Advantage RN ~ Travel Nurse Staffing Company

OR CARE SKILLS CHECKLIST                                                                                                  

This profile is for use by OR nurses with more than one year experience in their discipline and specialty. It will not be a determining factor for the Advantage RN program.

Please enter your full legal name as it appears on your Social Security Card.

First Name:   Last Name:   email:

Please check the boxes below for each age group for which you have provided age appropriate nursing care:

A.   Newborn/Neonate (birth-30days) F.     Adolescents (12-18 years)
B    Infant (30 days-1 year) G.   Young adults (18-39 years)
C   Toddler (1-3 years) H.   Middle adults (39-64 years)
D   Preschooler (3-5 years)  I.     Older adults (64+)
E.    School age children (5-12 years)    

My OR experience is primarily in:  (please indicate number of years)

OR Nurse year(s)
Endoscopy year(s)
ENT year(s)
Gynecology year(s)
MedSurg year(s)
Neuro year(s)
Opthalmology year(s)
Ortho year(s)
Plastic year(s)
Thoracic Open Heart year(s)
Transplant year(s)
Trauma year(s)
Urology year(s)
Vascular year(s)

Please indicate your level of experience:   A.  Theory, no practice     B.  Intermittent     C.  One- Two Years Current Experience D.  Two plus years experience, can function independently

ENDOSCOPIC Scrub Circulate
1. Bronchoscopy A B C D A B C D
2. Colonoscopy A B C D A B C D
3. Culdoscopy A B C D A B C D
4. Cystoscopy A B C D A B C D
5. Esphagoscopy A B C D A B C D
6. Gastroscopy A B C D A B C D
7. Hysteroscopy A B C D A B C D
Laparoscopic    
8. Appendectomy A B C D A B C D
9. Chelecystectomy/cholangiogram A B C D A B C D
10. Colon resection A B C D A B C D
11. Hernia repair A B C D A B C D
12. Nissen fundoplication A B C D A B C D
13. Salpingo-oophorectomy A B C D A B C D
14. Tubal ligation A B C D A B C D
15. V aginal hysterectomy A B C D A B C D
16. Laryngoscopy & Microlaryngoscopy A B C D A B C D
17. Mediastinoscopy A B C D A B C D
18. Pelviscopy A B C D A B C D
19. Sigmoidoscopy A B C D A B C D
20. Thorascoscopy                                           A B C D A B C D
     
ENT    
21. Acoustic Neuroma A B C D A B C D
22. Adenioidectomy A B C D A B C D
23. Caldwell - Luc A B C D A B C D
24. Closed reduction nasal fracture A B C D A B C D
25. Commandeo procedure A B C D A B C D
Ear Cases:    
26. Mastoidectomy A B C D A B C D
27. Myringotomy w/PE tube insertion A B C D A B C D
28. Strapedectomy A B C D A B C D
29. Tympanoplasty A B C D A B C D
30. Ethymoldectomy A B C D A B C D
31. Excision of salivary gland tumor A B C D A B C D
32. Fenestration procedure A B C D A B C D
33. Frontal flap sinus procedure A B C D A B C D
34. Glossectomy                                       A B C D A B C D
35. Laryngectomy A B C D A B C D
36. Landibulectomy A B C D A B C D
37. Maxillary advancement withip graft A B C D A B C D
38. Maxillectomy                                 A B C D A B C D
39. Nasal polypectomy                         A B C D A B C D
Open Reduction:    
40. Facial                                          A B C D A B C D
41. Nasal                       A B C D A B C D
42. Tripod                                        A B C D A B C D
43. Parotidectomy A B C D A B C D
44. Pharyngeal flap procedure A B C D A B C D
45. Radial neck dissection A B C D A B C D
46. Ranulectomy A B C D A B C D
47. Thinoplasty/septoplasty A B C D A B C D
48. Selective osteotomy of maxilla/mandible A B C D A B C D
49. Sinus endoscopy A B C D A B C D
50. Sinusotomy A B C D A B C D
51. Submucous resection A B C D A B C D
52. Tonsillectomy A B C D A B C D
53. Traceostomy A B C D A B C D
54. Vocal cord stripping A B C D A B C D
     
GYNECOLOGY    
55. Casearean section A B C D A B C D
56. Colpotomy A B C D A B C D
57. Dilation and Curretage (D&C) A B C D A B C D
Hysterectomy    
58. Abdominal A B C D A B C D
59. Radical A B C D A B C D
60. Vaginal A B C D A B C D
61. Laproscopy A B C D A B C D
62. Marshall Marchetti A B C D A B C D
63. Marsupialization Bartholin Cyst A B C D A B C D
Pelvic    
64. Anterior A B C D A B C D
65. Posterior A B C D A B C D
66. Total A B C D A B C D
67. Ovarian cystectomy A B C D A B C D
68. Radium instertion A B C D A B C D
69. Sacral spinus fixation A B C D A B C D
70. Salpingoplasty A B C D A B C D
71. Shirodkar procedure A B C D A B C D
72. Suction curettage A B C D A B C D
73. Tubal ligation A B C D A B C D
74. Tuboplasty/Microspoce A B C D A B C D
75. Vaginal reconstruction A B C D A B C D
76. Vaginectomy A B C D A B C D
77. Vulvectomy A B C D A B C D
     
MED/SURG    
78. Abdominal perineal resection A B C D A B C D
79. Adrenaclectomy A B C D A B C D
80. Anal Fissurectomy A B C D A B C D
81. Appendectomy A B C D A B C D
82. Breast biopsy A B C D A B C D
83. Cholecystectomy/Cholangiogram A B C D A B C D
84. Colectomy A B C D A B C D
85. Colon resection A B C D A B C D
86. Colostomy/Illeostomy A B C D A B C D
87. Endoscopic procedures A B C D A B C D
88. Gastrectomy A B C D A B C D
89. Gastroplasty A B C D A B C D
90. Hemorrhoidectomy A B C D A B C D
91. Hepatic resection A B C D A B C D
Hemiorrhaphy    
92. Femoral A B C D A B C D
93. Injuinal A B C D A B C D
94. Umbilical A B C D A B C D
Hiatal    
95. Herniorrhaphy A B C D A B C D
96. Transabdominal A B C D A B C D
97. Transthoracis A B C D A B C D
98. Hickman-Groshong/Portacath insertion A B C D A B C D
99. Hydrocelectomy A B C D A B C D
100. Imperforate anus reconstruction A B C D A B C D
101. Laveen-Peritoneal Shunt A B C D A B C D