Scrub Tech 4
General Job Description (narrative summary): Under the supervision of the OR Manager and the OR Coordinator, this position prepares and maintains medical equipment for surgical procedures; assists with patient care under the direction of a RN or physician.
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Activity |
Never |
Occasionally |
Frequently |
Constantly |
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0 hours |
Up to 3 hours |
3-6 hours |
6-8+ hours |
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Sitting |
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Walking |
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Standing |
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Bending (neck) |
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Bending (waist) |
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Squatting |
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Climbing |
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Kneeling |
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Crawling |
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Twisting (neck) |
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Twisting (waist) |
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Hand Use |
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Please indicate if employee’s dominant hand is: |
Right |
Left |
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Is repetitive use of hand required? |
Yes |
No |
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Check the frequency of activity required of the employee to perform the job |
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Activity |
Never |
Occasionally |
Frequently |
Constantly |
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0 hours |
Up to 3 hours |
3-6 hours |
6-8+ hours |
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Simple grasping (right hand) |
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Simple grasping (left hand) |
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Power grasping (right hand) |
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Power grasping (left hand) |
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Fine manipulation (right hand) |
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Fine manipulation (left hand) |
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Pushing and pulling (right hand) |
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Pushing and pulling (left hand) |
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Reaching (above shoulder level) |
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Reaching (below shoulder level) |
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Lifting |
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Please indicate the daily lifting requirements of the job |
Never |
Occasionally |
Frequently |
Constantly |
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0 hours |
Up to 3 hours |
3-6 hours |
6-8+ hours |
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Lifting 0-10 lbs |
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Lifting 11-25 lbs |
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Lifting 26-50 lbs |
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Lifting 51-75 lbs |
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Lifting over 75 lbs |
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Carrying |
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Please indicate the daily carrying requirements of the job |
Never |
Occasionally |
Frequently |
Constantly |
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0 hours |
Up to 3 hours |
3-6 hours |
6-8+ hours |
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Carrying 0-10 lbs |
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Carrying 11-25 lbs |
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Carrying 26-50 lbs |
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Carrying 51-75 lbs |
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Carrying over 75 lbs |
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Longest distance carried (in feet) ____
Heaviest item carried (in lbs.) ____
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Other |
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Please indicate if your job requires: |
YES |
NO |
If yes, please describe |
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Driving cars, trucks, forklifts, etc. |
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X |
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Working around equipment & machinery |
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X |
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Walking on uneven ground |
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X |
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Exposure to excessive noise |
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X |
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Exposure to extreme temperatures or humidity |
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X |
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Exposure to dust, gas, fumes or chemicals |
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X |
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Working at heights |
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X |
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Operation of foot controls |
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X |
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Repetitive foot movement |
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X |
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Use of special visual or auditory protective equipment |
X |
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Surgical garments |