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Hudson Staffing Travel Nurses| Operating Room Nursing Online Checklist
Operating Room Nursing Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Operating Room Nursing field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
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This profile is for use by healthcare professionals in the Operating Room Nursing discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
ADULTS
WORKSETTING
1
2
3
4
General OR
CVOR
Outpatient
Trauma
Peds-General OR
Peds-CVOR
First Assist
Scrub Experience
GENERAL SURGERY
1
2
3
4
Abdominal Perineal Resection
Appendectomy/Cholescystectomy
Breast Biopsy
Colon Resection/Surgery
Gastrectomy
Gastric Bypass/Roux-en-Y
Hemorrhoidectomy
Herniorrhaphy - Inguinal, Ventral, Femoral, Umbilical
Laparoscopic General Surgeries
Laparoscopic Nissen Fundoplication
Mastectomy
Splenectomy
Thyroidectomy
Scrub General Surgery
CARDIOVASCULAR
1
2
3
4
Aorta Repair
Aorto-Bifemoral/Femoral-Pop Bypass Graft
Cardiac Bypass Surgery
Carotid Endarterectomy
Endoscopic Vascular Procedures
Femoral Popliteal Bypass Graft
Laparascopic Cardiac Surgery
Robotic Assisted Cardiac Surgery
Valve Replacement/Repair
Ventricular Assist Device
Scrub CV Surgery
THORACIC
1
2
3
4
Endoscopic Thoracic Procedures
Esophagoogastrectomy
Mediastinotomy/Sternotomy
Thoracoscopy/Nuss Procedure
Thoracotomy
Scrub Thoracic Surgery
ORTHOPEDIC
1
2
3
4
Total Joint Replacement
Closed Reduction of Fracture
External Fixator
Cannulated Hip Screws
Bankhart Procedure
Birmingham Procedure
Carpal Tunnel Release
Arthroscopy
Anterior Cruciate Ligament Reconstruction
Open Reduction Internal Fixation
Scrub Orthopedics
NEUROLOGICAL
1
2
3
4
Craniotomy
Steriotactic Guided Brain Biopsy
Laminectomy
Laparoscopic Anterior Laminectomy
Insertion of Vagal Nerve Stimulator
Insertion of VP Shunt
Spinal Fusion
Anterior Cervical Discectomy with Fusion
Posterior Cervical Laminectomy
Scrub Neurological Surgery
GENITOURINARY
1
2
3
4
Vasicaurethropexy
Marshall Marchetti
Circumcision
Cystoscopy/Cystogram/Pyelogram
Prostatectomy
Nephrectomy
Orchidectomy/Orchidopexy
Ureterostomy
Laparoscopic Assisted GU Procedures
Robotic Assisted GU Procedures
Scrub GU Surgery
GYNECOLOGICAL
1
2
3
4
Abdominal Hysterectomy
Anterior Posterior Repair
C-Section
D & C
Laparoscopic Assisted Hysterectomy
Laparotomy with Microtuboplasty
Robotic Assisted GYN Procedures
Vaginal Delivery
Vaginal Hysterectomy
Scrub Gyn Surgery
EAR/NOSE/THROAT
1
2
3
4
Endoscopic ENT Procedures
Laryngectomy
Mastoidectomy
Myringotomy with Insertion of Tubes
Radical Neck
Septoplasty
Tonsillectomy & Adenoidectomy
Tracheostomy
Tympanoplasty
Scrub ENT Surgery
CRANIOFACIAL/ORAL
1
2
3
4
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
Scrub Craniofacial/Oral
PLASTIC
1
2
3
4
Blephoroplasty
Breast Reconstruction with Implant
Breast Reduction Mammoplasty
Face Lift
Mastectomy with Tram Flap Reconstruction
Split Thickness Skin Graft
Suction Lipectomy
Scrub Plastics
TRANSPLANTS
1
2
3
4
Heart
Lung
Liver
Pancreas
Eye
Organ Donation
Scrub Transplants
OPHTHALMOLOGY
1
2
3
4
Cataract Extraction with Implant
Vitrectomy
Scleral Buckle
Cataract Aspiration; Anterior Vitrectomy
Corneal Transplant
Scrub Ophthalmology
PEDIATRICS
GENERAL SURGERY
1
2
3
4
Anal Fistulectomy/Anoplasty
Appendectomy/Cholecystectomy
Biopsy (Mass, Muscle, Lymph Node)
Bronchoscopy
Colostomy
Esophagogastroduodenoscopy w/ Biopsy
Esophagoscopy
Exploratory Laparotomy
Flexible Sigmoidoscopy
Fundoplication
Gastrostomy
Herniorrhaphy
Insertion of Port-a-Cath, Hickman, Broviac
Laparascopic General Surgery Procedures
Liver Biopsy
Percutaneous Endoscopic Gastrostomy
Thoracoscopy/Nuss Procedure
Scrub Peds General Surgery
GENITOURINARY
1
2
3
4
Circumcision
Cystoscopy/Cystogram/Pyelogram
Hydrocelectomy
Nephrectomy
Orchidectomy/Orchidopexy
Repair of Hypospadias
Retrograde Pyelogram
Ureterostomy
Scrub Peds GU
NEURO
1
2
3
4
Craniotomy
Insertion of Vagal Nerve Stimulator
Insertion of VP Shunt
Laminectomy
Scrub Peds Neuro
CARDIAC/VASCULAR
1
2
3
4
Arterial Switch
ASD/VSD Repair
Atrial Septectomy
Bidirectional Glenn
BT Shunt
ECMO Insertion/Decannulation (Cardiac)
Fontan Procedure
Norwood Procedure
Pacemaker
PDA Ligation
Repair of Coarctation of Aorta
Ross Procedure
Tetralogy of Fallot Repair
Valve Repair/Replacement
Ventricular Assist Device
Scrub Peds Cardiac/Vascular
TRANSPLANT
1
2
3
4
Heart
Kidney
Liver/Pancreas
Lung
Organ Donation
Scrub Peds Transplant
OPHTHALMOLOGY
1
2
3
4
Corneal Transplant
Dacrocystorhinostomy
Excision of Chalazion
Eye Muscle Surgery
Levator Resection
Orbitotomy of Eye
Repair of Ptosis
Scrub Peds Opthalmology
EAR/NOSE/THROAT
1
2
3
4
Cochlear Implant
Laryngotracheoplasty
Myringotomy with Tubes
Septoplasty
Suspension Microlaryngoscopy
Tonsillectomy & Adenoidectomy
Tracheostomy
Turbinate Reduction
Tympanoplasty/Typanomastoidectomy
Scrub Peds ENT
CRANIOFACIAL/ORAL/PLASTICS
1
2
3
4
Craniectomy
Craniofacial Reconstruction
Dental Surgery
Leforte 1 Maxillary/Sagittal Osteotomy
Mandibular Osteotomy
ORIF Mandibular Fracture
Otoplasty
Reconstruction of Ear
Repair of Cleft Lip, Nose, Palate
Rhinoplasty
Skin Graft
Scrub Peds C-Fl/Oral/Plastics
ORTHOPEDICS
1
2
3
4
Acetabuloplasty/Triple Innominate
Arthroscopy of Knee, Wrist, Shoulder
Closed Reduction, Percutaneous Pin
External Fixator (Ilizarov/Orthofix)
ORIF Shoulder, Humerus, Tibia, Femur
Osteotomy/VDRD/Calcaneal/Metatarsal
Spinal Fusion/Spinal with Instrumentation
Tendoachilles Lengthening
Scrub Peds Ortho
OR EQUIPMENT
1
2
3
4
Electrocautery (ESU)
Laparoscopy Systems
Neuro
OR Fracture Tables
Orthopedic Total Joint Systems
Power Equipment
Robotics Systems
Spinal Fusion Instrumentation
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Malignant Hyperthermia Protocol
Administer and Monitor Moderate Sedation
Universal Protocol for Wrong Site Surgery
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
EMR
1
2
3
4
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
EMR Conversion
Yes
No
CERTIFICATIONS
1
2
3
4
BLS
PALS
Certified Nurse Operating Room
Registered Nurse First Assist
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I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Operating Room Nursing Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
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Hudson Staffing
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