Nurses
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Surgical Technologist Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Proficiency Scale & Legend

1 Not Applicable
2 No Experience
3 Some Experience (Require Assistance)
4 Intermittent Experience (May Require Assistance)
5 4 Experienced (Performs without Assistance)
6 Very Experienced (Able to Teach/Supervise)

Work Settings

1
2
3
4
5
6

General Skills

1
2
3
4
5
6

General Surgery

1
2
3
4
5
6

Gynecology

1
2
3
4
5
6

Endoscopic Procedures

1
2
3
4
5
6

Laparoscopic Procedures

1
2
3
4
5
6

Urology

1
2
3
4
5
6

Orthopedic

1
2
3
4
5
6

Neurology

1
2
3
4
5
6

Plastics

1
2
3
4
5
6

Ophthalmology

1
2
3
4
5
6

Ear, Nose & Throat

1
2
3
4
5
6

Vascular

1
2
3
4
5
6

Thoracic/cardiovascular

1
2
3
4
5
6

Transplant

1
2
3
4
5
6

Trauma

1
2
3
4
5
6

Equipment

1
2
3
4
5
6

Age Specific Competencies

1
2
3
4
5
6