ARIZONA STATE ASSEMBLY OF AST

                                      SCHOLARSHIP INFO

 

 

News Release

Contact:Cara Stan, Marketing & Meeting Coordinator                                                  Phone: (800) 707-0057
Address:6 West Dry Creek Circle                                                                               Fax:      (303) 325-2536
              Littleton, CO 80120
Email:    
Cara@nbstsa.org


June 19, 2012                                                                                                                                     For Immediate Release

Lisa Ricke Awarded the 2012 Sandra Edwards, CST – NBSTSA Scholarship

(Littleton, Colorado) Lisa Ricke has been awarded a scholarship by the National Board of Surgical Technology and Surgical Assisting (NBSTSA) for 2012. Ms. Ricke was one of nine recipients of this prestigious scholarship out of 44 applicants. Recipients were awarded scholarships of either $500 or $1,000 to use toward their educational goals in the surgical technology or surgical first assisting professions.

Lisa attends the surgical technology program at the East Valley Institute of Technology in Mesa, AZ and maintains a 4.0 GPA. When NBSTSA asked her program director, Rod Jaynes, CST, BA, about Ms. Ricke this is what she had to say, “Lisa has demonstrated that her determination and excitement are coming together to make her a very successful student and future surgical technologist.”

The Sandra Edwards, CST – NBSTSA Scholarship was created in 2006 and has since awarded over $20,000 in scholarship funds since its inception. Scholarship applicants must be enrolled in an NBSTSA recognized surgical technology or surgical first assisting program. Applicants are asked to submit letters of recommendation, official school transcripts, any extra-curricular activities and an essay. Applicants are scored on factors such as academic achievement, financial need, career goals, mentor and instructor recommendations and their essay by the NBSTSA Scholarship Committee.

Established in 1974 and headquartered in Littleton, CO the mission of the NBSTSA is to provide professional certification and surgical technologists (CST) and surgical first assists (CSFA), thus promoting quality patient care in the surgical setting. For more information about NBSTSA, please go to the NBSTSA website at www.nbstsa.org, email cara@nbstsa.org or call 1-800-707-0057.

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We still have funds available for scholarships. Instructors contact AZSA for more information.

Or apply for one of the many AST scholarships at:

http://www.ast.org/educators/scholarships.aspx


AZSA is trying to set up a mentoring program for students in need of extra help. Our education committee will try to get you a CST in your area to mentor you if one is available.                                                                                                                                                         

If you did not attend or graduate from a CAAHEP accreditated school and want to become certified this is the link for info for an online program that prepares you to sit for the national exam:

www.gtcc.edu



STUDENT ARTICLES

Understanding Surgical Conscience

Bobbi Harrington

Surgical Technology, Mohave Community College

Abstract

Provide definition and examples of the concept, principles and use of Surgical Conscience as it pertains to the Surgical Technologist.

 He who through anxiety of conscience busies himself in drawing out the good or evil motives of his manifest actions, who sees vices and virtues at their birth, who follows the insensible progress of culpable thought and the secret confirmation of good resolves, who can work the force, nature, and moment of temptation and resistances, holds in his hand almost all the moving strings of humanity, and has only to make them vibrate regularly to draw from them the most powerful harmonies. (Evans, 1950)

That was an excerpt from the August 1950 edition of Annals of Surgery, describing the need and importance of Surgical Conscience in those ‘modern’ times.  For those of us who were raised in the more recent decades, unaccustomed to such elegant prose and artful vernacular, a layman’s definition may still be necessary.  In the text books, Surgical Conscience is essentially defined as ‘the ethical motivation to practice strict aseptic technique to protect the patient from infection’.  Even such a frank definition fails to convey the importance of integrating a strong Surgical Conscience into the fibers of every action of medical personnel.  In order to make the concept of Surgical Conscience painfully clear, it could best be elaborated on in general, every-day actions or experiences that any person can understand and relate to.

Evan Findlay, author of PeriOperative Patient Care, provides five guidelines for developing and maintaining Surgical Conscience. 

Developing a surgical conscience requires:

1.       Knowledge of the principles of asepsis.

2.      Self-discipline in inspecting and regulating one’s own hygiene, dress and nursing practice with attention to breaks in technique.

3.      Ability to anticipate the need for supplies and services based on knowledge of the patient, the procedure being performed, the preferences of the surgical team, and where and how to obtain supplies.

4.      Good communication skills to determine the needs of patient and team members and to identify and correct breaks in technique.

5.      Maturity to overcome personal preference and prejudice to provide optimal patient care, regardless of the operative procedure, the patient’s circumstances, or other perioperative personnel.  (Findlay, 1983)

In step number one, ‘knowledge of the principles of asepsis’, it is imperative that the importance of sterility is thoroughly understood by all individuals that will be in/near the sterile field.  Much like any civil law, the excuse of “I didn’t know any better” will not shield a person from fault after an incident.  In the realm of medicine, a simple misstep concerning asepsis can bear life threatening consequences, much like an innocuous gaffe on a tax return may be punishable by criminal law.  If one does not understand tax codes, they should not take it upon themselves to complete their own return and risk breaking federal laws they may have been unaware of.  On the same coin, if a person does not fully understand the principles of asepsis, they should refrain from entering an environment where asepsis is essential.

Step number two, ‘Self-discipline in inspecting and regulating one’s own hygiene, dress and nursing practice with attention to breaks in technique’, may seem relatively straight forward, but the scope of this rule has many facets.  In any field, basic hygiene may seem like a ‘no-brainer’, but it is not unheard of to encounter individuals with extreme body odor, unclean clothes, and grime covered hands in the workplace.  Medical professionals will most likely be aware of their level of cleanliness, but a strong Surgical Conscience will highlight minute areas of hygiene that the average person may not consider, such as maintaining the length and condition of fingernails, limiting the application of fragrances and cosmetics, and the wearing of jewelry.  The self-discipline to consider every action, weighing the possibilities of a break in asepsis, and choosing the options that are least likely to cause an incident, shows an understanding of Surgical Conscience.

The ‘ability to anticipate the need for supplies and services based on knowledge of the patient, the procedure being performed, the preferences of the surgical team, and where and how to obtain supplies’, step number three, is an ability that can only be honed with practice and attention to detail.  When new parents bring home their newly born child, they may have a vague idea of what is needed to care for the infant, but, until they learn the nuances of their child’s needs and personality, they may feel insufficient and awkward in their responsibilities.  After a few weeks, the parents will learn to translate the intonations in the child’s cry, understand the child’s preferences and be able to anticipate the needs and desires of the baby.  Newly inducted medical personnel may go through a phase such as this, but will eventually learn the ropes of the who/why/what/ and where of their surgical team.

The fourth step, ‘good communication skills to determine the needs of patient and team members and to identify and correct breaks in technique’, ties in closely with the previous rule in the sense that one must be able to anticipate the needs of the surgical team.  More important than thorough preparation prior to the start of a case, it is vital that the team member’s develop a sense of trust and dependability, to better allow them to convey their needs and concerns.  When individuals have respect for one another, they are more likely to consider recommendations and act accordingly than if they dislike, distrust or misunderstand a person.  For example, if a personal trainer uses negative reinforcement, the individual he/she is training may reject ideas and actions based solely on the delivery of the message.  If the trainer can develop a method to convey the information in a way that allows the individual to retain their dignity, understand the importance or urgency of the message, and develop a plan that will satisfy the requirements, they will be more receptive to input.

One must also have the capability to relay negative information to a superior without degrading their stature.  In a perfect working environment, higher ranking personnel would retain the humility to accept criticism or suggestions without seeing it as an affront to their pride, but, as that is not always the case, junior personnel must learn to approach a superior with professionalism and respect while clearly conveying the importance of their concerns.  Relating to asepsis, each person concerned should have the fortitude to take a respectful stand when another person’s actions have or will compromise the integrity of the surgical field, regardless of the position held by the offender.  A strong Surgical Conscience will ensure that one has the courage to intervene; whether that is to ask the other to elucidate on his actions in order to gently make them aware of their mistake, or plainly stating that an action may be inappropriate. For example, let’s say that you notice your tyrannical boss failed to secure the zipper on his pants after a trip to the restroom.  You worry that he will use the affront to his pride as a weapon to attack you if you decide to politely mention it to him, but you could imagine how much worse the situation may become if you ignore the zipper and let him go about his day.  Having the nerve to face the risk of igniting your boss’s anger in order to protect him is the civilian equivalent of Surgical Conscience.  In an operating room setting, pointing out a small error on the part of a peer or a superior may be difficult, but a few moments of tension is preferable to later realizing your lack of action caused a loss of asepsis.

The final guideline for developing surgical conscience may be the most important, and can be expanded on extensively; ‘Maturity to overcome personal preference and prejudice to provide optimal patient care, regardless of the operative procedure, the patient’s circumstances, or other perioperative personnel’.  In the simplest terms, this implies doing the right thing for the patient, no matter what.  You must treat every case as if it’s the most important procedure in the history of medicine, be it the removal of an ingrown toenail or an organ transplant.  Treat each surgeon as if he is a highly trained professional, even if he acts like a cantankerous Chihuahua.  Most importantly, treat each patient as if they are the focus of your world, whether the patient is old or young, rich or poor, a convicted criminal or your own child.  Your opinions have no bearing in the operating room, save for those that concern maintaining asepsis. 

A medical professional’s Surgical Conscience must become an instinctive drive to perform with the highest level of integrity, despite the fact that there may be no one else around to witness the act, even if the event seems as if it would not affect the outcome of the situation.    Employing a strong Surgical Conscience entails performing all tasks in the same manner you would if you were under constant supervision, treating patients and co-workers with the utmost respect and performing at the height of your abilities on every occasion.

References

Evans, E.I. (1950).  The surgical conscience.  Annals of Surgery, 132 (2), 315 http://www.pubmedcentral.nih.gov/pagerender.fcgi?artid=1616565&pageindex=1#page

Findlay, P (1983).  Perioperative patient care.  Jones & Bartlett Publishing