Incoming Students Selected for the Surgical Technology Program

Welcome to the Surgical Technology Program and congratulations on being selected!

The following information is very important and time-sensitive, so please read carefully and follow instructions.

Orientation date and time:

Thursday July 31st, 2014 @ 8:00 a.m. on the Leestown campus in Building A, Room 135. This orientation should last approximately 2 hours depending on questions and discussions.

Attendance is mandatory, if you are not present at this orientation we will assume you are no longer interested in participating in the Surgical Technology Program at this time and your spot in the program will be filled by selected alternate student.

Start planning now!

Clinical Requirements

Immunization, Insurance, Background Check, and Drug Screens

Requirements for Students with Clinical Responsibilities

The following immunizations, background checks, drugs and records are required for all students involved in clinical activities in academic programs. These requirements have been established to help protect health care providers and their patients during encounters with one another in clinical settings.

Students must have completed all immunizations, background check, drug screens and records prior to beginning the surgical technology program. Your personal healthcare provider will provide you with appropriate documentation for the immunizations. You will need to provide a copy of your medical insurance and complete the process regarding background checks and drugs screens via Verified Credentials by July 30th, 2014.

    • Recent TB Screening, TB Skin Test, chest x-ray of history of any treatment for TB disease. The TB documentation include the date given, the date read, and the reading in millimeters. It must also be signed by the clinician who performed the read test. If positive, include the physician documentation of the positive test and negative chest x-ray.
  1. MMR
    • Written documentation of the individual’s immunity history for measles, mumps and rubella (MMR vaccine) or documentation by a Physician of having had measles, mumps and rubella disease, or documentation of positive measles, mumps and rubella titers.
    • Written documentation of hepatitis B vaccination or documented refusal.

Note: Must the series of Hepatitis started when submitted. Normally the Hepatitis vaccination is given in a series of three injection, you are required to update the vaccination records when the 2nd and 3rd vaccination injections are completed.

Note: If you need a refusal wavier please download, print and sign the Hepatitis Wavier Form from the program or Verified Credentials website. 

Surgical Technology Hepatitis B Waiver Fall 2014 
    • Written documentation the immunization with the varicella vaccine, or documentation of a positive antibody titer.
  1. T-daP
    • Written documentation of immunization with the TDap (tetanus, diphtheria, and pertussis) vaccine.
  1. Influenza
    • Written documentation the seasonal flu vaccination during the Flu Season, October 1 to March 31, (or dates defined by CDC), or a signed declination form.

Note: If you refuse the influenza vaccination you will be required to wear a surgical mask at all times in the clinical site.

Note: If you need a refusal wavier please download, print and sign the Hepatitis Wavier Form from the program or Verified Credentials website.

Surgical Technology Influenza Waiver Fall 2014

  1. Proof of Medical Insurance:
    1. Evidence of Medical Health Insurance (coverage must be in effect during any clinical rotation).
  1. Current CPR Card:
    1. Students must have a current CPR card throughout the length of the program
  1. Background Check

ID Trace

The ID Trace search, also called an address trace, reveals current/former residences and aliases. Unlimited matches can be returned from a vast database government and private sources. Reported addresses and aliases are often used to perform other background searches, such as county criminal history checks.

County Criminal Record Search

This search provides the most current, complete criminal information directly from county courthouses. Results include: number of years searched, case number, charges, disposition, dates, sentencing details and more. ID Trace, National Criminal Database and other searches can provide additional jurisdictions for county criminal history searches. The standard scope for the county criminal search is seven years, with extended searches available in some jurisdictions.

National Sex Offender Public Registry Search

This registry includes sex offender information from the federal government and agencies from all 50 individual states. Maintained by the U.S. Department of Justice, the public registry search returns sex offender profiles, including up to level 3 offenders. Results and details available vary by state.


A FACIS Level 3 search identifies any wrong actions of individuals and entities in the health care field. This includes information on disciplinary actions ranging from exclusions and debarments to letters of reprimand and probation and includes sanctions from the OIG, GSA and OFAC. The search includes more than 800 sources in 50 states.

10 Panel Drug Test

Includes collection at a site that partners with LabCorp for collections, shipping, laboratory fees, and reporting and the medical review officer services. The following drugs will be included in the 10 Panel: THC (Marijuana),Cocaine, Amphetamines, Methamphetamines, Opiates, Barbiturates, Benzodiazepines, Methadone, Methaqualone and Propoxyphene.

**This information is required by all clinical sites Surgical Technology students will be using during the program. If the clinical site requirements change they will be applied immediately by the program upon notification.

Click the link below to download/print the requirements and Verified Credentials instructions:

Surgical Technology Program Handbook

Please print and review this handbook prior to the Program Orientation, you will be required to sign statements of understanding at the Orientation. Which means you need to understand the policies and rules discussed in the handbook. At the orientation we will discuss the handbook and policies, we will also answer any questions at that time.

Start planning now!

See You Soon!