• Surgical Technologist Skills Checklist

  • 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*
    Rows
  • LAPAROSCOPIC PROCEDURE*
    Rows
  • PEDIATRIC CASE*
    Rows
  • E.N.T*
    Rows
  • CARDIAC/ THORACIC / VASCULAR*
    Rows
  • VASCULAR SURGERY*
    Rows
  • FEMORAL*
    Rows
  • ORTHOPEDIC*
    Rows
  • MINI, STANDARD, LARGE FRAGMENTS*
    Rows
  • UROLOGY*
    Rows
  • GYNECOLOGY*
    Rows
  • NEUROLOGY*
    Rows
  • TRAUMA SURGERY*
    Rows
  • PLASTICS*
    Rows
  • EMR*
    Rows
  • AGE SPECIFIC COMPETENCIES*
    Rows
  • CERTIFICATIONS
  • Clear
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty:
Select theme: