Operating Room Technician Skills Checklist

*
* --
*

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.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient


Proficiency Frequency
EXPERIENCE 1 2 3 4 1 2 3 4
Endoscopy
ENT
General
GYN
Neuro
Opthamology
Oral
Ortho
Plastics
Thoracic/open heart
Transplant
Trauma
Urology
Vascular

Proficiency Frequency
EAR,NOSE & THROAT 1 2 3 4 1 2 3 4
Adenoidectomy
Caldswell - Luc
Cleft lip/palate repair
Closed reduction nasal fracture
Ethmoidectomy
Excision of salivary gland tumor
Fenestration procedure
Frontal flap sinus procdure
Glossectomy
Laryngectomy
Mandibulectomy
Maxillary advancement with hip graft
Maxillectomy
Myringoplasty
Myringoplasty with PE tube insertion
Nasal polypectomy
Open reduction facial fracture
Open reduction nasal fracture
Parotidectomy
Pharyngeal flap procedure
Radical neck dissection
Ranulectomy
Rhinoplasty/septoplasty
Selective osteotomy of maxilla/mandible
Sinus endoscopy
Sinusotomy
Stapedectomy
Submucos resection
Tonsillectomy
Tracheostomy
Tympanoplasty

Proficiency Frequency
ENDOSCOPIC PROCEDURES 1 2 3 4 1 2 3 4
Bronchoscopy
Colonscopy
Cystoscopy
Esophagoscopy
Gastroscopy
Hyteroscopy
Laryngoscopy & Microlaryngoscopy
Mediastinoscopy
Pelviscopy
Sigmoidoscopy
Thoracoscopy

Proficiency Frequency
LAPRAOSCOPIC PROCEDURES 1 2 3 4 1 2 3 4
Appendectomy
Cholecystectomy/cholangiogram
Colon resection
Hernia repair
Nissen fundoplication
Salpingo-oophorectomy
Tubal ligation
Vaginal hysterectomy

Proficiency Frequency
GENERAL SURGERY 1 2 3 4 1 2 3 4
Abdominal Perineal Resection
Adrenalectomy
Anal Fissurectomy
Appendectomy
Breast Biopsy
Colectomy
Colostomy/Ileostomy
Gastrectomy
Hemorrhoidectomy - femoral,inguinal,umbillical
Hiatal herniorrhaphy -transabdominal,transthoracic
Hickman/Groshong/Portacatch insertion
Hydrocelectomy
Imperforate anus reconstruction
Lumbar sympathectomy
Omphalocele repair
Pancreatectomy/pancreatogram
Pilonidal cyctectomy
Portal caval shunt
Pyloric stenosis
Radical mastectomy
Saphenous vein ligation & stripping
Sentinel node biopsy
Splenectomy
Tenchkhoff catheter placement
Thyroglossal duct cyst excision
Thyroidectomy
Tracheostomy
Vagotomy

Proficiency Frequency
GYNECOLOGY 1 2 3 4 1 2 3 4
Cesarean Section
Colpotomy
Dilation & curettage
Hysterectomy,Abdominal
Marshall-Marchetti
Marsupialization-Bartholin Cyst
Ovarian Cystectomy
Radium Insertion
Sacral Spinus Fixation
Shirodkar Procedure
Suction Curettage
Vaginal Reconstruction
Vaginectomy/Vulvectomy

Proficiency Frequency
NEUROLOGY 1 2 3 4 1 2 3 4
A-V malformation
Anterior cervical fusion
Anterior laparoscopic spine procedures
Anterior lumbar interbody fusion (ALIF
Burr holes for subdural hematoma
Carotid ligation
Cervical sympathectomy
Craniectomy for decompression fracture
Discectomy
Hypophysectomy
Insersion nerve stimulators/medication pumps
Laminectomy
Myelomeningocele repair
Pedicle screw insertion
Posterior lumbar interbody fusion(PLIF)
Shunt procedure/VP,VA/LP
Spine fusion
Ulnar nerve transfer
Ventriculography procedure/ventricloscopy
Ventriculostomy

Proficiency Frequency
OPHTHALMOLOGY 1 2 3 4 1 2 3 4
Cataract Extraction with IOL
Corneal Transplant
Dacryocystectomy
Dacryocystorhinostomy
Iridectomy
Lid and Muscle Procedures
Orbital Implant
Phaco Emulsificatin
Pterygium Repair
Recession Resection
Repair Orbital Blowout Fracture
Scleral Buckle
Vitrectomy

Proficiency Frequency
ORAL 1 2 3 4 1 2 3 4
Closed reduction facial fractures/wiring
Excision odontoma
Extraction of deciduous teeth
Extraction of impacted molars
Fractured jews, mandibular and zagomatic
LeFort osteotomies
Maxillary procedure with graft
Pediatric dentistry
Sagittal osteotomy
Temporomandibular joint (TMU) with arthroplasty
TMU exploration

Proficiency Frequency
ORTHOPEDICS 1 2 3 4 1 2 3 4
Acetabular/peivic QRIF
Achilles tendon repair
Amputation - leg, arm
Anterior cruciate ligament repair
Application of halo traction
Arthrotomy
Bipolar/unipolar hips
Bunionectomy
Calcaneal reconstruction
Capsulorrhaphy
Carpal tunnel release
Closed reduction fracture
Hand surgery with implants
Harrington rod instrumentation and/or Dwyer procedure
Heel cord lengthening
Iliac crest bone graft
Insertion Austin Moor hip prosthesis
Laminectomy
Oiecranon bursa, excision of
Open reduction of fracture, internal fixation wth compression set
Patellectomy
Putti Platt/Bankart procedure/rotator cuff repair
Reduction with compression sets
Reimplantation of digits
Repair hammer toes
Sacro-iliac (ST) joint screws
Sharrard procedure
Spice cast, application of
Spinal fusion
Tendon transplants (hand & foot)
Application of external fixators
  a. Extremities
  b. Peivis
Arthroscopy
  a. Ankie
  b. Elbow
  c. Knee
  d. Shoulder
Hip compression nails & leg screws
  a. Jewett
  b. Kuntscher rod
  c. Lotters
  d. Rush
  e. Schneider
  f. Zimmer
  g. Other - list:
Total joint replacements / revisions
  a. Total Help
  b. Total knee
  c. Total shoulder
Intramedullary rods
  a. Extraction
  b. Femoral
  c. Humeral
  d. Insertion
  e. Supracondylar
  f. Tibial

Proficiency Frequency
PLASTICS 1 2 3 4 1 2 3 4
Abdominal lipectomy
Blepharoplasty
Face lift
Memtoplasty
Otoplasty
Pedicle grafts
Scar revisions
Split thickness skin grafting
Tissue expanders
Mammoplasty
  a. Augmentation
  b. Reduction
  c. Tramflaps with reconstructive mammoplasty

Proficiency Frequency
THORACIC & OPEN HEART 1 2 3 4 1 2 3 4
Cervical rib excision
Chamberlain procedure
Closed thoracotomy
Correction pectus excavatum
Esophagectomy
Heller procedure
Mitral commissurotomy
Pacemaker impiantation - endocardial
Pacemaker impiantation - myocardial
Pericardiectomy
Resection coarctation aorta
Rib resection
Thoraplasty
Tracheal resection
Transthoracic diaphragmatic hemiorrhaphy
Open heart procedures
a. Mitral or aortic valve replacement
b. Patent ductus arteriosus
c. Septal defect repairs
d. Tetrology of Fallot

Proficiency Frequency
TRANSPLANT 1 2 3 4 1 2 3 4
Bone
Bone marrow
Corneal
Harvesting
Heart
Kidney
Liver
Lung
Multi-organ
Pancreas
Skin

Proficiency Frequency
TRAUMA 1 2 3 4 1 2 3 4
Burns
Motor vehicle accidents
Traumatic amputations
Gunshot/Stab wounds
a. Abdomen
b. Chest
c. Head

Proficiency Frequency
UROLOGY 1 2 3 4 1 2 3 4
Litotripsy
Adult circumcision
Cystectomy
Cystoscopy/ureteroscopy
Hypospadias repair
Impiants; pencile, testicular
Nephrectomy
Nephrolithotomy
Orchiopexy
Waterhouse procedure
Pyeioplasty
Radical node dissection
Scott incontinence device
TURP
Ureterolithotomy
Vasectomy
Vasovasostomy
Prostatectomy
  a. Perineal
  b. Supra-pubic

Proficiency Frequency
VASCULAR 1 2 3 4 1 2 3 4
A - V access graft
Aortic aneur ysm with graft replacement
Endarterectomy/carotid - femoral
Peripheral vascular bypass procedure
Resection carotid aneurysm with graft
Thrombectomy/embolectomy
Vena cava fitter/umbrella
Vena cava ligation

Proficiency Frequency
EQUIPMENT 1 2 3 4 1 2 3 4
Eye Magnet
Fiber optic luminator - list types
Flash autoclave - AMSCO
Hypo/Hyperthermia unit
Kreiselman resuscitator
Mesh graft
Microscopes, types:
Nerve stimulator
Nitrous oxide bank
Ohio suction units
Orthopedic arm board with drain
Pieurevac disposable chest drainage
Prieumatic tourniquet
Sterad machine
Steri-vac aeration cabinet, 3M, portable
Steris unit
Suction unit, disposable
Tele-thermometer
Ultrasonic cleaner - AMSCO
Vac-pac positioner
Vacuum curettage
Washer sanitizer - AMSCO
Washer sterilizer - AMSCO
Argon beam coagulator
Bair Hugger
Blood/fluid waqrmer
Cell Saver
Cidex soak
Cry-ophthalmic unit
Disposable grounding peds
Electrosurgical unit
Emerson thoracic pump
Ethylene oxide sterilizer - AMSCO
Nitrous oxide bank
Computer Charting Systems

Age Specific Proficiency Frequency
Please indicate the frequence with which you provide care for each age group: 1 2 3 4 1 2 3 4
a. Infant (Birth to 1 year)
b. Toddler (1-3 years)
c. Pre-school (3-6 years)
d. School Age(6-12 years)
e. Adolescent(12-18 years)
f. Young Adult(18-30 years)
g. Mature Adult(18-30 years)
h. Elderly (>60 years)
Years Experience in Clinical Speciality :
Most recent facility worked at: