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Operating Room Skills Checklist
Level of Proficiency:
1. Can function independently
2. Experienced but may need review
3. Limited or no experience

By accurately filling out this checklist, you will help us match your skills and interest with available assignments. Please use an "S" for scrub, "C" for circulate or "B" for both. Place any of these letters under one of these numbers to best describe your expertise.

General Surgery

  

1

2

3

Orthopedic Surgery

1

2

3

Abdominal Perineal Resection

          

Minor bone procedures

   

Adrenalectomy

          

Amputations

   

Anal Fissurectomy

       

Application of Halo Traction

    

Appendectomy

       

Various Fractures, Table Set-ups

    

Cholecystectomy

       

Body Cast

    

Chollangiogram

       

Hip Spike

    

Circumcision

        

Arthrotomy/Arthroscopies

   

Colectomy

        

Major Hip Nailing Procedures

   

Colostomy

        

Lumbar Instrumentation

   

Ileostomy

       

Shoulder Reconstruction

    

Gastrectomy

        

Spinal Fusion

    

Hemorrhoidectomy

       

Tendon Transplants

    

Hepatic Resection

        

Total Knee Replacement

   

Herniorrhaphy Femoral, Inguinal

       

Total Hip Replacement

   

Hiatal Herniorrhaphy, Trans   Abdominal

        

Herniarthorplasty

    

Hydrocelectomy

        Ophthalmology Surgery          

Imperforate Anus Reconstruction

       

Detached Retina

    

Lumber Sympathectomy

        

Corneal Transplant

    

Pancreatectomy/Pancreateogram

        

Dacryocystectomy

   

Pilonidal Cystectomy

        

Dacryocystorhnostomy

    
Portal Caval Shunt        

Enucleation

    

Radical Mastectomy

       

Recession Resection

    

Saphenous Vein Ligation and Stripping

        

Repair Orbital Blowout Fracture

    

Splenectomy

        

Phacoemulsifier Machine

    

Thyroglossal Duct Cyst Excision

        

Video Camera

    

Thryroidectomy

       

Microscope

    

Tracehostomy

        

Plastic Surgery

          

Vagotomy

       

Septoplasty

    

GYN Surgery

              

Augmentation Mammoplasty

    

Caesarean Section

       

Biopherosplasty

   

Coloposcopy

       

Cleft Lip/Palate Repair

    

D&C

        

Mentoplasty

   

Hysterectomy, Abdominal

       

Otoplasty

   

Hysteroscopy

        

Skin Flap Grafts

    

Laparoscopy

       

Reduction Mammography

    

Laser C02

        

Rhinoplasty

   

Laser KTP

       

Scar Revisions

   

Laser YAG

        

Breast Reconstruction

    

Marsupralization Bartholin Cyst

        

Oral/ENT Surgery

         

Perineal/Vaginal/Urethra, Cervical

        

Closed Reduction Facial Fracture/Wiring

   

Condyloma w/Laser Treatment

       

Teeth Extraction

   

Radium Insertion

        

Sinus Endoscopy

   

Salpinoplasty

        

Microlarygnscopy W/C02 Laser

   

Shirodkar Operation

        

Microlarygnscopy w/o C02 Laser

    

Suction Curettage

       

Caldwell-Luc

   

Tubal Ligation

       

Commando Procedure

    

Vaginectorny

        

Ehtymordectomy

    

Vaginal Reconstruction

       

Excision Salivary Gland Tumor

    
Thoracic Surgery              

Fenestration Procedure

    
Chest Tube Set-up Type              

Hiatel Hernia

         Pre/Post-OP & AORN Standards
Circulate
 Scrub

Pneumononectomy/Lobectomy

         Pre-op patient teaching

Sternal Splitting

        Skin Cleaning & Antisepsis

Thoracomtomy

         Wound Dressings

Bronchoscopy

        Transfer of Patient -- To OR/Recovery

Lun/Wedge Resection

        OR Care Plans
Cardiovascular Surgery               Physician Preference Cards

A-V shunts

        Sterilization & Asepsis

Aortic Aneurysm, Abdominal

         Positioning & Draping

Aorto-Femoral Bypass, Graft insertion

        Microbiology & Environment

Cardiac Valve Replacement

         Sanitation

Coronary Artery Bypass Graft

         Preparation of Supplies and Instruments

Endartecerectomy-Carotid/ Femoral

         Pre-op Shave

Femoral-Popiteal Bypass

        Review chart for Labs, Studies Consents, Allergies

External Temporary Pacemaker

         Use of Disposable Packs/Gowns

Internal Pacemaker insertion

         Proper Handling of Paper Wrappers

Intra-Aortic Balloon Pump Catheter

         Pre-op Holding area

Patent Ductus Repair

                    

Pericardial Windows

                    

Porta-Systemic Shunt

                    

Repair of Septal Defects

                    

Thrombectomy

                    

Transplant Surgery

                    

Vena Cava Ligation

      

Recovery Room/ PACU

     
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