REGISTERED NURSE EQUIPMENT COMPETENCY LIST

SURGICAL SERVICES

EMPLOYEE NAME:___________________________________________ DATE: _______________

Skills list is to be completed by the employee and preceptor upon hire. Skills list will be completed by the unit
manager annually to assess level of proficiency. Updates will be done as new skills are acquired.

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist

OR Department
0 Degree Rigid Scope
12 Degree Rigid Scope
30 Degree Rigid Scope
5mm Babcock (Surgical Inst)
5mm 0 Degree Scope
70 Degree Rigid Scope
A-V Impulse System
Anesthesia Cart
Anesthesia Machine
Anesthesia Vaporizer
Arthroscope Drive
Arthroscopic Fluid System
Arthroscopic Shaver
Arthroscopic System
AS/3 LCD Display
Battery Charger
Betacam VCR
Bicap II
Bidirectional Footswitch
Biological Incubator
Biological Monitor
Blanket Warmer
Blood Pressure
Blood Warmer
BOVIE
Bronci Flexible Scope
Camera
Cell Saver
CO2 Metromat
CO2 Module
Co2 Monitor
Coblator Plasma System
Colonscope Flexible Scope
 2

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist

Color Printer
Compression Pump
Computer for Endoscopy System
Control Console
CPU Monitor
Criticore Monitor
Cysto Table
Cystoscope
Demagnetizer/Magnetizer
Dermatome
Dermatone
Dermatone On/Off Switch
Desflurance
Desflurance Vaporizer
Desflurane
Desflurane Vaporizer
Doppler
Drill/Reamer
ECG Monitor
EHD Console
Electrohyd Lith
Endoscopy Camera
Endoscopy Light Source
ENT Telescope
Equipment Cart
ESU
Exam Lamp
Exam Light
Fetal Monitor
Fiber Optic Light
Flexible Cystonephroscope
Flexible Scope
Fluid Monitor
Fluid Transfer Pump
Fluid Warmer
Foot Compression Pump
Foot petal
Fracture Table
Gamma Positioning System
Gas Module
Gas Module System
 3

Gas Monitor Module

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist

Gooseneck Lamp
Halon Gas Monitor
Halothane
Halothane Vaporizer
Harmonic Scalpel Generator
Heated Controller
HEM-1033
Hemodynamic Monitor
Humitube Controller
IMAGE PROCESSOR 4.1
Infant Warmer System
Insight Central Unit
Instrument Washer
Insuffilator
Intellijet
INTELLITOUCH CPU MONITOR
Isoflurance
Isoflurance Vaporizer
Isoflurane
Isoflurane Vaporizer
Laparoscopic
Laporaflator
Laser Machine
Laser Printer
Laser System
Light Source
Magnifying Lamp
Medical Video Camera
Micro Digital Image Processor
Micromanipulator
Microscope
Mini-Driver II
Mini-stim
Module System
Muscle Stim
Nerve Stim
NIBP Machine
NIBP Module
O2 Monitor
Operating Sheath
 4

OR Table
Padsott Dermatome Power Supply

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist

Patient Monitor
Patient Warmer
Pediatric Aerosol Tent
Pediatric Bronchoscope
Phaco System
Phaco Unit
Plasma Surgery System
Plexi Pulse
Plexipulse Pump
Power Console
Printer
Printer Recorder
Procedure Table
Rack Module
Rack Module System
RCB Camera Module
Reaming Adapter
Recorder
Recorder Module
Reversing Switch
Rigid Scope
Rigid Scope 0 Degree
SCD Compression Device
Scope Leakage Tester
Sequential Pump
Sevoflurane Vaporizer
Shaver Console
Smoke Evacuator
Smoke Filteration System
Steam Flash Sterilizer
Steam Generator
Sterilizer
Steris System
Sterrad Sterilizer
Suction Pump
Suction Supply unit
Suction Unit
Surgical Graspers
Surgical Instrument
 5

Surgical Microscope

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist

Thermometer
Tourniquet System
Transesophageal Probe
Transport Patient Monitor
Ultrasonic Doppler
Ultrasonic Lith
UPS
Uterine Balloon
Vacuum Assisted Pump
Vacuum Foot Control
Vacuum System
Vaporizer
VCR
Ventilator
Video Monitor
Video Camera
Video Printer
Vital Signs Module
Warmer
Wound Debridement System
 6

SKILL Unable to Performs Proficient Initials Date

Perform w/ Assist
PACU
Adult Scale
BP (Wall)
BP Unit
Cabinet Warmer
Defib/Monitor
Imaging View Box
Motility Probe
Patient Monitor
PH Recorder
Pressure Sensor
Suction Unit
Thermometer