Basic surgical skills competency and performance checklist | |||||
---|---|---|---|---|---|
Name | Team# | Date | |||
Lesson | Splenectomy & typhlectomy | Role in current lesson | |||
1.Competency checklist (Pre-class self-evaluation) | |||||
1 = No practical experience, only theoretical knowledge 2 = Scarce experience, frequent omittance or error 3 = Occasional error; minimal assistance needed 4 = Very competent and independent | |||||
Basic surgical skills | 1 | 2 | 3 | 4 | |
1 | Correct Identification and use of surgical instruments | ||||
2 | Bare-handed knot-tying | ||||
3 | Knot-tying with instruments | ||||
4 | Simple interrupted suture | ||||
5 | Continuous suture | ||||
6 | Interrupted vertical mattress | ||||
7 | Interrupted horizontal mattress | ||||
8 | Continuous horizontal mattress | ||||
9 | Purse-string suture | ||||
10 | Tissue ligation | ||||
11 | Scrubbing | ||||
12 | Asepsis and draping | ||||
2. Performance checklist (After-class self-evaluation) | |||||
Please evaluate the performance of your TEAM and check the boxes below: | |||||
Performance | Yes | No | Cannot recall | ||
1 | Correct scrubbing and alcohol rubbing | ||||
2 | Correct disinfection and draping by the 1st assistant | ||||
3 | Correct gown dressing and glove wearing | ||||
4 | Correct setup of the instrument table by the scrub nurse | ||||
5 | Correct use and handling of surgical instruments and sutures | ||||
6 | Proper dissection and ligation of splenic vessels and ligaments | ||||
7 | Proper stump burying of the cecum with purse string | ||||
8 | Correct count of sponges, needles and instruments | ||||
9 | All procedures completed | ||||
10 | No violation of asepsis | ||||
11 | No major complications occurred | ||||
12 | No sharps injury occurred | ||||
13 | Experimental animal remained vitally stable | ||||
14 | Adequate surgical planning and teamwork |