Ronda Armstrong CST

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Ronda Armstrong CST
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Who am I

• Work at Madigan Army Hospital in Washington State
• Help teach the surgical tech program at Clover
  Park Technical College
• On the Board of Directors of the Washington State
  Assembly for Education and professional
  standards
• I have been a Certified Surgical Technologist for
  6 years

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Preceptors and Bridging the Generation Gap

• Assisting the orientee in the surgical technology
  program
• Generations in the work place
• Communication Techniques
• Preceptor assessments
• Expectations and Responsibilities
• How to start and end the day on a good note

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Generations in the workplace

• Veterans before 1942
• Baby boomers 1943 - 1960
• Generation X 1961 - 1981
• Generation Y - Millennium 1982 - 2003

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Generations in a nutshell
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Keep an open mind

• Each generation has their own beliefs, values,
  career goal, and views of authority
• What they want from you is feedback and training
  is different in each generation.
• Try to know who your teaching, and there learning
  style, not all people learn the same way

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Veterans

• I learned the hard way, you can too
• They truly believe their word is their bond
• They treasure everything because, I might need
  this someday- pack rats
• Believe that working hard is proof of commitment
  to the job

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Baby Boomers

• Show me generation
• Body language is important
• They work their way to the top even if it takes
  30 years
• Committed to climbing the ladder of success
• Their loyal their jobs and work well together

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Generation X

• The more I learnthe more marketable I am
• Set some goals and we can do it!
• Prefer managing their own time and solving their
  own issues rather then having management do it
  for them
• Have respect for seniority, dislikes
  micro-management
• Most entrepreneurial generation ever Example
  Napster, Google ,microwave,

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Generation Y - Millennium

• Continuous learning but, need continuous praises
• Everyone is a winner, everyone gets a trophy
• Its owed to them to start at the top. Sense of
  entitlement
• Values their families more then their careers
• Cyber generation - Example Texting, Facebook,
  emails ,Utube , video gaming

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Managing the generations

• There are many different generations with life
  experiences
• Its important not to focus on the job that needs
  to get done, but to look at the person your
  trying to teach
• Everyone started as the new person, dont forget
  that
• Try to have a preceptor assessment sheet it may
  help

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Getting on the same page

• Sharing assignments progressively, delegating
  more responsibility over time
• Make sure questions are clear, concise and
  specific
• Pause to give student the opportunity to think of
  a response
• Both partys may have to repeat questions to each
  other, to have proper understanding of what is
  being asked paraphrase

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Difficulties to consider

• Generational age gaps
• Learning styles
• Expectations
• Responsibilities
• Surgical skill level and training
• Surgical conscience, level of honesty and morals

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Lets get them thinking

• Thinking out loud , have them explain their
  thought process. Example Why are you doing
  that? it will teach them anticipation
• As you problem solves, teach how to manage
  requirements of the job and anticipate what you
  need next
• Walk them through the steps, dont leave them
  hanging

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More tools to think about

• Provide feedback positive and constructive
• Request daily feedback from them
• Constructively take corrective steps with your
  student
• Encourage student self assessment each day before
  you start work. Example What do you want to
  improve on today?

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Rules of Feedback

• Developing goals and objectives
• Try to make sure you teach them at the
  appropriate level
• Use both visual and verbal methods
• Solicit feedback from peers and others
• Keep the student actively involved
• Make sure all questions are answered

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Constructive feedback

• Using teaching methods compatible with the
  orientee learning needs and learning style.
• Avoid lengthy answers that are more like
  statements - Keep it short and simple. (KISS)
• Avoid YES or NO answers. Give detailed answers.

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Feedback multigenerational

• Veterans No news is good news.- If we dont hear
  anything, it must be good.
• Baby boomers Wheres the proof and
  documentation? - Standard operating procedure
• Generation X How am I doing?
• Millennium Feedback NOW!

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Managing conversation

• When someone says something it could come across
  different then the meaning
• Maybe it would make more sense to
• I was wonder about
• Im a little concerned with
• Can we talk about something that is bothering
  me
• I seen you were have a problem today, tell me
  about it

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Communication

• Dont come on too strong
• Dont be abrupt
• Focus on the core concern
• Encourage positive actions
• Ask what or how questions ,it gets people
  talking. - What should we do next? How should we
  do it?...

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Preceptor assessment

• Organizational skills
• Aseptic technique
• Surgical hand scrub
• Gowning gloving technique
• Setting up sterile field
• Knowledge of procedure

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Preceptor assessment

• Knowledge of instrumentation
• Equipment skills
• Positioning safety
• Case cleaning breakdown
• Communication
• Preparation of dressing

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Organizational skills

• Gathers supplies and equipment independently
• Sets up case with reasonable speed
• Needs minimal assistance
• Works independently
• Receptive listener

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Aseptic technique

• Maintains sterile field according to standards
• Opens supplies
• Identifies breaks in technique and offers
  corrective actions
• Communicates with staff and physicians with
  breaks in technique

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Setting up

• The ability to set up the sterile field
• Organize mayo stand and back table neatly
• Prepares the drapes and assists in draping
  correctly

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Procedure knowledge

• Follows and anticipates in the procedure
• Needs assistance or reminding of what comes next
• Knows the name of instrumentation
• Chooses and passes correctly at appropriate times
• Independently sets up and operates equipment

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Positioning / safety

• Aware of surroundings and breaks in technique
• Assists in care of patient from sterile
  positioning
• Aware of pressure points

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End of the case

• Proper disposal of supplies
• Clean up the room
• Return unused equipment to proper place
• Interacts with the patient effectively at end of
  the case

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Eight Rules of feedback

• Requested
• Appropriate
• Clear
• Accurate
• Timely
• Specific
• Descriptive
• Useful and supportive

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How to start / end the day

• Assist with problem solving
• Decision making - within skill level
• Priority setting - what is the first step
• Work delegation - what is your role today
• Work on organizational skills - touch
  instrumentation only once during your setup

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Generations coming together as a team.