Last Name: First name: 1 No Knowledge 2 Limited Knowledge 3 Proficient



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THEATRE/PERIOPERATIVE SPECIALIST PROCEDURES



Last Name:____________________ First name:______________

1 - No Knowledge  2 - Limited Knowledge           3 - Proficient

  1. GENERAL SURGERY










Abdominal perineal resection










Adrenalectomy










Anaesthesia










Assist with intubation










Conscious sedation(administer)










Manage malignant hyperthermia










Anal fissurectomy










Appendectomy










Breast biopsy










Cholecystectomy










Colectomy










Colostomy/ileostomy










Exploratory laparotomy










Gastrectomy










Gastroplasty










Herniorrhaphy: femoral, inguinal










Hiatal herniorrhaphy:transabdominal










Hiatal herniorrhaphy;transthoracic










Hickman/Groshong/portacath










Hydrocelectomy










Imperforate anus reconstruction










Lumbar sympathectomy










Oesophagoscopy










Umbilical hernia repair










Operating room protocols/procedures










Asceptic technique










Surgical attire










Sponge & lap counts










Care of specimens










Oancreatectomy/pancreatogram










Pilonidal cystectomy










Portal caval shunt










Pyloric stenosis

Radical mastectomy












Saphenous vein ligation










Sentinel node biopsy










Splenectomy










Tenchkhoff catherter placement










Thyroglossal duct cyst excision










Thyroidectomy










Tracheotomy










Vagotomy










  1. EQUIPMENT










Argon beam coagulator










Bair hugger










Blood/fluid warmer










Argon beam coagulator










Camera controller










Light source










Printers










EQUIPMENT CONTINUED:










Printers










VCRs










Cardiac monitor and pacemaker










Call saver










Cidex soak










Cry-ophthalmic unit










Defibrillator/pacer










2.1 Dermatome:

1

2

3

Brown










Padgett










Zimmer










Disposable grounding pads










2.2 Drills:

1

2

3

3-M maxi driver










Codman craniotome










Hall air driver










Hall dental










Hall neurotome










Midax rex/anspach










Minidriver










Stryker drills










Large battery stryker










Small battery stryker










Surgairtome










Synthes A-O drill










Electrosurgical unit










Emerson thoracic pump










Ethylene oxide steriliser/AMSCO










Eye magnet










Fibre optic laminator










Flash autoclave-AMSCO










2.3 Fracture tables

1

2

3

Chick table/marquet table










Jackson table










Rush table/skyton table










Hypo/hyperthermia unit










2.4 Intestinal stapling devices










EEA










GIA










LDS










TA










Kreiselman resuscitator










2.5 Laser

1

2

3

CO2










Eye










Yag










Other










Mesh graft










Microscopes










Nerve stimulator










Nitrous oxide bank










Othio suction units










EQUIPMENT CONTINUED










Orthopaedic arm board with drain










Pleurevac disposable chest drainage










Pneumatic tourniquet










Sterad machine










Steri-vac aeration cabinet, 3m, portable










Steris unit










Suction unit, disposable










Tele-thermometer









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