Level Of Proficiency Date Name Signature |
SKILL A B C D BASIC OPERATING ROOM PROTOCOL, INCLUDING: Aseptic Technique Donning of surgical attire Sponge and Lap counts Care of specimens Patient charge (billing) capture systems THORACIC: Thoroctomy Chest Tube Set-Up Sternal Splitting:
Manual Splitter Colon Interpositions CARDIOVASCULAR: Arterial Bypass Aorta – Bifemoral Bypass Mesocaval Shunt A – V Shunts Knowledge of different types of grafts ORTHOPEDICS: Emergency Trauma
Closed pinning & reduction of extremities
Water pik Chick Table
Anterior Cervical Fusions
Arthroscopy Tendon Implants & reanastomosis Free Nerves Flaps Microscopic instruments Extremity microscope EXPERIENCE LEVEL IN THE FOLLOWING: GENERAL SURGERY: Exploratory Lap Cholecystectomy Thyroidectomy Rectal Surgery GYNECOLOGY: Laparoscopy Total Abdominal Hysterectomy Vaginal Hysterectomy Suction D & C Laser Surgery G.U. AND CYSTO: Cystoscopy T.U.R.P. Nephrolithotomy Nephrectomy Ileal Loop Prostatectomy – Abdominal Peritoneal PEDIATRICS: Hernias Pylorotomy Thorocotomy NEUROSURGERY Craniotomy V.P. Shunts Types of Shunts Laminectomies Anterior Cervical Fusions PLASTIC SURGERY: Skin grafts Rhinoplasty Mammoplasty: Care of prosthesis Mentoplasty Otoplasty Abdominal lipectomy Blepharoplasty EQUIPMENT: Argon beam coagulator Bair Hugger Cell saver Cry-opthalmic unit Brown Dermatome Padgett Dermatome Zimmer Dermatome Stryker drills Electrosurgical unit Emerson thoracic pump Eye magnet Fracture tables Laser EQUIPMENT: (CONTINUED) Nerve stimulator Nitrous oxide bank Ohio suction units Pneumatic tourniquet Sterad machine Ultrasonic cleaner Vac-pac positioner Vacuum curettage Washer sanitizer- AMSCO Washer sterilizer- AMSCO IV THERAPY: Administration of blood and blood products Starting IV’s Assist with IA/IV therapy ORAL SURGERY: Maxillo facial procedures Implants EYE: Cataracts Vitrectomies Scleral Buckel Fragmetomore
ENT: Tonsillectomy and Adenoidectomy Insertion of PE Tubes Tympanomastoidectomy Mastoidectomies Panendoscopies Facelifts ENDOSCOPY: Bronchoscopy Gastroscopy Colonoscopy; Hot Biopsy Forceps Reviewed by: |