Surgical Technologist Vaya 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.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  General Surgery         Rating Stars (Click) 1 2 3 4
  AKA/BKA (amputation)  
  Abdominal-Perineal Resection  
  Cholecystectomy (Open)  
  Exploratory Laparotomy  
  Appendectomy  
  Laparoscopic Procedure         Rating Stars (Click) 1 2 3 4
  Cholecystectomy  
  Appendectomy  
  Hernia  
  Nissan  
  Colectomy  
  Gastrectomy  
  Inguinal / Ventral Hernia Repair  
  Spienectomy  
  Bowel Resection / Colostomy  
  Thyroidectomy  
  Rectal Procedures  
  Esophagascopy / Gastroscopy  
  Pediatric Case         Rating Stars (Click) 1 2 3 4
  Inguinal Hernia Repair  
  Pyloric Stenosis  
  Circumcision  
  Exploratory Laparotomy  
  E.N.T         Rating Stars (Click) 1 2 3 4
  Middle Ear Cases  
  T&A  
  Myringotomy  
  Tympanoplasty  
  Radical Neck Dissection  
  Septoplasty  
  Sinus Endoscopy  
  Cardiac / Thoracic / Vascular         Rating Stars (Click) 1 2 3 4
  Coronary Artery By-pass  
  Mitral Valve Repair / Replacement  
  Aortic Valve Replacement  
  Multiple Valve Transposition  
  Septal Defects  
  Ventricular Aneurysm Repair  
  Bring Back Heart  
  Pericardial Window  
  Intra-Aortic Balloon Insertion  
  Heartport or Similar CABG  
  Thoraco Approach Mid-Cab  
  Aortic Arch Replacement  
  Aortic Valve Conduit  
  Mechanical Heart / LVAD  
  Pediatric Hearts  
  Tetrology of Fallot  
  Chamberlin Procedure  
  AICD Insertion  
  Saphenous Vein Harvest  
  Endoscopic Vein Harvest  
  Gastric Artery Harvest  
  Radial Vein Harvest  
  Insertion Vena Cava Filter  
  Thoracotomy  
  Thoracoscopy  
  Insertion Chest Tube  
  Esophageal Repair  
  Pneurnonectomy / Lobectomy  
  Mediastinodcopy  
  Desendind Aortic Repair  
  Arterial Stenting  
  Intra-Operative Angioplasty  
  Vascular Surgery         Rating Stars (Click) 1 2 3 4
  Carotid Endarterectomy  
  Abdominal Aortic Aneurysm  
  Femoral         Rating Stars (Click) 1 2 3 4
  Popliteal By-pass Graft (Insitu)  
  Popliteal By-pass Graft (Graph)  
  Portacath  
  Tesio  
  Hickman Placement  
  AV Shunt  
  Thrombectomy  
  Pacemaker Insertion  
  Arterial Stenting  
  Intra-Operative Angioplasty  
  Subclavin / Carotid By-pass  
  Orthopedics         Rating Stars (Click) 1 2 3 4
  Total Hip Replacement  
  Bipolar Hip  
  Compression Hip Screw  
  Total Knee Replacement  
  Knee Arthroscopy  
  ACL Knee Repair  
  Harrington Rod or Similar  
  I.M. Rodding  
  Hand Procedures  
  Foot Procedures  
  Mini, Standard, Large Fragment         Rating Stars (Click) 1 2 3 4
  Screws & Plates  
  External Fixation  
  Shoulder Repair  
  Shoulder Arthroscopy  
  Spinal Fusion  
  Cast Application  
  Fracture Table Set-up  
  Drills  
  Saws and Reamers  
  Urology         Rating Stars (Click) 1 2 3 4
  Radical Prostatectomy  
  Radical Lymph Node Dissection  
  Ureteroscopy  
  TURP / TURST  
  Ultrasonic Lithotripsy  
  Hydrocelectomy  
  Cystoscopy  
  Insertion Penile Prosthesis  
  Gynecology         Rating Stars (Click) 1 2 3 4
  D & C  
  Diagnostic Laparascope  
  Laparoscopic Vaginal Hysterectomy  
  Abdominal Hysterectomy  
  Vaginal Hysterectomy  
  Anterior Repair  
  Posterior Repair  
  MMK (Marshall Marchetti Krantz)  
  Tuboplasty  
  BTL (Bilateral Tubal Ligation)  
  C-Sections  
  Neurology         Rating Stars (Click) 1 2 3 4
  Cervical Laminectomy (Anterior)  
  Cervical Laminectomy (Posterior)  
  Lumbar Laminectomy Discectomy  
  Percutaneous Micro Discectomy  
  Craniotomy For Tumor  
  Craniotomy For Aneurysm  
  Burr Holes  
  VP Shunts  
  Transphenoidal Hypothypectomy  
  Carpal Tunnel Repair  
  Harrington Rod or Similar  
  Trauma Surgery         Rating Stars (Click) 1 2 3 4
  Transplant Surgery  
  Organ Procurement (Harvest)  
  Plastics         Rating Stars (Click) 1 2 3 4
  Mammoplasty  
  Facelifts  
  Skin Grafts  
  Rhinoplasty  
  Cleft Lip Repair  
  Abdominalplasty  
  Blepharoplasty  
  Otoplasty  
  Muscle Flaps  
  Ophthalmic         Rating Stars (Click) 1 2 3 4
  Cataract extraction/implant  
  Corneal transplant  
  Eye trauma  
  Glaucoma surgery  
  Vitrectomy  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  Preschooler (ages 2-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adults (ages 65-79 years)  
  Elderly (ages 80+ years)