Certified Surgical First Assistant - Skills Checklist

MISCELLANEOUS

Adult Respiratory/ Cardiac Arrest*

Autoclave*

Automated Med Dispensing Systems*

Automated Med Dispensing Systems-List Type*

Care of Scopes & Fiberoptic Equipment*

Cidex Soap*

Crash Cart*

Defibrillator*

Electronic Documentation*

Electronic Documentation - List Types*

Hand-off Communication*

Isolation Precautions*

Patient Identification*

Pediatric Respiratory/Cardiac Arrest*

Standard Precautions*

Universal Protocol*

Experience with Ages

Newborn/Neonate (birth - 30 days)*

Infant (30 days - 1 year)*

Toddler (1 - 3 years)*

Preschooler (3 - 5 years)*

School Age Child (5 - 12 years)*

Adolescents (12 - 18 years)*

Young Adults (18 - 39 years)*

Middle Adults (39 - 64 years)*

Older Adults (64 - 79 years)*

Elderly Adults (79+ years)*

General Surgery

Abdominal Perineal Resection*

Adrenalectomy*

Bowel Resection*

Cholecystectomy*

Colostomy/Ileostomy*

Gastrectomy*

Hemicolectomy*

Hepatic Resection*

Herniorrhaphy-Femoral/Inguinal*

Hiatal Herniorrhaphy-Transabdominal*

Pancreatectomy*

Organ Procurement*

Radical Mastectomy*

Saphenous Vein Ligation and Stripping*

Splenectomy*

Thyroidectomy*

Tracheostomy*

Whipple Procedure*

Laparoscopic Procedures

Hysterectomy*

Cholecystectomy*

Appendectomy*

Hernia Repair*

Colon Resection*

Gynecology

Caesarean Section*

Dilation & Curettage*

Hysterectomy-Vaginal*

Hysterectomy-Abdominal*

Laser Surgery*

Radium Insertion*

Salpingo-Oopherectomy*

Shirodkar Procedure*

Termination of Pregnancy*

Tubal Ligation*

Vaginectomy*

Vaginal Reconstruction*

G.U. and Cysto

Circumcision*

Cystoscopy/Cystostomy*

Cystectomy*

Hypospadius Repair*

Ileal Loop*

Lithotripsy*

Nephrectomy*

Orchiectomy*

Penile Implant*

Prostatectomy*

Ureterolithotomy*

Ureteroscopy*

T.U.R.P./T.U.R.B*

Vasectomy*

Orthopedic

Amputation-Leg/Arm*

Application of Halo Traction*

Arthroscopy/Arthrotomy*

Closed Pinning & Reduction of Extremities*

External Compression Devices*

Insertion of Finger Prosthesis*

Total Joint Replacement-Knee, Hip, Shoulder*

Spinal Fusion-Harrington Rods*

Spica Cast Application*

O.R.I.F.-Shoulder, Hip, Humerus, etc.*

Repair of Dislocation*

Patellectomy*

Tendon Implants & Reanastomosis*

Neurosurgery

Anterior Cervical Fusion*

AV Malformation*

Burrholes for Subdural Hematoma*

Craniotomy*

Discectomy/Laminectomy*

Laminectomy*

Meningocele Repair*

Nerve Stimulators*

Shunt Procedures-VP/VA*

Spinal Procedures/Fusions*

Plastics

Abdominoplasty/Abdominal Lipectomy*

Augmentation Mammoplasty*

Breast Reduction/Reconstruction*

Cleft Lip/Palate Repair*

Dermabrasion*

Digital Flexor Tendon Repair*

Face Lift*

Liposuction*

Otoplasty*

Rhinoplasty*

Reduction of Facial Fracture*

Scar Revisions*

Skin Grafting*

Eye

Excision of Chalazion*

Canthotomy*

Correction of Ectropian/ Entropian*

Corneal Transplant*

Enucleation*

I.O.I. Implants*

Lacrimal Duct Probing*

Refractive Keratoplasty*

Repair of Retinal Detachment*

Vitrectomy*

Ear, Nose & Throat

Caldwell-Luc*

Ethmoidectomy*

Frontal Flap Sinus Procedure*

Laryngectomy*

Radical Neck*

Septoplasty*

Sinusotomy*

Tonsillectomy & Adenoidectomy*

Tracheostomy*

Myringotomy*

Mastoidectomy*

Tympanoplasty*

Stapedectomy*

Nasal Polypectomy*

Laryngoscopy*

Endoscopy

Bronchoscopy*

Cardiothoracic

Chest Tube Set-Up*

Pneumonectomy/Lobectomy*

Septal Defect Repair*

Sternal Splitting*

Thoracotomy*

Bronchoscopy*

Lung/Wedge Resection*

Vein Harvesting*

A-V Shunts*

Aortic Aneurysm, Abdominal*

Aortofemoral Bypass*

Graft Insertion*

Cardiac Valve Replacement*

Coronary Artery Bypass Graft-on Pump*

Endarterectomy-Carotid/Femoral*

Femoral-Popliteal Bypass*

External Temporary Pacemaker*

Internal Pacemaker Insertion*

Intra-Aortic Balloon Pump Catheter*

Patent Ductus Repair*

Pericardial Windows*

Portasystemic Shunt*

Repair of Septal Defects*

Thrombectomy*

Vena Cava Ligation*

Transplants

Bone Marrow*

Pancreas*

Heart*

Lung*

Liver*

Multhorgan*

Kidney*

Eye*

Trauma

Burns*

MVA*

Gun Shot Wounds*

Stab Wounds*

Equipment

Robotics*

Robotics - List Types*

Fracture Tables*

Fracture Tables - List Types*

Video Systems*

Video Systems - List Types*

CUSA*

Cell Saver*

PACS Diagnostics*

Electrocautery*

Electrocautery - List Types*

Drills*

Drills - List Types*

Saws*

Saws - List Types*

Stapling Devices*

Stapling Devices - List Types*

Cardiac Monitors*

Cardiac Monitors - List Types*

Position Patient Per Surgeon's Order*

Pressure Point Paddling*

Apply Tourniquet as Ordered*

Protect From Nerve damage*

Thermoregulation*

Use of fracture table*

Use of head stabilizer*

Use of body stabilizer*

Use of c-arm extensions*

Skin Assessment*

Use of retractors*

Packing with sponges*

Digital Manipulation of tissue*

Suctioning, Irrigation, Sponging*

Manipulation of Surgical Materials (Loops, tags)*

Clamping/Cauterizing vessels or tissues*

Tying/ligating clamped vessels or tissues*

Apply hemostatic clips*

Place Local Hemostatic Agents*

Direct Digital Pressure*

Assist in Volume Replacement*

Assist in Autotransfusion*

Suturing: all wound layers including muscle & fascia*

Wound dressing: Liquid or spray occlusive*

Absorbent immobilizing dressing*

Assist to secure drainage system to tissue*

Insert/Remove Foley*

Drape Patient*

Electrocautery Mono*

Electrocautery Bipolar*

Cut Tissue*

Harvest saphenous vein, including skin incision*

Dissect Common Femoral Atery and Bifurcate*

Insert drainage tubes*

Information & Agreement

Application ID*

Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.

Applicant Name*

First Last

Applicant Email*

Applicant Phone*

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.*

I agree to the terms below.

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.

Signature*

Certified Surgical First Assistant – Skills Checklist