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Name | ||||||||
Signature | ||||||||
Trust | ||||||||
Date of Online Certification | ||||||||
Date of Practical Training | ||||||||
Date of Sign off: Level I / Level 2 | ||||||||
Trainer | ||||||||
Signature | ||||||||
Date(Level1) | Signature(Level1) | Date(Level2) | Signature(Level2) | Date(Level3) | Signature(Level3) | Date(Level4) | Signature(Level4) | |
Orientation of robotic theatre | ||||||||
Demonstrate effective team working | " | " | " | |||||
Demonstrate effective communication skills within theatre tram | " | " | " | |||||
Demonstrate situational awareness | " | " | " | " | ||||
Demonstrate importance of Human factor | " | " | " | |||||
Sterile preparation of robot | " | " | " | |||||
Bedside assistant ( level 2) | " | " | " | |||||
Reflective practice | " | " | " | |||||
Completion of the online theoretical training package | ||||||||
Awareness of the ergonomics of robotic assistance | ||||||||
Familiar with robotic components and instrumentation | > | |||||||
Awareness of other modalities, benefits and potential complications with robotic surgery | ||||||||
Knowledge of different docking positions and the indications | ||||||||
Understands reasons for arm clashing and methods of correction | ||||||||
Knowledge of the potential complications of electro diathermy | ||||||||
knowledge of principles of laparoscopy and robotic surgery | ||||||||
Situational awareness | ||||||||
Communication skills | ||||||||
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 and 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 understand reason 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 |