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Surgical First Assist RN

First Assist RN

  • Date Format: MM slash DD slash YYYY
  • Self-Assessment Rating Scale

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • First Assist RN

  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Adenoidectomy
    Caldwell - Luc
    Cleft lip/palate repair
    Closed reduction nasal fracture
    Ethmoidectomy
    Excision of salivary gland tumor
    Fenestration procedure
    Frontal flap sinus procedure
    Glossectomy
    Laryngectomy
    Mandibulectomy
    Mastoidectomy
    Maxillectomy
    Myringoplasty
    Myringotomy/with PE tube insertion
    Nasal polypectomy
    Open Reduction Facial Fracture
    Open Reduction Nasal Fracture
    Parotidectomy
    Perform - Morgan lens irrigation
    Perform - Nasal Packing
    Perform - Setup fluorescent/Woods lamp exam
    Pharyngeal flap procedure
    Radical Neck Dissection
    Ranulectomy
    Rhinoplasty/septoplasty
    Selective osteotomy of maxilla/mandible
    Sinus Endoscopy
    Sinusotomy
    Stapedectomy
    Submucous resection
    Tonsillectomy
    Tracheostomy
    Tympanoplasty
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Gunshot/Stab wounds - Abdomen
    Gunshot/Stab wounds - Chest
    Gunshot/Stab wounds - Head
    Motor Vehicle Accident (multiple injuries)
    Traumatic Amputation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Acetabular/pelvic ORIF
    Achilles tendon repair
    Amputation of extremity
    Anterior cruciate ligament repair
    Application of external fixator
    Application of halo traction
    Arthoscopy - Ankle
    Arthoscopy - Elbow
    Arthoscopy - Knee
    Arthoscopy - Shoulder
    Arthotomy
    Assessment - Circulation Checks
    Assessment - Range of Motion
    Assessment - Skin
    Assist with placement of cast
    Bunionectomy
    Calcaneal reconstruction
    Capsulorrhaphy
    Carpal tunnel release
    Closed reduction fracture
    Equipment - Continous Passive Motion (CPM)
    Equipment - Support Device - Transfer board
    Hand Surgery with Implants
    Harrington rod instrumentation and/or Dwyer procedure
    Heel cord lengthening
    Hip compression nails and lag screws - Jewett
    Hip compression nails and lag screws - Kuntsher Rod
    Hip compression nails and lag screws - Lottes
    Hip compression nails and lag screws - Rush
    Hip compression nails and lag screws - Schneider
    Hip compression nails and lag screws - Zimmer
    Iliac crest bone graft
    Intramedullary rods - Extraction
    Intramedullary rods - Humeral
    Intramedullary rods - Femoral
    Intramedullary rods - Supracondylar
    Intramedullary rods - Tibial
    Laminectomy
    ORIF, internal fixation with compression set
    Patellectomy
    Putti Platt/Bankart procedure/rotator cuff repair
    Reduction with compression sets
    Reimplantation of digits
    Repair hammer toes
    Sacro-iliac (SI) joint screws
    Sharrard procedure
    Spica cast, application of
    Spinal fusion
    Tendons transplant (hand or foot)
    Total joint replacement/revision - Total Hip
    Total joint replacement/revision - Total Knee
    Total joint replacement/revision - Total Shoulder
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bronchoscopy
    Colonoscopy
    Culdoscopy
    Cystoscopy
    Gastroscopy
    Esophagoscopy
    Hysteroscopy
    Laparoscopic Procedure - Appendectomy
    Laparoscopic Procedure - Cholecystectomy/cholangiogram
    Laparoscopic Procedure - Colon resection
    Laparoscopic Procedure - Hernia repair
    Laparoscopic Procedure - Nissen fundoplication
    Laparoscopic Procedure - Salpingo-oophorectomy
    Laparoscopic Procedure - Tubal ligation
    Laparoscopic Procedure - Vaginal hysterectomy
    Laryngoscopy & Microlaryngoscopy
    Mediastinoscopy
    Pelviscopy
    Sigmoidoscopy
    Thoracoscopy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Abdominal perineal resection
    Adrenalectomy
    Anal fissurectomy
    Appendectomy
    Coloectomy
    Breast Biopsy
    Colostomy/ileostomy
    Gastrectomy
    Hemorrhoidectomy
    Gastroplasty
    Hepatic resection
    Herniorrphaphy - femoral, inguinal, umbilical
    Hiatal herniorrhaphy, transabdominal/transthoracic
    Hickman/Groshong/Portacath insertion
    Hydrocelectomy
    Imperforate anus reconstruction
    Lumbar sympathectomy
    Omphalocele repair
    Pancreatectomy/pancreatogram
    Pilonidal cystectomy
    Portal caval shunt
    Radical mastectomy
    Pyloric stenosis
    Sentinel node biopsy
    Saphenous vein ligation and stripping
    Splenectomy
    Tenchkoff catheter placement
    Thyroglossal duct cyst excision
    Thyroidectomy
    Tracheostomy
    Vagotomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Cesarean section
    Colpotomy
    Dilation and curettage (D & C)
    Hysterectomy, Abdominal
    Hysterectomy, Vaginal
    Marshall - Marchetti
    Marsupialization
    Ovarian Cystectomy
    Radium insertion
    Sacral spinus fixation
    Shirodkar procedure
    Suction curettage
    Vaginal Reconstruction
    Vaginectomy/vulvectomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Anterior cervical fusion
    Anterior laparoscopic spine procedures
    Anterior lumbar interbody fusion (ALIF)
    A-V malformation
    Burr holes for subdural hematoma
    Carotid ligation
    Cervical sympathectomy
    Craniectomy for decompression fracture
    Cranioplasty/craniotomy - clipping of aneurysm
    Cranioplasty/craniotomy - Tumor excision
    Disectomy
    Hypophysectomy
    Insertion nerve stimulators/medication pumps
    Laminectomy
    Myelomeningocele
    Pedicle screw insertion
    Posterior lumbar interbody fusion (PLIF)
    Shunt procedure (VP, VA/LP)
    Spine Fusion
    Ulnar nerve transfer
    Ventriculography procedure/ventriculoscopy
    Ventriculostomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Abdominal lipectomy
    Blepharoplasty
    Face Lift
    Mammoplasty
    Mentoplasty
    Otoplasty
    Pedicle grafts
    Scar Revisions
    Splint thickness skin grafting
    Tissue Expanders
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Chamberlain procedure
    Closed thoracotomy
    Correction pectus excavatum
    Esophagectomy
    Heller procedure
    Mitral commissurotomy
    Open Heart Procedures - Mitral or Aortic valve replacement
    Open Heart Procedures - Patent ductus arteriosus
    Open Heart Procedures - Septal defect repairs
    Open Heart Procedures - Tetralogy of Fallot
    Pacemaker implantation - endocardial
    Pacemaker implantation - myocardial
    Pericardiectomy
    Resection coarctation aorta
    Rib resection
    Thoracoplasty
    Tracheal resection
    Transthoracic diaphragmatic herniorrhaphy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Adult Circumcision
    Cystectomy
    Cystoscopy/Ureteroscopy
    Implants: penile, testicular
    Lithotripsy
    Nephrectomy
    Nephrolithotomy
    Orchiopexy
    Prostatectomy - Perineal
    Prostatectomy - Supra-pubic
    Pyeloplasty
    Radical node dissection
    Scott incontinence device
    TURP
    Ureterolithotomy
    Vasectomy
    Vasovasostomy
    Waterhouse Procedure
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Aortic aneurysm with graft replacement
    A-V Access graft
    Endarterectomy/carotid - femoral
    Peripheral vascular bypass procedure
    Resection carotid aneurysm with graft
    Thrombectomy/embolectomy
    Vena cava fliter/umbrella
    Vena cava ligation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    CO2
    Eye
    Yag
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Argon Beam Coagulator
    Bair Hugger
    Blood/Fluid Warmer
    Camera/Video system - Camera Controller
    Camera/Video system - Light Source
    Cell Saver
    Dermatome - Brown
    Dermatome - Padgett
    Dermatome - Zimmer
    Disposable grounding pads
    Drills - Codman Craniotome
    Drills - 3M Maxi-driver
    Drills - Hall air driver
    Drills - Hall Neurotome
    Drills - Midax Rex/Anspach
    Drills - Minidriver
    Drills - Stryker - Large Battery
    Drills - Stryker - Small Battery
    Electrosurgical Unit
    Emerson Thoracic Pump
    Ethylene oxide sterilizer - AMSCO
    Eye magnet
    Hoyer Lift
    Flash Autoclave - AMSCO
    Fracture Table - Chick table/Marquet table
    Fracture table - Jackson table
    Fracture table - Rush table/Skyton table
    Hypo/Hyperthermia Unit
    Intestinal Stapling Device- EEA
    Intestinal Stapling Device- GIA
    Intestinal Stapling Device- LDS
    Intestinal Stapling Device- TA
    K-Pads
    Kreiselman resuscitator
    Surgairtome
    Synthes A-O Drill
    Traction