Advantage RN ~ Travel Nurse Staffing Company

OR TECH SKILLS CHECKLIST                                                                                                  

This profile is for use by OR Tech 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)

General OR year(s)
Endoscopy year(s)
ENT year(s)
Gynecology year(s)
MedSurg year(s)
Neuro year(s)
Ophthalmology 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

A. NEURO Scrub Circulate
1. Craniotomy A B C D A B C D
2. Cervical Laminectomy A B C D A B C D
3. Transphenoid Hypothypectomy A B C D A B C D
4. VP Shunt A B C D A B C D
5. Acoustic Neuroma A B C D A B C D
6. Lumbar Laminectomy A B C D A B C D
7. Burr Holes A B C D A B C D
a. (Sub-dural hematoma) A B C D A B C D
     
B. VASCULAR    
1. Aorto-Iliac/Femoral Graft A B C D A B C D
2. Aortic Aneurysm A B C D A B C D
3. Thrombectomy A B C D A B C D
4. Femoral-Popliteal Graft A B C D A B C D
5. Carotid Endarterectomy A B C D A B C D
6. Leaking-Ruptured Aneurysm A B C D A B C D
7. AV Fistula Shunt A B C D A B C D
8. Femoral-Distal Bypasses A B C D A B C D
a. W/Angioscopy A B C D A B C D
     
C. GENERAL SURGERY                                        
1. Radical Mastectomy A B C D A B C D
2. Rectal Cases A B C D A B C D
3. Abdominal-Perineal Resection A B C D A B C D
4. Cholecystectomy A B C D A B C D
5. Minor Case Set-Up A B C D A B C D
a. (Breast Biopsies, Hernias) A B C D A B C D
6. Laparscopic Procedures A B C D A B C D
7. Ileostomy A B C D A B C D
8. Colostomy A B C D A B C D
9. Burn Cases A B C D A B C D
10. Thyroidectomy A B C D A B C D
11. Colon Resection A B C D A B C D
12. Gastrectomy A B C D A B C D
13. Staging Laparotomy A B C D A B C D
     
D. ORAL       
1. TMJ Exploration A B C D A B C D
2. LeFort Osteotomies A B C D A B C D
3. Maxillary Procedure with Graft A B C D A B C D
4. TMJ with Arthroplasty A B C D A B C D
5. Fractured Jaws, Mandible A B C D A B C D
     
E. THORACIC/OPEN HEART        
1. CABG A B C D A B C D
2. Internal Pacemaker Insertion A B C D A B C D
3. Thoracomtomy A B C D A B C D
4. Open Heart Procedures A B C D A B C D
a. ASD (Atrial Septal Defect) A B C D A B C D
b. VSD (Ventricular Septal Defect) A B C D A B C D
5. Mitral or Aortic Valve A B C D A B C D
a. Replacement A B C D A B C D
6. Bring Back Heart A B C D A B C D
7. Ventricular Assist Devices A B C D A B C D
8. BVS Adiomed/LVAD A B C D A B C D
9. Hemopump A B C D A B C D
10. Type I Aortic Dissection A B C D A B C D
11. Thoracoscopy A B C D A B C D
12. Mediastinoscopy A B C D A B C D
13. Tale Pouderage (Pleuradesis) A B C D A B C D
14. Homografts A B C D A B C D
15. AICD/PCD A B C D A B C D
     
F. OPHTHALMOLOGY    
1. Phaco Emulsification A B C D A B C D
2. ICLE A B C D A B C D
3. ECLE A B C D A B C D
4. Retina A B C D A B C D
5. Lid and Muscle Procedures A B C D A B C D
6. Enucleation A B C D A B C D
     
G. UROLOGY    
1. Nephrostomy Tube A B C D A B C D
2. Nephrectomy A B C D A B C D
3. Pyelolithotomy A B C D A B C D
4. Radical Node Dissection A B C D A B C D
5. Suprapubic Catheter Placement A B C D A B C D
6. Ureteral Stint A B C D A B C D
7. Penile Prosthesis A B C D A B C D
     
H. PEDIATRICS    
1. Pediatric Lap A B C D A B C D
2. Pediatric Inguinal Hernia A B C D A B C D
3. Pyloric Stenosis A B C D A B C D
4. Bronchoscopy A B C D A B C D
5. Bone Marrow Biopsy A B C D A B C D
6. Spina Bifida A B C D A B C D
7. Cardiac Surgery A B C D A B C D
     
I. ORTHOPEDICS    
1. Total Knee Replacement A B C D A B C D
2. Total Hip Replacement A B C D A B C D
3. Arthroscopy A B C D A B C D
4. Harrington Rod Insertion A B C D A B C D
5. Reduction w/Compression A B C D A B C D
a. Sets A B C D A B C D
6. Fracture Table Use A B C D A B C D
7. Laminectomies A B C D A B C D
8. IM Roddings A B C D A B C D
     
J. GYNECOLOGY    
1. Abdominal Hysterectomy A B C D A B C D
2. Vaginal Hysterectomy A B C D A B C D
3. Radical Hysterectomy A B C D A B C D
4. Laparoscopy A B C D A B C D
5. Tuboplasty A B C D A B C D
6. C-Sections A B C D A B C D
7. DTC. cone bx A B C D A B C D
     
K. ENT    
1. Tonsillectomy A B C D A B C D
2. Ear Cases A B C D A B C D
a. Tympanoplasty A B C D A B C D
b. Mastoidectomy A B C D A B C D
c. Stapedectomy A B C D A B C D
3. Endoscopies A B C D A B C D
4. Vocal Cord Stripping A B C D A B C D
5. Radical Neck Dissection A B C D A B C D
     
L. TRANSPLANT    
1. Cadaver Recovery (Harvest) A B C D A B C D
2. Transplant Recipient Team A B C D A B C D
3. Heart Transplant A B C D A B C D
4. Liver Transplant A B C D A B C D
5. Kidney Transplant A B C D A B C D
6. Pancreas Transplant A B C D A B C D
7. Lung Transplant A B C D A B C D
     
M. PLASTICS    
1. Mammoplasty A B C D A B C D
2. Rhinoplasty A B C D A B C D
3. Cleft Lip and Palate Repair A B C D A B C D