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OB Tech

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

General Skills

Universal Protocol*

Crash Cart/Defibrillator*

Patient Identification*

Hand-off Communication*

Standard Precautions*

Isolation Precautions*

Respiratory/Cardiac Arrest*

Electronic Documentation*

OB/Gynecology

Caesarean Section*

Dilation & Curettage*

Hysterectomy - Vaginal*

Hysterectomy - Laparoscopic*

Laser Surgery*

Radium Insertion*

Salpingo-Oopherectomy*

Shirodkar Procedure*

Termination of Pregnancy*

Tubal Ligation*

Vaginectomy*

Vaginal Reconstruction*

Equipment

Robotics*

Electocautery*

Sterilization of Equipment

Log*

Biological Indicators*

Autoclave Operation*

High Level*

STERIS*

Steam*

Gas*

Flash*

Other Skills
Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.