Berean Healthcare Staffing - Travel Nursing Surgical Technologist Skills Checklist

Surgical Technologist Skills Checklist

This profile is for use by Surgical Technologists with more than one year's experience in their discipline and specialty.

After completing your skills checklist, click "Submit".

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Please indicate your level of experience

A. Theory, no practice	C. One - two years experience
B. Intermittent experience


A. EAR, NOSE & THROAT

	1. Adenoidectomy	A B C
	2. Caldwell - Luc	A B C
	3. Cleft lip/palate repair	A B C
	4. Closed reduction nasal fracture	A B C
	5. Ethmoidectomy	A B C
	6. Excision of salivary gland tumor	A B C
	7. Fenestration procedure	A B C
	8. Frontal flap sinus procedure	A B C
	9. Glossectomy	A B C
	10. Laryngectomy	A B C
	11. Mandibulectomy	A B C
	12. Mastoidectomy	A B C
	13. Maxillary advancement with hip graft	A B C
	14. Maxillectomy	A B C
	15. Myringoplasty	A B C
	16. Myringotomy/with PE tube insertion	A B C
	17. Nasal polypectomy	A B C
	18. Open reduction facial fracture	A B C
	19. Open reduction nasal fracture	A B C
	20. Parotidectomy	A B C
	21. Pharyngeal flap procedure	A B C
	22. Radical neck dissection	A B C
	23. Ranulectomy	A B C
	24. Rhinoplasty/septoplasty	A B C
	25. Selective osteotomy of maxilla/mandible	A B C
	26. Sinus endoscopy	A B C
	27. Sinusotomy	A B C
	28. Stapedectomy	A B C
	29. Submucous resection	A B C
	30. Tonsillectomy	A B C
	31. Tracheostomy	A B C
	32. Tympanoplasty	A B C


B. ENDOSCOPIC PROCEDURES

	1. Bronchoscopy		A B C
	2. Colonoscopy		A B C
	3. Culdoscopy		A B C
	4. Cystoscopy		A B C
	5. Esophagoscopy		A B C
	6. Gastroscopy		A B C
	7. Hysteroscopy		A B C
	8. Laparoscopic procedures
		a. Appendectomy	A B C
		b. Cholecystectomy/cholangiogram	A B C
		c. Colon resection	A B C
		d. Hernia repair	A B C
		e. Nissen fundoplication	A B C
		f. Salpingo-oophorectomy	A B C
		g. Tubal ligation	A B C
		h. Vaginal hysterectomy	A B C
	9. Laryngoscopy & microlaryngoscopy		A B C
	10. Mediastinoscopy		A B C
	11. Pelviscopy		A B C
	12. Sigmoidoscopy		A B C
	13. Thoracoscopy		A B C


C. GENERAL SURGERY

	1. Abdominal perineal resection	A B C
	2. Adrenalectomy	A B C
	3. Anal fissurectomy	A B C
	4. Appendectomy	A B C
	5. Breast biopsy	A B C
	6. Colectomy	A B C
	7. Colostomy/ileostomy	A B C
	8. Gastrectomy	A B C
	9. Gastroplasty	A B C
	10. Hemorrhoidectomy	A B C
	11. Hepatic resection	A B C
	12. Herniorrhaphy - femoral, inguinal, umbilical	A B C
	13. Hiatal herniorrhaphy, transabdominal/transthoracic	A B C
	14. Hickman/Groshong/Portacath insertion	A B C
	15. Hydrocelectomy	A B C
	16. Imperforate anus reconstruction	A B C
	17. Lumbar sympathectomy	A B C
	18. Omphalocele repair	A B C
	19. Pancreatectomy/pancreatogram	A B C
	20. Pilonidal cystectomy	A B C
	21. Portal caval shunt	A B C
	22. Pyloric stenosis	A B C
	23. Radical mastectomy	A B C
	24. Saphenous vein ligation and stripping	A B C
	25. Sentinel node biopsy	A B C
	26. Splenectomy	A B C
	27. Tenchkhoff catheter placement	A B C
	28. Thyroglossal duct cyst excision	A B C
	29. Thyroidectomy	A B C
	30. Tracheostomy	A B C
	31. Vagotomy	A B C


D. GYNECOLOGY

	1. Cesarean section	A B C
	2. Colpotomy	A B C
	3. Dilation and curettage (D & C)	A B C
	4. Hysterectomy, abdominal	A B C
	5. Hysterectomy, vaginal	A B C
	6. Marshall - Marchetti	A B C
	7. Marsupialization, Bartholin cyst	A B C
	8. Ovarian cystectomy	A B C
	9. Radium insertion	A B C
	10. Sacral spinus fixation	A B C
	11. Shirodkar procedure	A B C
	12. Suction curettage	A B C
	13. Vaginal reconstruction	A B C
	14. Vaginectomy/vulvectomy	A B C


E. NEUROLOGY

	1. A-V malformation		A B C
	2. Anterior cervical fusion		A B C
	3. Anterior laparoscopic spine procedures		A B C
	4. Anterior lumbar interbody fusion (ALIF)		A B C
	5. Burr holes for subdural hematoma		A B C
	6. Carotid ligation		A B C
	7. Cervical sympathectomy		A B C
	8. Craniectomy for decompression fracture		A B C
	9. Cranioplasty/craniotomy
		a. Clipping of aneurysm	A B C
		b. Tumor excision	A B C
		Using stealth equipment (stealth craniotomy)	A B C
	10. Discectomy		A B C
	11. Hypophysectomy		A B C
	12. Insertion nerve stimulators/medication pumps		A B C
	13. Laminectomy		A B C
	14. Myelomeningocele repair		A B C
	15. Pedicle screw insertion		A B C
	16. Posterior lumbar interbody fusion (PLIF)		A B C
	17. Shunt procedure/VP, VA/LP		A B C
	18. Spine fusion - list systems you have used
	19. Ulnar nerve transfer		A B C
	20. Ventriculography procedure/ventriculoscopy		A B C
	21. Ventriculostomy		A B C


F. OPTHALMOLOGY

	1. Cataract extraction with IOL	A B C
	2. Corneal transplant	A B C
	3. Dacryocystectomy	A B C
	4. Dacryocystorrhinostomy	A B C
	5. Iridectomy	A B C
	6. Lid and muscle procedures	A B C
	7. Orbital implant	A B C
	8. Phaco emulsification	A B C
	9. Pterygium repair	A B C
	10. Recession resection	A B C
	11. Repair orbital blowout fracture	A B C
	12. Scleral buckle	A B C
	13. Vitrectomy	A B C


G. ORAL

	1. Closed reduction facial fractures/wiring	A B C
	2. Excision odontoma	A B C
	3. Extraction of deciduous teeth	A B C
	4. Extraction of impacted molars	A B C
	5. Fractured jaws, mandibular and zagomatic	A B C
	6. LeFort osteotomies	A B C
	7. Maxillary procedure with graft	A B C
	8. Pediatric dentistry	A B C
	9. Sagittal osteotomy	A B C
	10. Temporomandibular joint (TMJ) with arthroplasty	A B C
	11. TMJ exploration	A B C


H. ORTHOPEDICS

	1. Acetabular/pelvic ORIF		A B C
	2. Achilles tendon repair		A B C
	3. Amputation - leg, arm		A B C
	4. Anterior cruciate ligament repair		A B C
	5. Application of external fixators
		a. Extremities	A B C
		b. Pelvis	A B C
	6. Application of halo traction		A B C
	7. Arthroscopy
		a. Ankle	A B C
		b. Elbow	A B C
		c. Knee	A B C
		d. Shoulder	A B C
	8. Arthrotomy		A B C
	9. Bipolar/unipolar hips		A B C
	10. Bunionectomy		A B C
	11. Calcaneal reconstruction		A B C
	12. Capsulorrhaphy		A B C
	13. Carpal tunnel release		A B C
	14. Closed reduction fracture		A B C
	15. Hand surgery with implants		A B C
	16. Harrington rod instrumentation and/or Dwyer procedure		A B C
	17. Heel cord lenghtening		A B C
	18. Hip compression nails & lag screws
		a. Jewett	A B C
		b. Kuntscher rod	A B C
		c. Lottes	A B C
		d. Rush	A B C
		e. Schneider	A B C
		f. Zimmer	A B C
		g. Others - list
	19. Iliac crest bone graft		A B C
	20. Insertion Austin Moor hip prosthesis		A B C
	21. Intramedullary rods
a. Extraction			A B C
b. Femoral			A B C
c. Humeral			A B C
d. Insertion			A B C
e. Supracondylar			A B C
f. Tibial			A B C
	22. Laminectomy		A B C
	23. Olecranon bursa, excision of		A B C
	24. Open reduction of fracture, internal fixation with compression set		A B C
	25. Patellectomy		A B C
	26. Putti Platt/Bankart procedure/rotator cuff repair		A B C
	27. Reduction with compression sets		A B C
	28. Reimplantation of digits		A B C
	29. Repair hammer toes		A B C
	30. Sacro-iliac (SI) joint screws		A B C
	31. Sharrard procedure		A B C
	32. Spica cast, application of		A B C
	33. Spinal fusion		A B C
	34. Tendon transplants (hand and foot)		A B C
	35. Total joint replacements/revisions
		a. Total hip	A B C
		b. Total knee	A B C
		c. Total shoulder	A B C


I. PLASTICS

	1. Abdominal lipectomy		A B C
	2. Blepharoplasty		A B C
	3. Face lift		A B C
	4. Mammoplasty
		a. Augmentation	A B C
		b. Reduction	A B C
		Tramflaps with reconstructive mammoplasty	A B C
	5. Mentoplasty		A B C
	6. Otoplasty		A B C
	7. Pedicle grafts		A B C
	8. Scar revisions		A B C
	9. Split thickness skin grafting		A B C
	10. Tissue expanders		A B C


J. THORACIC & OPEN HEART

	1. Cervical rib excision		A B C
	2. Chamberlain procedure		A B C
	3. Closed thoracotomy		A B C
	4. Correction pectus excavatum		A B C
	5. Esophagectomy		A B C
	6. Heller procedure		A B C
	7. Mitral commissurotomy		A B C
	8. Open heart procedures
		a. Mitral or aortic valve replacement	A B C
		b. Patent ductus arteriosus	A B C
		c. Septal defect repairs	A B C
		d. Tetrology of Fallot	A B C
	9. Pacemaker implantation-endocardial		A B C
	10. Pacemaker implantation-myocardial		A B C
	11. Pericardiectomy		A B C
	12. Resection coarctation aorta		A B C
	13. Rib resection		A B C
	14. Thoracoplasty		A B C
	15. Tracheal resection		A B C
	16. Transthoracic diaphragmatic herniorrhaphy		A B C


K. TRANSPLANT

	1. Bone	A B C
	2. Bone marrow	A B C
	3. Corneal	A B C
	4. Harvesting	A B C
	5. Heart	A B C
	6. Kidney	A B C
	7. Liver	A B C
	8. Lung	A B C
	9. Multi-organ	A B C
	10. Pancreas	A B C
	11. Skin	A B C


L. TRAUMA

	1. Burns		A B C
	2. Gunshot/stab wounds
		a. Abdomen	A B C
		b. Chest	A B C
		c. Head	A B C
	3. Motor vehicle accidents (multiple injuries)		A B C
	4. Traumatic amputations		A B C


M. UROLOGY

	1. Adult circumcision		A B C
	2. Cystectomy		A B C
	3. Cystoscopy/ureteroscopy		A B C
	4. Hypospadias repair		A B C
	5. Implants; penile, testicular		A B C
	6. Lithotripsy		A B C
	7. Nephrectomy		A B C
	8. Nephrolithotomy		A B C
	9. Orchiopexy		A B C
	10. Prostatectomy
		a. Perineal	A B C
		b. Supra-pubic	A B C
	11. Pyeloplasty		A B C
	12. Radical node dissection		A B C
	13. Scott incontinence device		A B C
	14. TURP		A B C
	15. Ureterolithotomy		A B C
	16. Vasectomy		A B C
	17. Vasovasostomy		A B C
	18. Waterhouse procedure		A B C


N. VASCULAR

	1. A-V access graft	A B C
	2. Aortic aneurysm with graft replacement	A B C
	3. Endarterectomy/carotid - femoral	A B C
	4. Peripheral vascular bypass procedures	A B C
	5. Resection carotid aneurysm with graft	A B C
	6. Thrombectomy/embolectomy	A B C
	7. Vena cava filter/umbrella	A B C
	8. Vena cava ligation	A B C


O. EQUIPMENT

	1. Argon beam coagulator			A B C
	2. Bair Hugger			A B C
	3. Blood/fluid warmer			A B C
	4. Camera/video systems
		a. Camera controller		A B C
		b. Light source		A B C
		c. Printers		A B C
		d. VCRs		A B C
	5. Cell saver			A B C
	6. Cidex soak			A B C
	7. Cry-ophthalmic unit			A B C
	8. Dermatome
		a. Brown		A B C
		b. Padgett		A B C
		c. Zimmer		A B C
	9. Disposable grounding pads			A B C
	10. Drills
		a. 3-M Maxi driver		A B C
		b. Codman craniotome		A B C
		c. Hall air driver		A B C
		d. Hall dental		A B C
		e. Hall neurotome		A B C
		f. Midax Rex/Anspach		A B C
		g. Minidriver		A B C
		h. Stryker drills
			(1) Large battery Stryker	A B C
			(2) Small battery Stryker	A B C
		i. Surgairtome		A B C
		j. Synthes A-O Drill		A B C
	11. Electrosurgical unit			A B C
	12. Emerson thoracic pump			A B C
	13. Ethylene oxide sterilizer - AMSCO			A B C
	14. Eye magnet			A B C
	15. Fiber optic luminator - list types
	16. Flash autoclave - AMSCO			A B C
	17. Fracture tables
		a. Chick table/Marquet table		A B C
		b. Jackson table		A B C
		c. Rush table/Skytron table		A B C
	18. Hypo/hyperthermia unit			A B C
	19. Intestinal stapling devices
		a. EEA		A B C
		b. GIA		A B C
		c. LDS		A B C
		d. TA		A B C
	20. Kreiselman resuscitator			A B C
	21. Laser
		a. CO₂		A B C
		b. Eye		A B C
		c. Yag		A B C
		d. Other
	22. Mesh graft			A B C
	23. Microscopes, type
	24. Nerve stimulator			A B C
	25. Nitrous oxide bank			A B C
	26. Ohio suction units			A B C
	27. Orthopedic arm board with drain			A B C
	28. Pleurevac disposable chest drainage			A B C
	29. Pneumatic tourniquet			A B C
	30. Sterad machine			A B C
	31. Steri-vac aeration cabinet, 3-M, portable			A B C
	32. Steris unit			A B C
	33. Suction unit, disposable			A B C
	34. Tele-thermometer			A B C
	35. Ultrasonic cleaner - AMSCO			A B C
	36. Vac-pac positioner			A B C
	37. Vacuum curettage			A B C
	38. Washer sanitizer - AMSCO			A B C
	39. Washer sterilzer - AMSCO			A B C

AGE SPECIFIC PRACTICE CRITERIA
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

A. Newborn/Neonate (birth - 30 days)	F. Adolescents (12 - 18 years)

B. Infant (30 days - 1 year)	G. Young adults (18 - 39 years)

C. Toddler (1 - 3 years)	H. Middle adults (39 - 64 years)

D. Preschooler (3 - 5 years)	I. Older adults (64+)

E. School age children (5 - 12 years)

EXPERIENCE WITH AGE GROUPS:	A	B	C	D	E	F	G	H	I
Able to adapt care to incorporate normal growth and development.
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.

Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

My experience is primarily in: (Please indicate number of years.)
Total years ST experience:		year(s)
	Endoscopy	year(s)	Ortho	year(s)
	ENT	year(s)	Plastics	year(s)
	General	year(s)	Thoracic/open heart	year(s)
	GYN	year(s)	Transplant	year(s)
	Neuro	year(s)	Trauma	year(s)
	Opthamology	year(s)	Urology	year(s)
	Oral	year(s)	Vascular	year(s)

Certification: (mo/year)

BCLS

Exp. date:

ACLS

Exp. Date:

Other (type):

Exp. date:

Computerized charting system:

Date:

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Berean Healthcare Staffing to release this Surgical Technologist Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.

Enjoy Your Career with Travel Nursing Jobs from BHS.