Skills Checklist - CST - The iDeal Hire

Skills Checklist - CST

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name(Required)

Email(Required)

Date

Send to(Required)

AGE OF PATIENTS CARED FOR

Young Adults (18 years to 39 years)(Required)

Middle Adults (39 years to 64 years)(Required)

Older Adults (64+ years)(Required)

CLINICAL SETTINGS

Hospital within Hospital(Required)

Free-Standing LTAC(Required)

EAR NOSE AND THROAT

Adenoidectomy(Required)

Caldwell - Luc(Required)

Cleft lip/palate repair(Required)

Closed reduction nasal fracture(Required)

Ethmoidectomy(Required)

Excision of salivary gland tumor(Required)

Fenestration procedure(Required)

Frontal flap sinus procedure(Required)

Glossectomy(Required)

Laryngectomy(Required)

Mandibulectomy(Required)

Mastoidectomy(Required)

Maxillary advancement with hip graft(Required)

Maxillectomy(Required)

Myringoplasty(Required)

Myringotomy with PE tube insertion(Required)

Nasal polypectomy(Required)

Open reduction facial fracture(Required)

Open reduction nasal fracture(Required)

Parotidectomy(Required)

Pharyngeal flap procedure(Required)

Radical neck dissection(Required)

Ranulectomy(Required)

Rhinoplasty/septoplasty(Required)

Selective osteotomy of maxilla/mandible(Required)

Sinus endoscopy(Required)

Sinusotomy(Required)

Stapedectomy(Required)

Submuccous resection(Required)

Tonsillectomy(Required)

Tracheostomy(Required)

Tympanoplasty(Required)

ENDOSCOPIC PROCEDURES

Bronchoscopy(Required)

Colonoscopy(Required)

Culdoscopy(Required)

Esophagoscopy(Required)

Gastroscopy(Required)

Hysteroscopy(Required)

Appendectomy(Required)

Cholecystectomy/cholangiogram(Required)

Colon resection(Required)

Hernia repair(Required)

Nissen fundoplication(Required)

Salpingo-oophorectomy(Required)

Tubal ligation(Required)

Vaginal hysterectomy(Required)

Laryngoscopy & microlaryngoscopy(Required)

Mediastinoscopy(Required)

Pelviscopy(Required)

Sigmoidoscopy(Required)

Thoracoscopy(Required)

GENERAL SURGERY

Abdominal perineal resection(Required)

Adrenalectomy(Required)

Anal fissurectomy(Required)

Appendectomy(Required)

Breast biopsy(Required)

Colectomy(Required)

Colostomy/ileostomy(Required)

Gastrectomy(Required)

Gastroplasty(Required)

Hemorrhoidectomy(Required)

Hepatic resection(Required)

Herniorrhaphy - Femoral, inguinal, umbilical(Required)

Hiatal herniorrhaphy, transabdominal/transthoracic(Required)

Hickman/Groshong/Portacath insertion(Required)

Hydrocelectomy(Required)

Imperforate anus reconstruction(Required)

Lumbar sympathectomy(Required)

Omphalocele repair(Required)

Pancreatectomy/pancreatogram(Required)

Pilonidal cystectomy(Required)

Portal caval shunt(Required)

Pyloric stenosis(Required)

Radical mastectomy(Required)

Saphenous vein ligation and stripping(Required)

Sentinel node biopsy(Required)

Splenectomy(Required)

Tenchkhoff catheter placement(Required)

Thyroglossal duct cyst excision(Required)

Thyroidectomy(Required)

Tracheostomy(Required)

Vagotomy(Required)

GYNECOLOGY

Cesarean section(Required)

Colpotomy(Required)

Dilation and curettage (D&C)(Required)

Hysterectomy, abdominal(Required)

Hysterectomy, vaginal(Required)

Marshall - Marchetti(Required)

Marsupialization, Bartholin cyst(Required)

Ovarian cystectomy(Required)

Radium insertion(Required)

Sacral spinus fixation(Required)

Shirodkar procedure(Required)

Suction curettage(Required)

Vaginal reconstruction(Required)

Vaginectomy/vulvectomy(Required)

NEUROLOGY

A-V malformation(Required)

Anterior cervical fusion(Required)

Anterior laparoscopic spine procedures(Required)

Anterior lumbar interbody fusion (ALIF)(Required)

Burr holes for subdural hematoma(Required)

Carotid ligation(Required)

Cervical sympathectomy(Required)

Craniectomy for decompression fracture(Required)

Cranioplasty/craniotomy(Required)

Clipping of aneurysm(Required)

Tumor excision(Required)

Using stealth equipment (stealth craniotomy)(Required)

Discectomy(Required)

Hypophysectomy(Required)

Insertion nerve stimulators/medication pumps(Required)

Laminectomy(Required)

Myelomeningocele repair(Required)

Pedicle screw insertion(Required)

Posterior lumbar interbody fusion (PLIF)(Required)

Shunt procedure/VP, VA/LP(Required)

Spine fusion - list systems you have used(Required)

Ulnar nerve transfer(Required)

Ventriculography procedure/ventriculoscopy(Required)

Ventriculostomy(Required)

OPHTHALMOLOGY

Cararact extraction with IOL(Required)

Corneal transplant(Required)

Dacryocystectomy(Required)

Iridectomy(Required)

Lid and muscle procedures(Required)

Orbital implant(Required)

Phaco emulsification(Required)

Pterygium repair(Required)

Recession resection(Required)

Repair orbital blowout fracture(Required)

Scieral buckle(Required)

Vitrectomy(Required)

ORAL

Closed reduction facial fractures/wiring(Required)

Excision odontoma(Required)

Extraction of deciduous teeth(Required)

Extraction of impacted molars(Required)

Fractured jaws, mandibular and zagomatic(Required)

LeFort osteotomies(Required)

Maxillary procedure with graft(Required)

Pediatric dentistry(Required)

Sagittal osteotomy(Required)

Temporomandibular joint (TMJ) with arthoplasty(Required)

TMJ exploration(Required)

ORTHOPEDICS

Acetabular/pelvic ORIF(Required)

Achilles tendon repair(Required)

Amputation - leg, arm(Required)

Anterior cruciate ligament repair(Required)

Application of external fixators (Extremities, Pelvis)(Required)

Application of halo traction(Required)

Arthroscopy (Ankle, elbow, knee, shoulder)(Required)

Bipolar/unipolar hips(Required)

Bunionectomy(Required)

Calcaneal reconstruction(Required)

Capsulorrhaphy(Required)

Carpal tunnel release(Required)

Closed reduction fracture(Required)

Hand surgery with implants(Required)

Harrington rod instrumentation and or Dwyer procedure(Required)

Heel cord lengthening(Required)

Hip compression nails & lag screws(Required)

Iliac crest bone graft(Required)

Insertion Austin Moor hip prosthesis(Required)

Intramedullary rods (Extraction, Femoral, Humeral, Insertion, Supracondylar, Tibial)(Required)

Laminectomy(Required)

Excision of olecranon bursa(Required)

Open reduction of fracture, internal fixation with compression set(Required)

Patellectomy(Required)

Putti Platt/Bankart procedure/rotator cuff repair(Required)

Reduction with compression sets(Required)

Re-implantation of digits(Required)

Repair hammer toes(Required)

Sacro-iliac (SI) joint screws(Required)

Sharrard procedure(Required)

application of Spica cast(Required)

Spinal fusion(Required)

Tendon transplants (hand and foot)(Required)

Total joint replacements/revisions (hip, knee, shoulder)(Required)

PLASTICS

Abdominal lipectomy(Required)

Blepharoplasty(Required)

Face lift(Required)

Mammoplasty (Augmentation, reduction, tramflaps with reconstructive mammoplasty)(Required)

Mentoplasty(Required)

Otoplasty(Required)

Pedicle grafts(Required)

Scar revisions(Required)

Split thickness skin grafting(Required)

Tissue expanders(Required)

THORACIC & OPEN HEART

Cervical rib excision(Required)

Chamberlain procedure(Required)

Closed thoracostomy(Required)

Correction pectus excavatum(Required)

Esophangectomy(Required)

Heller procedure(Required)

Mitral commissurotomy(Required)

Open heart procedures- Mitral or aortic valve replacement(Required)

Open heart procedures- patent ductus arteriosus(Required)

septal defect repairs(Required)

tetrology of fallot(Required)

Pacemakers implantation-endocardial(Required)

Pacemakers implantation-myocardial(Required)

Pericardiectomy(Required)

Resection coarctation aorta(Required)

Rib resection(Required)

Thoracoplasty(Required)

Tracheal resection(Required)

Transthoracic diaphragmatic herniorrhaphy(Required)

TRANSPLANT

Bone(Required)

Bone marrow(Required)

Harvesting(Required)

Heart(Required)

Kidney(Required)

Liver(Required)

Lung(Required)

Multi-organ(Required)

Pancreas(Required)

Skin(Required)

TRAUMA

Burns(Required)

Gunshot/stab wounds(Required)

Motor vehicle accidents (multiple injuries)(Required)

Traumatic amputations(Required)

UROLOGY

Adult circumcision(Required)

Cystectomy(Required)

Cystoscopy/ureteroscopy(Required)

Hypospadias repair(Required)

Implants (penile, testicular)(Required)

Lithotripsy(Required)

Nephrectomy(Required)

Nephrolithotomy(Required)

Orchiopexy(Required)

Prostatectomy-Perineal(Required)

Prostatectomy-Supra-pubic(Required)

Pyeloplasty(Required)

Radical node dissection(Required)

Scott incontinence device(Required)

TURP(Required)

Ureterolithotomy(Required)

Vasectomy(Required)

Vasovasotomy(Required)

Waterhouse procedure(Required)

VASCULAR

A-V access graft(Required)

Aortic aneurysm with graft replacement(Required)

Endarterectomy/carotid - femoral(Required)

Peripheral vascular bypass procedures(Required)

Resection carotid aneurysm with graft(Required)

Thrombectomy/embolectomy(Required)

Vena cava filter/umbrella(Required)

Vena cava ligation(Required)

EQUIPMENT

Argon beam coagulator(Required)

Bair Hugger(Required)

Blood/fluid warmer(Required)

Camera/video systems(camera controller, light source, printers, VCRs)(Required)

Cell saver(Required)

Cidex soak(Required)

Cry-ophthalmic unit(Required)

Dermatome-Brown(Required)

Dermatome-Padgett(Required)

Dermatome-Zimmer(Required)

Disposable ground pads(Required)

Drills(Required)

Electrosurgical unit(Required)

Emerson thoracic pump(Required)

Ethylene oxide sterilizer - AMSCO(Required)

Fracture tables(Required)

Hypo/hyperthermia unit(Required)

Intestinal stapling devices - EEA(Required)

Intestinal stapling devices - GIA(Required)

Intestinal stapling devices - LDS(Required)

Intestinal stapling devices - TA(Required)

Kreiselman resuscitator(Required)

Laser - CO2(Required)

Laser - Eye(Required)

Laser - Yag(Required)

Mesh graft(Required)

Microscopes(Required)

Nerve stimulator(Required)

Nitrous oxide bank(Required)

Ohio suction units(Required)

Orthopedic arm board with drain(Required)

Pleurevac disposable chest drainage(Required)

Pneumatic tourniquet(Required)

Sterad machine(Required)

Steri-vac aeration cabinet, 3-M, portable(Required)

Steris unit(Required)

Suction unit, disposable(Required)

Tele-thermometer(Required)

Ultrasonic cleaner - AMSCO(Required)

Vac-pac positioner(Required)

Vacuum curettage(Required)

Washer sanitizer - AMSCO(Required)

Washer sterilizer - AMSCO(Required)

OTHER SKILLS:

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