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Surgical Tech

Surgical Tech

  • 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
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Newborn/neonate (birth-30 days)
    Infant (1 mo-1 yr)
    Toddler (1-3 yrs)
    Preschooler (3-5 yrs)
    School age child (5-12 yrs)
    Adolescents (12-18 yrs)
    Young adults (18-39 yrs)
    Middle adults (39-64 yrs)
    Older adults (64-79 yrs)
    Elderly adults (79+ yrs)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Abdominal perineal resection
    Adrenalectomy
    Bowel resection
    Cholecystectomy
    Colostomy/ileostomy
    Gastrectomy
    Hemicolectomy
    Hepatic resection
    Herniorrhaphy-femoral/inguinal
    Hiatal herniorrhaphy-transabdominal
    Pancreatectomy
    Organ procurement
    Radical mastectomy
    Saphenous vein ligation and stripping
    Splenectomy
    Thyroidectomy
    Tracheostomy
    Whipple procedure
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Hysterectomy
    Cholecystectomy
    Appendectomy
    Hernia repair
    Colon resection
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Caesarean section
    Dilation and curettage
    Hysterectomy - Vaginal
    Hysterectomy - Abdominal
    Laser surgery
    Radium insertion
    Salpingo-oopherectomy
    Shirodkar procedure
    Termination of pregnancy
    Tubal ligation
    Vaginectomy
    Vaginal reconstruction
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Circumcision
    Cystoscopy/cystostomy
    Cystectomy
    Hypospadius repair
    Ileal loop
    Lithotripsy
    Nephrectomy
    Orchiectomy
    Penile implant
    Prostatectomy
    Ureterolithotomy
    TURP/TURB
    Vasectomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Amputation - Leg/arm
    Application of halo traction
    Arthroscop/arthrotomy
    Closed pinning and reduction of extremities
    External compression devices
    Insertion of finger prosthesis
    Total joint replacement - Knee
    Total joint replacement - Hip
    Total joint replacement - Shoulder
    Spinal fusion - Harrington rods
    Spica cast application
    Open reduction and internal fixation (ORIF)
    Repair of dislocation
    Patellectomy
    Tendon implants and reanastomosis
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Anterior cervical fusion
    Burrholes for subdural hematoma
    Craniotomy
    Laminectomy
    Meningocele repair
    Shunt procedures - VP/VA
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Face lift
    Skin grafting
    Abdominoplasty/abdominal lipectomy
    Augmentation mammoplasty
    Cleft lip/palate repair
    Dermabrasion
    Digital flexor tendon repair
    Liposuction
    Myelomeningocele repair
    Otoplasty
    Rhinoplasty
    Reduction of facial fracture
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Excision of chalazion
    Canthotomy
    Correction of ectropian/entropian
    Corneal transplant
    Enucleation
    IOI implants
    Lacrimal duct probing
    Refractive keratoplasty
    Repair of retinal detachment
    Vitrectomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Caldwell-Luc
    Ethymoidectomy
    Frontal flap sinus procedure
    Laryngectomy
    Open reduction facial fractures
    Radical neck
    Tonsillectomy and adenoidectomy
    Myringotomy
    Mastoidectomy
    Tympanoplasty
    Stapedectomy
    Nasal polypectomy
    Laryngoscopy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Chest tube setup
    Hiatal hernia
    Pneumonectomy/lobectomy
    Sternal splitting
    Thoracotomy
    Bronchoscopy
    Lung/wedge resection
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bronchoscopy
    Cystoscopy
    Gastroscopy
    Colonoscopy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    A-V shunts
    Aortic aneurysm, abdominal
    Aorto-femoral bypass
    Graft insertion
    Cardiac valve replacement
    Coronary artery bypass graft - On pump
    Endarterectomy - Carotid/femoral
    Femoral-poplital bypass
    External temporary pacemaker
    Internal pacemaker insertion
    Intro-aortic balloon pump catheter
    Patent ductus repair
    Pericardial windows
    Repair of septal defects
    Thrombectomy
    Vena cava ligation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Pancreas
    Heart
    Lung
    Liver
    Kidney
    Eye
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Robotics
    Fracture tables
    Video systems
    CUSA
    Cell saver
    PACS diagnostics
    Electrocautery
    Drills
    Saws
    Stapling devices
    Cardiac monitors
    Crash carts
    Defibrillators
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Log
    Biological indicators
    Autoclave operation
    High level
    STERIS
    Steam
    Gas
    Flash
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Universal protocol
    Crash cart
    Patient identification
    Hand-off communication
    Standard precautions
    Isolation precautions
    Pediatric respiratory/cardiac arrest
    Adult respiratory/cardiac arrest
    Electronic documentation