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Surgical Technologist

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

GENERAL INFECTION CONTROL MEASURES

Aseptic Technique
Standard Precaution
Universal Precaution

TRANSMISSION-BASED PROTOCOL

Airborne Precaution
Contact Precaution
Droplet Precaution
Reverse Precaution

GENERAL SKILLS

Patient/family teaching
Restrictive devices (restraints)
Lift/transfer devices
Patient positioning
National Patient Safety Goals
Accurate patient identification
Effective communication
Infection control
Universal precautions
Labeling (medications and specimens) on a sterile field
Time-out protocol

GENERAL SURGERY

Abdominal Perineal Resection
Adrenalectomy
Bowel Resection
Cholecystectomy/Cholangiogram
Colostomy/Ileostomy
Gastrectomy
Femoral Herniorrhaphy
Inguinal Herniorrhaphy
Hiatal Herniorrhaphy Transabdominal
Pancreatectomy
Organ Procurement
Radical Mastectomy
Saphenous Vein Ligation/Stripping
Splenectomy
Thyroidectomy
Vagotomy
Breast Biopsy
Mastectomy
Common Bile Duct Explorations
Open Appendectomy
Jejunostomy Tube Replacement
Liver Biopsy
Excision of Lipoma
Parathyroidectomy
Parathyroidectomy with Transplant

NEUROLOGY

A-V Malformation
Laparoscopic Spine Procedures
Burr Holes for Subdural Hematoma
Carotid Ligation
Cervical Sympathectomy
Cranioplasty
Craniotomy
Discectomy/Laminectomy
Halo Traction Application
Insertion of Nerve Stimulator Devices
Myelomeningocele Repair
VP Shunt Procedure
VA Shunt Procedure
LP Shunt Procedure
Spinal Fusions
Ventriculostomy
Kyphoplasty
Spinal Cord Stimulator insertion
Cervical Laminectomy
Lumbar Laminectomy
Cervical Spinal Fusion
Lumbar Spinal Fusion
Panniculectomy

OPHTHALMOLOGY

Cataract Extraction
IOL Implant
Corneal Transplant
Orbital Implant
Enucleation
Repair Orbital Blowout Fracture
Repair of Retinal Detachment
Scleral Buckle

EAR, NOSE & THROAT

Caldwell Luc Procedure
Cleft Lip Repair
Palate Repair
Laryngectomy
Radial Neck Dissection
Radial Neck Resection
Tonsillectomy & Adenoidectomy
Mandibulectomy
Mastoidectomy
Rhinoplasty
Septoplasty
Sinusotomy
Tracheostomy

THORACIC/CARDIOVASCULAR

Aortic Femoral Bypass Graft
Femoral Popliteal Bypass
Pacemaker Implantation/Explanation
Care of Patients with Pacemakers
Care of Patients with IABP
Septal Defects, ASV, VSD
Coronary Artery Bypass Graft
Valve Replacement
Thoracotomy
Lobectomy
Rib Resection
Endoscopic Vein Harvesting
Off Pump Bypass

VASCULAR

Angiography
A-V Access Graft
Abdominal Aortic Aneurysm
Carotid Endarterectomy
Peripheral Vascular Bypass Procedures
Thrombectomy
Embolectomy
Vena Cava Ligation

UROLOGY

Circumcision
Cystoscopy/Uertoroscopy
Cystectomy
Hypospadias Repair
Implants
Lithotripsy
Nephrectomy
Orchiectomy
Prostatectomy
Ureterolithotomy
TURP
Vasectomy
Penile Implants
Ureteroplasty
Transurethral Resection of Bladder Tumor (TURBT)
Testicular Torsion

GYNECOLOGY

Cesarean Section
Dilatation & Curettage
Vaginal Hysterectomy
Abdominal Hysterectomy
Radium Insertion
Shirodkar Procedure
Termination of Pregnancy
Tubal Ligation
Vaginectomy
Anterior Vaginal Repair Surgery
Posterior Vaginal Repair Surgery
Salpingo-oophorectomy

ORTHOPEDIC

Achilles Tendon Repair
Amputation
Arthroscopy/Arthrotomy
Closed Pinning & Reduction of Extremities
External Compression Devices
Hip Compression Devices
Hip Compression Nails & Lag Screws
Knee Total Joint Replacement
Hip Total Joint Replacement
Shoulder Total Joint Replacement
Spica Cast
Open Shoulder Reduction and Internal Fixation (ORIF)
Hip Open Reduction and Internal Fixation (ORIF)
Humerus Open Reduction and Internal Fixation (ORIF)
Ankle Open Reduction and Internal Fixation (ORIF)
Radius Open Reduction and Internal Fixation (ORIF)
Ulna Open Reduction and Internal Fixation (ORIF)
Repair of Dislocation
Patellectomy
Tendon Implants & Reanastomosis
External Fixator

ENDOSCOPIC PROCEDURES

Bronchoscopy
Endoscopy/Colonoscopy
Culdoscopy
Esophagoscopy
Gastroscopy
Hysteroscopy

LAPAROSCOPIC PROCEDURES

Appendectomy
Cholecystectomy
Colon Resection
Hernia Repair
Salpingo-oophorectomy
Tubal Ligation
Vaginal Hysterectomy
Laryngoscopy
Mediastinoscopy
Pelviscopy
Sigmoidoscopy
Thoracoscopy

TRANSPLANT

Bone
Bone Marrow
Corneal
Harvesting
Heart/Lung
Kidney
Liver
Multi Organ
Pancreas

TRAUMA

Burns
Gunshot/Stab Wound
Vehicular Motor Accidents
Traumatic Amputations

ROBOTIC-ASSISTED SURGERIES

Appendectomy
Colon Resection
Cholecystectomy
Hernia surgery
Hysterectomy
Myomectomy
Salpingectomy
Oophorectomy
Ovarian Cystectomy
Lung Biopsy
Lobectomy/Bi-lobectomy/Wedge resection
Mediastinal mass resection
Thymectomy
Removal of tumors of the chest cavity
Total Knee Replacement
Knee Resurfacing
Weight-loss surgery

OPERATING ROOM EQUIPMENT

Camera/Video Systems
Cell Saver
Cidex Soak
Cryo-Ophthalmic Unit
CUSA
da Vinci® Surgical System
da Vinci® Xi Surgical System
Mako SmartRobotics™
Ion Endoluminal System
Drills & Saws
Electrosurgical Unit
Fiber Optic Laminator
Cavitron
Autoclave
Fracture Tables
Stapling Tables
Mesh Graft
Microscopes
Nitrogen Tank
Pneumatic Tourniquet
Steris Unit
Pulsevac Irrigation
Autotransfusion Systems
Laser Equipment
Care of Scopes & Fiberoptic Equipment

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Cerner (Oracle)
CPSI
eCLinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth-30days)
Infant (30 days-1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)