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Operating Room Skills Checklist

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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.

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


Scrub Circulate
GENERAL SURGICAL  1   2   3   4   1   2   3   4 
Abdominal Perineal Resection
Adrenalectomy
Anal Fissurectomy
Appendectomy
Breast Biopsy
Central Line Insertion  
   a. Hickman
   b. Groshong
   c. Portacath
Cholecystectomy/cholangiogram
Colectomy
Colon Resection
Colostomy/Ileostomy
Gastroplasty
Hemorrhoidectomy
Hepatic Resection
Herniorrhaphy  
   a. Inguinal
   b. Umbilical
Hiatal Herniorrhaphy  
   a. Transabdominal
   b. Transthoracic
Hydrodelectomy
Imperforate Anus Reconstruction
Lumbar Sympathectomy
Omphalocele Repair
Pancreatectomy/Pancreatogram
Pilonidal Cystectomy
Portal Caval Shunt
Pyloric Stenosis
Radical Mastectomy
Saphenous Vein Ligation/Stripping
Splenectomy
Tenchkhoff Catheter Placement
Thyroglossal Duct Cyst Excision
Thyroidectomy
Vagotomy
Whipple (Open)
Scrub Circulate
CARDIOTHORACIC  1   2   3   4   1   2   3   4 
CABG
Chest Tube Insertion
Closed Thoracotomy
Coarctation Resection, Aorta
Open Heart Procedures  
   a. Patient ductus arteriosus
   b. Septal defect repairs
   c. Ascending Dissection
   d. Descending Dissection
   e. Arch Dissection
   f. Tetralogy of Fallot
   g. Commissurotomy/Valve Repair/Replacement
Pacemaker Implantation  
   a. Endocardial
   b. Myocardial
Pectus Excavatum Correction
Pericardectomy
Pneumonectomy/Lobectomy
Rib Resection
Thoracoplasty
Tracheal Resection
Transthoracic Diaphragmatic Herniorrhaphy
Vein Harvesting  
   a. Endoscopic
   b. Open
Scrub Circulate
NEUROSURGICAL  1   2   3   4   1   2   3   4 
A-V Malformation
Ant. Laparoscopic Spine Procedure
Anterior Lumbar Interbody Fusion
Burr Holes for Subdural Hematoma
Carotid Ligation
Cervical Fusion  
   a. Anterior
   b. Posterior
Cervical Sympathectomy
Cranioplasty/Craniotomy  
   a. Aneurysm Clipping
   b. Tumor Excison
   c. Stealth
Craniectomy for Decompression Fx
Crutchfield Tong Insertion
Discectomy
Hypophysectomy
Medication Pump Insertion
Myelomeningocele Repair
Nerve Stimulator Insertion
Pedicle Screw Insertion
Posterior Lumbar Interbody Fusion
Shunt Procedure, VP & VA
Ulnar Nerve Transfer
Ventriculography
Ventriculostomy
Scrub Circulate
ENDOSCOPIC  1   2   3   4   1   2   3   4 
Bronchoscopy
Colonscopy
Cystoscopy
Gastroscopy
Hyteroscopy
Laparoscopy  
   a. Appendectomy
   b. Cholecystectomy
   c. Cholangiogram
   d. Colon Resection
   e. Herniorrhaphy
Laparoscopy (continued)  
   f. Nissen Fundoplication
   g. Pelvic Exoneration
   h. Salpingooophorectomy
   i. Tubal Ligation
   j. Scope Assisted Vaginal Hysterectomy
Laryngoscopy & Microlaryngoscopy
Mediastinoscopy
Sigmoidoscopy
Thoracoscopy
Ureteroscopy
Scrub Circulate
ORTHOPEDIC  1   2   3   4   1   2   3   4 
Acetabular/Pelvic ORIF
Achilles Tendon Repair
Anterior Cruciate Ligament Repair
Arthroscopy  
   a. Ankle
   b. Elbow
   c. Hip
   d. Knee
   e. Shoulder
Arthrotomy
Bipolar/Unipolar Hips
Bunionectomy
Calcaneal Reconstruction
Capsulorrhaphy
Carpel Tunnel Release
Closed Reduction Fracture
External Fixator Application  
   a. Extremities
   b. Pelvis
Extremity Amputation
Halo Traction Application
Hammer Toe Repair
Hand Surgery
Harrington Rod Insertion
Heel Cord Lengthening
Hip Compression & Lag Screws  
   a. Rush
   b. Schneider
Hip Compression & Lag Screws (continued)  
   c. Smith & Richards
   d. Zimmer
   e. Other
Hip Prothesis Insertion
Iliac Crest Bone Graft
Intramedullary Rods Insertion  
   a. Femoral
   b. Humeral
   c. Supracondylar
   d. Tibial
Laminectomy
Olecranon Bursa Excision
Reduction with Compression
Remiplanation of Digits
Rotator Cuff Repair  
   a. Putti Platt
   b. Bankart
Sacro-iliac Joint Screws
Spica Cast Application
Spinal Fusion  
   a. Anterior
   b. Posterior
Tendon Transplants
Total Joint Replacement  
   a. Hip
   b. Knee
   c. Shoulder
Scrub Circulate
GYNECOLOGIC  1   2   3   4   1   2   3   4 
Cesarean Section
Colpotomy
D & C
Ectopic Pregnancy
Hysterectomy  
   a. Abdominal
   b. Vaginal
Marshall-Marchetti
Marsupialization-Bartholin Cyst
Ovarian Cystectomy
Radium Insertion
Sacral Spinus Fixation
Salpingoplasty
Shirodkar Procedure
Suction Curettage
Vaginal Reconstruction
Vaginectomy
Vulvectomy
Scrub Circulate
VASCULAR  1   2   3   4   1   2   3   4 
A-V Access Graft
Aortic aneurysm w/ graft replacement
Aortograms
Carotid aneurysm resection & graft
Endarterectomy  
   a. Carotid
   b. Femoral
Endoscopic Aortic Aneurysm Repair
Peripheral Vascular Bypasses
Stent Placements  
   a. Aorta
   b. Brachial
   c. Carotid
   d. Femoral
Thrombectomy/Embolectomy