OR Tech Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
General Surgery
*
Rows
1
2
3
4
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
*
Rows
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
*
Rows
1
2
3
4
Endoscopic Thoracic Procedures
Esophagogastrectomy
Mediastinotomy/Sternotomy
Thoracoscopy/Nuss Procedure
Thoracotomy
Orthopedic
*
Rows
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
*
Rows
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
*
Rows
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
*
Rows
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
Ear/Nose/Throat
*
Rows
1
2
3
4
Endoscopic ENT Procedures
Laryngectomy
Mastoidectomy
Myringotomy with Insertion of Tubes
Radical Neck
Septoplasty
Tonsillectomy & Adenoidectomy
Tracheostomy
Tympanoplasty
Craniofacial/Oral/Plastics
*
Rows
1
2
3
4
Craniectomy
Craniofacial Reconstruction
Dental Surgery
Leforte 1 Maxillary
Sagittal Osteotomy
ORIF Mandibular Fracture
Otoplasty
Reconstruction of Ear
Removal of Arch Bars
Repair of Cleft Lip, Nose, Palate
Rhinoplasty
Plastic
*
Rows
1
2
3
4
Blephoroplasty
Breast Reconstruction with Implant
Breast Reduction Mammoplasty
Face Lift
Mastectomy & Tram Flap Reconstruction
Split Thickness Skin Graft
Suction Lipectomy
Transplants
*
Rows
1
2
3
4
Heart
Lung
Liver
Pancreas
Eye
Organ Donation
Equipment
*
Rows
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
*
Rows
1
2
3
4
Malignant Hyperthermia Protocol
Infection Prevention
Isolation Precautions
National Patient Safety Goal
Universal Protocol
Age Specific
*
Rows
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
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
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