OR Skills Check List

  • MM slash DD slash YYYY
  • Certification Dates

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

  • 1 = Never Performed
    2 = Some Experience
    3 = Proficient/Can Perform Duties

  • Equipment Operation

  • Optomology

  • Plastics

  • Pediatrics

  • Neurosurgery

  • Other

  • General Surgery

  • Orthopedics

  • General Nursing Duties

  • Equipment

  • Urology

  • Gynecology

  • ENT

  • Cardiovascular

  • Laser Surgeries