Director of Perioperative Services
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Strategic planning for perioperative services
Staff recruitment, retention & performance evaluation
Conflict resolution & team management
Budget development & cost control
Interdepartmental collaboration
Compliance with accreditation and regulatory standards (e.g., Joint Commission)
Experience leading Magnet initiatives or shared governance
Understanding of pre-op, intra-op, PACU, sterile processing workflows
OR throughput and case scheduling management
Infection control & surgical safety protocols
Oversight of surgical instrumentation and supplies
Knowledge of various surgical specialties (e.g.,ortho, cardiac, neuro)
Emergency preparedness in the periop setting
Incident reporting and root cause analysis
Developing and monitoring quality improvement plans
Staff education on safety initiatives (e.g.,SCIP, time-outs)
Surgical site infection (SSI) prevention strategies
EMR systems (EPIC, Cerner, etc.)
Surgical scheduling platforms
Data analysis & dashboard interpretation
Conducting staff meetings & briefings
Orientation and ongoing training for perioperative staff
Collaboration with surgeons and anesthesia teams
Patient and family education (pre/post-op)
Current RN license
YesNoIn Progress
CNOR certification
MSN or BSN
Member of AORN or ACHE
I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
