|
Rating Stars (Click)
| GENERAL SKILLS: |
1
|
2
|
3
|
4
|
|
| Advanced directives |
|
|
|
|
|
| Patient / family teaching |
|
|
|
|
|
| Restrictive devices (restraints) |
|
|
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|
|
| Lift / transfer devices |
|
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|
|
|
| Specialty beds |
|
|
|
|
|
| End of life care / palliative care |
|
|
|
|
|
| Wound assessment & care |
|
|
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|
|
| Automated Medication Dispensing System, Pyxis, Omnicell, or other |
|
|
|
|
|
| Bar coding for medication administration |
|
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|
|
| Diabetic care and education |
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|
|
| Blood Glucose Monitor (BGM) |
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|
|
| Cardioversion / defibrillation |
|
|
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|
|
| Electronic ICU |
|
|
|
|
|
| National Patient Safety Goals |
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|
|
|
|
| Accurate patient identification |
|
|
|
|
|
| Effective communication |
|
|
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|
|
| Interpretation & communication of lab values |
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|
|
| Medication administration |
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|
|
|
| Medication reconciliation |
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|
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|
|
| Labeling (medications & specimens) |
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|
|
| Anticoagulation therapy |
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|
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|
|
| Monitoring conscious sedation |
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|
|
| Pain assessment & management |
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|
|
| Infection control |
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|
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| Universal precautions |
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|
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| Isolation |
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|
| Minimize risk for falls |
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|
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| Prevention of pressure ulcers |
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|
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| Use of rapid response teams |
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|
|
| Awareness of HCAHPS |
|
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|
|
Rating Stars (Click)
| GENERAL SKILLS EXPERIENCE: |
1
|
2
|
3
|
4
|
|
| Cardiac arrest/adult CPR infant-child CPR |
|
|
|
|
|
| Advanced directives |
|
|
|
|
|
| Awareness of HCAHPS |
|
|
|
|
|
| Patient/family teaching |
|
|
|
|
|
| Lift/transfer devices |
|
|
|
|
|
| Specialty beds |
|
|
|
|
|
| Restrictive devices |
|
|
|
|
|
| End of life care/palliative care |
|
|
|
|
|
| Automated Medication Dispensing System, Pyxis, Omnicell, or other |
|
|
|
|
|
| Bar coding for medication administration |
|
|
|
|
|
| Diabetic management in the OR |
|
|
|
|
|
| National Patient Safety Goals |
|
|
|
|
|
| Accurate patient identifcation/surgical site verfcation with OR team |
|
|
|
|
|
| Effective communication |
|
|
|
|
|
| Interpretation & timely communication of lab values |
|
|
|
|
|
| Labeling (medications & specimens) |
|
|
|
|
|
| Medication reconciliation |
|
|
|
|
|
| Anticoagulant therapy |
|
|
|
|
|
| Monitoring conscious sedation |
|
|
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|
|
| MDRO HAI |
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|
|
| Hand hygiene WHO/CDC |
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| CLABSI infections |
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| CAUTI prevention |
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|
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| Identify patient suicide risk |
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|
|
| Universal protocol |
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|
|
| Surg site infection control |
|
|
|
|
|
Rating Stars (Click)
| GENERAL SURGERY: |
1
|
2
|
3
|
4
|
|
| Bowel resection |
|
|
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|
|
| Cholecystectomy/cholangiogram |
|
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|
|
| Colostomy/ileostomy 0 1 2 3 4 5 |
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| Gastrectomy |
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|
|
| Hemicolectomy |
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|
|
| Hepatic resection |
|
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|
|
| Herniorrhaphy-femoral/inguinal |
|
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|
|
| Hiatal herniorrhaphy |
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|
|
| Pancreatectomy |
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|
| Organ procurement |
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|
| Radical mastectomy |
|
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|
| Saphenous vein ligation/stripping |
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|
| Splenectomy |
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| Thyroidectomy |
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|
| Tracheostomy |
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|
|
| Vagotomy |
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|
|
| Familiarity with pediatric procedures |
|
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|
|
| Abdominal perineal resection |
|
|
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|
|
| Adrenalectomy bariatric surgery (gastric bypass) |
|
|
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|
|
Rating Stars (Click)
| ENDOSCOPY: |
1
|
2
|
3
|
4
|
|
| Bronchoscopy |
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|
|
| Colonoscopy |
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|
|
| Culdoscopy |
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|
|
| Cystoscopy |
|
|
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|
|
| Esophagoscopy |
|
|
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|
|
| Gastroscopy |
|
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|
|
| Hysteroscopy |
|
|
|
|
|
Rating Stars (Click)
| GYNECOLOGY: |
1
|
2
|
3
|
4
|
|
| Caesarean section |
|
|
|
|
|
| Dilation & curettage |
|
|
|
|
|
| Hysterectomy - vaginal |
|
|
|
|
|
| Hysterectomy - abdominal |
|
|
|
|
|
| Radium insertion |
|
|
|
|
|
| Salpingo-oopherectomy |
|
|
|
|
|
| Shirodkar procedure |
|
|
|
|
|
| Termination of pregnancy |
|
|
|
|
|
| Tubal ligation |
|
|
|
|
|
| Vaginectomy |
|
|
|
|
|
Rating Stars (Click)
| LAPAROSCOPIC PROCEDURES: |
1
|
2
|
3
|
4
|
|
| Appendectomy |
|
|
|
|
|
| Cholecystectomy |
|
|
|
|
|
| Colon resection |
|
|
|
|
|
| Gastric bypass |
|
|
|
|
|
| Hernia repair |
|
|
|
|
|
| Nephrectomy |
|
|
|
|
|
| Prostatectomy |
|
|
|
|
|
| Sinus surgery |
|
|
|
|
|
| Salpingo-oophorectomy |
|
|
|
|
|
| Splenectomy |
|
|
|
|
|
| Tubal ligation |
|
|
|
|
|
| Vaginal hysterectomy |
|
|
|
|
|
| Laryngoscopy |
|
|
|
|
|
| Mediastinoscopy |
|
|
|
|
|
| Pelviscopy |
|
|
|
|
|
| Sigmoidoscopy |
|
|
|
|
|
| Thoracoscopy |
|
|
|
|
|
| Whipple |
|
|
|
|
|
| Nissen fundoplication |
|
|
|
|
|
Rating Stars (Click)
| ORTHOPEDIC: |
1
|
2
|
3
|
4
|
|
| Achilles tendon repair |
|
|
|
|
|
| Amputation |
|
|
|
|
|
| Arthroscopy/anthrotomy |
|
|
|
|
|
| Closed pinning & reduction of extremities |
|
|
|
|
|
| External compression devices |
|
|
|
|
|
| Hip compression nails & lag screws |
|
|
|
|
|
| Total joint replacement - knee |
|
|
|
|
|
| Total joint replacement - hip |
|
|
|
|
|
| Total joint replacement - shoulder |
|
|
|
|
|
| Spica cast |
|
|
|
|
|
| ORIF - shoulder, hip, humerus |
|
|
|
|
|
| Repair of dislocation |
|
|
|
|
|
| Patellectomy |
|
|
|
|
|
| Tendon implants & reanastomosis |
|
|
|
|
|
Rating Stars (Click)
| UROLOGY: |
1
|
2
|
3
|
4
|
|
| Circumcision |
|
|
|
|
|
| Cystoscopy/ureteroscopy |
|
|
|
|
|
| Cystectomy |
|
|
|
|
|
| Hypospadias repair |
|
|
|
|
|
| Implants |
|
|
|
|
|
| Lithotripsy |
|
|
|
|
|
| Nephrectomy |
|
|
|
|
|
| Orchiectomy |
|
|
|
|
|
| Prostatectomy |
|
|
|
|
|
| Ureterolithotomy |
|
|
|
|
|
| TURP |
|
|
|
|
|
| PVP - Photo Vaporization of Prostate |
|
|
|
|
|
| Vasectomy |
|
|
|
|
|
Rating Stars (Click)
| NEUROLOGY: |
1
|
2
|
3
|
4
|
|
| Kyphoplasty |
|
|
|
|
|
| A-V malformation |
|
|
|
|
|
| Laparoscopic spine procedures |
|
|
|
|
|
| Burr holes for subdural hematoma |
|
|
|
|
|
| Carotid ligation |
|
|
|
|
|
| Cervical sympathectomy |
|
|
|
|
|
| Cranioplasty |
|
|
|
|
|
| Craniotomy |
|
|
|
|
|
| Disectomy/laminectomy |
|
|
|
|
|
| Halo traction application |
|
|
|
|
|
| Insertion of nerve stimulator |
|
|
|
|
|
| Myelomeningocele repair |
|
|
|
|
|
| Shunt procedure |
|
|
|
|
|
| Spinal fusions |
|
|
|
|
|
| Ventriculostomy |
|
|
|
|
|
Rating Stars (Click)
| PLASTICS: |
1
|
2
|
3
|
4
|
|
| Abdominal lipectomy |
|
|
|
|
|
| Blepharoplasty |
|
|
|
|
|
| Face lift |
|
|
|
|
|
| Mammoplasty |
|
|
|
|
|
| Augmentation |
|
|
|
|
|
| Reduction |
|
|
|
|
|
| Liposuction |
|
|
|
|
|
| Otoplasty |
|
|
|
|
|
| Scar revisions |
|
|
|
|
|
| Skin grafting |
|
|
|
|
|
Rating Stars (Click)
| OPTHOMOLOGY: |
1
|
2
|
3
|
4
|
|
| Cataract extraction |
|
|
|
|
|
| IOL implants |
|
|
|
|
|
| Corneal transplant |
|
|
|
|
|
| Orbital implant |
|
|
|
|
|
| Enucleation |
|
|
|
|
|
| Repair of retinal detachment |
|
|
|
|
|
| Scleral buckle |
|
|
|
|
|
Rating Stars (Click)
| EAR, NOSE & THROAT: |
1
|
2
|
3
|
4
|
|
| Caldwell-luc |
|
|
|
|
|
| Cleft lip/palate repair |
|
|
|
|
|
| Laryngectomy |
|
|
|
|
|
| Radical neck |
|
|
|
|
|
| Tonsillectomy & adenoidectomy |
|
|
|
|
|
| Mandibulectomy |
|
|
|
|
|
| Mastoidectomy |
|
|
|
|
|
| Rhinoplasty/septoplasty |
|
|
|
|
|
| Sinusotomy |
|
|
|
|
|
Rating Stars (Click)
| VASCULAR: |
1
|
2
|
3
|
4
|
|
| Angiography |
|
|
|
|
|
| A-V access graft |
|
|
|
|
|
| Aortic aneurysm: abdominal |
|
|
|
|
|
| Peripheral vascular bypass procedures |
|
|
|
|
|
| Endarterectomy: carotid |
|
|
|
|
|
| Thrombectomy |
|
|
|
|
|
| Embolectomy |
|
|
|
|
|
| Vena cava ligation |
|
|
|
|
|
Rating Stars (Click)
| ENDOVASCULAR: |
1
|
2
|
3
|
4
|
|
| Endoluminal AAA |
|
|
|
|
|
| Carotid revascularization endarterectomy |
|
|
|
|
|
| Cerebral aneurysm repair |
|
|
|
|
|
Rating Stars (Click)
| TRANSPLANT: |
1
|
2
|
3
|
4
|
|
| Bone |
|
|
|
|
|
| Corneal |
|
|
|
|
|
| Harvesting |
|
|
|
|
|
| Heart/lung |
|
|
|
|
|
| Kidney |
|
|
|
|
|
| Liver |
|
|
|
|
|
| Multi organ |
|
|
|
|
|
| Pancreas |
|
|
|
|
|
| Skin |
|
|
|
|
|
Rating Stars (Click)
| THORACIC/CARDIOVASCULAR: |
1
|
2
|
3
|
4
|
|
| Aortic femoral bypass graft |
|
|
|
|
|
| Femoral popliteal bypass |
|
|
|
|
|
| Pacemaker implantation/explanation |
|
|
|
|
|
| Care of patients with pacemaker |
|
|
|
|
|
| Care of patients with intra-aortic balloon pump |
|
|
|
|
|
| Septal defects, ASV, VSD |
|
|
|
|
|
| Coronary Artery Bypass & Graft (CABG) on pump |
|
|
|
|
|
| Valve replacement/repair |
|
|
|
|
|
| Aortic aneurysm |
|
|
|
|
|
| Thoracotomy/lobectomy |
|
|
|
|
|
| Endoscopic vein harvesting |
|
|
|
|
|
| Maze procedure |
|
|
|
|
|
Rating Stars (Click)
| TRAUMA: |
1
|
2
|
3
|
4
|
|
| Burns |
|
|
|
|
|
| Gunshot/stab wounds |
|
|
|
|
|
| Motor vehicle accidents |
|
|
|
|
|
| Traumatic amputations |
|
|
|
|
|
Rating Stars (Click)
| EQUIPMENT: |
1
|
2
|
3
|
4
|
|
| Argon beam coagulator |
|
|
|
|
|
| Camera/video systems |
|
|
|
|
|
| Cell saver |
|
|
|
|
|
| Cidex soak |
|
|
|
|
|
| Cryo-ophthalmic unit |
|
|
|
|
|
| Cavitron Ultrasonic Surgical Aspirator (CUSA) |
|
|
|
|
|
| Hypo/hyperthermia unit |
|
|
|
|
|
| Drill and saws |
|
|
|
|
|
| Electrosurgical unit |
|
|
|
|
|
| Fiber optic luminator |
|
|
|
|
|
| Cavitron |
|
|
|
|
|
| Autoclave |
|
|
|
|
|
| Fracture tables |
|
|
|
|
|
| Harmonic scalpel |
|
|
|
|
|
| Ligasure |
|
|
|
|
|
| Stapling devices |
|
|
|
|
|
| Mesh graft/dermatone |
|
|
|
|
|
| Microscopes |
|
|
|
|
|
| Nitrogen tank |
|
|
|
|
|
| Pneumatic tourniquet |
|
|
|
|
|
| Stealth |
|
|
|
|
|
| Steris unit |
|
|
|
|
|
| Pulsevac irrigation |
|
|
|
|
|
| Autotransfusion system |
|
|
|
|
|
| Laser equipment |
|
|
|
|
|
| Care of scopes & fberoptic equipment |
|
|
|
|
|
| Venodyne robotics (Da Vinci) |
|
|
|
|
|
Rating Stars (Click)
| PROCEDURAL SKILLS (In Collaboration with Team/Surgeon): |
1
|
2
|
3
|
4
|
|
| Position patient |
|
|
|
|
|
| Surgical draping |
|
|
|
|
|
| Creates sterile field |
|
|
|
|
|
| Maintains sterile field |
|
|
|
|
|
| Provides wound exposure |
|
|
|
|
|
| Use of instruments |
|
|
|
|
|
| Use of retractors |
|
|
|
|
|
| Suctioning and sponging techniques |
|
|
|
|
|
| Use of medical devices |
|
|
|
|
|
| Use of medications/solutions |
|
|
|
|
|
| Clamping blood vessels |
|
|
|
|
|
| Coagulating bleeding points |
|
|
|
|
|
| Ligating vessels |
|
|
|
|
|
| Other procedures in collaboration with surgeon |
|
|
|
|
|
| Safe tissue handling |
|
|
|
|
|
| Safe cutting of tissue |
|
|
|
|
|
| Suturing muscle |
|
|
|
|
|
| Suturing fascia |
|
|
|
|
|
| Suturing subcutaneous tissue |
|
|
|
|
|
| Suturing skin tissue |
|
|
|
|
|
| Assist with dressings/drains |
|
|
|
|
|
| Placing drains |
|
|
|
|
|
| Assist with cannulation |
|
|
|
|
|
| Assist with decannulation |
|
|
|
|
|
| Knot tying |
|
|
|
|
|
| Assists: SC local anesthesia |
|
|
|
|
|
| Preop nursing assessment |
|
|
|
|
|
| Periop nursing assessment |
|
|
|
|
|
| Write preop orders per hospital protocol |
|
|
|
|
|
| Environmental sanitation |
|
|
|
|
|
| Monitors surgical environment |
|
|
|
|
|
| Controls surgical environment |
|
|
|
|
|
| Working knowledge of equipment |
|
|
|
|
|
| Laser safety |
|
|
|
|
|
| Working knowledge of supplies |
|
|
|
|
|
| Sponge, needle, instrument count |
|
|
|
|
|
| Write post-op protocol orders per hospital protocol |
|
|
|
|
|
| Write opperative notes per hospital protocol |
|
|
|
|
|
| Participate in postop rounds & D/C planning |
|
|
|
|
|
| Electrosurgery experience |
|
|
|
|
|
| Recognize & intervene for safety hazards |
|
|
|
|
|
Rating Stars (Click)
| AGE-SPECIFIC COMPETENCIES EXPERIENCE: |
1
|
2
|
3
|
4
|
|
| Newborn/neonate (birth-30 days) |
|
|
|
|
|
| Infant (31 days- 1 year) |
|
|
|
|
|
| Toddler (ages 2-3 yrs) |
|
|
|
|
|
| Preschool (ages 4-5 yrs) |
|
|
|
|
|
| School Age (ages 6-12 yrs) |
|
|
|
|
|
| Adolescent (ages 13-21 yrs) |
|
|
|
|
|
| Young Adult (ages 22-39) |
|
|
|
|
|
| Adult (ages 40-64) |
|
|
|
|
|
| Older Adult (ages 65+) |
|
|
|
|