Resources

Skills Checklist

Select your specific clinical area of expertise and fill out the self evaluation form to help us in assessing your experience and find better opportunities for you.

    Nursing- Operating Room RN

    PROFICIENCY SCALE
    1. No Experience 2. Need Training
    3. Able to perform with supervision 4. Able to perform independently

    CIRCULATE SKILLS/General Surgery1234
    Abdominal Perineal Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adrenalectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cholecystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colostomy/ Ileostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gastrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemicolectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hepatic Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Herniorrhaphy-Femoral/ Inguinal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hiatal Herniorrhaphy- Transabdominal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pancreatectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Organ Procurement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radical Mastectom*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Saphenous Vein Ligation and Stripping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Splenectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Whipple Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    LAPAROSCOPIC PROCEDURES1234
    Hysterectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cholecystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Appendectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hernia Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colon Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GYNECOLOGY1234
    Caesarean Section*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dilation & Curettage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hysterectomy- Vaginal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hysterectomy- Abdominal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laser Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radium Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Salpingo- Oopherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shirodkar Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Termination of Pregnancy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tubal Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginal Reconstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    G.U. AND CYSTO1234
    Circumcision*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy/ Cystostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypospadius Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ileal Loop*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lithotripsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Orchiectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Penile Implant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prostatectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ureterolithotom*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T.U.R.P./T.U.R.B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vasectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC1234
    Amputation- Leg/ Arm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Halo Traction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopy/ Arthrotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Closed Pinning & Reduction of Extremities*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Compression Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Finger Prosthesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Total Joint Replacement- Knee, Hip, Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal Fusion- Harrington Rods*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spica Cast Application*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    O.R.I.F.- Shoulder, Hip, Humerus, etc*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Dislocation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patellectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tendon Implants & Reanastomosis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEUROSURGERY1234
    Anterior Cervical Fusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Burrholes for Subdural Hematoma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Craniotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laminectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Meningocele Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shunt Procedures- VP/ VA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PLASTICS1234
    Skin Grafting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Face Lift*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Abdominoplasty/ Abdominal Lipectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Augmentation Mammoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cleft Lip/ Palate Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dermabrasion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Digital Flexor Tendon Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liposuction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myelomeningocele Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Otoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rhinoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Reduction of Facial Fracture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EYE1234
    Cataracts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Excision of Chalazion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Canthotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Correction of Ectropian/ Entropian*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Corneal Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Enucleation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    I.O.I. Implants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lacrimal Duct Probing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Refractive Keratoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Retinal Detachmen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vitrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EAR, NOSE & THROAT1234
    Caldwell-Luc*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ethmoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Frontal Flap Sinus Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laryngectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Reduction Facial Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radical Neck*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tonsillectomy & Adenoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myringotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mastoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tympanoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stapedectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal Polypectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laryngoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    THORACIC1234
    Chest Tube Set- Up*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hiatal Hernia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pneumonectomy/ Lobectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sternal Splitting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bronchoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lung/ Wedge Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOSCOPY1234
    Bronchoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gastroscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colonoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIOVASCULAR1234
    A-V Shunts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Aortic Aneurysm, Abdominal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Aorto-Femoral Bypass*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Graft Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Valve Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Coronary Artery Bypass Graft- on Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Endarterectomy- Carotid/ Femoral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Femoral- Popliteal Bypass*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Temporary Pacemake*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Internal Pacemaker Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Intra-Aortic Balloon Pump Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patent Ductus Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pericardial Windows*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Portosystemic Shunt1234
    Repair of Septal Defects*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thrombectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vena Cava Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    TRANSPLANTS1234
    Pancreas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lung*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Eye*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EQUIPMENT1234
    Robotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fracture Tables*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Video Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CUSA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cell Saver*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PACS Diagnostics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drills*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stapling Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ventilators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Monitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Crash Carts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Defibrillators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    STERILIZATION OF EQUIPMENT1234
    Log*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Biological Indicators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Autoclave Operation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    High Level*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    STERIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Steam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Flash*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MISCELLANEOUS1234
    Crash Cart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Universal Protocol*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hand-off Communication*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Standard Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Isolation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automated Med Dispensing Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    SCRUB SKILLS/ General Surgery1234
    Abdominal Perineal Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adrenalectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cholecystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colostomy/ Ileostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gastrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemicolectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hepatic Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Herniorrhaphy- Femoral/ Inguinal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hiatal Herniorrhaphy- Transabdominal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pancreatectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Organ Procurement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radical Mastectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Saphenous Vein Ligation and Stripping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Splenectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Whipple Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    LARAROSCOPIC PROCEDURES1234
    Cholecystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Appendectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hernia Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colon Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GYNECOLOGY1234
    Caesarean Section*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dilation and Curettage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hysterectomy- Vaginal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hysterectomy- Abdominal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laser Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radium Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Salpingo- Oophorectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shirodkar Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Termination of Pregnancy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tubal Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginal Reconstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    G.U. AND CYSTO1234
    Circumcision*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy/ Cystostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypospadias Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ileal Loop*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lithotripsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Orchiectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Penile Implant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prostatectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ureterolithotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T.U.R.P./T.U.R.B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vasectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC1234
    Amputation- Leg/ Arm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Halo Traction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopy/ Arthrotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Closed Pinning & Reduction of Extremities*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Compression Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Finger Prosthesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Total Joint Replacement- Knee, Hip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal Fusion- Harrington Rods*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spica Cast Application*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    O.R.I.F.- Shoulder, Hip, Humerus, etc.*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Dislocation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Dislocation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tendon Implants & Reanastomosis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEUROSURGERY1234
    Anterior Cervical Fusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Burrholes for Subdural Hematoma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Craniotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laminectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Meningocele Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shunt Procedures- VP/ VA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tendon Implants & Reanastomosis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PLASTICS1234
    Abdominoplasty/ Abdominal Lipectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Augmentation Mammoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cleft Lip/ Palate Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dermabrasion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Digital Flexor Tendon Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liposuction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myelomeningocele Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Otoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rhinoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Reduction of Facial Fracture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scar Revision*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Skin Meshing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Split Thickness Skin Grafting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EYE1234
    Excision of Chalazion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Canthotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Correction of Ectropian/ Entropian*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Corneal Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Enucleation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    I.O.I Implants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lacrimal Duct Probing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Refractive Keratoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Retinal Detachment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vitrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EAR, NOSE & THROAT1234
    Caldwell-Luc*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ethymoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Frontal Flap Sinus Procedure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laryngectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Reduction Facial Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radical Neck*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tonsillectomy & Adenoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myringotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mastoidectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tympanoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stapedectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal Polypectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laryngoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    THORACIC1234
    Chest Tube Set-Up*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hiatal Hernia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pneumonectomy/ Lobectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sternal Splitting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bronchoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lung/ Wedge Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOSCOPY1234
    Bronchoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gastroscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colonoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Upper Endoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIOVASCULAR1234
    A-V Shunts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Aortic Aneurysm, Abdominal (AAA)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Aorto-Femoral Bypass*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Graft Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Valve Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Coronary Artery Bypass Graft-on Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Endarterectomy- Carotid/ Femoral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Femoral- Popliteal Bypass*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Internal Pacemaker Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Intra-Aortic Balloon Pump Catheter (IABP)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patent Ductus Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Portasystemic Shunt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pericardial Windows*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Repair of Septal Defects*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thrombectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vena Cava Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    TRANSPLANTS1234
    Pancreas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lung*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Eye*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EQUIPMENT1234
    Electrocautery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Robotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fracture Tables*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Video Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CUSA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cell Saver*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PACS Diagnostics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drills*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stapling Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ventilators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Monitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Crash Carts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Defibrillators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    STERILIZATION OF EQUIPMENT1234
    Log*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Biological Indicators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Autoclave Operation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    High Level*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    STERIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Steam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Flash*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MISCELLANEOUS1234
    Crash Cart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Universal Protocol*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hand-off Communication*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Standard Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Isolation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automated Med Dispensing Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Age Specific Competency
    Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

    Competency Scale1234
    Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











      Therapy - Occupational Therapy

      PROFICIENCY SCALE
      1. No Experience 2. Need Training
      3. Able to perform with supervision 4. Able to perform independently

      Setting1234
      Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Inpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SNF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Schools*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Orthopedic1234
      Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Osteoarthritis-Frozen Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hand Injuries*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Post-Operative Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Amputations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Neurologic1234
      Stroke Rehabilitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Disorders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Head Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Spinal Cord Injury*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neuromuscular Diseases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Alzheimer's /Dementia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment-Wheelchair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Prosthetics/Orthotics1234
      Upper Extremity Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Procedures/Treatments1234
      Splinting - Wrist*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Hand*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Elbow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional - Dynamic Splinting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Joint Mobilization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Myofacial Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Soft Tissue Manipulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Iontophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      TENS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hydrotherapy - Whirlpool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Sterilization Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cryotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Wound Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Debridement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Ultrasound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Phonophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vision Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neurodevelopmental Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Feeding Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Exercise Programs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Postural Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Safety Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Community Re-entry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Group Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Skilled Nursing Documentation1234
      Medicare A*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Medicare B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      State Healthcare*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Other1234
      Cardiac Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      ICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      CCU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Burn Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Work Hardening - Work Site Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional Capacity Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Transfers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Gait Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Muscle Energy Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Activities of Daily Living*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



      Age Specific Competency
      Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

      Competency Scale1234
      Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











        Allied Health - Cath Lab Tech

        PROFICIENCY SCALE
        1. No Experience 2. Need Training
        3. Able to perform with supervision 4. Able to perform independently

        CIRCULATING ROLE (PAV)1234
        Airway Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Arm Cases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Co-Ox Setup Q.C., Run Sample*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Defibrillator Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IABP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Power Injector Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PTCA/ Stents/ Balloons*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radiation Protection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Permanent Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Setting Threshold of Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sphygmomanometer Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Transducer Setup/Calibration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Run Angiojet Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING1234
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Handoff Reports*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hematoma Recognition & Mgt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra-Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        EP Study*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ablation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        SCRUB POSITION1234
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Stent Implantation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotational Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Closure Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemakers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Angiojet*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Brachial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Peripherals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Impella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PPM*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ICD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        BiV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Loop Recorder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Structural Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Manifold*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ACIST/Medrad*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hybrid OR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Simultaneously Scrub & Pan Xray Table*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        Equipment1234
        Phillips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Toshiba*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        GE*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Artis Zeego*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Shimadzu*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cannon Alphenix*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING EQUIP.1234
        GE MacLab Marquette*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Mennen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Merge Cardio/ Camtronics VERICIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        McKesson*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Philips Xper IM/ WITT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Sensis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



        Age Specific Competency
        Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

        Competency Scale1234
        Peds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Adults*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











          Laboratory - Histotechnologist/Histotechnician

          PROFICIENCY SCALE
          1. No Experience 2. Need Training
          3. Able to perform with supervision 4. Able to perform independently

          HISTOLOGY1234
          Concept of Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Assist with Frozen Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          QC Req and Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Collection of Tissue Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bone Marrow Biopsy & Slides*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Filing of Slides & Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tissue Embedding (inc small Bxs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Running of Tissue Processor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microtome & Disposable Blades*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Principle of Hematoxylin & Eosin Stain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Decalcify Bone & Hand Tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Grossing Small Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          SPECIAL STAIN TECHNIQUES1234
          Group I*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group II*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group III*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group V*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HISTOLOGY1234
          Storage Time of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Disposal of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Universal Histology Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coverslipping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preparation of Stains/Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Proper Labeling of Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          MOHS Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          GYN Prep & Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Non-GYN Prep/Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          FNA Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thinprep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electronic Documents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CERTIFICATIONS
          ASCP*YesNo