Operating Room
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Work Setting | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| General OR | |||||
| CVOR | |||||
| Outpatient | |||||
| Trauma | |||||
| Peds-General OR | |||||
| Peds-CVOR | |||||
| First Assist | |||||
| Scrub Experience |
| General Surgery | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Abdominal Perineal Resection | |||||
| Appendectomy/Cholescystectomy | |||||
| Breast Biopsy | |||||
| Colon Resection/Surgery | |||||
| Gastrectomy | |||||
| Gastric Bypass/Roux-en-Y | |||||
| Hemorrhoidectomy | |||||
| Herniorrhaphy - Inguinal, Ventral, Femoral, Umbilical | |||||
| Laparoscopic General Surgeries | |||||
| Laparoscopic Nissen Fundoplication | |||||
| Mastectomy | |||||
| Splenectomy | |||||
| Thyroidectomy | |||||
| Scrub General Surgery |
| Cardiovascular | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Aorta Repair | |||||
| Aorto-Bifemoral/Femoral-Pop Bypass Graft | |||||
| Cardiac Bypass Surgery | |||||
| Carotid Endarterectomy | |||||
| Endoscopic Vascular Procedures | |||||
| Femoral Popliteal Bypass Graft | |||||
| Laparoscopic Cardiac Surgery | |||||
| Robotic Assisted Cardiac Surgery | |||||
| Valve Replacement/Repair | |||||
| Ventricular Assist Device | |||||
| Scrub CV Surgery |
| Thoracic | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Endoscopic Thoracic Procedures | |||||
| Esophagoogastrectomy | |||||
| Mediastinotomy/Sternotomy | |||||
| Thoracoscopy/Nuss Procedure | |||||
| Thoracotomy | |||||
| Scrub Thoracic Surgery |
| Orthopedic | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Total Joint Replacement | |||||
| Closed Reduction of Fracture | |||||
| External Fixator | |||||
| Cannulated Hip Screws | |||||
| Bankhart Procedure | |||||
| Birmingham Procedure | |||||
| Arthroscopy | |||||
| Anterior Cruciate Ligament Reconstruction | |||||
| Open Reduction Internal Fixation | |||||
| Scrub Orthopedics |
| Neurological | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Craniotomy | |||||
| Stereotactic Guided Brain Biopsy | |||||
| Laminectomy | |||||
| Laparoscopic Anterior Laminectomy | |||||
| Insertion of Vagal Nerve Stimulator | |||||
| Insertion of VP Shunt | |||||
| Spinal Fusion | |||||
| Anterior Cervical Discectomy with Fusion | |||||
| Posterior Cervical Laminectomy | |||||
| Scrub Neurological Surgery |
| Genitourinary | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Vasicaurethropexy | |||||
| Marshall Marchetti | |||||
| Circumcision | |||||
| Cystoscopy/Cystogram/Pyelogram | |||||
| Prostatectomy | |||||
| Nephrectomy | |||||
| Orchidectomy/Orchidopexy | |||||
| Ureterostomy | |||||
| Laparoscopic Assisted GU Procedures | |||||
| Robotic Assisted GU Procedures | |||||
| Scrub GU Surgery |
| Gynecological | Rating Stars (Click) | 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 | |||||
| Scrub Gyn Surgery |
| Ear/Nose/Throat | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Laryngectomy | |||||
| Mastoidectomy | |||||
| Myringotomy with Insertion of Tubes | |||||
| Radical Neck | |||||
| Septoplasty | |||||
| Tonsillectomy & Adenoidectomy | |||||
| Tracheostomy |
| General Patient Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Tympanoplasty | |||||
| Scrub ENT Surgery |
| Craniofacial/Oral | Rating Stars (Click) | 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 | |||||
| Scrub Craniofacial/Oral |
| Plastic | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Blephoroplasty | |||||
| Breast Reconstruction with Implant | |||||
| Breast Reduction Mammoplasty | |||||
| Face Lift | |||||
| Mastectomy with Tram Flap Reconstruction | |||||
| Split Thickness Skin Graft | |||||
| Suction Lipectomy | |||||
| Scrub Plastics |
| Transplants | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Heart | |||||
| Lung | |||||
| Liver | |||||
| Pancreas | |||||
| Eye | |||||
| Organ Donation | |||||
| Scrub Transplants |
| General Surgery | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Anal Fistulectomy/Anoplasty | |||||
| Appendectomy/Cholecystectomy | |||||
| Biopsy (Mass, Muscle, Lymph Node) | |||||
| Bronchoscopy | |||||
| Colostomy | |||||
| Esophagogastroduodenoscopy w/ Biopsy | |||||
| Esophagoscopy | |||||
| Exploratory Laparotomy | |||||
| Flexible Sigmoidoscopy | |||||
| Fundoplication | |||||
| Gastrostomy | |||||
| Herniorrhaphy | |||||
| Insertion of Port-a-Cath, Hickman, Broviac | |||||
| Laparascopic General Surgery Procedures | |||||
| Liver Biopsy | |||||
| Percutaneous Endoscopic Gastrostomy | |||||
| horacoscopy/Nuss Procedure | |||||
| Scrub Peds General Surgery |
| Genitourinary | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Circumcision | |||||
| Cystoscopy/Cystogram/Pyelogram | |||||
| Hydrocelectomy | |||||
| Nephrectomy | |||||
| Orchidectomy/Orchidopexy | |||||
| Repair of Hypospadias | |||||
| Retrograde Pyelogram | |||||
| Ureterostomy | |||||
| Scrub Peds GU |
| Neuro | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Craniotomy | |||||
| Insertion of Vagal Nerve Stimulator | |||||
| Insertion of VP Shunt | |||||
| Scrub Peds Neuro |
| Cardiac/Vascular | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Arterial Switch | |||||
| ASD/VSD Repair | |||||
| Atrial Septectomy | |||||
| Bidirectional Glenn | |||||
| BT Shunt | |||||
| ECMO Insertion/Decannulation (Cardiac) | |||||
| Fontan Procedure | |||||
| Norwood Procedure | |||||
| Pacemaker | |||||
| PDA Ligation | |||||
| Repair of Coarctation of Aorta | |||||
| Ross Procedure | |||||
| Tetralogy of Fallot Repair | |||||
| Valve Repair/Replacement | |||||
| Ventricular Assist Device | |||||
| Scrub Peds Cardiac/Vascular |
| Transplant | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Heart | |||||
| Kidney | |||||
| Liver/Pancreas | |||||
| Lung | |||||
| Organ Donation | |||||
| Scrub Peds Transplant |
| Ophthalmology | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Corneal Transplant | |||||
| Dacrocystorhinostomy | |||||
| Excision of Chalazion | |||||
| Eye Muscle Surgery | |||||
| Levator Resection | |||||
| Orbitotomy of Eye | |||||
| Repair of Ptosis | |||||
| Scrub Peds Opthalmology |
| Ear/Nose/Throat | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Cochlear Implant | |||||
| Laryngotracheoplasty | |||||
| Myringotomy with Tubes | |||||
| Septoplasty | |||||
| Suspension Microlaryngoscopy | |||||
| Tonsillectomy & Adenoidectomy | |||||
| Tracheostomy | |||||
| Turbinate Reduction | |||||
| Tympanoplasty/Tympanomastoidectomy | |||||
| Scrub Peds ENT |
| Craniofacial/Oral/Plastics | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Craniectomy | |||||
| Craniofacial Reconstruction | |||||
| Dental Surgery | |||||
| Leforte 1 Maxillary/Sagittal Osteotomy | |||||
| Mandibular Osteotomy | |||||
| ORIF Mandibular Fracture | |||||
| Otoplasty | |||||
| Reconstruction of Ear | |||||
| Repair of Cleft Lip, Nose, Palate | |||||
| Rhinoplasty | |||||
| Skin Graft | |||||
| Scrub Peds C-Fl/Oral/Plastics |
| Orthopedics | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acetabuloplasty/Triple Innominate | |||||
| Arthroscopy of Knee, Wrist, Shoulder | |||||
| Closed Reduction, Percutaneous Pin | |||||
| External Fixator (Ilizarov/Orthofix) | |||||
| ORIF Shoulder, Humerus, Tibia, Femur | |||||
| Osteotomy/VDRD/Calcaneal/Metatarsal | |||||
| Spinal Fusion/Spinal with Instrumentation | |||||
| Tendoachilles Lengthening | |||||
| Scrub Peds Ortho |
| OR Equipment | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Electrocautery (ESU) | |||||
| Laparoscopy Systems | |||||
| Neuro | |||||
| OR Fracture Tables (List Types) | |||||
| Orthopedic Total Joint Systems | |||||
| Power Equipment | |||||
| Robotics Systems (List Types) | |||||
| Spinal Fusion Instrumentation |
| Professional Knowledge and Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Malignant Hyperthermia Protocol | |||||
| Administer and Monitor Moderate Sedation | |||||
| Universal Protocol for Wrong Site Surgery | |||||
| National Patient Safety Goals/Core Measures | |||||
| Fall Risk Assessment/Prevention | |||||
| Pressure Ulcer Risk Assessment/Prevention | |||||
| Restraints/Use of Least Restrictive Device | |||||
| Age Specific/Population-Based Care | |||||
| Isolation Precautions | |||||
| Infection Prevention |
| EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Epic | |||||
| Cerner | |||||
| Eclipsys | |||||
| McKesson | |||||
| Meditech | |||||
| Other Computerized System | |||||
| Computerized Physician Order Entry |