Skill Assessment 8-1



Skill Assessment 8-1

|Student Name | |

|SKILL |Hemostatic Devices Used During Surgery |

|Instructions |Instructor will demonstrate skill. Practice skill set with your partner. When ready, notify instructor to schedule check |

| |off. Skills assessment must be completed satisfactorily by ____________ |

| |(due date). |

|Supplies |• If available—any hemostatic supplies as described below. |

| |Practice with Partner Date: |Skills Testing Date: |

| |PROCEDURAL STEPS | |COMMENTS |

| |1. Describe appropriate care of thermal units: |Correct |Needs | |

| |A. ESU (holder when not in use; Bovie scraper to clean tip) | |Review | |

| |B. Laser unit (moist towels around site, special wrapped ETT for oral | | | |

| |procedures, special eyewear, sign on door, pretest unit) | | | |

| |C. Harmonic scalpel (correct assembly of tips) | | | |

| |2. Describes appropriate preparation and use of chemical hemostatic agents: |Correct |Needs | |

| |A. Gelfoam—gelatin that may be in foam pads, which may be cut or compressed and | |Review | |

| |soaked in thrombin or epinephrine | | | |

| |B. Avitene—collagen that may be in sheets or powder and must be passed dry | | | |

| |C. Surgicel or Oxycel is compressed cellulose that is usually used dry and is | | | |

| |removed from around vessels or nerves prior to closure to prevent stricture | | | |

| |formation | | | |

| |D. Epinephrine—label appropriately; be alert to strength of solutions; is never | | | |

| |injected into digits, penis, earlobes, or tip of nose | | | |

| |E. Thrombin—mixed just prior to use; never injected IV; stored in refrigerator; | | | |

| |possible Bovine allergies | | | |

Skill Assessment 8-2

|Student Name | |

|SKILL |Emergency Skills |

|Instructions |Instructor will demonstrate skill. Practice skill set with your partner. When ready, notify instructor to schedule the |

| |check-off. Skills assessment must be completed satisfactorily by _______________ (due date). |

|Supplies |• Mock paper vials/AED/defibrillator cards labeled |• Mannequin—able to complete jaw thrust and compressions |

| |defibrillation 360 joules; defibrillation 200 joules;|• PPE—gloves, gowns, eyewear, shoe covers |

| |atropine; lidocaine; Benadryl; epinephrine; IV | |

| |fluids; Trendelenburg | |

| |Note: Student must perform skill independently without prompting. |

| |Practice with Partner Date: |Skills Testing Date: |

| |PROCEDURAL STEPS | |COMMENTS |

| | 1. Washes hands. |Correct |Needs Review | |

| | 2. Assembles supplies and equipment. |Correct |Needs Review | |

| | 3. Describes appropriate treatment for asystole. |Correct |Needs Review | |

| | 4. Describes CPR administration for adult patient correctly (30 |Correct |Needs Review | |

| |compressions to two breaths). Demonstrates appropriate compression | | | |

| |technique. | | | |

| | 5. Describes priorities of the STSR during a cardiac arrest during|Correct |Needs Review | |

| |surgery. | | | |

| | 6. Describes appropriate treatment for ventricular fibrillation. |Correct |Needs Review | |

| | 7. Describes appropriate treatment for symptomatic bradycardia |Correct |Needs Review | |

| |(infant with HR of 60 or adult with HR ................
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