Orientation & Preparation
Competence Level
Level 1
Level 2
Level 3 Level 4 Level 5
Nurse
ST1/ST2
Nurse
ST3/ST4/ST5
SECOND ASSISTANT (Bottom end)
FIRST ASSISTANT
Date
Signature
Date
Signature
Date
Signature
Date
Signature
Date
Knowledge of the operative room setup of the robotic system
Aware of principles of the robotic system
Be able to drape the Robot
Be able to respond to system errors
Able to drive the robot
Knowledge of how to position patient for robotic surgery
Undertake vaginal preparation for a robotic procedure
Able to insert McCartney tube in vagina if required
Able to insert uterine manipulator if required
Be able to undertake vaginal preparation & insert a rectal probe if required
Understand and demonstrate use of different methods of maintaining pneumoperitoneum
Demonstrate understanding port placement
Be able to dock the robotic system
Understand different docking positions and able to dock the robot
Be able to maintain a clear image by cleaning/changing the camera
Be able to insert, change and remove robotic instruments
Be able to unVessel sealern for clashing and adjust the arm positions
Have understanding of the appropriate use of assistant port
Demonstrates of use of suction and maintaining clear operative field
Able to introduce and present loaded needle
Able to cut the suture with laparoscopic scissors
Safe retrieval of needle
Demonstrate understanding of communication with scrub team and needle/swab count
Demonstrate introduction and retrieval of specimen bag/ swabs
Undocking and port closure (3 cases – level 4)
Be able to close incisions and port sites closure
Be able to perform an emergency undocking procedure
Demonstrate understanding of specimen handling and histology/cytology requests
Demonstrate effective communication with anaesthetic , theatre team and console surgeon
Demonstrate skills of communication with recovery and ward staff
Online modules
- Vessel sealer
- Diathermy
- Needle drive
Robot console simulation
Demonstrate camera control and set up visual field
Demonstrate multi-arm control of the robotic instruments
Demonstrate hand-eye instrument coordination
Demonstrate wrist articulation
Demonstrate clutching of the robotic instruments
Demonstrate atraumatic tissue handling
Safe tissue cutting with the robotic system
Maintain safety of operative field
Demonstrate blunt dissection with the robotic system
Demonstrate micro dissection with the robotic system
Use of diathermy and colpotomy
Demonstrate plan for surgucal specimen retrieval methods
Demonstrate use of needle driving with the robotic system
Demonstrate knot tying with the robotic system
Demonstrate suture handling with the robotic system
Demonstrate continuous and interrupted suturing with the robotic system
Understand the potential risks and ability to make appropriate operative decisions
Be able to manage surgical complications (bowel/urinary/vascular injuries)
Demonstrate effective communication with anesthetic , threatre team and console surgeon
