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North Shore Community College

Surgical Technology Department
Surgical Technology Clinical Case Requirment

Clinical case requirement for
successful completion of the program, as defined in the Core
Curriculum for Surgical Technology, 6e (CCST6e).

Total number of Cases Required 120
Minimum number of First Scrub 80
Maximum # of Second Scrub Cases
that can be applied towards 120
cases required 40

Total number of General 30
Minimum # of First Scrub Cases 20
Maximum # of Second Scrub Cases 10

Total number of Specialty 90
Minimum # of First Scrub Cases 60
Maximum # of Second Scrub Cases 30

First and Second Scrub Role and Observation Descriptions
a) First Scrub Role
The student surgical technologist shall perform the following duties during any given surgical
procedure with proficiency. 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
i. Verify supplies and equipment needed for the surgical procedure.
ii. Set up the sterile field with instruments, supplies, equipment, medication(s) and
solutions needed for the procedure.
iii. Perform counts with the circulator prior to the procedure and before the incision is
iv. Pass instruments and supplies to the sterile surgical team members during the
v. Maintain sterile technique as measured by recognized breaks in technique and
demonstrate knowledge of how to correct with appropriate technique.
b) Second Scrub Role
The student surgical technologist who is at the sterile field and 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:
i. Sponging
ii. Suctioning
iii. Cutting suture
iv. Holding retractors
v. Manipulating endoscopic camera
c) Observation Role
The student surgical technologist who is in the operating room performing roles that do not
meet the criteria for the first or second scrub role are observers. These observation cases are
not to be included in the required minimum total case count, but must be documented by the

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