Skill Checklists

Operating Room RN

This checklist was electronically signed on (Today’s date)

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 Skills - Administrative / Personnel

Adhere to Legal / Ethical Standards related to surgical care ie: consenst, patient rights, negligence

Implement cultural diversity consideration in care

Serve as a resource / Mentor to the surgical team

Reconginize and report safety/ envioremental hazards to appropriate personnel

Review / revise surgeon's preference card as needed

Ability to utilize compter technology

Ability to follow disaster protocol

General Skill- Equipment Sterilization / Maintenance

Ability to Operate equipment in Accordance with manufacturer recommendations

Ability to troubleshoot equipment used in surgical setting

Removal malfunctioning from service & report to appropriate personnel

Perioperative Care - Pre-Operative Preparation

Confirm Signed Operative Consent

Confirm H&P , Appropiate lab/ diagnostic results in Chart

Confirm advanced directives in chart

Obtain and review diagnostic tests for referencing/ Review

Verfiy avaliability of surgical instruments equipments / supplies according to procedure & surgeon preference

Assemble and perform testing on positioning equipment

Prepare Operating room environment ie temperature, lighting

Obtain / Apply Touriquet

Assist with transfer of patient to table

Perform cathetenzation pre-op

Assist with transfer of patient to table

Check intergrity of packaging for sterile supplies

Remove devices pre-op ie splints/ braces

Don PPE (Personal Protective Equipment)

Open Sterile supplies utilizing aseptic technique

Perform surgical hand scrub , gown & glove

Perform time out including identification of patient and operative site

Perform inspection equipment to be used in procedure ie harmoic scalpel endoscopic equipment

Perform draping of patient for surgical procedure

Adhere to radiologic/ surgical techniques and safety

Confirm patient identity using two patients indetifiers

Perioperative Care - Intra - Operative Procedures

Assist surgical team with care of patient

Provide assistance to surgeon during surgery ie passing instruments & supplies

Monitor/ Maintain Aspectic technique during course of surgical procedure

Perform intra -operative functions as directed

Perform video recording / photography during procedure

Confirm Suture materials to be used during surgical procedure

Use of Special equipments ie harmonic scalpel endoscopic equipment

Facilitate efficiency of surgical procedure

Perform irrigation , suction at operatie site

Sponge operative site as needed

Perform placement of retractors

Secure retractors and packing

Utilize internal stapling device

Perform verification of medications and solutions on sterile field

Perform calculations and mixing of medications / Solutions used at sterile field

Perform Clamping , tieing and cauterizing of vessels during surgical procedure

Confirm and mark specimens collected during surgical procedure

Monitor patients status during surgical procedure ie blood loss / Characteristics , patient position

Perform surfuring of tissue

Prepare equipment such as drains & catheters for insertion

Perform insertion of equipment such as drains & catheters

Position equipment such as drains & Catheters

Perform skin Stapling

Application of Sterile dressing

Assist with placement of closed wound drainage systems

Respond to emergencies such as CPR and perform designated action

Perioperative Care - Post-Operative Procedures

Apply devices post - operatively ie casts, splints

Dispose of contaiminated items post -operatively according to standard precautions ie contaminted sharps and waste

Perform assesment of patient and document ie skin integrity

Assist with tranfer of patient of PACU

Perform removal of suture/ staples

Perform dresssing change

Advanced Skills - Anatomy & Physiology

Implement advanced knowledge of antomy/ phatophysiology related to surgical procedures

Implement Advance knowledge related to tissue handling/ manipulation

Advanced Skills - Advanced Principles of Microbiology

Utilize Advanced knowledge of microbiology to classification/ pathogenesis of micro-organisms

Utilize Advanced knowledge of microbiology to wound healing process

Implement infection controls protocols ie aseptic principles

Utilize proper principles with tissue handling ie Halsted

Utilize Advanced Knowledge of Surgical wound classifications

Advanced Skills - Surgical Pharmacology / Anesthesia

Implement advanced knowledge of pharmacology related to the OR

Implement Advance knowledge of anesthesiology related to the OR

Assist MD in treating phrmacologicial /anesthetic related complications

Administer medications as needed

Identity s/s adverse pharmacologic reactions

Recognize blood / fluid replacement needs

Implement knowledge of pain management

Surgical Procedure - General Surgery

Abdominalp- perineal resection

Adrenalectomy

Anal Fissurectomy

Acholecystectomy

Colon Resection

Colostomy / Leostomy

Gastrectomy

Gastroplasty

Hemorrhoidectomy

Hepatic Resection

Hemia Repair

Hemiorhaphy

Hiatal Hemiorrhaphy

Hickman / groshong / Portacath

Hydrocelectomy

Leveen -Peritoneal Shunt

Spienectomy

Nissen Fundoplication

Pancreatectomy

Pilonidal Custectomy

Whipple

Pyloric Stenosis

Radical Mastectomy

Surgical Procedure - Endoscopic Procedures

Cystoscopy

Bronchoscopy

Colonoscopy

Esphagoscopy

Gastroscopy

Larygoscopy

Laparoscopy

Mediastinoscopy

Sigmoidoscopy

Surgical Procedure - Ear , Nose & Throat

Acoustic Neuroma

Cochlear Implatation

Ethymoidectomy

Fenestration Procedure

Frontal Flap Sinus Procedure

Laryngectomy

Nasal Polypectomy

Radical Neck Dissection

Sinusotomy

Tonsillectomy

Tracheostomy

Surgical Procedure - Gynecology

Abdominal Hysterectomy

C Section

Dilation and Curettage

Laparascopy

Marshall Marchetti

Radical Hysterectomy

Radical Insertion

Salpingoplasty

Suction Curettage

TAH/ BSO

Tubal Ligation

Vaginal Hysterectomy

Vaginectomy

Vulvectomy

Surgical Procedure - Neurology

Acoustic Neuroma

Burr Nose

Carotid endartectomy

Cervical Endarterectomy

Cervical Endarterectomy

Clipping of intracranial Aneurysm

Cranioplasty

Craniotomy for tumor excision

Insertion of Nerve Stimulators

Lumbar lamicetomy

Meningrocele Repair

Spine Fusion

VA / VP Shunt

Surgical Procedure - Opthalmology

Cataract Extaction

Corneal Transplant

Enucleation

Indectomy

Orbital Implant

Retinal Detachment

Vitrectomy

Surgical Procedure - Oral

Safittal Osteotomy

TMJ with Arthroplasty

TMJ Exploration

Surgical Procedure - Orthopedics

Achilles Tendon Repair

Amputation leg/arm

Acetabular / Pelvic ORIF

ACL Repair

Application of External Fixators

Arthoscopic Surgery

Arthrotomy

Carpal Tunnel Release

Closed Reduction Fracture

Fracture table use

Hand Surgery

Harrington Rod Insertion

Iliac Crest Bone Graft

IM Rodding

Intramedullary Rods

Open Reduction Fracture

Spine Fusion

Total Joint Replacement

Surgical Procedure - Pediatrics

Cleft Lip/ Palate Repair

Inguinal Hernia Repair

Lap

Pytoric Stenosis

Surgical Procedure - Plastics

Augmentation Mammoplasty

Abdominal Lipectomy

Belpheroplasty

Dermabrasion

Face lift

Rhinoplasty

Scar Revisions

Skin Grafts

Tissue Expanders

Reduction Mammoplasty

Surgical Procedure - Thoracic / Open heart

CABG

Closed Thoracotomy

Esophagectomy

Heller Procedure

Mitral/ Aortic Valve Replacement

Pacemaker Insertion

Thoracotomy

Tracheal Resection

Ventricular Septal Defect

Surgical Procedure - Transplant

Bone

Bone Marrow

Corneal

Harvesting

Heart

Liver

Kidney

Lung

Multi Organ

Pancreas

Skin

Surgical Procedure - Trauma

Gunshot Wounds

Burns

Motor Vehicle Accidents

Traumatic Amputations

Surgical Procedure - Urology

Cystectomy

Cystoscopy

Hyposadius Repair

Implants, Penite, Testicular

Nephrectomy

Radical Node Dissection

Suprapubic Prostatectomy

TURP

Vasectomy

Surgical Procedure - Vascular

AV Acess Graft

AV Fistula shunt

Abdominal Aortic Aneuysm

Carotid endartectomy

Fem / Pop Graft

Thrombectomy

Vena Cava Filter

Vena cava Ligation

Equipment - General

Arthoscopic Cameras

Argon Beam Coagulator

Bair Hugger

Blood Warmer

Bovie Electrosurgical Unit

Cardiac Monitoring & Pacemaker

Camera / Video Systems

cell Saver

Defibrillator / Pacer

Dermatones

Drills

Emersion Thoracic Pump

Fibre Optic Luminators

Flash Autoclave

Fluid Pumps

Hypo - Hypertermia

Laser

Pleuravac Disposable Drainage

Suction Unit

Vaccum Curettage

Robotics

Age Specific

Infant (Birth to 1 year)

Toddler (1-3 years)

Pre-school (3-6 years)

Adolescent (12-18 years)

Young Adult (18-30 years)

Mature Adult (30-60 years)

Elderly (>60 years)

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.