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Operating Room Surgical Technologist Skills Checklist

Fill Out and Submit your Skills Checklist

I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Skills Checklist

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:

1No Experience

2Need Training

3Able to perform with supervisione

4Able to perform independently

GENERAL SURGERY

CARDIOVASCULAR

THORACIC

ORTHOPEDIC

NEUROLOGICAL

GENITOURINARY

GYNECOLOGICAL

EAR/NOSE/THROAT

CRANIOFACIAL/ORAL/PLASTICS

PLASTIC

TRANSPLANTS

OPHTHALMOLOGY

If no PEDIATRICS Experience, skip to EQUIPMENT section

GENERAL SURGERY

GENITOURINARY

NEURO

CARDIAC/VASCULAR

TRANSPLANT

OPHTHALMOLOGY

EAR/NOSE/THROAT

CRANIOFACIAL/ORAL/PLASTICS

ORTHOPEDICS

OR EQUIPMENT

PROFESSIONAL KNOWLEDGE AND SKILLS

EMR

Certifications

BLS

Certified Surgical Technologist (CST)

Certified Sterile Processing Technologist (CSPT)

Other: Specify

Age Specific Competencies

Our Motto?

We deliver

SSI has created an innovative and cost effective delivery method that provides you with the best quality candidates from highly selective talent pool.

Why SSI

Capabilities

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Reach us

contact@selectsourceintl.com
care@selectsourceintl.com
Phone: +1-952-546-3300
Fax: +1-952-546-3500
13911 Ridgedale Drive, Suite 230
Minnetonka, Minnesota 55305, United States

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