CVOR Tech Skills Checklist

CVOR Tech Skills Checklist
Answer Key

1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others

General Surgery*

	1	2	3	Any thoughts?
Abdominal Perineal Resection
Appendectomy/Cholescystectomy
Breast Biopsy
Colon Resection/Surgery
Gastrectomy
Gastric Bypass/Roux-en-Y
Hemorrhoidectomy
Herniorrhaphy
Laparoscopic General Surgeries
Laparoscopic Nissen Fundoplication
Mastectomy
Splenectomy
Thyroidectomy

Cardiovascular*

	1	2	3	4
Aorta Repair
Aorto-Bifemoral/Femoral-Pop Bypass
Cardiac Bypass Surgery
Carotid Endarterectomy
Endoscopic Vascular Procedures
Femoral Popliteal Bypass Graft
Laparascopic Cardiac Surgery
Robotic Assisted Cardiac Surgery
Valve Replacement/Repair
Ventricular Assist Device

Thoracic*

	1	2	3	4
Endoscopic Thoracic Procedures
Esophagogastrectomy
Mediastinotomy/Sternotomy
Thoracoscopy/Nuss Procedure
Thoracotomy

Orthopedic*

	1	2	3	4
Total Joint Replacement
Closed Reduction of Fracture
External Fixator
Cannulated Hip Screws
Bankhart Procedure
Birmingham Procedure
Carpal Tunnel Release
Arthroscopy
Anterior Cruciate Ligament
Open Reduction Internal Fixation

Neurological*

	1	2	3	4
Craniotomy
Steriotactic Guided Brain Biopsy
Laminectomy
Laparoscopic Anterior Laminectomy
Insertion of Vagal Nerve Stimulator
Insertion of VP Shunt
Spinal Fusion
Anterior Cervical Discectomy Fusion
Posterior Cervical Laminectomy

Genitourinary*

	1	2	3	4
Vasicaurethropexy
Marshall Marchetti
Circumcision
Cystoscopy/Cystogram/Pyelogram
Prostatectomy
Nephrectomy
Orchidectomy/Orchidopexy
Ureterostomy
Laparoscopic Assisted GU Procedures
Robotic Assisted GU Procedures

Gynecological*

	1	2	3	4
Abdominal Hysterectomy
Anterior Posterior Repair
C-Section
D & C
Laparoscopic Assisted Hysterectomy
Laparotomy with Microtuboplasty
Robotic Assisted GYN Procedures
Vaginal Delivery
Vaginal Hysterectomy

Equipment*

	1	2	3	4
Electrocautery (ESU)
Laparoscopy Systems
Neuro
OR Fracture Tables
Orthopedic Total Joint Systems
Power Equipment
Robotics Systems
Spinal Fusion Instrumentation

Other Skills*

	1	2	3	4
Malignant Hyperthermia Protocol
Infection Prevention
Isolation Precautions
National Patient Safety Goal
Universal Protocol

Age Specific*

	1	2	3	4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)

Undertaking*

The Information I Provided is True & Accurate
Name Signature*
Date*

MonthDayYear
Date
Should be Empty: