Peri-Operative

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

IV Therapy

✔ Start peripheral IV - angio cath *
★ ★ ★ ★ ★

IV Therapy - Assist with

✔ Insertion of A-lines *
★ ★ ★ ★ ★
✔ Insertion of CVP - jugular *
★ ★ ★ ★ ★
✔ Insertion of CVP - subclavian *
★ ★ ★ ★ ★
✔ Insertion of Swan-Ganz *
★ ★ ★ ★ ★
✔ Drawing blood from central line *
★ ★ ★ ★ ★
✔ Drawing venous blood *
★ ★ ★ ★ ★

Administration of blood and products

✔ Packed red blood cells *
★ ★ ★ ★ ★
✔ Adrenalectomy *
★ ★ ★ ★ ★
✔ Anal fissurectomy *
★ ★ ★ ★ ★
✔ Appendectomy *
★ ★ ★ ★ ★
✔ Bowel resection *
★ ★ ★ ★ ★
✔ Breast biopsy *
★ ★ ★ ★ ★
✔ Colectomy *
★ ★ ★ ★ ★
✔ Colostomy/Ileostomy *
★ ★ ★ ★ ★
✔ Esophageal resection *
★ ★ ★ ★ ★
✔ Exploratory laparotomy *
★ ★ ★ ★ ★
✔ Gastrectomy *
★ ★ ★ ★ ★
✔ Gastroplasty *
★ ★ ★ ★ ★
✔ Hemorrhoidectomy *
★ ★ ★ ★ ★
✔ Hemicolectomy *
★ ★ ★ ★ ★
✔ Hepatic resection *
★ ★ ★ ★ ★
✔ Herniorrhaphy - femoral *
★ ★ ★ ★ ★
✔ Herniorrhaphy - inguinal *
★ ★ ★ ★ ★
✔ Herniorrhaphy - umbilical *
★ ★ ★ ★ ★
✔ Herniorrhaphy - hiatal transabdominal/transthoracic *
★ ★ ★ ★ ★
✔ Hiatal hernia repair *
★ ★ ★ ★ ★
✔ Insertion - Hickman *
★ ★ ★ ★ ★
✔ Insertion - Groshong *
★ ★ ★ ★ ★
✔ Insertion - Portacath *
★ ★ ★ ★ ★
✔ Hydrocelectomy *
★ ★ ★ ★ ★
✔ Imperforate anus reconstruction *
★ ★ ★ ★ ★
✔ Lumbar sympathectomy *
★ ★ ★ ★ ★
✔ Omphalocele repair *
★ ★ ★ ★ ★
✔ Pancreatectomy / pancreatogram *
★ ★ ★ ★ ★
✔ Pilonidal cystectomy *
★ ★ ★ ★ ★
✔ Portal caval shunt *
★ ★ ★ ★ ★
✔ Pyloric stenosis *
★ ★ ★ ★ ★
✔ Radical mastectomy *
★ ★ ★ ★ ★
✔ Saphenous vein ligation and stripping *
★ ★ ★ ★ ★
✔ Sentinel node biopsy *
★ ★ ★ ★ ★
✔ Splenectomy *
★ ★ ★ ★ ★
✔ Tenchknoff duct cyst excision *
★ ★ ★ ★ ★
✔ Thyroglossal duct cyst excision *
★ ★ ★ ★ ★
✔ Thyroidectomy *
★ ★ ★ ★ ★
✔ Vagotomy *
★ ★ ★ ★ ★

General Surgery

✔ Abdominal perineal resection *
★ ★ ★ ★ ★
✔ Chamberlain procedure *
★ ★ ★ ★ ★
✔ Closed thoracotomy *
★ ★ ★ ★ ★
✔ Correction pectus excavatum *
★ ★ ★ ★ ★
✔ Esophagectomy *
★ ★ ★ ★ ★
✔ Heller procedure *
★ ★ ★ ★ ★
✔ Mitral commissurotomy *
★ ★ ★ ★ ★
✔ Mitral or aortic valve replacement *
★ ★ ★ ★ ★
✔ IAPB insertion *
★ ★ ★ ★ ★
✔ CABG *
★ ★ ★ ★ ★
✔ Cardiac valve replacement *
★ ★ ★ ★ ★
✔ Patent ductus arteriosus repair *
★ ★ ★ ★ ★
✔ Septal defect repairs *
★ ★ ★ ★ ★
✔ Pacemaker implantation - endocardial *
★ ★ ★ ★ ★
✔ Pacemaker implantation - myocardial *
★ ★ ★ ★ ★
✔ Pacemaker - temporary *
★ ★ ★ ★ ★
✔ Pericardiectomy *
★ ★ ★ ★ ★
✔ Pericardial window *
★ ★ ★ ★ ★
✔ Resection coarctation aorta *
★ ★ ★ ★ ★
✔ Portocaval shunt *
★ ★ ★ ★ ★
✔ Tetralogy of fallot *
★ ★ ★ ★ ★
✔ Thoracoplasty *
★ ★ ★ ★ ★
✔ Tracheal resection *
★ ★ ★ ★ ★
✔ Transthoracic diaphragmatic herniorrhaphy *
★ ★ ★ ★ ★

Thoracic and Open Heart

✔ Cervical rib excision *
★ ★ ★ ★ ★
✔ Aortic aneurysm with graft replacement *
★ ★ ★ ★ ★
✔ Endarterectomy/carotid - femoral *
★ ★ ★ ★ ★
✔ Fem-pop bypass *
★ ★ ★ ★ ★
✔ Peripheral vascular bypass procedures *
★ ★ ★ ★ ★
✔ Resection carotid aneurysm with graft *
★ ★ ★ ★ ★
✔ Thrombectomy/embolectomy *
★ ★ ★ ★ ★
✔ Vena cava filter/umbrella *
★ ★ ★ ★ ★
✔ Vena cava ligation *
★ ★ ★ ★ ★

Vascular

✔ A-V access graft *
★ ★ ★ ★ ★
✔ Anterior cervical fusion *
★ ★ ★ ★ ★
✔ Anterior laparoscopic spine procedures *
★ ★ ★ ★ ★
✔ Anterior lumbar interbody fusion (ALIF) *
★ ★ ★ ★ ★
✔ Burr holes for subdural hematoma *
★ ★ ★ ★ ★
✔ Carotid ligation *
★ ★ ★ ★ ★
✔ Cervical sympathectomy *
★ ★ ★ ★ ★
✔ Craniectomy for decompression fracture *
★ ★ ★ ★ ★
✔ Discectomy *
★ ★ ★ ★ ★
✔ Hypophysectomy *
★ ★ ★ ★ ★
✔ Insertion nerve stimulators *
★ ★ ★ ★ ★
✔ Insertion medication pumps *
★ ★ ★ ★ ★
✔ Laminectomy *
★ ★ ★ ★ ★
✔ Myelomeningocele repair *
★ ★ ★ ★ ★
✔ Pedicle screw insertion *
★ ★ ★ ★ ★
✔ Posterior lumbar interbody fusion (PLIF) *
★ ★ ★ ★ ★
✔ Shunt procedure/VP, VA/LP *
★ ★ ★ ★ ★
✔ Spine fusion *
★ ★ ★ ★ ★
✔ Ulnar nerve transfer *
★ ★ ★ ★ ★
✔ Ventriculography / ventriculoscopy *
★ ★ ★ ★ ★
✔ Ventriculostomy *
★ ★ ★ ★ ★

Neurology

✔ A-V malformation *
★ ★ ★ ★ ★
✔ Tumor excision *
★ ★ ★ ★ ★
✔ Stealth craniotomy *
★ ★ ★ ★ ★

Neurology - Cranioplasty/craniotomy

✔ Clipping of aneurysm *
★ ★ ★ ★ ★
✔ Cystectomy *
★ ★ ★ ★ ★
✔ Cystoscopy/ureteroscopy *
★ ★ ★ ★ ★
✔ Hypospadias repair *
★ ★ ★ ★ ★
✔ Ileal loop *
★ ★ ★ ★ ★
✔ Implants - penile and testicular *
★ ★ ★ ★ ★
✔ Lithotripsy *
★ ★ ★ ★ ★
✔ Nephrectomy *
★ ★ ★ ★ ★
✔ Nephrolithotomy *
★ ★ ★ ★ ★
✔ Orchiopexy *
★ ★ ★ ★ ★
✔ Prostatectomy - perineal *
★ ★ ★ ★ ★
✔ Prostatectomy - supra-pubic *
★ ★ ★ ★ ★
✔ Pyleoplasty *
★ ★ ★ ★ ★
✔ Radical node dissection *
★ ★ ★ ★ ★
✔ Scott incontinence device *
★ ★ ★ ★ ★
✔ TURP *
★ ★ ★ ★ ★
✔ Ureterolithotomy *
★ ★ ★ ★ ★
✔ Vasectomy *
★ ★ ★ ★ ★
✔ Vasovasostomy *
★ ★ ★ ★ ★
✔ Waterhouse procedure *
★ ★ ★ ★ ★

Urology

✔ Adult circumcision *
★ ★ ★ ★ ★
✔ Colpotomy *
★ ★ ★ ★ ★
✔ Dilation and curettage (D&C) *
★ ★ ★ ★ ★
✔ Hysterectomy - abdominal *
★ ★ ★ ★ ★
✔ Hysterectomy - vaginal *
★ ★ ★ ★ ★
✔ Marshall - Marchetti *
★ ★ ★ ★ ★
✔ Marsupialization, Bartholin cyst *
★ ★ ★ ★ ★
✔ Ovarian cystectomy *
★ ★ ★ ★ ★
✔ Radium insertion *
★ ★ ★ ★ ★
✔ Salpingo-oophorectomy *
★ ★ ★ ★ ★
✔ Sacral spinous fixation *
★ ★ ★ ★ ★
✔ Shirodkar procedure *
★ ★ ★ ★ ★
✔ Suction curettage *
★ ★ ★ ★ ★
✔ Termination of pregnancy *
★ ★ ★ ★ ★
✔ Tubal ligation *
★ ★ ★ ★ ★
✔ Vaginal reconstruction *
★ ★ ★ ★ ★
✔ Vaginectomy/vulvectomy *
★ ★ ★ ★ ★

Gynecology

✔ Cesarean section *
★ ★ ★ ★ ★
✔ Achilles tendon repair *
★ ★ ★ ★ ★
✔ Amputation - leg, arm *
★ ★ ★ ★ ★
✔ Anterior cruciate ligament repair *
★ ★ ★ ★ ★
✔ Application of external fixators - extremities *
★ ★ ★ ★ ★
✔ Application of external fixators - pelvis *
★ ★ ★ ★ ★
✔ Application of halo traction *
★ ★ ★ ★ ★
✔ Arthrotomy *
★ ★ ★ ★ ★
✔ Bipolar/unipolar hips *
★ ★ ★ ★ ★
✔ Bunionectomy *
★ ★ ★ ★ ★
✔ Calcaneal reconstruction *
★ ★ ★ ★ ★
✔ Capsulorrhaphy *
★ ★ ★ ★ ★
✔ Carpal tunnel release *
★ ★ ★ ★ ★
✔ Closed reduction fracture *
★ ★ ★ ★ ★
✔ Hand surgery with implants *
★ ★ ★ ★ ★
✔ Harrington rod instrumentation and/or Dwyer procedure *
★ ★ ★ ★ ★
✔ Heel cord lengthening *
★ ★ ★ ★ ★
✔ Laminectomy *
★ ★ ★ ★ ★
✔ Olecranon bursa, excision of *
★ ★ ★ ★ ★
✔ ORIF, internal fixation with compression set *
★ ★ ★ ★ ★
✔ Patellectomy *
★ ★ ★ ★ ★
✔ Putti-Platt/Bankart procedure/rotator cuff repair *
★ ★ ★ ★ ★
✔ Reduction with compression sets *
★ ★ ★ ★ ★
✔ Reimplantation of digits *
★ ★ ★ ★ ★
✔ Repair hammer toes *
★ ★ ★ ★ ★
✔ Sacro-iliac (SI) joint screws *
★ ★ ★ ★ ★
✔ Sharrard procedure *
★ ★ ★ ★ ★
✔ Spica cast, application *
★ ★ ★ ★ ★
✔ Spinal fusion *
★ ★ ★ ★ ★
✔ Tendon transplants (hand and foot) *
★ ★ ★ ★ ★

Orthopedics

✔ Acetabular/pelvic ORIF *
★ ★ ★ ★ ★
✔ Elbow *
★ ★ ★ ★ ★
✔ Knee *
★ ★ ★ ★ ★
✔ Shoulder *
★ ★ ★ ★ ★

Orthopedics - Arthroscopy

✔ Ankle *
★ ★ ★ ★ ★
✔ Kuntscher rod *
★ ★ ★ ★ ★
✔ Lottes *
★ ★ ★ ★ ★
✔ Rush *
★ ★ ★ ★ ★
✔ Schneider *
★ ★ ★ ★ ★
✔ Zimmer *
★ ★ ★ ★ ★
✔ Iliac crest bone graft *
★ ★ ★ ★ ★
✔ Insertion Austin Moore hip prosthesis *
★ ★ ★ ★ ★

Orthopedics - Hip Compression Nails and Lag Screws

✔ Jewett *
★ ★ ★ ★ ★
✔ Femoral *
★ ★ ★ ★ ★
✔ Humeral *
★ ★ ★ ★ ★
✔ Insertion *
★ ★ ★ ★ ★
✔ Supracondylar *
★ ★ ★ ★ ★
✔ Tibial *
★ ★ ★ ★ ★

Orthopedics - Intramedullary Rods

✔ Extraction *
★ ★ ★ ★ ★
✔ Knee *
★ ★ ★ ★ ★
✔ Shoulder *
★ ★ ★ ★ ★

Orthopedics - Total Joint Replacements/Revisions

✔ Hip *
★ ★ ★ ★ ★
✔ Abdominalplasty *
★ ★ ★ ★ ★
✔ Blepharoplasty *
★ ★ ★ ★ ★
✔ Cleft lip repair *
★ ★ ★ ★ ★
✔ Dermabrasion *
★ ★ ★ ★ ★
✔ Face lift *
★ ★ ★ ★ ★
✔ Mentoplasty *
★ ★ ★ ★ ★
✔ Otoplasty *
★ ★ ★ ★ ★
✔ Pedicle grafts *
★ ★ ★ ★ ★
✔ Rhytidectomy * *
★ ★ ★ ★ ★