Peri-Operative
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Start peripheral IV - angio cath |
| IV Therapy - Assist with | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| A-V malformation | |||||
| Tumor excision | |||||
| Stealth craniotomy |
| Neurology - Cranioplasty/craniotomy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acetabular/pelvic ORIF | |||||
| Elbow | |||||
| Knee | |||||
| Shoulder |
| Orthopedics - Arthroscopy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Ankle | |||||
| Kuntscher rod | |||||
| Lottes | |||||
| Rush | |||||
| Schneider | |||||
| Zimmer | |||||
| Iliac crest bone graft | |||||
| Insertion Austin Moore hip prosthesis |
| Orthopedics - Hip Compression Nails and Lag Screws | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Jewett | |||||
| Femoral | |||||
| Humeral | |||||
| Insertion | |||||
| Supracondylar | |||||
| Tibial |
| Orthopedics - Intramedullary Rods | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Extraction | |||||
| Knee | |||||
| Shoulder |
| Orthopedics - Total Joint Replacements/Revisions | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Hip | |||||
| Abdominalplasty | |||||
| Blepharoplasty | |||||
| Cleft lip repair | |||||
| Dermabrasion | |||||
| Face lift | |||||
| Mentoplasty | |||||
| Otoplasty | |||||
| Pedicle grafts | |||||
| Rhytidectomy * |