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- Ambulatory RN

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

    GENERAL SKILLS1234
    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
    Adult Respiratory/ Cardiac Arrest*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
    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
    Patient/ Family Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Admit and Assess Patients*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
    Obtaining Cultures (Blood, Sputum, Swab, Urine)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Advance Directives*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Appropriate Data*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Discharge Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preoperative Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIOVASCULAR1234
    Assess Heart Tones*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bedside Tele Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpretation of Coagulation Studies*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Pulse/ Circulation Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre-Post Op Pacemaker Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PULMONARY1234
    Assess Breath Sounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Apply Oxygen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpret ABGs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oximetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEUROLOGY1234
    Assess Neurological Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidurals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Selective Nerve Root Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess Level of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GI1234
    Insertion/ Monitoring NG Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Flexible Sigmoidoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemorrhoid Banding*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Paracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lap Band Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GU1234
    Bladder Biopsy*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
    Urethral Dilation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suprapubic Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prostate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOCRINE
    Care of Diabetic Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Diabetic Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Glucose Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENT AND MOUTH1234
    Prosthodontics -Restorative Dentistry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mouth Biopsy*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
    Maxillofacial Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nose Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroid Aspirate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fiberoptic Laryngoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tonsillectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUNDS/ INTEGUMENT1234
    Application of Burn Dressing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dressing Changes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Debridement of Wound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Vac*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OB/ GYN1234
    Electrodesiccation and Curettage (ED7C)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with In-Office Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHO1234
    Arthrocentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Hardware and Pin Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Closed Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Trigger Point Injections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PLASTICS1234
    Rhinoplasty*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
    Nipple Reconstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    MOHS Repairs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blepharoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mole/ Cyst Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL MEDICATIONS/ THERAPEUTIC INTERVENTIONS1234
    Administer IM and SQ Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer Inhalation Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer PO Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation and Installation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Needleless System*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chemotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    IV THERAPY1234
    Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral IV Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Syringe Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vascular Access Devices Care/ Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer IV Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OXYGEN ADMINISTRATION1234
    Ambu-Bag*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal Cannula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Non-Rebreather Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Venti Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Face Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NUTRITIONAL THERAPY1234
    Lipids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TPN*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procalamine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Enteral Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PAIN MANAGEMENT/ ANESTHESIA1234
    Implantable Narcotic Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Moderate Sedation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Local*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    General*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Axillary Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bier Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL PROCEDURES/ EQUIPMENT1234
    Apply Immobilizers (clavicle, knee, etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Code Resuscitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Lumbar Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laser*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
    Drain Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incision and Drainage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    NGT Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patch Test*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Punch Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shave Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procedure Set Up*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Remove External Fixators with Pin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scrub*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Screw-Hardware Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Set-Up/ Assist Suturing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Staple Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suture Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Male*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Female*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TENS Unit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Doppler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    SPECIMEN COLLECTIONS1234
    Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Clean Catch Urine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sterile Urine Collection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sputum*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Butterfly Stick*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Line Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CLINICAL SETTINGS1234
    Surgi-Center*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Out Patient Clinic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Physician Office*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ambulatory Surgery Clinic*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 - OT/COTA

      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











        Certified Surgical Tech Proficiency Scale

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

        MISCELLANEOUS1234
        Adult Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Autoclave*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
        Care of Scopes & Fiberoptic Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cidex Soap*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Crash Cart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Defibrillator*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
        Hand-off Communication*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
        Patient Identification*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
        Standard Precautions*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


        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


        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
        Ureterolithotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ureteroscopy*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
        AV Malformation*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
        Discectomy/ Laminectomy*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
        Nerve Stimulators*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
        Spinal Procedures/ Fusions*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
        Breast Reduction/ Reconstruction*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
        Face Lift*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
        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 Revisions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        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
        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
        Radical Neck*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Septoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sinusotomy*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
        Tracheostomy*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


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


        CARDIOTHORACIC1234
        Chest Tube Set- Up*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
        Septal Defect Repair*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
        Vein Harvesting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        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
        Aortofemoral 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*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
        Portasystemic Shunt*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
        Bone Marrow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        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
        Multhorgan*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


        TRAUMA1234
        Burns*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        MVA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Gun Shot Wounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Stab Wounds*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
        Electrocautery*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
        Saws*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
        Cardiac Monitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Position Patient Per Surgeon's Order*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Pressure Point Paddling*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Apply Tourniquet as Ordered*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Protect From Nerve damage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Thermoregulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Use of fracture table*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Use of head stabilizer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Use of body stabilizer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Use of c-arm extensions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Skin Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Use of retractors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Packing with sponges*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Digital Manipulation of tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Suctioning, Irrigation, Sponging*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Manipulation of Surgical Materials (Loops, tags*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Clamping/Cauterizing vessels or tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Tying/ligating clamped vessels or tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Apply hemostatic clips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Place Local Hemostatic Agents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Direct Digital Pressure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Assist in Volume Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Assist in Autotransfusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Suturing: all wound layers including muscle & fascia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Wound dressing: Liquid or spray occlusive*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Absorbent immobilizing dressing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Assist to secure drainage system to tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Insert/Remove Foley*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Drape Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Electrocautery Mono*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Electrocautery Bipolar*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cut Tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Harvest saphenous vein, including skin incision*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Dissect Common Femoral Atery and Bifurcate*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Insert drainage tubes*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











          Laboratory -MT-MLT Skills Checklist

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

          CERTIFICATIONS1234
          ASCP MT/MLS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ASCP MLT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HEW*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AMT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          BLOOD BANK1234
          Patient Identification Process*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ABO/Rh/Antibody Screen & ID*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Crossmatch- Immediate Spin/ IgG*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antigen Typing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Gel Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Tube Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cold Agglutinins*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rhogam Screening*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Direct*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Indirect*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cord Blood Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thawing/ Cooling of Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Donor Collection Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Issue Blood Product to Pt. Care Area*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Emergency Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Elutions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Transfusion Reaction Workshop*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Irradiating Packed Cells*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Splitting a Baby Unit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CHEMISTRY1234
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Acetone Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Blood Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          B-12 Folates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cardiac Enzymes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Thin Layer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electrophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Hormone/ Thyroid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Immunoassay*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Osmolality*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Therapeutic Drug Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tumor Markers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Analyzer Use/ Troubleshooting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Review & Interpretation of QC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HEMATOLOGY / COAGULATION1234
          Automated Instrument Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Differential Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sed Rate Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reticulocyte Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fetal Hemoglobin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          RBC Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sickle Cell Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual Cell Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual diff.*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Special Stains- e.g. PAS, LAP, Peroxidase*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          WBC Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Semen Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          PT/PTT/INR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          D-Dimer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrinogen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Factor Assays*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrin Degradation Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thrombin Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Function Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          IMMUNOLOGY / SEROLOGY1234
          RPR/ RPR Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rheumatoid Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ANA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          LE Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Rapid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Antibody Detection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rubella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CMV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          MICROBIOLOGY1234
          Plating Micro Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reading Plates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Gram Stains*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Monospot/ ASO Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Flu/Rapid Strep/ RSV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Wet Prep/ KOH Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AFB Stain/ Culture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          O&P*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CDiff*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Occult Blood*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chlamydia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Processing Specimens for Viral/ Fungal Cultures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          URINALYSIS1234
          Crystal Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Macroscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pregnancy Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          PHLEBOTOMY1234
          Newborn/Neonate (birth to 30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Infant (1 month to 1 year)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Toddler (1 year to 3 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preschooler (3 years to 5 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          School Age Child (5 years to 12 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adolescents (12 years to 18 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Young Adults (18 years to 39 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Middle Adults (39 years to 64 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Older Adults (64 years to 79 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Elderly Adults (over 79+ years)*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
          PPE Equipment (Gloves, Mask, Etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adult Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pediatric Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Dermal Stick (Finger/Heel)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Butterfly Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tube Types and Usage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Centrifuge Operations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bleeding Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Culture Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Alcohol Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Drug Screening Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently