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Functional Abilities for Surgical Technologist

If you know you have a recognized disability, or suspect that you might have one, it is your responsibility to identify yourself as soon as possible to the Disability Services staff in Student Services. Course standards will not be lowered but various kinds of accommodations are available to you. Adequate and reasonable time will be required to develop and provide appropriate accommodations so contact Disability Services as soon as possible. It is Mid-State Technical College’s goal to assist you in your individual educational plan.

The following is a listing of personal abilities that are needed to function as a Surgical Technologist student. If you have concerns about your ability to perform these tasks, contact the Disability Services Coordinator prior to starting courses, to discuss potential accommodations.
Gross Motor Skills:
Move within confined spaces
Maintain balance in multiple positions
Reach above shoulders (e.g., adjust overhead lights)
Reach below waist (e.g., plug electrical appliance into wall outlet)
Reach out front
Fine Motor Skills:
Pick up objects with hands
Grasp small objects with hands firm and slight (ex. surgical instruments, sutures)
Write with pen or pencil
Key/type (e.g., use a computer)
Pinch/pick or otherwise work with fingers (e.g., manipulate a Syringe)
Twist (e.g., turn objects/knobs using hands)
Squeeze with finger (e.g., eye dropper)
Manual dexterity
Finger dexterity
Simultaneous use of hands, wrists, fingers
Coordinate eye-hand and eye-hand foot (e.g., pumping soap dispenser and surgical scrub)
Physical Endurance:
Stand for long periods of time from 2-4 hours
Maintain same position for long periods of time
Sustained repetitive movements
Function in a fast-paced work environment for hours
Physical Strength:
Push and pull 50 pounds (e.g., carry instrument pans, position client move equipment)
Support 50 pounds of weight (e.g., hold arm or leg)
Lift 50 pounds (e.g., pick up a child, transfer client, bend to lift an infant child)
Carry equipment/supplies (e.g., lift instrument pans)
Use upper body strength (e.g., retraction, physically restrain a Client)
Squeeze with hands (e.g., operate fire extinguishers)
Climb stairs
Move quickly
Hear normal speaking level sounds (e.g. person to person conversation, request for an instrument)
Hear faint voices and body sounds (e.g., heartbeat)
Discriminate speech in presence of background noises
Hear in situations when not able to see lips (e.g., masks are worn in the operating room)
See objects up to 20 inches away (e.g., information on monitor screen, identification of small needles)
See objects up to 20 feet away
Use depth perception
Use peripheral vision
Distinguish color and color intensity (e.g., color codes on supplies)
See in darkened room (e.g., during endoscopic procedures, eye surgery)
Feel vibrations (e.g., palpate pulses)
Detect temperature (e.g., solutions)
Feel differences in surface characteristics
Feel differences in sizes, shapes
Detect environment temperature
Tolerate exposure to allergens (e.g., latex gloves, chemical \substances)
Tolerate strong soaps
Tolerate strong odors
Exposure and tolerate unpleasant sights and sounds, electrical energy, solvents, grease, oils, slippery or uneven walking surfaces and excessive noises
Tolerate working in confined spaces for extended periods of time
Tolerate wearing protective equipment (e.g., mask, gown, gloves, glasses, laser, radiation)
Tolerate working indoors
Tolerate working in extreme temperatures
Read and understand written documents
Read digital displays
Count, adds, subtract, multiply and divide whole numbers
Compute fractions and decimals
Document numbers in records
Tell and measure time
Read measurement marks (e.g., rulers, scale)
Establish professional relationships
Adapt to changing environment/stress
Deal with the unexpected (e.g., client condition, crisis)
Focus attention on task
Cope with own emotions
Perform multiple responsibilities concurrently
Cope with strong emotions in others (e.g., grief, anger, stress)
Accept constructive feedback
Accept responsibility for own actions
Analytical Thinking:
Transfer knowledge from one situation to another
Process and interpret information from multiple sources (written or oral)
Analyze and interpret abstract and concrete data
Evaluate outcomes
Problem solve
Prioritize tasks (e.g., time management)
Use long-term memory
Use short-term memory
Critical Thinking:
Identify cause-effect relationships
Plan/control activities (organizational skills)
Sequence information
Make decisions independently
Adapt decisions based on new information
Comprehend and follow instructions
Follow a process from start to finish (e.g., 2 or more step instruction)

Interpersonal Skills:

Establish rapport with individuals (e.g., surgeons, staff and group members)
Respect/value diversity in others
Negotiate interpersonal conflict
Demonstrate tolerance in working with others
Function as part of a team
Speak English
Write English
Listen/comprehend spoken/written word
Collaborate with others (e.g., health care workers, peers)
Comprehend and exhibit non-verbal communication

The Americans with Disabilities Act of 1990 (42 U.S.C. § 12101, et seq.) and Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794) prohibits discrimination of persons because of her or his disability. In keeping with these laws, colleges of the Wisconsin Technical College System make every effort to insure a quality education for students. The purpose of this document is to ensure that students acknowledge that they have been provided information on the functional abilities required of a student in a Health program. In addition, information was given to the student on reasonable accommodations to meet the Functional Abilities at this time.

This form needs to be completed prior to admission to the Surgical Technologist program. 

Your signature below affirms that you:
  • have read and understand the Functional Ability Categories specific to your chosen Health program.
  • are able to meet the Functional Abilities with or without accommodations.
  • have been provided with information concerning accommodations or special services if needed at this time.

By typing my first and last name in this box, I confirm the data I have provided is accurate and that I understand the information provided on the form.