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Operating Room RN Skills Assessment

Operating Room Skills Assessment

Congrats on taking the necessary step to applying for a travel nursing position with us! Before we can offer you an amazing nursing assignment, the following skills assessment must be completed. Take your time and review your information before submitting. We look forward to seeing your results!

Instructions:

This checklist is for assessing your experience in specific clinical areas. It will not be a determining factor in accepting your application to become an employee of Trusted Nurse Staffing LLC.

Please rate your experience using the following scale (check the appropriate boxes below):

0 = No Experience / Observed Only
1 = Less than 1 year experience
2 = 1 - 2 years of experience
3 = Over 2 years of experience
Your Information: *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
GENERAL SURVEY, Part 1 *This question is required.
Space Cell 0123
Adrenalectomy
Appendectomy
Bowel Repairs/Resections
Cholecystectomy
Colectomy
Colostomy/Ileostomy
Esophagoscopy
Esophageal Resection
Gastrectomy
Gastric Bypass/Stapling
Gastroscopy
Hemorrhoidectomy
Hepatic Resection
Herniorrhaphy (Femoral/Inguinal)
Herniations (Hiatal,Diaphragm)
Laparascopy
Laparotomy
Mastectomy
GENERAL SURGERY,  Part 2 *This question is required.
Space Cell 0123
Nephrectomy
Nissen Fundoplication
Pancreatectomy
Portal/Caval Shunt
Splenectomy
Transabdominal
Vagotomy / Pyloraplasty
Whipple Procedure
NEUROLOGICAL *This question is required.
Space Cell 0123
Burr Holes
Craniotomy: Tumor
Craniotomy: Aneurysm
Craniotomy: Trauma
Cranioplasty
Cervical Fusion
Cervical Laminectomy
Crutchfield Tong Insertion
Hypophysectomy
Lumbar Laminectomy
Meningocele Repair
Shunt Insertions
THORACIC *This question is required.
Space Cell 0123
Bronchoscopy
Chest Tubes
Esophageal Repair
Mediastinoscopy
Pneumonectomy
Thoracic Aortic Aneurysm
ORTHO *This question is required.
Space Cell 0123
Arthroscopy - Knee
Arthroscopy - Shoulder
Cast Application
External Fixations
ORIF - Upper Extremity
ORIF - Lower Extremity
Foot Procedures / Fractures
Hand Surgery / Fx Repairs
I M Rods
Spinal Fusion
Total Hip Replacement
Total Knee Replacement
CARDIOVASCULAR *This question is required.
Space Cell 0123
Angioplasty
Aortic Aneurysm
Aortic Balloon Insertion
Aortic Valve Replacement
Carotid Endarterectomy
Coronary Artery Bypass
Fem-Popliteal Bypass Graft
Mitral Valve Replacement
Pacemaker Insertion
Pediatric Cardiac Procedures
Pericardectomy
Septal Defects
Vein Harvest
Ventricular Aneurysm
A-V Shunts
Coronary Artery Bypass Graft-on pump
Coronary Artery Bypass Graft-off pump
TRANSPLANT *This question is required.
Space Cell 0123
Bone - Harvest/Transplant
Eye - Harvest/Transplant
Heart - Harvest/Transplant
Liver - Harvest/Transplant
Lung - Harvest/Transplant
Pancreas - Harvest/Transplant
Renal - Harvest/Transplant
Skin - Harvest/Transplant
PLASTICS *This question is required.
Space Cell 0123
Abdominalplasty
Facelifts
Mammoplasty
Muscle Flaps
Rhinoplasty
Septoplasty
Skin Grafts
OB/GYN *This question is required.
Space Cell 0123
Abdominal Hysterectomy
A & P Repair
C - Section
Colposcopy
Dilation & Curettage
Laparoscopy
Marshall Marchetti
Suction Curettage
Tubal Ligation
Vaginal Hysterectomy
Vulvectomy
OPTHAMOLOGICAL *This question is required.
Space Cell 0123
Cataract
Detached Retina
Iridotomy
LASIK
Orbit/Globe Fractures
UROLOGY *This question is required.
Space Cell 0123
Cystoscopy
Hydrocelectomy
Lithotripsy
Penile Prosthesis
Prostatectomy
TURP
Vasectomy
EAR, NOSE, THROAT *This question is required.
Space Cell 0123
Acoustic Neuroma
Cleft Lip / Palate Repair
Endoscopic Sinus Surgery
Ethmoidectomy
Laryngectomy
Mandibular Fractures
Mastoidectomy
Maxillary Fractures
Myringotomy / PE Tubes
Neck Dissection
Orbital/Zygomatic Fractures
Parathyroidectomy
Reduction Nasal Fracture
Stapedoctomy
EAR, NOSE, THROAT, Part 2 *This question is required.
Space Cell 0123
T & A
Thyroidectomy
Tracheostomy
Tympanoplasty
EQUIPMENT *This question is required.
Space Cell 0123
Aquamatic K Thermia Unit
Argon Beam Coagulator
Arthroscopy Cameras
Blood Warmer
Bovie Electrosurgical Unit
Cardiac Monitor-Defibrillator
Cell Saver
Centrifuge
Cry-Ophthalmic Unit
Dermatome
Dual Tract Lights
Drills
Ethylene Oxide Sterilizer
Fiber Optic Luminator
Fluid Pumps
Kiddie Pneumatic Tourniquet
Lasers
Nerve Stimulator
Operating Microscope
Pleur-e-vac Units
Shavers
Stapling Instrument
Suction Unit Disposable
Vac-pac Positioner
Ultrasonic Cleaner - AMSCO
Washer Sterilizer - AMSCO
Flash Autoclave
Cidex Sterilization
Robotics
Fracture Tables
Video Systems
CUSA
AGE OF PATIENTS CARED FOR *This question is required.
Space Cell 0123
Newborn (birth-30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults (64+ years)
1. CANDIDATE SIGNATURE
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