 Submit Completed Surgical Technician Program Application with a copy of high school/ged and any college transcripts. Submit Surgical Technician Student Contractual Agreement (found in the Handbook) to the instructor first day of class. Vaccination Records: Complete and up to date to instructor Complete Background Check uploaded to CastleBranch Pay LaPriel Begay $45.00 for drug screen to be completed on campus by Health Professions program Student Orientation: Scheduled with my instructor CPR card up to date Application packet deadline: Third Friday in November (Spring semester) After application approval, you are ready to register for semester one courses. Please submit Application to: Bradford Lee Technology Building - Utah State University Eastern Blanding Campus TD Olsen, Administrative Assistant Health Professions Programs td.olsen@usu.edu 576 West 200 South Blanding, Utah 84511 A copy of the above records and documentation needs to be maintained and updated as appropriate by the student and as requested by the instructor and/or staff assistant.

Updated 09/24/2018 SURGICAL TECHNICIAN PROGRAM DEADLINE: Third Thursday in November Application Name (Print) Last First Middle Names Previously used: Student USU A# Phone: Day Evening Cell Mailing Address City State Zip Age High School Attended Email address (This email will be used to contact you about the ST Program) I have provided true, complete and correct information on this application. I have read and understand the information presented in this packet. Signature Date