HireTalent Surgical technologist Skills Checklist

Surgical Technologist Skills Checklist
Name*
NameLast Name
Instructions:
This checklist is meant to serve as a general guideline for our client facilities as to thelevel of your skills within your nursing specialty. Please use the scale below to describe yourexperience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform withsupervision
4 = Able to performindependently
GENERAL SURGERY*
1 2 3 4
AKA/BKA (amputation) 1 2 3 4
Abdominal-Perineal Resection 5 6 7 8
Cholecystectomy (Open) 9 10 11 12
Exploratory Laparotomy 13 14 15 16
Appendectomy 17 18 19 20

	1	2	3	4
AKA/BKA (amputation)	1	2	3	4
Abdominal-Perineal Resection	5	6	7	8
Cholecystectomy (Open)	9	10	11	12
Exploratory Laparotomy	13	14	15	16
Appendectomy	17	18	19	20

LAPAROSCOPIC PROCEDURE*

CARDIAC/ THORACIC / VASCULAR*

	1	2	3	4
Coronary Artery By-pass	105	106	107	108
Mitral Valve Repair / Replacement	109	110	111	112
Aortic Valve Replacement	113	114	115	116
Multiple Valve Transposition	117	118	119	120
Septal Defects	121	122	123	124
Ventricular Aneurysm Repair	125	126	127	128
Bring Back Heart	129	130	131	132
Pericardial Window	133	134	135	136
Intra-Aortic Balloon Insertion	137	138	139	140
Heartport or Similar CABG	141	142	143	144
Thoraco Approach Mid-Cab	145	146	147	148
Aortic Arch Replacement	149	150	151	152
Aortic Valve Conduit	153	154	155	156
Mechanical Heart / LVAD	157	158	159	160
Pediatric Hearts	161	162	163	164
Tetrology of Fallot	165	166	167	168
Chamberlin Procedure	169	170	171	172
AICD Insertion	173	174	175	176
Saphenous Vein Harvest	177	178	179	180
Endoscopic Vein Harvest	181	182	183	184
Gastric Artery Harvest	185	186	187	188
Radial Vein Harvest	189	190	191	192
Insertion Vena Cava Filter	193	194	195	196
Thoracotomy	197	198	199	200
Thoracoscopy	201	202	203	204
Insertion Chest Tube	205	206	207	208
Esophageal Repair	209	210	211	212
Pneurnonectomy / Lobectomy	213	214	215	216
Mediastinodcopy	217	218	219	220
Desendind Aortic Repair	221	222	223	224
Arterial Stenting	225	226	227	228
Intra-Operative Angioplasty	229	230	231	232

VASCULAR SURGERY*
1 2 3 4
Carotid Endarterectomy 233 234 235 236
Abdominal Aortic Aneurysm 237 238 239 240

	1	2	3	4
Carotid Endarterectomy	233	234	235	236
Abdominal Aortic Aneurysm	237	238	239	240

FEMORAL*

	1	2	3	4
Popliteal By-pass Graft (Insitu)	241	242	243	244
Popliteal By-pass Graft (Graph)	245	246	247	248
Portacath, Tesio, Hickman Placement	249	250	251	252
AV Shunt	253	254	255	256
Thrombectomy	257	258	259	260
Arterial Stenting	261	262	263	264
Intra-Operative Angioplasty	265	266	267	268
Subclavin / Carotid By-pass	269	270	271	272

ORTHOPEDIC*

MINI, STANDARD, LARGE FRAGMENTS*

UROLOGY*

	1	2	3	4
Radical Prostatectomy	345	346	347	348
Radical Lymph Node Dissection	349	350	351	352
Ureteroscopy	353	354	355	356
TURP / TURST	357	358	359	360
Ultrasonic Lithotripsy	361	362	363	364
Hydrocelectomy	365	366	367	368
Cystoscopy	369	370	371	372
Insertion Penile Prosthesis	373	374	375	376

GYNECOLOGY*

	1	2	3	4
D & C	377	378	379	380
Diagnostic Laparascope	381	382	383	384
Laparoscopic Vaginal Hysterectomy	385	386	387	388
Abdominal Hysterectomy	389	390	391	392
Vaginal Hysterectomy	393	394	395	396
Anterior Repair	397	398	399	400
Posterior Repair	401	402	403	404
MMK (Marshall Marchetti Krantz)	405	406	407	408
Tuboplasty	409	410	411	412
BTL (Bilateral Tubal Ligation)	413	414	415	416
C-Sections	417	418	419	420

NEUROLOGY*

	1	2	3	4
Cervical Laminectomy (Anterior)	421	422	423	424
Cervical Laminectomy (Posterior)	425	426	427	428
Lumbar Laminectomy Discectomy	429	430	431	432
Percutaneous Micro Discectomy	433	434	435	436
Craniotomy For Tumor	437	438	439	440
Craniotomy For Aneurysm	441	442	443	444
Burr Holes	445	446	447	448
VP Shunts	449	450	451	452
Transphenoidal Hypothypectomy	453	454	455	456
Carpal Tunnel Repair	457	458	459	460
Harrington Rod or Similar	461	462	463	464

TRAUMA SURGERY*
1 2 3 4
Transplant Surgery 465 466 467 468
Organ Procurement (Harvest) 469 470 471 472

	1	2	3	4
Transplant Surgery	465	466	467	468
Organ Procurement (Harvest)	469	470	471	472

PLASTICS*

EMR*

	1	2	3	4
Epic	509	510	511	512
Cerner	513	514	515	516
Eclipsys	517	518	519	520
McKesson	521	522	523	524
Meditech	525	526	527	528
Other Computerized System	529	530	531	532
Computerized Physician Order Entry	533	534	535	536
Bar Coding for Medication Administration	537	538	539	540
PULMONARY	541	542	543	544

AGE SPECIFIC COMPETENCIES*

Surgical Technologist Skills Checklist