Directions to EHOVE Career Center: Situated mid-way between Cleveland and Toledo, EHOVE is easily accessible from all directions.

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1 EHOVE CAREER C ENTER OFFERS... Expert, Hands On Instruction Individualized Training Professional Training Atmosphere Advanced Technology Modern Equipment and Facilities Portable Computer Lab Economical Training Programs Certified Training Programs Customized Training Financial Assistance Flexible Training Schedules Career Guidance Employment Services Convenient Location Directions to EHOVE Career Center: Situated mid-way between Cleveland and Toledo, EHOVE is easily accessible from all directions. We are located at 316 W. Mason Road and US Route 250 in Milan, OH just north of the Ohio Turnpike exit 118. The map shows all of the major connecting roads that lead to EHOVE Career Center. S URGICAL T ECHNOLOGIST EHOVE Adult Career Center Office Hours: Monday through Thursday 8 am to 9 pm Friday 8 am to 4 pm

2 S URGICAL T ECHNOLOGIST The 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 of instruments and technologies to facilitate a physician s performance of invasive therapeutic and diagnostic procedures. Jobs are plentiful with employment opportunities in hospitals, surgical centers, and doctors offices. You will have the self satisfaction of serving as a productive, valued member of the healthcare team. Financial aid is available for those who qualify. The following physical requirements are necessary to safely and accurately carry out the surgical technician duties: 1. Full range of motion of body joints; ability to stoop, bend, reach, pull, and push 2. Ability to execute controlled motor movements to provide direct care and emergency treatment to patients; e.g. transferring, lifting, and turning patients; providing hygienic care; and providing cardiopulmonary resuscitation 3. Fine motor ability and visual acuity in order to accurately manipulate needles and sutures finer than a human hair 4. Good peripheral vision 5. Ability to examine closely images or other forms of output created by diagnostic equipment 6. Ability to stand unassisted for eight continuous hours 7. Ability to carry objects weighing up to 60 pounds on a daily basis 8. Ability to maintain composure when subjected to high stress levels 9. Ability to adapt effectively to changing environments, especially those with high tension levels 10. Ability to respond in an emotionally controlled manner in learning situations and emergencies 11. Adequate skin integrity, without the presence of open, weeping lesions of the skin; no chronic skin conditions 12. Ability to learn and to perform quickly without repetition of instructions 13. Ability to develop and improve skills in the organization of work and assisting the surgeon by learning to use economy in time and motion 14. Ability to maintain consistent mental alertness for a period of up to 8 continuous hours 15. Ability to use the English language to communicate effectively in a rational, coherent manner with others, both orally and in writing; with individuals of all professions and social levels 16. Recognition of the importance of teamwork, consideration, and cooperation 17. Recognition that the work environment will include exposure to diseases and toxic substance (sterilants, x-rays, and fumes) 18. Ability to demonstrate auditory acuity (with correction, if needed) that includes correctly understanding muffled voices (through mask) with extraneous background noise 19. Ability to withstand unusual and unpleasant smells 20. Access to transportation in order to get to clinical assignments in a timely manner 21. Ability to distinguish right from left Approving Agencies The EHOVE Surgical Technology program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) upon the recommendation of the Accreditation Review Committee of Education in Surgical Technology (ARC-ST). EHOVE School of Surgical Technology now partners with North Central State College. Students can earn an Associate Degree in Health Services Technology. Contact: North Central State College 2441 Kenwood Circle Mansfield, OH EHOVE ADULT CAREER C ENTER 316 W. Mason Road Milan, OH x x x Fax

3 SCHOOL OF SURGICAL TECHNOLOGY 316 W. Mason Road, Milan, OH or Ext. 231 or 280 Program Hours Full-Time Classes begin August 24, 2015 Graduation in June 2016 (10 months) Classes are held Monday through Friday 8:00am to 4:00pm Clinical hours are 7:00am to 3:30pm. Program Hours Part-Time Classes begin in January 2017 Graduation in May 2018 (16 months) Classes are held Tues., Wed., and Fri. 8:00am to 4:00pm Clinical hours are 7:00am to 3:30pm *Prerequisite to both classes, Medical Terminology

4 MEDICAL TERMINOLOGY PRE REQUISITE Student must be able to meet the below requirements or complete the Medical Terminology prerequisites for entrance into the Surgical Technology Program. If student has previous Medical Terminology background: Student will need proof with a transcript of successful completion of a 2 or 3 credit hour Medical Terminology college course within the past 2 years. (Introduction to Medical term or a quick on line course will not be accepted) OR If greater than 2 years the Medical Terminology pre requisite exam must be taken with a passing grade. Exam cost $25.00 Dates Pre requisite exam is offered: May 18, 2015 Wednesday 6 8 PM (review at 5 pm if you would like to attend). August 10, 2015 Monday 6 8 PM (review at 5 pm if you would like to attend). By Appointment If no Medical Terminology background one of the following must occur: I. Attend the Medical Term Course offered at EHOVE: We offer a blended course which is 24 hours of classroom instruction and also online instruction, a computer is required. Cost: $ for the course, $64.00 for the book Total $ Dates: SPRING Monday evenings April 6, 13, 20, 27, May 4 & 11, 2015 Time 5 9 PM. Final on May 18, 2015 (Review at 5 pm) Final 6 8 PM. SUMMER Monday & Wednesday evenings July 15, 20, 22, 27, 29 & August 3, 2015 Time 5 9 PM. Final on August 10, 2015 (Review at 5 pm) Final 6 8 PM. Retests may be scheduled on regular exam dates at a cost of $25.00 each (see dates above). If there is a need for a 2 nd retest you must give proof of attending an instructor led Medical Terminology course. OR II. Purchase an EHOVE Medical Terminology book to self study at ($64.00). Followed by taking the pre requisite Medical Terminology exam at EHOVE (see dates above). Exam cost $ Call EHOVE Adult ext. 280 to schedule. (02/23/2015)

5 EHOVE School of Surgical Technology Expenditures The cost of the Full Time program is as follows: Actual: Tuition Textbooks Fees Supplies Out of Pocket Expenses (Estimated) Pre-Entrance Exam Application Fee BCI- finger printing ± Physical Examination ± Drug Screen ± TB (2 Step) ± 11.00ea Hepatitis B Series ± 87.00/per injection Tetanus/Tdap (within 10 years) ± MMR Titer ± Varicella Titer ± Influenza (in the fall) ± Clinical Shoes ± Must be completed prior to interview with Program Coordinator. Program Pre-Requisite Medical Terminology (Must meet the below requirements for entrance into the Program.) If Student has previous Medical Terminology background: Student will need to provide an official transcript of successful completion of a 2 or 3 credit hour Medical Terminology college course within the past 2 years. (Intro to Medical Term or a quick on-line course will not be accepted.) OR If greater than 2 years, a Medical Terminology Test-Out can be taken at a cost of $ A passing score of 78% must be achieved to receive pre-requisite credit. Please call ext 231 to schedule an appointment. If Student has no Medical Terminology background: Student can attend a Medical Terminology Course offered at EHOVE. Total cost of this course is $ Please call ext 280 for class schedule. Purchase an EHOVE Medical Terminology book for $64.00 to self-study. A Medical Terminology Test-Out can then be taken at a cost of $ A passing score of 78% must be achieved to receive pre-requisite credit. Please call ext 231 to schedule an appointment. Application Process (Pre-Requisite) Information Session (complete prior to interview) Attendance at an Informational Session (no charge) is required of all applicants. These sessions will address questions and concerns related to the Allied Health Careers Programs. Please call ext 280 or 231 to schedule. Pre-Entrance Exam (complete prior to interview ) A pre-entrance exam is required of all applicants. There is a non-refundable payment of $81.00 due at the time of testing. This testing fee will be credited toward tuition. Areas and scores are as follows: Reading (5), Math (4), Locating Information (4), and TAP 60 th %ile. Please call ext 280 or 231 for an appointment. After the exam, an appointment will be made for you to review your scores with the school counselor. Application (complete prior to interview ) Once you have achieved the required scores on the pre-entrance exam, you may submit your application with the $25.00 processing fee. Application fees are non-refundable and are not credited toward tuition. School Records (complete prior to interview) Send the Request for Student Records form to the high school from which you graduated, or are now attending. If you received a GED, please bring the original scoring to EHOVE to be copied for your file. If you have had formal education beyond high school, have an official transcript of grades and course descriptions sent to EHOVE. Transcripts should be forwarded after an application has been submitted. BCI Check Fingerprinting (complete prior to interview ) You can arrange to have this done at EHOVE Career Center by calling ext. 215 with a cost of $25.00 or at Firelands Corporate Health with a cost of ±$ The cost of the fingerprinting is your responsibility. OR

6 Physical Examination (complete prior to interview) An appointment must be made with Firelands Corporate Health ( ) for a physical examination. The cost of the physical exam is approximately ±$57.00 and is your responsibility. Firelands Corporate Health is located at 5420 Milan Road in Sandusky. Drug Scren (complete prior to interview) An appointment must be made with Firelands Corporate Health ( ) for a drug screen. The cost of the drug screen is approximately ±$44.00 and is your responsibility. Firelands Corporate Health is located at 5420 Milan Road in Sandusky Interview with Program Coordinator Once all application pre-requisite items have been completed and submitted to us, you may call ext 231 to schedule your interview with the Program Coordinator. Health Record Requirements Tuberculosis (TB)Screening (Must be completed prior to first day of class) A. You must receive a 2-step Mantoux test for the Tuberculosis (T.B.) screening. Both injections and readings must be documented. Check with your local health department, corporate health department of local hospitals, or your physician for this screening. B. If you receive a yearly T.B. screening from your employer, you must provide documented proof of your previous 2-step and all following yearly readings. C. If you are not able to get the T.B. screening or have tested positive in the past, a chest x-ray will have to be done with negative results, documented for school admission. Chest X- rays are valid for 5 years from the date of the X-ray. D. You are required to maintain a negative TB test in your file annually throughout your schooling. E. If you are not in compliance you will not be allowed to begin your clinical training. Hepatitis B Vaccine (Must be started prior to beginning of class) The Hepatitis B vaccine series must be started prior to class. This is a three (3) injection series. The first injection is given, four (4) weeks later the second injection is given. The third injection is given six (6) months after the first injection. All injections must be documented. Two injections must be completed to begin clinical rotation. If you have received the 3 shot series in the past, it is not necessary to repeat them. However, you must provide proper documentation of the vaccination dates on a health record or provide results of a positive titer. If you are not in compliance you will not be allowed to begin the clinical experience. Check with your local health department, corporate health department of the local hospitals, or your physician for vaccinations. Tetanus (Tdap) (Must be completed prior to first day of class) Documentation of a Tetanus vaccination within the last 10 years must be submitted for your file. MMR Titer (Must be completed prior to first day of class) Documentation of two (2) MMR vaccinations in a lifetime or proof of current Measles, Mumps & Rubella titer must be submitted for your file. If the titer indicates no immunity, the student must have a MMR vaccination and show proof on a health record. If you are not in compliance you will not be permitted to attend required clinical experiences. Varicella Titer (Must be completed prior to first day of class) Documentation of a current Varicella Titer must be submitted for your file. If the titer indicates no immunity, the student will be required to have 2 Varicella vaccines and show proof on a health record. If you are not in compliance you will not be permitted to attend required clinical experiences. Influenza (Must be completed in the fall) Documentation of a fall flu vaccine must be submitted for your file. If you are not in compliance you will not be permitted to attend required clinical experiences. Medical Insurance Coverage (Highly Recommended) If any student is sent to a Cleveland Clinic as a clinical site, a copy of your current Medical Insurance card is needed for your file. Internet Access All students are required to have internet access, Microsoft Word and a working, valid address. School Uniform Classroom Dress code requires students to dress appropriately. Your EHOVE shirt must be worn on all classroom days. Jeans must be intact (no holes). No sweat pants, shorts above the knee or stretch/wind pants are allowed. Skirts must be knee length. All facial piercings, tongue rings, multiple earrings and artificial nails will be removed while in the program. Clinical Each surgical department will provide scrubs. Each student is responsible to have their own white clinical shoes

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8 SCHOOL OF SURGICAL TECHNOLOGY APPLICATION FORM ($25.00 non refundable processing fee Payable to EHOVE) Date Name (Last) (First) (Middle) (Maiden) Home Address (Street and number) (City) (State) (ZIP) (Home Phone) (Cell Phone) (E mail Address) Social Security Number Date of Birth Preference for classes: Full Time (10 months) Part Time (16 months) High School graduation (was or will be) Entrance date Ending date Name on HS Transcript High School (Name) (Street) (City) (State) (ZIP) If not a high school graduate, have you established equivalence through the G.E.D. tests? YES NO Have you attended a school of surgical technology? YES NO Dates to Name of School of Surgical Technology Location Reason for Leaving Courses Dates of Attendance Have you any other formal education beyond High School? YES NO Dates Location (OVER)

9 Do you have any condition which limits your ability to perform the functions of a surgical technology student? YES NO If yes, please explain. Work Experience: Present Occupation Date employment began? Employer Location Additional work experience in last 5 years: Type of Work Name of Employer Address Dates Reason for leaving What are your plans for financing this education? I understand that making application for admission to the EHOVE School of Surgical Technology places no obligation on me or the school in regard to my admission. It has also been explained to me that my application is to be considered for review. If I am accepted or not accepted, I will be notified by the EHOVE School of Surgical Technology. During my clinical education, I will accept any assignment given for this experience and will attend during the hours I am assigned, even though it may require Attendance on a 3:00 to 11:00 pm shift. I will be responsible for travel to and from the affiliating agency. I give the school permission to request information from references and/or information from agencies including law enforcement. PERSONAL REFERENCES Name Phone Relationship Name Phone Relationship Name Phone Relationship I certify that all statements made in this application are true. Signature of applicant Date Signature of parent/guardian if applicant is under 18 Date 07 14

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12 School of Surgical Technology 316 W. Mason Road, Milan, Ohio (419) , (419) , Ext. 231 REQUEST FOR STUDENT RECORDS (To be sent directly to your school) Date To: Name of School Attended School Address City State Zip Please send a transcript of my records and a copy of this form to: EHOVE Adult Career Center SCHOOL OF SURGICAL TECHNOLOGY 316 West Mason Road Milan, OH Print name while in school Date last attended Current Last Name Birthdate Social Security Number If there is a transcript fee charge, bill me. Applicant s Signature Street Address City State Zip Parent or guardian s signature if under age 18

13 CONVENIENTLY LOCATEDh Exit 118 Exit 118 Midway between Cleveland and Toledo, EHOVE is easily accessible from any direction. Located on US Rt. 250 and Mason Road, we re just minutes from Ohio Turnpike Exit 118.