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CVOR

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Scrub General Surgery

AKA/BKA (Amputation) *

Radical Mastectomy *

Abdominal - Perineal Resection *

Cholecystectomy (Open) *

Exploratory Laparotomy *

Appendectomy *

Scrub Cardiac

DaVinci Procedures *

Coronary Artery By-Pass *

Mitral Valve Repair/Replacement *

Aortic Valve Replacement *

Multiple Valve Transposition *

Septal Defects *

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 *

Tetralogy of Fallot *

Chamberlain Procedure *

AICD Insertion *

Saphenous Vein Harvest *

Endoscopic Vein Harvest *

Gastric Artery Harvest *

Radial Vein Harvest *

Carotid Endarterectomy *

Abdominal Aortic Aneurysm *

Femoral-Popliteal By-Pass Graft *

Thrombectomy *

AV Shunt *

Pacemaker Insertion *

Scrub Laparoscopic Procedures

Cholecystectomy (Open) *

Appendectomy *

Hernia *

Nissan *

Colectomy *

Gastrectomy *

Inguinal/Ventral Hernia Repair *

Splenectomy *

Bowel Resection/Colostomy *

Thyroidectomy *

Rectal Procedures *

Esophagascopy/Gastrocopy *

Scrub Pediatric Cases

Inguinal Hernia Repair *

Pyloric Stenosis *

Circumcision *

Exploratory Laparotomy *

Scrub Vascular Surgery

Carotid Endarterectomy *

Abdominal Aortic Aneurysm *

Femoral-Popliteal By-Pass Graft (Insitu) *

Femoral-Popliteal By-Pass Graft (Graph) *

Portacath, Tesio, Hickman *

AV Shunt *

Thrombectomy *

Pacemaker Insertion *

Arterial Stenting *

Intra-Operative Angioplasty *

Subclavian/Carotid By-Pass *

Scrub Orthopedics

Total Hip Replacement *

Bipolar Hip *

Compression Hip Screw *

Total Knee Replacement *

Knee Arthroscopy *

ACL Knee Repair *

Harrington Rod or Similar *

I.M. Rodding *

Hand and Foot Procedures *

Mini Fragment Screws & Plates *

External Fixation *

Shoulder Repair *

Shoulder Arthroscopy *

Spinal Fusion *

Fracture Table Set-Up *

Drills, Saws and Reamers *

Scrub Gynecology

D&C *

Diagnostic Laparascope *

Laparoscopic Assisted Vaginal Hysterectomy *

Abdominal Hysterectomy *

Vaginal Hysterectomy *

Anterior/Posterior Repair *

MMK (Marshall Marchetti Krantz) *

Tuboplasty *

BLT (Bilateral Tubal Ligation) *

C-Section *

Scrub Urology

Radical Prostatectomy *

Radical Lymph Node Dissection *

Insertion Penile Prosthesis *

Hydrocelectomy *

Cystoscopy *

Ureteroscopy *

TURP/TURBT *

Scrub Neurology

Cervical Laminectomy (Anterior) *

Cervical Laminectomy (Posterior) *

Lumbar Laminectomy, Discectomy *

Percutaneous Micro Discectomy *

Craniotomy for Tumor *

Craniotomy for Aneurysm *

Burr Holes *

VP Shunts *

Transphenoidal Hypophysectomy *

Harrington Rod or Similar *

Scrub Plastics

Mammoplasty *

Facelifts *

Skin Grafts *

Rhinoplasty *

Cleft Lip Repair *

Abdominalplasty *

Blepharoplasty *

Otoplasty *

Muscle Flaps *

Trauma *

Cleft Lip Repair Transplant Surgery *

Organ Procurements (Harvest) *

Scrub ENT

Middle Ear *

T&A *

Myringotomy *

Tympanoplasty *

Radical Neck Dissection *

Septoplasty *

Sinus Endoscopy *

Scrub Thoracic

Thoracotomy *

Thoracoscopy *

Age Specific Competencies

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) *

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