Surgical Case Requirements
||Total # of Cases Required
||Minimum # of First Scrubbed Cases Required
||Maximum # of Second Scrubbed Cases that can be Applied Towards 120 Case Total
- Peripheral vascular
|10 Diagnostic Endoscopy Cases May be Applied toward the Second Scrub category
|Labor and Delivery
||5 Vaginal Deliveries May be Applied to the Second Scrub Category
Surgical Case Requirements
- The total number of cases the student must complete is 120.
- Students must complete a minimum of 30 cases in General Surgery; 20 which must be
performed in the First Scrub Role. The remaining 10 cases may be performed in either
the First or Second Scrub Role.
- Students must complete a minimum of 90 cases in various surgical specialties, excluding
General Surgery; 60 which must be performed in the First Scrub Role. The additional
30 cases may be performed in either the First or Second Scrub Role.
- A minimum of 60 surgical specialty cases must be performed in the First Scrub Role
and distributed amongst a minimum of four surgical specialties.
- A minimum of 10 cases in the First Scrub Role must be completed in each of the required
minimum of four surgical specialties (40 cases total required).
- The additional 20 cases in the First Scrub Role may be distributed amongst any one
surgical specialty or multiple surgical specialties.
- The remaining 30 surgical specialty cases may be performed in any surgical specialty
either in the First or Second Scrub Role. The surgical technology program is required
to verify through the surgical rotation
- Diagnostic endoscopy cases and vaginal delivery cases are not mandatory. However,
up to 10 diagnostic endoscopic cases and 5 vaginal delivery cases can be counted toward
the maximum number of Second Scrub Role cases.
- Diagnostic endoscopy cases must be documented in the category of “Diagnostic Endoscopy",
rather than by specialty.
- Vaginal delivery cases must be documented in the category of "Labor & Delivery'' rather
than in the OB/GYN specialty.
- Case experience in the Second Scrub Role is not mandatory.
- Observation cases must be documented, but do not count towards the 120 required cases.
The surgical technology program is required to verify through the surgical rotation
documentation the students’ progression in First and Second Scrubbing surgical procedures
of increased complexity as he/she moves towards entry- level graduate abilities. Cases
will be counted according to surgical specialty. In the case of multi procedure surgeries,
if the procedures fall under different specialties each specific specialty can be
- Trauma patient requires a splenectomy and repair of a Lefort I fracture. Two cases
can be counted and documented since the splenectomy is general surgery specialty and
repair of LeFort I is oral-maxillofacial surgical specialty.
- Patient requires a breast biopsy followed by mastectomy. It is one pathology; breast
cancer, and the specialty is general surgery; Therefore, it is counted and documented
as one procedure one case.
First Scrub, Second Scrub and Observation Role
First Scrub Role
The student surgical technologist shall perform the following duties during any given
surgical procedure with proficiency. The following list is provided to identify the
items that must be completed in order to document a case in the first scrub role.
A student not Meeting the five criteria below cannot count the case in the first scrub
role and the case must be documented in the second scrub role or observation role.
- Verify the supplies and equipment needed for the procedure
- Set up the sterile field with instruments, supplies and medications and solutions.
- Perform surgical counts with the circulator prior to the procedure and before the
incision is closed. * Every facility will have their own “Surgical Counts” policy
- Pass instruments and supplies to the sterile surgical team members during the procedure
- Maintain sterile technique as measured by recognized breaks in technique and demonstrate
knowledge of how to correct with appropriate technique.
Second Scrub Role
The second scrub role is defined as the student who is at the sterile field who has
not met all criteria for the first scrub role, but actively participates in the surgical
procedure in its entirety by completing any of the following:
- Cutting Suture
- Holding Retractors
- Manipulating Endoscopic Camera
The observation role is defined as the student who is in the operating room performing
roles that do not meet the criteria for the first or second scrub role. These observation
cases are not to be included in the required case count, but must be documented by