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Hudson Staffing Travel Nurses| Operating Room Surgical Technologist Online Checklist
Operating Room Surgical Technologist 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 Surgical Technologist 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 Surgical Technologist 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

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
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
THORACIC 1 2 3 4
     Endoscopic Thoracic Procedures
     Esophagogastrectomy
     Mediastinotomy/Sternotomy
     Thoracoscopy/Nuss Procedure
     Thoracotomy
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
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
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
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
EAR/NOSE/THROAT 1 2 3 4
     Endoscopic ENT Procedures
     Laryngectomy
     Mastoidectomy
     Myringotomy with Insertion of Tubes
     Radical Neck
     Septoplasty
     Tonsillectomy & Adenoidectomy
     Tracheostomy
     Tympanoplasty
CRANIOFACIAL/ORAL/PLASTICS 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
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
TRANSPLANTS 1 2 3 4
     Heart
     Lung
     Liver
     Pancreas
     Eye
     Organ Donation
OPHTHAMOLOGY 1 2 3 4
     Cataract Extraction with Implant
     Vitrectomy
     Scleral Buckle
     Cataract Aspiration; Anterior Vitrectomy
     Corneal Transplant
If no PEDIATRICS Experience, skip to EQUIPMENT section
PEDIATRICS 1 2 3 4
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
GENITOURINARY 1 2 3 4
     Circumcision
     Cystoscopy/Cystogram/Pyelogram
     Hydrocelectomy
     Nephrectomy
     Orchidectomy/Orchidopexy
     Repair of Hypospadias
     Retrograde Pyelogram
     Ureterostomy
NEURO 1 2 3 4
     Craniotomy
     Insertion of Vagal Nerve Stimulator
     Insertion of VP Shunt
     Laminectomy
CARDIAC/VASCULAR 1 2 3 4
     Arterial Switch
     ASD/VSD Repair
     Atrial Septectomy
     Bidirectional Glenn
     BT Shunt
     ECMO Insertion/Decannulation
     Fontan Procedure
     Norwood Procedure
     Pacemaker
     PDA Ligation
     Repair of Coarctation of Aorta
     Ross Procedure
     Tetralogy of Fallot Repair
     Valve Repair/Replacement
     Ventricular Assist Device
TRANSPLANT 1 2 3 4
     Heart
     Kidney
     Liver/Pancreas
     Lung
     Organ Donation
OPHTHAMOLOGY 1 2 3 4
     Corneal Transplant
     Dacrocystorhinostomy
     Excision of Chalazion
     Eye Muscle Surgery
     Levator Resection
     Orbitotomy of Eye
     Repair of Ptosis
EAR/NOSE/THROAT 1 2 3 4
     Cochlear Implant
     Laryngotracheoplasty
     Myringotomy with Tubes
     Septoplasty
     Suspension Microlaryngoscopy
     Tonsillectomy & Adenoidectomy
     Tracheostomy
     Turbinate Reduction
     Tympanoplasty/Typanomastoidectomy
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
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
OR EQUIPMENT 1 2 3 4
     Electrocautery (ESU)
     Laparoscopy Systems
     Neuro
     OR Fracture Tables (List types below)
     List Types
     Orthopedic Total Joint Systems
     Power Equipment
     Robotics Systems (List types below)
     List Types
     Spinal Fusion Instrumentation
PROFESSIONAL KNOWLEDGE AND SKILLS 1 2 3 4
     Malignant Hyperthermia Protocol
     Infection Prevention
     Isolation Precautions
     National Patient Safety Goals/Core Measures
     Universal Protocol
EMR 1 2 3 4
     Epic
     Picis
     Cerner
     Eclipsys
     McKesson
     Meditech
     Other Computerized System
     Computerized Physician Order Entry
     EMR Conversion Yes No
CERTIFICATIONS        
     BLS
     Certified Surgical Technologist (CST)
     Certified Sterile Processing Technologist (CSPT)
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* 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 Surgical Technologist Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.235.176.80) which will be used as a digital signature.



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