SURGICAL TECHNICIAN

SKILLS CHECKLIST

Name______

Date______

CHECK PROFICIENCY / 1 / 2 / 3 / 4

SURGICAL TECHNICIAN DUTIES

Care of specimens
Chemical disinfection procedure
Emergency procedure in the OR
Laser surgeries
Operation of electrosurgical unit
Operation of K-thermia unit
Operation of light sources & headlights
Operation of OR Tables
Operation of overhead lights
Operation of steam sterilizer
Patient positioning
Sponge, sharp & instrument counts
Surgical hand scrub, gowning & gloving

EAR, NOSE, AND THROAT

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
Maxillary advancement with hip graft
Maxillectomy
Myringoplasty
Myringotomy/with PE tube insertion
Nasal polypectomy
Open reduction facial fracture
Open reduction nasal fracture
Parotidectomy
Pharyngeal flap procedure

EAR, NOSE, THROAT (cont.)

Radical neck dissection
Ranulectomy
Rhinoplasty/septoplasty
Selective osteotomy of maxilla/mandible
Sinus endoscopy
Sinusotomy
Stapedectomy
Submucous resection
Tonsillectomy
Tracheostomy
Tympanoplasty

ENDOSCOPIC PROCEDURES

Bronchoscopy
Colonoscopy
Culdoscopy
Cystoscopy
Esophagoscopy
Gastroscopy
Hysterscopy
Laparoscopic procedures
Appendectomy
Cholecystectomy/cholangiogram
Colon resection
Hernia repair
Nissen fundoplication
Salpingo-oophorectomy
Tubal ligation
Vaginal hysterectomy
Laryngoscopy and microlaryngoscopy
Mediastinoscopy
Pelviscopy
Sigmoidoscopy
Thoracoscopy
GENERAL SURGERY
Abdominal-Perineal resection
Amputations
Appendectomy
Breast biopsy
Broviac catheter insertion
Cataract Extraction
Cholecystectomy
Colon Resection
GENERAL SURGERY (cont.)
Endocopies
Exploratory laparotomy
Gastrectomy
Hemorrhoidectomy
Hiatal hernia repair
Internal staplers
Laparoscopic Cholecystectomy
Mastectomy
Mediastinoscopy
Radical/Modified Mastectomy
Resection/recession
Scleral Buckling
Splenectomy
Thyroidectomy
Vitrectomy

Orthopedics

Anterior Cervical fusions
Hip prosthesis
Total joint replacement
ORIF ankles, tibias, femur, etc.
Bunionectomy
Application spica cast
Hand cases
Tendon & nerve repairs
Closed reduction & fixation
Acromioplasty
External fixations
Operation of drills & saws
Internal compression plates & screws
External compression devices
Rods
K-wires/Steinman pins
Hip Compression plates & screws
Hip prosthesis
NEUROSURGERY
Craniotomy
Craniofacial resconstruction
Cranioplasty
Anterior Cervical fusion
Application of Halo
Burr holes
NEUROSURGERY (cont.)
V-P shunt
Laminectomies:
Lumbar
Cervical
Spinal Fusion
Craniotomy
Anterior Cervical fusion
CARDIOVASCULAR
Abdominal aortic aneurysm
Bypasses
Valve replacements
Endarterectomies
Pacemaker insertion
Thoracotomy
Intra-aortic balloon
Grafts
Preparation of chest tubes & bottles
PLASTICS
Suction Lipectomy
Mammoplasty
Skin grafts

Cleft lip/palate

Implants
Facial fractures
Teeth extractions
Resection maxilla/mandible
EQUIPMENT
Laser
Fragmatome
Occutome
Phaco
Microscope
Cryomachine

Microirrigator

Laparascopy machine
Suction Curettage Machine
Ultrasound machine
Lithotripsy machines

MCNW-F-044, R2 (10/03)Page 1 of 3

SURGICAL TECHNICIAN

SKILLS CHECKLIST

YEARS OF EXPERIENCE
Pediatrics: / Adult:

The information I have provided is true and accurate to the best of my knowledge. I authorize MedCall NorthWest, Inc. to release this Skills Checklist to client hospitals as needed in relation to my employment.

Print name: ______

Signature: ______

Date: ______

MCNW-F-044, R2 (10/03)Page 1 of 3