OR Technician Skills Checklist

OR Technician

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Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency : -	1 = Never Performanced	2 = Limited Experience	3 = Comfortable Performing	4 = Proficient
Frequency : -	1 = Never	2 = Sometimes	3 = Often	4 = Always

EXPERIENCE Proficiency

Frequency

Endoscopy

1

2

3

4

1

2

3

4

ENT

1

2

3

4

1

2

3

4

General

1

2

3

4

1

2

3

4

GYN

1

2

3

4

1

2

3

4

Neuro

1

2

3

4

1

2

3

4

Opthamology

1

2

3

4

1

2

3

4

Oral

1

2

3

4

1

2

3

4

Ortho

1

2

3

4

1

2

3

4

EAR,NOSE & THROAT Proficiency

Frequency

Adenoidectomy

1

2

3

4

1

2

3

4

Caldswell - Luc

1

2

3

4

1

2

3

4

Cleft lip/palate repair

1

2

3

4

1

2

3

4

Closed reduction nasal fracture

1

2

3

4

1

2

3

4

Ethmoidectomy

1

2

3

4

1

2

3

4

Excision of salivary gland tumor

1

2

3

4

1

2

3

4

Fenestration procedure

1

2

3

4

1

2

3

4

Frontal flap sinus procdure

1

2

3

4

1

2

3

4

Glossectomy

1

2

3

4

1

2

3

4

Laryngectomy

1

2

3

4

1

2

3

4

Mandibulectomy

1

2

3

4

1

2

3

4

Maxillary advancement with hip graft

1

2

3

4

1

2

3

4

Maxillectomy

1

2

3

4

1

2

3

4

Myringoplasty

1

2

3

4

1

2

3

4

Myringoplasty with PE tube insertion

1

2

3

4

1

2

3

4

Nasal polypectomy

1

2

3

4

1

2

3

4

Open reduction facial fracture

1

2

3

4

1

2

3

4

Open reduction nasal fracture

1

2

3

4

1

2

3

4

Parotidectomy

1

2

3

4

1

2

3

4

Pharyngeal flap procedure

1

2

3

4

1

2

3

4

Radical neck dissection

1

2

3

4

1

2

3

4

Ranulectomy

1

2

3

4

1

2

3

4

Rhinoplasty/ septoplasty

1

2

3

4

1

2

3

4

Selective osteotomy of maxilla/mandible

1

2

3

4

1

2

3

4

Sinus endoscopy

1

2

3

4

1

2

3

4

Sinusotomy

1

2

3

4

1

2

3

4

Stapedectomy

1

2

3

4

1

2

3

4

Submucos resection

1

2

3

4

1

2

3

4

Tonsillectomy

1

2

3

4

1

2

3

4

Tracheostomy

1

2

3

4

1

2

3

4

Tympanoplasty

1

2

3

4

1

2

3

4

ENDOSCOPIC PROCEDURES Proficiency

Frequency

Bronchoscopy

1

2

3

4

1

2

3

4

Colonscopy

1

2

3

4

1

2

3

4

Cystoscopy

1

2

3

4

1

2

3

4

Esophagoscopy

1

2

3

4

1

2

3

4

Gastroscopy

1

2

3

4

1

2

3

4

Hyteroscopy

1

2

3

4

1

2

3

4

Laryngoscopy & Microlaryngoscopy

1

2

3

4

1

2

3

4

Mediastinoscopy

1

2

3

4

1

2

3

4

Pelviscopy

1

2

3

4

1

2

3

4

Sigmoidoscopy

1

2

3

4

1

2

3

4

Thoracoscopy

1

2

3

4

1

2

3

4

LAPRAOSCOPIC PROCEDURES Proficiency

Frequency

Appendectomy

1

2

3

4

1

2

3

4

Cholecystectomy/ cholangiogram

1

2

3

4

1

2

3

4

Colon resection

1

2

3

4

1

2

3

4

Hernia repair

1

2

3

4

1

2

3

4

Nissen fundoplication

1

2

3

4

1

2

3

4

Salpingo-oophorectomy

1

2

3

4

1

2

3

4

Tubal ligation

1

2

3

4

1

2

3

4

Vaginal hysterectomy

1

2

3

4

1

2

3

4

GENERAL SURGERY Proficiency

Frequency

Abdominal Perineal Resection

1

2

3

4

1

2

3

4

Adrenalectomy

1

2

3

4

1

2

3

4

Anal Fissurectomy

1

2

3

4

1

2

3

4

Appendectomy

1

2

3

4

1

2

3

4

Breast Biopsy

1

2

3

4

1

2

3

4

Colectomy

1

2

3

4

1

2

3

4

Colostomy/Ileostomy

1

2

3

4

1

2

3

4

Gastrectomy

1

2

3

4

1

2

3

4

Hemorrhoidectomy - femoral,inguinal, umbillical

1

2

3

4

1

2

3

4

Hiatal herniorrhaphy -transabdominal, transthoracic

1

2

3

4

1

2

3

4

Hickman/Groshong/ Portacatch insertion

1

2

3

4

1

2

3

4

Hydrocelectomy

1

2

3

4

1

2

3

4

Imperforate anus reconstruction

1

2

3

4

1

2

3

4

Lumbar sympathectomy

1

2

3

4

1

2

3

4

Omphalocele repair

1

2

3

4

1

2

3

4

Pancreatectomy/ pancreatogram

1

2

3

4

1

2

3

4

Pilonidal cyctectomy

1

2

3

4

1

2

3

4

Portal caval shunt

1

2

3

4

1

2

3

4

Pyloric stenosis

1

2

3

4

1

2

3

4

Radical mastectomy

1

2

3

4

1

2

3

4

Saphenous vein ligation & stripping

1

2

3

4

1

2

3

4

Sentinel node biopsy

1

2

3

4

1

2

3

4

Tenchkhoff catheter placement

1

2

3

4

1

2

3

4

Thyroglossal duct cyst excision

1

2

3

4

1

2

3

4

Thyroidectomy

1

2

3

4

1

2

3

4

Tracheostomy

1

2

3

4

1

2

3

4

Vagotomy

1

2

3

4

1

2

3

4

GYNECOLOGY Proficiency

Frequency

Cesarean Section

1

2

3

4

1

2

3

4

Colpotomy

1

2

3

4

1

2

3

4

Dilation & curettage

1

2

3

4

1

2

3

4

Hysterectomy, Abdominal

1

2

3

4

1

2

3

4

Marshall-Marchetti

1

2

3

4

1

2

3

4

Marsupialization-Bartholin Cyst

1

2

3

4

1

2

3

4

Ovarian Cystectomy

1

2

3

4

1

2

3

4

Radium Insertion

1

2

3

4

1

2

3

4

Sacral Spinus Fixation

1

2

3

4

1

2

3

4

Shirodkar Procedure

1

2

3

4

1

2

3

4

Suction Curettage

1

2

3

4

1

2

3

4

Vaginal Reconstruction

1

2

3

4

1

2

3

4

Vaginectomy/ Vulvectomy

1

2

3

4

1

2

3

4

NEUROLOGY Proficiency

Frequency

A-V malformation

1

2

3

4

1

2

3

4

Anterior cervical fusion

1

2

3

4

1

2

3

4

Anterior laparoscopic spine procedures

1

2

3

4

1

2

3

4

Anterior lumbar interbody fusion (ALIF)

1

2

3

4

1

2

3

4

Burr holes for subdural hematoma

1

2

3

4

1

2

3

4

Carotid ligation

1

2

3

4

1

2

3

4

Cervical sympathectomy

1

2

3

4

1

2

3

4

Craniectomy for decompression fracture

1

2

3

4

1

2

3

4

Discectomy

1

2

3

4

1

2

3

4

Hypophysectomy

1

2

3

4

1

2

3

4

Insersion nerve stimulators/medication pumps

1

2

3

4

1

2

3

4

Laminectomy

1

2

3

4

1

2

3

4

Myelomeningocele repair

1

2

3

4

1

2

3

4

Pedicle screw insertion

1

2

3

4

1

2

3

4

Posterior lumbar interbody fusion(PLIF)

1

2

3

4

1

2

3

4

Shunt procedure/VP,VA/LP

1

2

3

4

1

2

3

4

Spine fusion

1

2

3

4

1

2

3

4

Ulnar nerve transfer

1

2

3

4

1

2

3

4

Ventriculography procedure/ ventricloscopy

1

2

3

4

1

2

3

4

Ventriculostomy

1

2

3

4

1

2

3

4

OPHTHALMOLOGY Proficiency

Frequency

Cataract Extraction with IOL

1

2

3

4

1

2

3

4

Corneal Transplant

1

2

3

4

1

2

3

4

Dacryocystectomy

1

2

3

4

1

2

3

4

Dacryocystorhinostomy

1

2

3

4

1

2

3

4

Iridectomy

1

2

3

4

1

2

3

4

Lid and Muscle Procedures

1

2

3

4

1

2

3

4

Orbital Implant

1

2

3

4

1

2

3

4

Phaco Emulsificatin

1

2

3

4

1

2

3

4

Pterygium Repair

1

2

3

4

1

2

3

4

Recession Resection

1

2

3

4

1

2

3

4

Repair Orbital Blowout Fracture

1

2

3

4

1

2

3

4

Scleral Buckle

1

2

3

4

1

2

3

4

Vitrectomy

1

2

3

4

1

2

3

4

ORAL Proficiency

Frequency

Closed reduction facial fractures/wiring

1

2

3

4

1

2

3

4

Excision odontoma

1

2

3

4

1

2

3

4

Extraction of deciduous teeth

1

2

3

4

1

2

3

4

Extraction of impacted molars

1

2

3

4

1

2

3

4

Fractured jews, mandibular and zagomatic

1

2

3

4

1

2

3

4

LeFort osteotomies

1

2

3

4

1

2

3

4

Maxillary procedure with graft

1

2

3

4

1

2

3

4

Pediatric dentistry

1

2

3

4

1

2

3

4

Sagittal osteotomy

1

2

3

4

1

2

3

4

Temporomandibular joint (TMU) with arthroplasty

1

2

3

4

1

2

3

4

TMU exploration

1

2

3

4

1

2

3

4

ORTHOPEDICS Proficiency

Frequency

Acetabular/peivic QRIF

1

2

3

4

1

2

3

4

Achilles tendon repair

1

2

3

4

1

2

3

4

Amputation - leg, arm

1

2

3

4

1

2

3

4

Anterior cruciate ligament repair

1

2

3

4

1

2

3

4

Application of halo traction

1

2

3

4

1

2

3

4

Arthrotomy

1

2

3

4

1

2

3

4

Bipolar/unipolar hips

1

2

3

4

1

2

3

4

Bunionectomy

1

2

3

4

1

2

3

4

Calcaneal reconstruction

1

2

3

4

1

2

3

4

Capsulorrhaphy

1

2

3

4

1

2

3

4

Carpal tunnel release

1

2

3

4

1

2

3

4

Closed reduction fracture

1

2

3

4

1

2

3

4

Hand surgery with implants

1

2

3

4

1

2

3

4

Harrington rod instrumentation and/or Dwyer procedure

1

2

3

4

1

2

3

4

Heel cord lengthening

1

2

3

4

1

2

3

4

Iliac crest bone graft

1

2

3

4

1

2

3

4

Insertion Austin Moor hip prosthesis

1

2

3

4

1

2

3

4

Laminectomy

1

2

3

4

1

2

3

4

Oiecranon bursa, excision of

1

2

3

4

1

2

3

4

Open reduction of fracture, internal fixation wth compression set

1

2

3

4

1

2

3

4

Patellectomy

1

2

3

4

1

2

3

4

Putti Platt/Bankart procedure/rotator cuff repair

1

2

3

4

1

2

3

4

Reduction with compression sets

1

2

3

4

1

2

3

4

Reimplantation of digits

1

2

3

4

1

2

3

4

Repair hammer toes

1

2

3

4

1

2

3

4

Sacro-iliac (ST) joint screws

1

2

3

4

1

2

3

4

Sharrard procedure

1

2

3

4

1

2

3

4

Spice cast, application of

1

2

3

4

1

2

3

4

Spinal fusion

1

2

3

4

1

2

3

4

Tendon transplants (hand & foot)

1

2

3

4

1

2

3

4

Application of external fixators

a. Extremities

1

2

3

4

1

2

3

4

b. Peivis

1

2

3

4

1

2

3

4

Arthroscopy

a. Ankie

1

2

3

4

1

2

3

4

b. Elbow

1

2

3

4

1

2

3

4

c. Knee

1

2

3

4

1

2

3

4

d. Shoulder

1

2

3

4

1

2

3

4

Hip compression nails & leg screws

a. Jewett

1

2

3

4

1

2

3

4

b. Kuntscher rod

1

2

3

4

1

2

3

4

c. Lotters

1

2

3

4

1

2

3

4

d. Rush

1

2

3

4

1

2

3

4

e. Schneider

1

2

3

4

1

2

3

4

f. Zimmer

1

2

3

4

1

2

3

4

g. Other - list:

1

2

3

4

1

2

3

4

Total joint replacements / revisions

a. Total Help

1

2

3

4

1

2

3

4

b. Total knee

1

2

3

4

1

2

3

4

c. Total shoulder

1

2

3

4

1

2

3

4

Intramedullary rods

a. Extraction

1

2

3

4

1

2

3

4

b. Femoral

1

2

3

4

1

2

3

4

c. Humeral

1

2

3

4

1

2

3

4

d. Insertion

1

2

3

4

1

2

3

4

e. Supracondylar

1

2

3

4

1

2

3

4

f. Tibial

1

2

3

4

1

2

3

4

THORACIC & OPEN HEART Proficiency

Frequency

Cervical rib excision

1

2

3

4

1

2

3

4

Chamberlain procedure

1

2

3

4

1

2

3

4

Closed thoracotomy

1

2

3

4

1

2

3

4

Correction pectus excavatum

1

2

3

4

1

2

3

4

Esophagectomy

1

2

3

4

1

2

3

4

Heller procedure

1

2

3

4

1

2

3

4

Mitral commissurotomy

1

2

3

4

1

2

3

4

Pacemaker impiantation - endocardial

1

2

3

4

1

2

3

4

Pacemaker impiantation - myocardial

1

2

3

4

1

2

3

4

Pericardiectomy

1

2

3

4

1

2

3

4

Resection coarctation aorta

1

2

3

4

1

2

3

4

Rib resection

1

2

3

4

1

2

3

4

Thoraplasty

1

2

3

4

1

2

3

4

Tracheal resection

1

2

3

4

1

2

3

4

Transthoracic diaphragmatic hemiorrhaphy

1

2

3

4

1

2

3

4

Open heart procedures

a. Mitral or aortic valve replacement

1

2

3

4

1

2

3

4

b. Patent ductus arteriosus

1

2

3

4

1

2

3

4

c. Septal defect repairs

1

2

3

4

1

2

3

4

d. Tetrology of Fallot

1

2

3

4

1

2

3

4

TRANSPLANT Proficiency Frequency

Bone

1

2

3

4

1

2

3

4

Bone marrow

1

2

3

4

1

2

3

4

Corneal

1

2

3

4

1

2

3

4

Harvesting

1

2

3

4

1

2

3

4

Heart

1

2

3

4

1

2

3

4

Kidney

1

2

3

4

1

2

3

4

Liver

1

2

3

4

1

2

3

4

Lung

1

2

3

4

1

2

3

4

Multi-organ

1

2

3

4

1

2

3

4

Pancreas

1

2

3

4

1

2

3

4

Skin

1

2

3

4

1

2

3

4