OR – Circulate Skills Checklist

Name(Required)

Proficiency:

1 = Minimal Experience
2 = Limited Experience
3 = Competent
4 = Highly Skilled

Cardiovascular

Aortic Aneurysm(Required)
Aorto-Femoral Bypass, Graft Insertion(Required)
A-V Shunts(Required)
Cardiac Valve Replacement(Required)
Coronary Artery Bypass Graft(Required)
Endarterectomy Carotid / Femoral(Required)
External Temporary Pacemaker(Required)
Internal Pacemaker Insertion(Required)
Intra-Aortic Balloon Pump Catheter(Required)
Patent Ductus Repair(Required)
Pericardial Windows(Required)
Porta-Systemic Shunt(Required)
Repair of Septal Defects(Required)
Thrombectomy(Required)
Transplant Surgery(Required)
Vena Cava Ligation(Required)

Endoscopy

Bronchoscopy(Required)
Colonoscopy(Required)
Cystoscopy(Required)
Gastroscopy(Required)

E.N.T.

Caldwell-Luc(Required)
Ethmoidectomy(Required)
Frontal Flap Sinus Procedure(Required)
Laryngectomy(Required)
Laryngoscopy(Required)
Mastoidectomy(Required)
Nasal Polypectomy(Required)
Open Reduction Facial Features(Required)
Radical Neck(Required)
Stapedectomy(Required)
Tonsillectomy and Adenoidectomy(Required)
Tympanoplasty(Required)

Eye

Canthotomy(Required)
Corneal Transplant(Required)
Correction of Ectropion / Entropion(Required)
Enucleation(Required)
Excision of Chalazion(Required)
Integrated Orbital Implants(Required)
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Lacrimal Duct Probing(Required)
Refractive Keratoplasty(Required)
Repair of Retinal Detachment(Required)
Vitrectomy(Required)

General Surgery

Abdominal Perineal Resection(Required)
Adrenalectomy(Required)
Bowel Resection(Required)
Cholecystectomy(Required)
Colostomy / Ileostomy(Required)
Gastrectomy(Required)
Hemicolectomy(Required)
Hepatic Resection(Required)
Herniorrhaphy-Femoral / Inguinal(Required)
Hiatal Herniorrhaphy: Transabdominal(Required)
Pancreatectomy(Required)
Organ Procurement(Required)
Radical Mastectomy(Required)
Saphenous Vein Ligation and Stripping(Required)
Splenectomy(Required)
Thyroidectomy(Required)
Tracheostomy(Required)
Whipple Procedure(Required)

G.U. and Cysto

Circumcision(Required)
Cystectomy(Required)
Cystoscopy / Cystostomy(Required)
Hypospadias Repair(Required)
Ileal Loop(Required)
Kidney Repair(Required)
Lithotripsy(Required)
Nephrectomy(Required)
Orchiectomy(Required)
Penile Implant(Required)
Prostatectomy(Required)
T.U.R.P. / T.U.R.B.(Required)
Ureterolithotomy(Required)
Vasectomy(Required)

Gynecology

Cesarean Section(Required)
Dilation and Curettage(Required)
Hysterectomy Abdominal(Required)
Hysterectomy Vaginal(Required)
Laser Surgery(Required)
Radium Insertion(Required)
Salpingo Oophorectomy(Required)
Shirodkar Procedure(Required)
Termination of Pregnancy(Required)
Tubal Ligation(Required)
Vaginal Reconstruction(Required)
Vaginectomy(Required)

Laparoscopic

Appendectomy(Required)
Cholecystectomy(Required)
Colon Resection(Required)
Hernia Repair(Required)

Neurosurgery

Anterior Cervical Fusion(Required)
Burr Holes for Subdural Hematoma(Required)
Craniotomy(Required)
Laminectomy(Required)
Meningocele Repair(Required)
Shunt Procedures VP / VA(Required)

Orthopedic

Amputation Leg / Arm(Required)
Application of Halo Traction(Required)
Arthroscopy / Arthrotomy(Required)
Closed Pinning and Reduction of Extremities(Required)
External Compression Devices(Required)
Insertion of Finger Prosthesis(Required)
O.R.I.F. Shoulder, Hip, Humerus, etc.(Required)
Patellectomy(Required)
Repair of Dislocation(Required)
Spica Cast Application(Required)
Spinal Fusion(Required)
Transforaminal Lumbar Interbody Fusion (TLIF)(Required)
Direct Lateral Interbody Fusion (DLIF)(Required)
Extreme Lateral Interbody Fusion (XLIF)(Required)
Computer-Assisted Navigation(Required)
360s(Required)
540s(Required)
Tendon Implants and Reanastomosis(Required)
Total Joint Replacement Knee, Hip, Shoulder(Required)

Thoracic

Bronchoscopy(Required)
Chest Tube Set-Up Type(Required)
Hiatal Hernia(Required)
Lung / Wedge Resection(Required)
Pneumonectomy / Lobectomy(Required)
Sternal Splitting(Required)
Thoracotomy(Required)

Plastics

Abdominoplasty / Abdominal Lipectomy(Required)
Augmentation Mammoplasty(Required)
Cleft Lip / Palate Repair(Required)
Dermabrasion(Required)
Digital Flexor Tendon Repair(Required)
Liposuction(Required)
Myelomeningocele Repair(Required)
Otoplasty(Required)
Rhinoplasty(Required)
Reduction of Facial Fracture(Required)
Scar Revision(Required)
Skin Meshing(Required)
Split Thickness Skin Grafting(Required)

Age Specific Competency

Newborn / Neonate (Birth - 30 days)(Required)
Infant (1 month - 1 year)(Required)
Toddler (1 - 3 years)(Required)
Preschooler (3 - 5 years)(Required)
School Age Child (5 - 12 years)(Required)
Adolescents (12 - 18 years)(Required)
Young Adults (18 - 39 years)(Required)
Middle Adults (39 - 64 years)(Required)
Older Adults (64 - 79 years)(Required)
Elderly Adults (Over 79+ years)(Required)

Texas Licensing Information

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