Surgical Tech Skills Checklist

Instructions:

Please rate your experience / frequency (within the last year) using the following scale (check the appropriate boxes below):

  • 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)

Surgical Tech Skills Checklist

  • WORK SETTINGS

  • GENERAL SKILLS

  • GENERAL SURGERY

  • GYNECOLOGY

  • ENDOSCOPIC PROCEDURES

  • UROLOGY

  • ORTHOPEDIC

  • NEUROLOGY

  • PLASTICS

  • OPTHAMOLOGY

  • EAR, NOSE, AND THROAT

  • VASCULAR

  • THORACIC / CARDIOVASCULAR

  • TRANSPLANT

  • TRAUMA

  • EQUIPMENT EXPERIENCE

  • EMR

  • AGE OF PATIENTS CARED FOR