SKILLS CHECKLIST

Operating Room Skills Checklist

The following checklist is used to assess your experience and skills and help your Nurse Advisor place you in the proper assignment. Please provide a self-assessment of your skills using the following guidelines.
1	No experience
2	Require training
3	Have performed this task and able to perform without supervision
4	Most experienced and able to perform independently
5	Able to teach and supervise

Skills Checklist are available for registered candidates.

Cardiovascular	Scrub					Circulate
	1	2	3	4	5	1	2	3	4	5
Aortic Aneurysm
Aorto-Femoral Bypass, Graft Insertion
A-V Shunts
Cardiac Valve Replacement
Coronary Artery Bypass Graft
Endarterectomy ? Carotid/Femoral
External Temporary Pacemaker
Internal Pacemaker Insertion
Intra-Aortic Balloon Pump Catheter
Patent Ductus Repair
Pericardial Windows
Porta-Systemic Shunt
Repair of Septal Defects
Thrombectomy
Transplant Surgery
Vena Cava Ligation
Endoscopy	1	2	3	4	5	1	2	3	4	5
Bronchoscopy
Colonoscopy
Cystoscopy
Gastroscopy
E.N.T.	1	2	3	4	5	1	2	3	4	5
Caldwell-Luc
Ethymoidectomy
Frontal Flap Sinus Procedure
Larynegectomy
Laryngoscopy
Mastoidectomy
Myringostomy
Nasal Polypectomy
Open Reduction Facial Features
Radical Neck
Stapedectomy
Tonsillectomy and Adenoidectomy
Tympanoplasty
Eye	1	2	3	4	5	1	2	3	4	5
Canthotomy
Corneal Transplant
Correction of Ectropian/Entropian
Enucleation
Excision of Chalazion
Integrated Orbital Implants
Lacrimal Duct Probing
Refractive Keratoplasty
Repair of Retinal Detachment
Vitrectomy
General Surgery	1	2	3	4	5	1	2	3	4	5
Abdominal Perineal Resection
Adrenalectomy
Bowel Resection
Cholecystectomy
Colostomy/Ileostomy
Gastrectomy
Hemicolectomy
Hepatic Resection
Herniorrhaphy-Femoral/Inguinal
Hiatal Herniorrhaphy: Transabdominal
Pancreatectomy
Organ Procurement
Radical Mastectomy
Saphenous Vein Ligation and Stripping
Splenectomy