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Operating Room Nursing 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

WORKSETTING

GENERAL SURGERY

CARDIOVASCULAR

THORACIC

ORTHOPEDIC

NEUROLOGICAL

GENITOURINARY

GYNECOLOGICAL

EAR/NOSE/THROAT

CRANIOFACIAL/ORAL

PLASTIC

TRANSPLANTS

OPHTHALMOLOGY

PEDIATRICS

GENERAL SURGERY

GENITOURINARY

NEURO

CARDIAC/VASCULAR

TRANSPLANT

OPHTHALMOLOGY

EAR/NOSE/THROAT

CRANIOFACIAL/ORAL/PLASTICS

ORTHOPEDICS

OR EQUIPMENT

PROFESSIONAL KNOWLEDGE AND SKILLS

EMR

Certifications

BLS

NRP

PALS

Certified Nurse Operating Room

Registered Nurse First Assist

Other: Specify

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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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