CVOR RN

CVOR RN Skills Checklist

Answer Key:

1. No Experience 2. Limited Experience 3. Experienced 4. Very Experienced

Cardiac: Circulate

Rows	1	2	3	4
DaVinci Procedures
Coronary Artery By-Pass
Mitral Valve Repair/Replacement
Aortic Valve Replacement
Multiple Valve Transposition
Septal Defects
Ventricular aneurysm Repair
Bring Back Heart
Pericardial Window
Intra-Aortic Balloon Insertion
Heartport or Similar CABG
Thoraco approach Mid-Cab
Aortic Arch Replacement
Aortic Valve Conduit
Mechanical Heart/ LVAD
Pediatric Hearts
Tetrology of Fallot
Chamberlain Procedure
Femoral Artery Cannulation
AICD Insertion
Saphenous Vein Harvest
Endoscopic Vein Harvest
Gastric Artery Harvest
Radial Vein Harvest
Carotid Endarterectomy
Abdominal Aortic Aneurysm
Femoral-Popliteal By-Pass Graft
Thrombectomy
AV Shunt
Pacemaker Insertion

Cardiac: Scrub

Rows	1	2	3	4
DaVinci Procedures
Coronary Artery By-Pass
Mitral Valve Repair/Replacement
Aortic Valve Replacement
Multiple Valve Transposition
Septal Defects
Ventricular aneurysm Repair
Bring Back Heart
Pericardial Window
Intra-Aortic Balloon Insertion
Heartport or Similar CABG
Thoraco approach Mid-Cab
Aortic Arch Replacement
Aortic Valve Conduit
Mechanical Heart/ LVAD
Pediatric Hearts
Tetrology of Fallot
Chamberlain Procedure
Femoral Artery Cannulation
AICD Insertion
Saphenous Vein Harvest
Endoscopic Vein Harvest
Gastric Artery Harvest
Radial Vein Harvest
Carotid Endarterectomy
Abdominal Aortic Aneurysm
Femoral-Popliteal By-Pass Graft
Thrombectomy
AV Shunt
Pacemaker Insertion

Open Heart: Circulate

Rows	1	2	3	4
CABG
ASD(Atrial Septal Defect)
VSD (Ventral Septal Defect)
Mitral or Aortic Valve Replacement
Tetrology of Fallot
Emergent Bring Back Heart

Open Heart: Scrub

Rows	1	2	3	4
CABG
ASD(Atrial Septal Defect)
VSD (Ventral Septal Defect)
Mitral or Aortic Valve Replacement
Tetrology of Fallot
Emergent Bring Back Heart

Vascular: Circulate

Rows	1	2	3	4
Carotid Endarterectomy
Abdominal Aoric Aneurysm
Femoral-Popliteal By-Pass Graft (Insitu)
Femoral-Popliteal By-Pass Graft (Graph)
Portacath, Tesio, Hickman
AV Shunt
Thrombecomy
Pacemaker Insertion
Arterial Stenting
Intra-Operative Angioplasty
Subclavian/Carotid By-Pass

Vascular: Scrub

Rows	1	2	3	4
Carotid Endarterectomy
Abdominal Aoric Aneurysm
Femoral-Popliteal By-Pass Graft (Insitu)
Femoral-Popliteal By-Pass Graft (Graph)
Portacath, Tesio, Hickman
AV Shunt
Thrombecomy
Pacemaker Insertion
Arterial Stenting
Intra-Operative Angioplasty
Subclavian/Carotid By-Pass

General Surgery: Circulate

Rows	1	2	3	4
Appendectomy
Breast Biopsy
Cholecystectomy
Abdominal-Perineal Resection
Bowel/Colon Resection
Hernia Repair
Thyroidectomy
Splenectomy
Vein Stripping
Radical Mastectomy
Tracheostomy
Gastrectomy
Hickman/Groshong/Portacath Insertion
Cholecystectomy
Hernia Repair
Bowel
Nissen
Bariatric

General Surgery: Scrub

Rows	1	2	3	4
Appendectomy
Breast Biopsy
Cholecystectomy
Abdominal-Perineal Resection
Bowel/Colon Resection
Hernia Repair
Thyroidectomy
Splenectomy
Vein Stripping
Radical Mastectomy
Tracheostomy
Gastrectomy
Hickman/Groshong/Portacath Insertion
Cholecystectomy
Hernia Repair
Bowel
Nissen
Bariatric

Thoracic/CV: Circulate

Rows	1	2	3	4
Abdominal Aortic Aneurysm
Aortic-Femoral Bypass Graft
AV Shunt/Graft
Carotid Endarterectomy
Lobectomy
Mediastinoscopy
Thoracoscopy
Thoracotomy

Thoracic/CV: Scrub

Rows	1	2	3	4
Abdominal Aortic Aneurysm
Aortic-Femoral Bypass Graft
AV Shunt/Graft
Carotid Endarterectomy
Lobectomy
Mediastinoscopy
Thoracoscopy
Thoracotomy

Orthopedic/Podiatry: Circulate

Rows	1	2	3	4
Knee Arthroscopy
ACL Repair
Shoulder Arthroscopy
Endoscopic Shoulder Repair
Open Shoulder Repair
Total Knee Replacement/Revision
Total Hip Replacement/Revision
Bipolar Hip Replacement
Hip Compression Nails and Lag Screw
Hand Surgery
External Fixation Devices
IM Roddings
Bunionectomy
Spinal Fusion With Instrumentation
Harrington Rod Insertion
Carpal Tunnel Repair
Chick Fracture Table
ORIF With Compression Set
Closed Reduction Fracture

Orthopedic/Podiatry: Scrub

Rows	1	2	3	4
Knee Arthroscopy
ACL Repair
Shoulder Arthroscopy
Endoscopic Shoulder Repair
Open Shoulder Repair
Total Knee Replacement/Revision
Total Hip Replacement/Revision
Bipolar Hip Replacement
Hip Compression Nails and Lag Screw
Hand Surgery
External Fixation Devices
IM Roddings
Bunionectomy
Spinal Fusion With Instrumentation
Harrington Rod Insertion
Carpal Tunnel Repair
Chick Fracture Table
ORIF With Compression Set
Closed Reduction Fracture

Neurosurgery: Circulate

Rows	1	2	3	4
Cervical Laminectomy (Anterior)
Cervical Laminectomy (Posterior)
Lumbar Laminectomy
VP Shunt (Ventricualr-Peitoneal)
Craniotomy
Burr Holes (Sub-Dural Hematoma)

Neurosurgery: Scrub

Rows	1	2	3	4
Cervical Laminectomy (Anterior)
Cervical Laminectomy (Posterior)
Lumbar Laminectomy
VP Shunt (Ventricualr-Peitoneal)
Craniotomy
Burr Holes (Sub-Dural Hematoma)

Plastic/Reconstructive Surgery: Circulate

Rows	1	2	3	4
Abdominoplasty
Facelift
Skin Grafts
Breast Reconstruction
Breast Augmentation
Breast Reduction
Rhinoplasty
Cleft Palate Repair
Liposuction
Blepharoplasty
Tissue Expanders

Plastic/Reconstructive Surgery: Scrub

Rows	1	2	3	4
Abdominoplasty
Facelift
Skin Grafts
Breast Reconstruction
Breast Augmentation
Breast Reduction
Rhinoplasty
Cleft Palate Repair
Liposuction
Blepharoplasty
Tissue Expanders

Opthalmology: Circulate

Rows	1	2	3	4
Cataract Extraction with IOL
Corneal Transplant
Dacryocystectomy
Phaco Emulsification
Orbital Implant
Enucleation
Vitrectomy
Scleral Buckle
Muscle Procedures

Opthalmology: Scrub

Rows	1	2	3	4
Cataract Extraction with IOL
Corneal Transplant
Dacryocystectomy
Phaco Emulsification
Orbital Implant
Enucleation
Vitrectomy
Scleral Buckle
Muscle Procedures

ENT/Oral Surgery: Circulate

Rows	1	2	3	4
Bronchoscopy
T&A
Myringotomy
Stapedectomy
Tympanoplasty
Sinus Endoscopy
Septoplasty
Parotidectomy
TMJ
Jaw Fractures
Mini AO Compression

ENT/Oral Surgery: Scrub

Rows	1	2	3	4
Bronchoscopy
T&A
Myringotomy
Stapedectomy
Tympanoplasty
Sinus Endoscopy
Septoplasty
Parotidectomy
TMJ
Jaw Fractures
Mini AO Compression

Urology and Cysto: Circulate

Rows	1	2	3	4
Nephrectomy
Prostatectomy
Vasectomy
Cystectomy
Penile Prosthesis
TURP
Cystoscopy/Ureteroscopy
Lithotripsy
Hypospadias Repair
Orchiopexy

Urology and Cysto: Scrub

Rows	1	2	3	4
Nephrectomy
Prostatectomy
Vasectomy
Cystectomy
Penile Prosthesis
TURP
Cystoscopy/Ureteroscopy
Lithotripsy
Hypospadias Repair
Orchiopexy

GYN Surgery: Circulate

Rows	1	2	3	4
AP Repair (Anterior and Posterior)
D&C
LEEP (Loop Electrode Excision Repair)
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopy
Laparoscopic Tubal Ligation
Laser Vaporization Condyloma
MMK (Marshall Marchetti Krantz)
Tubal Ligation
Hysteroscopy

GYN Surgery: Scrub

Rows	1	2	3	4
AP Repair (Anterior and Posterior)
D&C
LEEP (Loop Electrode Excision Repair)
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopy
Laparoscopic Tubal Ligation
Laser Vaporization Condyloma
MMK (Marshall Marchetti Krantz)
Tubal Ligation
Hysteroscopy

Pediatrics: Circulate

Rows	1	2	3	4
Exploratory Laparotomy
Otoplasty
Circumcision
Hypospadias Repair
Herniorrhaphy
Cleft lip/Palate

Pediatrics: Scrub

Rows	1	2	3	4
Exploratory Laparotomy
Otoplasty
Circumcision
Hypospadias Repair
Herniorrhaphy
Cleft lip/Palate

Transplants: Circulate

Rows	1	2	3	4
Kidney Transplant Recipient
Kidney Transplant Donor
Heart Transplant
Liver Transplant
Lung Transplant
Multi-Organ (Harvest)

Transplants: Scrub

Rows	1	2	3	4
Kidney Transplant Recipient
Kidney Transplant Donor
Heart Transplant
Liver Transplant
Lung Transplant
Multi-Organ (Harvest)

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)

I attest that this checklist represents a true reflection of my experience to the best of my knowledge. By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.

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