orientation procedure check list - today's...

Name:

Preceptor(s):

Place tally marks in proper boxes for each procedure. When orientee is competent in particular procedure then,

date & initial next to procedure (both preceptor & orientee to initial).

General2nd 1st 2nd 1st

Scrub Scrub Circulate Circulate

Abscess I & D

Amputation, Above Knee

Amputation, Below Knee

Amputation, Toe

Amputation, Trans metatarsal

Appendectomy , Laparoscopic

Appendectomy, Open

Axillary Dissection

Axillary Node Biopsy

Bariatric, Gastric Sleeve, Laparoscopic

Bariatric, Gastric Sleeve, Robotic

Bariatric, Lap Band Removal

Bariatric, Roux-en-Y, Laparoscopic

Bowel Resection, APR (Abdominal Perineal Resection)

Bowel Resection, Colostomy / Ileostomy Creation

Bowel Resection, Colostomy Closure

Bowel Resection, Left Hemicolectomy, Lap Hand Assisted

Bowel Resection, Left Hemicolectomy, Open

Bowel Resection, Left Hemicolectomy, Robotic

Bowel Resection, Low Anterior Resection

Bowel Resection, Right Hemicolectomy, Lap Hand Assisted

Bowel Resection, Right Hemicolectomy, Open

Bowel Resection, Right Hemicolectomy, Robotic

Bowel Resection, Small, Lap hand Assisted

Bowel Resection, Small, Open

Bowel Resection, Small, Robotic

Bowel Resection, Transverse, Laparoscopic

Bowel Resection, Transverse, Open

Bowel Resection, Transverse, Robotic

Breast, Biopsy

Breast, Mastectomy

Breast, Mastectomy, Expanders

Breast, Mastectomy, Free Flap

Breast, Mastectomy, Latissimus Dorsi

Catheter Placement, IVC (Inferior Vena Cava) Filter, Femoral

Catheter Placement, IVC (Inferior Vena Cava) Filter, Jugular

Orientation Procedure Check List

Procedure Observe

General (continued)2nd 1st 2nd 1st


Catheter Placement, Peritoneal Dialysis

Catheter Placement, Port-a-Cath

Cholecystectomy, Laparoscopic

Cholecystectomy, Open

Common Duct Exploration

Excision of Mass (Anywhere)

Exploratory Laparoscopy

Exploratory Laparotomy

Feeding Tube Placement, G or J Tube, Laparoscopic

Feeding Tube Placement, G or J Tube, Open

Feeding Tube Placement, G or J Tube, Percutaneous

Hernia, Component Separation

Hernia, Inguinal, Laparoscopic

Hernia, Inguinal, Open

Hernia, Inguinal, Robotic

Hernia, Umbilical, Laparoscopic

Hernia, Umbilical, Open

Hernia, Umbilical, Robotic

Hernia, Ventral / Incisional, Laparoscopic

Hernia, Ventral / Incisional, Open

Hernia, Ventral / Incisional, Robotic

Lymph Node Dissection

Lysis of Adhesions, Laparoscopic

Lysis of Adhesions, Open

Muscle Biopsy

Nissen Fundoplication, Laparoscopic

Pacemaker Insertion / Battery Pack Change

Pilonidal Cyst Excision

Rectal Procedure, Anal Fissure

Rectal Procedure, Anal Fistula

Rectal Procedure, Hemorrhoidectomy

Rectal Procedure, Proctosigmoidoscopy, Flexible

Rectal Procedure, Proctosigmoidoscopy, Rigid

Skin Graft, Split Thickness

Splenectomy

Temporal Artery Biopsy

Tracheostomy, Percutaneous

Tracheostomy, Traditional

Wound Vac Placement

Procedure Observe

Plastics2nd 1st 2nd 1st


Abdominoplasty

Breast, Augmentation

Breast, Implant Exchange

Breast, Reduction Mammoplasty

Breast, Removal of Expanders

Excision of Lesion

Face Lift

Liposuction

Scar Revision

Procedure Observe

Gynecology2nd 1st 2nd 1st


Anterior Repair (Cystocele)

Bartholin Cyst Excision

Cervical Cerclage,

Cervical Cerclage, Shirodkar

Cone Biopsy, Cold Knife

Cone Biopsy, Leep

D & C

D & C, Hysteroscopy

D & C, Suction

Ectopic Pregnancy Excision

Hysterectomy, Abdominal

Hysterectomy, Lap Assisted Vaginal

Hysterectomy, Robotic

Hysterectomy, Vaginal

Laparoscopy, Diagnostic

Laparoscopy, Operative

Myomectomy, Open

Myomectomy, Robotic

Posterior Repair (Rectocele)

Salpingectomy / Oophorectomy, Laparoscopic

Salpingectomy / Oophorectomy, Robotic

Urinary Sling

Procedure Observe

Vascular2nd 1st 2nd 1st


AAA (Abdominal Aortic Aneurysm), Endoscopic

AAA (Abdominal Aortic Aneurysm), Open

A-V Fistula, Creation

A-V Fistula, Embolectomy

A-V Fistula, Ligation

A-V Fistula, Revision

Bypass, Aorta-Bi-Femoral

Bypass, Femoral - Popliteal

Bypass, Femoral -Femoral

Bypass, Femoral -Tibial

Carotid Endarectomy

Lower Extremity, Angioplasty & Stenting

Lower Extremity, Embolectomy

Upper Extremity, Angioplasty & Stenting

Upper Extremity, Embolectomy

Vein Ligation / Stripping

Procedure Observe

GU (Genitourinary)2nd 1st 2nd 1st


Bladder Distension

Bladder Suspension

Circumcision

Cystoscopy

ESWL (Extracorporeal Shock Wave Lithotripsy)

Hydrocelectomy

Hypospadias Repair

Ileoconduit / Cystectomy

Nephrectomy, Lap Hand Assisted

Nephrectomy, Open

Nephrectomy, Robotic

Nephrolithotripstsy

Orchiectomy

Orchiopexy

Pelvic Lymph node Dissection

Penile Prosthesis

Prostatectomy, Lap Hand Assisted

Prostatectomy, Open

Prostatectomy, Robotic

Reimplantation Ureter

Testicular Torsion

TURBT (Trans Urethral Resection Bladder Tumor)

TURP (Trans Urethral Resection Prostate)

Ureteroscopy

Procedure Observe

ENT (Ears, Nose, Throat)2nd 1st 2nd 1st


Adenoidectomy

DCR (Dacryocystorhinostomy)

FESS (Functional Endoscopic Sinus Surgery)

Laryngoscopy

Myringotomy Tubes

Orbital Decompression

Parathyroidectomy

Parotidectomy

Septoplasty

Submandibular Gland Excision

Thyroidectomy

Tonsillectomy

Tympanoplasty

Procedure Observe

Ophthalmology2nd 1st 2nd 1st


Blepharoplasty

Cataract Extraction w/ IOL (Intra Ocular Lens)

Corneal Transplant, (Descemets Stripping Endothelial Keratoplasty)

Corneal Transplant, Full Thickness

DCR (Dacryocystorhinostomy)

Ectropion Repair

Entropion Repair

Enucleation

Orbital Decompression

Pterygium Excision

Ruptured Globe Repair

Temporal Artery Biopsy

Vitrectomy, Anterior

Procedure Observe

Neuro2nd 1st 2nd 1st


Burr Holes

Cervical Fusion, Anterior

Cervical Fusion, Posterior

Craniotomy

Lumbar Fusion, ALIF (Anterior Lumbar Interbody Fusion)

Lumbar Fusion, DLIF (Direct Lateral Interbody Fusion)

Lumbar Fusion, PLIF (Posterior Lumbar Interbody Fusion)

Lumbar Fusion, TLIF (Transforaminal Lumbar Interbody Fusion)

Lumbar Laminectomy / Discectomy

Thoracic Fusion

Trans Sphenoidal Hypophysectomy

V-P Shunt (Ventricular - Peritoneal)

Procedure Observe

Cardiac2nd 1st 2nd 1st


Aortic Arch Aneurysm

CABG (Coronary Artery Bypass Graft) off Pump

CABG (Coronary Artery Bypass Graft) on Pump

MAZE Procedure

Pericardial Window

Valve, Aortic, Repair / Replacement

Valve, Mitral, Repair / Replacement

Valve, Tricuspid, Repair

Procedure Observe

Thoracic2nd 1st 2nd 1st


Empyema

Mediastinoscopy

Mediastinoscopy, Chamberlin Procedure

Thoracoscopy, Wedge Resection / Lobectomy

Thoracotomy, Wedge Resection / Lobectomy

Procedure Observe

Podiatry2nd 1st 2nd 1st


Bunionectomy

Debridement of Wound

Plantar Fasciotomy

Hammer Toe Repair

Procedure Observe

Orthopedics2nd 1st 2nd 1st

Scrub Scrub Circulate CirculateAnkle, Arthroscopy

Ankle, ORIF (Open Reduction Internal Fixation)

Cerclage w/ Cables & Wires

Clavicle, ORIF

Closed Reduction w/ Cast Application

Elbow, Olecranon ORIF

Femur, IM Rodding, Antegrade

Femur, IM Rodding, Retrograde

Femur, ORIF

Hand, Carpal Tunnel

Hand, Ganglion Cyst Excision

Hand, Metacarpal, ORIF

Hand, Metacarpal, Percutaneous Pinning

Hand, Tendon & Nerve Repair

Hip, AMBI

Hip, DHS

Hip, Hemiarthroplasty, Bipolar

Hip, Hemiarthroplasty, Unipolar

Hip, IM Rodding, InterTAN

Hip, Knowles Pins

Hip, Percutaneous Pinning

Hip, Total Arthroplasty

Hip, Total Arthroplasty, Revision

Humerus, IM Rodding

Humerus, ORIF

Knee, ACL Reconstruction

Knee, ACL Repair

Knee, Arthroscopy

Knee, Patellar-Femoral Replacement

Knee, Total Arthroplasty

Knee, Total Arthroplasty, Revision

Knee, Uni-Compartmental Replacement

Radius, Distal ORIF (Wrist)

Radius, Proximal ORIF (Elbow)

Shoulder, Arthroscopy, Capsular Release

Shoulder, Arthroscopy, Capsular Repair

Shoulder, Arthroscopy, Labral Repair

Shoulder, Arthroscopy, Rotator Cuff Repair

Shoulder, Arthroscopy, Sub acromial Decompression

Shoulder, Humeral Head ORID

Shoulder, Total Arthroplasty

Shoulder, Total Arthroplasty, Reverse

Tendon Repair, Achilles

Tendon Repair, Biceps, Distal

Tendon Repair, Biceps, Proximal

Tendon Repair, Hamstring

Tendon Repair, Patella

Procedure Observe

Orthopedics (continued)2nd 1st 2nd 1st


Tendon Repair, Pectoral

Tendon Repair, Quadricep

Tibia, IM Rodding

Tibia, ORIF

Tibia, Plateau ORIF

Procedure Observe

orientation procedure check list - today's...

Documents