2016-2017 Admissions Packet Dear Prospective Surgical Technology Student, Congratulations on your decision to pursue the Surgical Technology Program at Washburn Tech. This packet will help guide you through the application process. The Washburn Tech Surgical Technology program is available in a full-time, day time format that begins every August. 12 students are accepted to this program every academic year. This 53 credit hour curriculum is designed to provide graduates with the knowledge, skills, attitudes, and abilities needed to practice safely and effectively as an entry level Surgical Technologist with the eligibility to take the National Certification Exam for Surgical Techs. Students learn to apply basic surgical skills along with the understanding of how these affect the surgical patient. The surgical tech should be one with a strong sense of responsibility, a stable temperament, a concern for order, considerable patience and one who pays attention to details. The surgical tech s job will require heavy lifting, good manual dexterity, and physical stamina as the surgical tech may be standing for long periods of time. The surgical tech must be keenly sensitive to the surgical patients needs and be able to work effectively under stress. Please review the content of this packet to get an overview of the admissions process. This is information that is critical for a successful application-please read the entire packet carefully. Additionally, please make sure that your contact information is up-to-date with Washburn Tech as we frequently communicate with prospective students via phone, mail and e-mail. All requirements on the enclosed checklist must be completed prior to being considered for selection into the program. To check the status of your file, call the Admissions Office at 785-670-2200. Thank you for considering Washburn Tech for your educational needs. Sincerely, Kristi Mick, CST Surgical Technology Director/Instructor Washburn Institute of Technology (Washburn Tech) prohibits discrimination on the basis of race, color, sex, religion, age, national origin, ancestry, disability, marital or parental status, sexual orientation/gender identity, genetic information or other non-merit reasons, in programs and activities, admissions, educational programs or activities and employment, as required by applicable laws and regulations. The follow person has been designated to handle inquiries regarding the non-discrimination policies: Dr. Pamela Foster, Equal Opportunity Director, Washburn University, 1700 SW College Ave., Topeka, Kansas 66621, 785.670.1509, eodirector@washburn.edu.
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Pre-Admission Checklist The following pre-admission requirements must be completed for a student to be considered for the selection process. DEADLINE: March 1st It is the applicant s responsibility to provide the required documentation by the deadline, and verify that it has been received. In order to ensure an equitable process, a scoring rubric based upon academic performance in prerequisites, assessment scores and references are used during selection. Apply to Washburn Tech. Applications are submitted online at www.washburntech.edu. Take Workkeys assessment* (Students who have taken COMPASS or ACT within the last 4 years, may use those scores. Students who have completed a College level English or Math class with a C or better can use their grades in lieu of testing. See a recruiter for details.) Submit official high school or GED transcripts Complete prerequisite coursework Anatomy and Physiology-must be at least 6 credit hours and within last 5 years Submit all official college transcripts to Washburn Tech and CNA certification (if certified) *Prerequiste coursework taken at another institution must be accepted by Student Records Administrator Submit three references, using the Reference Release form included in this packet, from a current or previous employer, preferably in the healthcare field or health care instructors. References from family members are not acceptable. Apply to the Washburn Tech Surgical Technology program and submit written interview questions. (Application is in this packet.) Set up interview with Surgical Technology Director/Instructor, Kristi Mick. E-mail preferred: kristina.mick@washburn.edu
Program Information Program and prerequisite courses require students to have knowledge of and access to computers. Students will be required to submit homework online using Microsoft Word, download information and use e-mail. Laptops are not required in the classroom. While Anatomy & Physiology is the only required prerequisite, other recommended prior course work to enhance a student s success and ability to articulate include: Medical Terminology Pharmacology Microbiology CNA certification Previous work in the health field is highly recommended. Prerequisite courses are available to take at Washburn Tech and Washburn University, including Certified Nurses Aide classes. In order to enroll in prerequisites, you must have an application on file and meet with a Recruiter or Advisor. CNA courses are ran through our continuing education program and offered on a regular basis. For more information about CNA class availability, contact Teresa Vasquez at 785-228-6392. Full-time program Students are accepted once a year (August) Instructional hours--monday-friday 8:00am-2:55pm Clinical hours vary-could be as early at 6am Times for all programs are subject to change Surgical Technology Course Requirements Course Number Course Name Credit Hours Prerequisites HCT 132 & 133 Anatomy and Physiology 6 Prerequisite Total 6 Semester 1 SUR 105 Intro to Surgical Technology 4 SUR 110 Microbiology (can be transferred in) 2 SUR 120 Medical Terminology for Surgical Tech 3 SUR 135 Principles & Practices of ST 5
SUR 145 Principles & Practices of ST Lab 3 SUR 155 Surgical Procedures I 4 SUR 175 ST Clinical I 3 Semester 1 Total 24 Semester 2 SUR 250 Surgical Pharmacology 2 SUR 245 Surgical Procedures II 5 SUR 265 Surgical Procedures III 5 SUR 270 ST Clinical II 4 SUR 285 ST Clinical III 6 SUR 295 ST Certification Review 1 Semester 2 Total 23 Program Total 53 Note: English as Second Language applicants will be considered for the program when they pass the TOFEL exam and the entrance exams in Reading for Information and applied Math at the required levels for entrance into the program. College level English is encouraged for ESL students, although not required.
Acceptance Process In order to ensure an equitable process, a scoring rubric based upon academic performance in prerequisites, assessment scores, references and the interview are used during selection. From there, the top applicants will be selected. Applicants will be notified in writing of their acceptance, or placement on the alternate list. (NOTE: Only applicants who have met all deadlines and have a complete file receive this communication.) Applicants must respond in writing, indicating their plan to accept or decline enrollment in the surg tech program by the date designated in the notification letter. In addition, an enrollment fee of $50 must be paid when accepting a seat in the program. Failure to respond will result in forfeiture of a seat in the Surgical Technology Program. Reapplication Process Applicants who are not selected for admission must reapply for the next class by the application deadline (applicants will only need to reapply to the surgical tech program; a college application is held for three years.) Student Responsibilities upon Entrance of Program Background Check Washburn Tech requires a background check prior to starting classes. If your background check provides adverse information that may prohibit your ability to attend clinicals, become employed or licensed, you may not be able to start and/or complete the Surgical Technology program. Physical exam A physical examination must be completed before entering the program and must have been obtained within three months prior to starting the program. Students who are accepted into the program will receive a physical examination worksheet for their doctor. Current immunizations are required. MMR documentation (titer date or first and second dates required) Tetanus (Good for 10 years) Diptheria (Good for 10 years) Pertussis vaccine (Good for 10 years) Current negative TB skin test Hepatitis B series or titer Varicella (chicken pox) titer or vaccination o WE WILL NOT ACCEPT HISTORY OF CHICKENPOX CPR for the Healthcare Provider or for the Professional Rescuer Proof of insurance coverage (Washburn University has plans available.)
5724 SW Huntoon Topeka, KS 66604 Surgical Technology Applicant Reference Statement To The Applicant: Please print your name_ (Last) (First) (Middle) The Family Educational Rights and Privacy Act and its amendments guarantee student access to their educational records. Students may, however, waive their right to access to references. The choice of the applicant regarding this reference is to be indicated below. Please circle your response: I do / do not waive my right to inspect the contents of the following reference. Signature Please request reference statements from three persons who have recent knowledge about your qualifications. On the first page of each reference form, fill in your name and give to the references. To the Reference: The above named person is applying for admission to the Practical Nursing program at Washburn Tech;, and has given your name as a reference. Please give us a candid assessment of this applicant regarding their suitability for our program. You may attach a separate letter with this form, if you prefer. How long and in what capacity have you known the applicant? Date Nature of relationship (employer, co-worker, supervisor,etc.) (over)
Please carefully assess the applicant in the following areas. In making your assessment, care the applicant to other individuals you have known who have similar levels of experience and education. Assessment Area Superior Good Average Poor Unknown Intellectual ability Motivation Self-reliance Oral communication skills Written communication skills Ability to analyze a problem and format a solution Cooperativeness Creativity/innovation Leadership Reliability Integrity Cultural sensitivity Over overall assessment of the applicant as to their ability to complete the Practical Nursing program: Highly Recommend Recommend Recommend with recommendation Not recommend Comments: Name Signature_ Organization Date Position_ Phone E-mail
5724 SW Huntoon Topeka, KS 66604 Surgical Technology Applicant Reference Statement To The Applicant: Please print your name_ (Last) (First) (Middle) The Family Educational Rights and Privacy Act and its amendments guarantee student access to their educational records. Students may, however, waive their right to access to references. The choice of the applicant regarding this reference is to be indicated below. Please circle your response: I do / do not waive my right to inspect the contents of the following reference. Signature Please request reference statements from three persons who have recent knowledge about your qualifications. On the first page of each reference form, fill in your name and give to the references. To the Reference: The above named person is applying for admission to the Practical Nursing program at Washburn Tech;, and has given your name as a reference. Please give us a candid assessment of this applicant regarding their suitability for our program. You may attach a separate letter with this form, if you prefer. How long and in what capacity have you known the applicant? Date Nature of relationship (employer, co-worker, supervisor,etc.) (over)
Please carefully assess the applicant in the following areas. In making your assessment, care the applicant to other individuals you have known who have similar levels of experience and education. Assessment Area Superior Good Average Poor Unknown Intellectual ability Motivation Self-reliance Oral communication skills Written communication skills Ability to analyze a problem and format a solution Cooperativeness Creativity/innovation Leadership Reliability Integrity Cultural sensitivity Over overall assessment of the applicant as to their ability to complete the Practical Nursing program: Highly Recommend Recommend Recommend with recommendation Not recommend Comments: Name Signature_ Organization Date Position_ Phone E-mail
5724 SW Huntoon Topeka, KS 66604 Surgical Technology Applicant Reference Statement To The Applicant: Please print your name_ (Last) (First) (Middle) The Family Educational Rights and Privacy Act and its amendments guarantee student access to their educational records. Students may, however, waive their right to access to references. The choice of the applicant regarding this reference is to be indicated below. Please circle your response: I do / do not waive my right to inspect the contents of the following reference. Signature Please request reference statements from three persons who have recent knowledge about your qualifications. On the first page of each reference form, fill in your name and give to the references. To the Reference: The above named person is applying for admission to the Practical Nursing program at Washburn Tech;, and has given your name as a reference. Please give us a candid assessment of this applicant regarding their suitability for our program. You may attach a separate letter with this form, if you prefer. How long and in what capacity have you known the applicant? Date Nature of relationship (employer, co-worker, supervisor,etc.) (over)
Please carefully assess the applicant in the following areas. In making your assessment, care the applicant to other individuals you have known who have similar levels of experience and education. Assessment Area Superior Good Average Poor Unknown Intellectual ability Motivation Self-reliance Oral communication skills Written communication skills Ability to analyze a problem and format a solution Cooperativeness Creativity/innovation Leadership Reliability Integrity Cultural sensitivity Over overall assessment of the applicant as to their ability to complete the Practical Nursing program: Highly Recommend Recommend Recommend with recommendation Not recommend Comments: Name Signature_ Organization Date Position_ Phone E-mail
Washburn Tech Surgical Technology Program Application Note: You MUST apply online to the college prior to submitting this application. Submit application and interview questions to Washburn Tech s Admissions Office. Name (First) (Middle) (Last) Date_ Phone Admission File DUE DATES: March 1 st for August 2017 Prerequisite Information Please indicate course number and college you took your prerequisites at. Prerequisite Course Number College Year taken Anatomy & Physiology Microbiology Medical Terminology Pharmacology All official transcripts must be submitted to Washburn Tech prior to the deadline. Check if you have the following: o CNA License o Health care experience References Please list all individuals from whom we will receive references. 1. 2. 3. Student Signature Date_
Written Interview Questions Please answer the following questions. Please type these questions if possible. Questions need to be submitted along with the application, or your file will not be considered. 1. What influenced your decision to apply to the Washburn Tech Surgical Technology Program? 2. Describe your understanding of the role of a surg tech. 3. What participation in personal, school, community or work activities have you had which demonstrate leadership ability? Briefly discuss the importance to you of these experiences. 4. What strengths do you have that will allow you to make a difference as a surg tech? 5. How do you propose to provide for any commitments you may have as well as meet the demands of the surg tech program? 6. Do you have a dependence on alcohol or drugs? If yes, please explain. 7. Are you currently participating in a treatment program for drug or alcohol dependence? If yes, please describe. 8. Have you ever been convicted of a crime other than traffic violations? If yes, please explain. 9. Is there anything in your academic record which needs explaining? Ex. Incompletes, withdrawals, poor academic semesters, pass/fail scores? 10. Is there anything in your work history that needs explaining? Ex. Short lengths of employment, several employment changes within a short period of time?