Administrative Registered Nurse Skills Checklist

CVOR Tech Skills Checklist

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(CVOR Tech)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

GENERAL SURGERY

Abdominal Perineal Resection:

★★★★

Appendectomy/Cholecystectomy:

★★★★

Breast Biopsy:

★★★★

Colon Resection/Surgery:

★★★★

Gastrectomy:

★★★★

Gastric Bypass/Roux-en-Y:

★★★★

Hemorrhoidectomy:

★★★★

Herniorrhaphy:

★★★★

Laparoscopic General Surgeries:

★★★★

Laparoscopic Nissen Fundoplication:

★★★★

Mastectomy:

★★★★

Splenectomy:

★★★★

Thyroidectomy:

★★★★

CARDIOVASCULAR

Aorta Repair:

★★★★

Aorto-Bifemoral/Femoral-Pop Bypass:

★★★★

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:

★★★★

THORACIC

Endoscopic Thoracic Procedures:

★★★★

Esophagogastrectomy:

★★★★

Mediastinotomy/Sternotomy:

★★★★

Thoracoscopy/Nuss Procedure:

★★★★

Thoracotomy:

★★★★

ORTHOPEDIC

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

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

Vasicaurethropexy:

★★★★

Marshall Marchetti:

★★★★

Circumcision:

★★★★

Cystoscopy/Cystogram/Pyelogram:

★★★★

Prostatectomy:

★★★★

Nephrectomy:

★★★★

Orchidectomy/Orchidopexy:

★★★★

Ureterostomy:

★★★★

Laparoscopic Assisted GU Procedures:

★★★★

Robotic Assisted GU Procedures:

★★★★

GYNECOLOGICAL

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

Endoscopic ENT Procedures:

★★★★

Laryngectomy:

★★★★

Mastoidectomy:

★★★★

Myringotomy with Insertion of Tubes:

★★★★

Radical Neck:

★★★★

Septoplasty:

★★★★

Tonsillectomy & Adenoidectomy:

★★★★

Tracheostomy:

★★★★

Tympanoplasty:

★★★★

CRANIOFACIAL / ORAL / PLASTICS

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

Blepharoplasty:

★★★★

Breast Reconstruction with Implant:

★★★★

Breast Reduction Mammoplasty:

★★★★

Face Lift:

★★★★

Mastectomy & Tram Flap Reconstruction:

★★★★

Split Thickness Skin Graft:

★★★★

Suction Lipectomy:

★★★★

TRANSPLANTS

Heart:

★★★★

Lung:

★★★★

Liver:

★★★★

Pancreas:

★★★★

Eye:

★★★★

Organ Donation:

★★★★

EQUIPMENT

Electrocautery (ESU):

★★★★

Laparoscopy Systems:

★★★★

Neuro:

★★★★

OR Fracture Tables:

★★★★

Orthopedic Total Joint Systems:

★★★★

Power Equipment:

★★★★

Robotics Systems:

★★★★

Spinal Fusion Instrumentation:

★★★★

OTHER SKILLS

Malignant Hyperthermia Protocol:

★★★★

Infection Prevention:

★★★★

Isolation Precautions:

★★★★

National Patient Safety Goal:

★★★★

Universal Protocol:

★★★★

AGE SPECIFIC COMPETENCE

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):

★★★★

CVOR Tech Skills Checklist

Fill Out and Submit your Skills Checklist

(CVOR Tech)

Proficiency Scale:

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