This module allows medical officers, junior orthopedic surgery residents, and surgeons who are not orthopedic specialists to become confident and competent in irrigation and debridement, powered and manual drilling, positioning and correctly inserting Schanz screws, and constructing the uniplanar external fixator frame as part of external fixation procedures for open tibial shaft fractures performed in regions without specialist coverage. To maximize patient safety, this module teaches learners to use a powered drill to insert self-drilling Schanz screws through the near cortex and then manually advance Schanz screws into the far cortex to avoid plunging.
It's highly recommended to: (i) print off this checklist and review it before simulation skills training, (ii) have an assistant read out and complete this checklist to verify that all the steps are properly performed during the simulation skills training, and (iii) file and save a back-up copy of the completed and signed checklist for your training records.
Training Logbook[edit | edit source]
Please print out the Training Logbook below and write your name, your assistant's name, procedure start and end times, and date of training at the bottom of the Training Logbook.
| # | Self-Assessment Checklist | Check the most appropriate response |
|---|---|---|
| 1A | Wore proper eye protection and gloves |
Done Correctly Done Incorrectly Not Done |
| 1B | Loosened the right vise clamp securing the distal fragment to simulate a displaced fracture during simulation training |
Done Correctly Done Incorrectly Not Done |
| 1C | Performed simulated irrigation using an average of 3L of irrigation solution for each successive Gustilo Type (i.e., 6L for Gustilo Type II open tibial fracture and 9L for Gustilo Type III open tibial fracture) to reduce the risk of infection |
Done Correctly Done Incorrectly Not Done |
| 1D | Debrided all foreign material and non-viable tissue to reduce the risk of infection and minimize wound complications | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 2A | Extended the open wound, if necessary, to directly visualize the fracture | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 2B | While directly visualizing the fracture, applied manual longitudinal traction to the distal lower extremity to reduce the fracture | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 2C | Used bone reduction forceps to manually reduce the fracture, compress the fragments together, and restore alignment:
|
Done Correctly Done Incorrectly Not Done |
| 2D | Confirmed restoration of rotational alignment by visually checking the position of the big toe and the alignment of the middle of the second toe with the center of the patella
|
This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 2E | Palpated the medial malleolus of both limbs under sterile conditions to estimate and compare the length of the reduced limb to the uninjured limb
|
This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 2F | If required, adjust the fragments to achieve an alignment within acceptable parameters:
|
Done Correctly Done Incorrectly Not Done |
| 2G | Applied bone holding forceps to maintain the reduced fracture |
Done Correctly Done Incorrectly Not Done |
| 2H | Tightened right vise clamp and removed bone reduction forceps once fracture is stabilized during simulation training |
Done Correctly Done Incorrectly Not Done |
| 3A | Positioned the “far” Schanz screw (furthest from the fracture line) in the proximal fragment in the anteromedial tibial wall medial or distal to the tibial tuberosity while avoiding traumatized soft tissues to avoid tethering of the patellar ligament and penetration into the knee joint |
Done Correctly Done Incorrectly Not Done |
| 3B | Used a 22 blade scalpel to make a stab incision in the soft tissue (not shown) overlying the anteromedial tibial wall for insertion of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 3C | Used dissecting scissors to spread the soft tissue (not shown) apart in the stab incision to expose the bone for drilling of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 3D | Prepared the powered surgical drill for use by inserting the Schanz screw into the powered surgical drill, inserting the chuck key into the opening in the drill, turning the chuck key clockwise to tighten the drill over the Schanz screw, and then engaging the switch for forward drilling direction |
Done Correctly Done Incorrectly Not Done |
| 3E | Confirmed that the drill is ready for use by pressing the on/off trigger and observing that the Schanz screw tip is rotating clockwise when the drill is pointing forward |
Done Correctly Done Incorrectly Not Done |
| 3F | Used the properly sized drill sleeve for the Schanz screw and held the drill sleeve at least 3.0 mm above the near cortex during this simulation training to prevent plastic strands from getting stuck inside the drill sleeve |
Done Correctly Done Incorrectly Not Done |
| 3G | Used the properly sized drill sleeve and placed the drill sleeve directly on the near cortex in the stab incision to protect the surrounding soft tissues when drilling in the real clinical procedure | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 3H | Placed the Schanz screw tip directly on the near cortex of the anteromedial tibial wall and not on the anterior tibial crest to reduce the risk of thermal osteonecrosis and reduce the risk that the drill bit may slip and injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 3I | Inserted the "far" Schanz screw in the proximal fragment at a drill trajectory angle between 30°-60° relative to the tibial crest to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 3J | Directed an assistant to perform simulated irrigation while drilling to reduce the risk of thermal osteonecrosis |
Done Correctly Done Incorrectly Not Done |
| 3K | Started drilling with the Schanz screw tip rotating in a clockwise direction, and ensured that the tip did not slip medially or laterally on the near cortex which could injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 3L | Power drilled the Schanz screw through the near cortex of the anteromedial tibial wall and used tactile feel and acoustic feedback to stop drilling after passing through the near cortex and before or when the inner surface of the far cortex is reached to avoid plunging through the far cortex and damaging underlying neurovascular structures and soft tissues |
Done Correctly Done Incorrectly Not Done |
| 3M | Inserted the chuck key into the opening in the drill, turned the chuck key anticlockwise, detached the drill and removed the drill sleeve from the Schanz screw |
Done Correctly Done Incorrectly Not Done |
| 3N | Slid the universal chuck with T-handle over the Schanz screw, and tightened the chuck over the Schanz screw by manually rotating the proximal part of the chuck clockwise or by inserting the chuck key into the opening in the universal chuck with T-handle and turning the chuck key clockwise |
Done Correctly Done Incorrectly Not Done |
| 3O | Used the universal chuck with T-handle to turn the Schanz screw manually for one to two 360 degree rotations to anchor the screw tip into the far cortex without exiting the far cortex |
Done Correctly Done Incorrectly Not Done |
| 3P | Detached the universal chuck with T-handle from the Schanz screw by manually rotating the proximal part of the chuck anticlockwise or inserting the chuck key into the small, circular opening in the chuck and turning the chuck key anticlockwise |
Done Correctly Done Incorrectly Not Done |
| 4A | Placed the "far" Schanz screw (furthest from the fracture line) in the distal fragment in the anteromedial tibial wall at least two fingers’ breadth proximal to the medial malleolus (not shown) while avoiding traumatized soft tissues to avoid entry into the ankle joint | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 4B | Positioned the two “far” Schanz screws as widely spaced as possible into each fragment while avoiding traumatized soft tissues and entry into knee and ankle joints to permit better control of displacing forces and optimize stabilization of the reduction |
Done Correctly Done Incorrectly Not Done |
| 4C | Used a 22 blade scalpel to make a stab incision in the soft tissue (not shown) overlying the anteromedial tibial wall for insertion of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 4D | Used dissecting scissors to spread the soft tissue (not shown) apart in the stab incision to expose the bone for drilling of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 4E | Inserted the Schanz screw into the powered surgical drill, inserted the chuck key into the opening in the drill, turned the chuck key clockwise to tighten the drill over the Schanz screw, and then engaged the switch for forward drilling direction |
Done Correctly Done Incorrectly Not Done |
| 4F | Confirmed that the drill is ready for use by pressing the on/off trigger and observing that the Schanz screw tip is rotating clockwise when the drill is pointing forward |
Done Correctly Done Incorrectly Not Done |
| 4G | Used the properly sized drill sleeve for the Schanz screw and held the drill sleeve at least 3.0 mm above the near cortex during this simulation training to prevent plastic strands from getting stuck inside the drill sleeve |
Done Correctly Done Incorrectly Not Done |
| 4H | Used the properly sized drill sleeve and placed the drill sleeve directly on the near cortex in the stab incision to protect the surrounding soft tissues when drilling in the real clinical procedure | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 4I | Placed the Schanz screw tip directly on the near cortex of the anteromedial tibial wall and not on the anterior tibial crest |
Done Correctly Done Incorrectly Not Done |
| 4J | Inserted the "far" Schanz screw in the distal fragment at an identical drill trajectory angle between 30°-60° relative to the tibial crest to the "far" Schanz screw in the proximal fragment to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 4K | Directed an assistant to perform simulated irrigation while drilling to reduce the risk of thermal osteonecrosis |
Done Correctly Done Incorrectly Not Done |
| 4L | Started drilling with the Schanz screw tip rotating in a clockwise direction, and ensured that the tip did not slip medially or laterally on the near cortex which could injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 4M | Power drilled the Schanz screw through the near cortex of the anteromedial tibial wall and used tactile feel and acoustic feedback to stop drilling after passing through the near cortex and before or when the inner surface of the far cortex is reached to avoid plunging through the far cortex and damaging underlying neurovascular structures and soft tissues |
Done Correctly Done Incorrectly Not Done |
| 4N | Inserted the chuck key into the opening in the drill, turned the chuck key anticlockwise, detached the drill and removed the drill sleeve from the Schanz screw |
Done Correctly Done Incorrectly Not Done |
| 4O | Slid the universal chuck with T-handle over the Schanz screw, and tightened the chuck over the Schanz screw by manually rotating the proximal part of the chuck clockwise or by inserting the chuck key into the opening in the universal chuck with T-handle and turning the chuck key clockwise |
Done Correctly Done Incorrectly Not Done |
| 4P | Used the universal chuck with T-handle to turn the Schanz screw manually for one to two 360 degree rotations to anchor the screw tip into the far cortex without exiting the far cortex |
Done Correctly Done Incorrectly Not Done |
| 4Q | Detached the universal chuck with T-handle from the Schanz screw by manually rotating the proximal part of the chuck anticlockwise or inserting the chuck key into the small, circular opening in the chuck and turning the chuck key anticlockwise |
Done Correctly Done Incorrectly Not Done |
| 5A | Inserted 4 pin-to-rod clamps on a 300 mm uniplanar rod and applied the two outer pin-to-rod clamps to connect the two "far" Schanz screws in each fragment to the 300 mm rod |
Done Correctly Done Incorrectly Not Done |
| 5B | Tightened the two outer pin-to-rod clamps initially by hand and left the two inner pin-to-rod clamps loosened |
Done Correctly Done Incorrectly Not Done |
| 6A | Placed the “near” Schanz screw (closest to the fracture line) at least 2.0 cm (a finger breadth) from the fracture line while avoiding traumatized soft tissues to help prevent the placement of the Schanz screw within the fracture hematoma and risk having a pin site infection spread within the fracture and positioned the “near and far” Schanz screws as widely spaced as possible in the fragment to permit better control of displacing forces and optimize stabilization of the reduction |
Done Correctly Done Incorrectly Not Done |
| 6B | Used a 22 blade scalpel to make a stab incision in the soft tissue (not shown) overlying the anteromedial tibial wall for insertion of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 6C | Used dissecting scissors to spread the soft tissue (not shown) apart in the stab incision to expose the bone for drilling of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 6D | Inserted the Schanz screw into the powered surgical drill, inserted the chuck key into the opening in the drill, turned the chuck key clockwise to tighten the drill over the Schanz screw, and then engaged the switch for forward drilling direction |
Done Correctly Done Incorrectly Not Done |
| 6E | Confirmed that the drill is ready for use by pressing the on/off trigger and observing that the Schanz screw tip is rotating clockwise when the drill is pointing forward |
Done Correctly Done Incorrectly Not Done |
| 6F | Inserted the "near" Schanz screw into the loosened pin opening in the rod-to-pin clamp attached to the 300 mm rod |
Done Correctly Done Incorrectly Not Done |
| 6G | Placed the Schanz screw tip directly on the near cortex of the anteromedial tibial wall and not on the anterior tibial crest to reduce the risk of thermal osteonecrosis and reduce the risk that the drill bit may slip and injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 6H | Inserted the "near" Schanz screw at an identical drill trajectory angle between 30°-60° relative to the tibial crest to all the other Schanz screws to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 6I | Directed an assistant to perform simulated irrigation while drilling to reduce the risk of thermal osteonecrosis |
Done Correctly Done Incorrectly Not Done |
| 6J | Started drilling with the Schanz screw tip rotating in a clockwise direction, and ensured that the tip did not slip medially or laterally on the near cortex which could injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 6K | Power drilled the Schanz screw through the near cortex of the anteromedial tibial wall and used tactile feel and acoustic feedback to stop drilling after passing through the near cortex and before or when the inner surface of the far cortex is reached to avoid plunging through the far cortex and damaging underlying neurovascular structures and soft tissues |
Done Correctly Done Incorrectly Not Done |
| 6L | Inserted the chuck key into the opening in the drill, turned the chuck key anticlockwise, detached the drill and removed the drill sleeve from the Schanz screw |
Done Correctly Done Incorrectly Not Done |
| 6M | Slid the universal chuck with T-handle over the Schanz screw, and tightened the chuck over the Schanz screw by manually rotating the proximal part of the chuck clockwise or by inserting the chuck key into the opening in the universal chuck with T-handle and turning the chuck key clockwise |
Done Correctly Done Incorrectly Not Done |
| 6N | Used the universal chuck with T-handle to turn the Schanz screw manually for one to two 360 degree rotations to anchor the screw tip into the far cortex without exiting the far cortex |
Done Correctly Done Incorrectly Not Done |
| 6O | Detached the universal chuck with T-handle from the Schanz screw by manually rotating the proximal part of the chuck anticlockwise or inserting the chuck key into the small, circular opening in the chuck and turning the chuck key anticlockwise |
Done Correctly Done Incorrectly Not Done |
| 7A | Placed the “near” Schanz screw (closest to the fracture line) at least 2.0 cm (a finger breadth) from the fracture line while avoiding traumatized soft tissues to help prevent the placement of the Schanz screw within the fracture hematoma and risk having a pin site infection spread within the fracture and positioned the “near and far” Schanz screws as widely spaced as possible in the fragment to permit better control of displacing forces and optimize stabilization of the reduction |
Done Correctly Done Incorrectly Not Done |
| 7B | Used a 22 blade scalpel to make a stab incision in the soft tissue (not shown) overlying the anteromedial tibial wall for insertion of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 7C | Used dissecting scissors to spread the soft tissue (not shown) apart in the stab incision to expose the bone for drilling of the Schanz screw | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 7D | Inserted the Schanz screw into the powered surgical drill, inserted the chuck key into the opening in the drill, turned the chuck key clockwise to tighten the drill over the Schanz screw, and then engaged the switch for forward drilling direction |
Done Correctly Done Incorrectly Not Done |
| 7E | Confirmed that the drill is ready for use by pressing the on/off trigger and observing that the Schanz screw tip is rotating clockwise when the drill is pointing forward |
Done Correctly Done Incorrectly Not Done |
| 7F | Inserted the "near" Schanz screw into the loosened pin opening in the rod-to-pin clamp attached to the 300 mm rod |
Done Correctly Done Incorrectly Not Done |
| 7G | Placed the Schanz screw tip directly on the near cortex of the anteromedial tibial wall and not on the anterior tibial crest to reduce the risk of thermal osteonecrosis and reduce the risk that the drill bit may slip and injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 7H | Inserted the "near" Schanz screw at an identical drill trajectory angle between 30°-60° relative to the tibial crest to all the other Schanz screws to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 7I | Directed an assistant to perform simulated irrigation while drilling to reduce the risk of thermal osteonecrosis |
Done Correctly Done Incorrectly Not Done |
| 7J | Started drilling with the Schanz screw tip rotating in a clockwise direction, and ensured that the tip did not slip medially or laterally on the near cortex which could injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 7K | Power drilled the Schanz screw through the near cortex of the anteromedial tibial wall and used tactile feel and acoustic feedback to stop drilling after passing through the near cortex and before or when the inner surface of the far cortex is reached to avoid plunging through the far cortex and damaging underlying neurovascular structures and soft tissues |
Done Correctly Done Incorrectly Not Done |
| 7L | Inserted the chuck key into the opening in the drill, turned the chuck key anticlockwise, detached the drill and removed the drill sleeve from the Schanz screw |
Done Correctly Done Incorrectly Not Done |
| 7M | Slid the universal chuck with T-handle over the Schanz screw, and tightened the chuck over the Schanz screw by manually rotating the proximal part of the chuck clockwise or by inserting the chuck key into the opening in the universal chuck with T-handle and turning the chuck key clockwise |
Done Correctly Done Incorrectly Not Done |
| 7N | Used the universal chuck with T-handle to turn the Schanz screw manually for one to two 360 degree rotations to anchor the screw tip into the far cortex without exiting the far cortex |
Done Correctly Done Incorrectly Not Done |
| 7O | Detached the universal chuck with T-handle from the Schanz screw by manually rotating the proximal part of the chuck anticlockwise or inserting the chuck key into the small, circular opening in the chuck and turning the chuck key anticlockwise |
Done Correctly Done Incorrectly Not Done |
| 8A | Applied and turned the 11 mm spanner with T-handle wrench clockwise for final tightening of the pin-to-rod clamps. |
Done Correctly Done Incorrectly Not Done |
| 8B | Verified the reduction visually, and with gentle palpation of the tibial crest at the fracture line to confirm that the alignment is still within acceptable parameters:
|
Done Correctly Done Incorrectly Not Done |
| 8C | Visually inspected the fracture line to confirm that the reduction is adequate during this simulation training
|
Done Correctly Done Incorrectly Not Done |
| 8D | Visually checked the position of the big toe and the alignment of the middle of the second toe with the center of patella to confirm whether rotational alignment is still adequately restored
|
This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8E | Palpated the medial malleolus of both limbs under sterile conditions to estimate and compare the length of the reduced limb to the uninjured contralateral limb
|
This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8F | Removed the bone holding forceps once fracture is stabilized with external fixator frame and acceptable alignment is confirmed | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8G | Checked for skin tenting around Schanz screws and if present, widened the stab incision to release soft tissue tension around the pin site to reduce the risk of inflammation and pin infection | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8H | Cleaned the extremity and apply sterile gauze dressings to all four pin sites at the end of the procedure | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8I | Used a measuring tape to measure and compare the limb length (from anterior superior iliac spine to the medial malleolus) of both legs after dressings have been applied
|
This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 8J | Re-evaluated the Gustilo open-fracture classification for the open tibial fracture in the operating room, and updated the antibiotic regimen and surgical treatment plan accordingly | This Step Cannot Be Performed During Simulation Training But Must Be Performed During the Actual Clinical Procedure |
| 9A | Took an anterior view photo of the simulator with a ruler in the image to provide scale |
Done Correctly Done Incorrectly Not Done |
| 9B | Visually inspected the tibial shaft in the anterior photo and confirmed that alignment is within acceptable parameters:
|
Done Correctly Done Incorrectly Not Done |
| 9C | Used the ruler to measure the distance of the two near Schanz screws from the fracture line |
Done Correctly Done Incorrectly Not Done |
| 9D | The two near Schanz screws were placed at least 2.0 cm (a finger breadth) from the fracture line to help prevent the placement of the Schanz screw within the fracture hematoma and risk having a pin site infection spread within the fracture |
Done Correctly Done Incorrectly Not Done |
| 9E | Visually inspected the fracture line to confirm that the reduction is adequate:
|
Done Correctly Done Incorrectly Not Done |
| 9F | Took a medial view photo of the simulator |
Done Correctly Done Incorrectly Not Done |
| 9G | The far Schanz screw in the proximal fragment was inserted medial or distal to the tibial tuberosity to avoid tethering of the patellar ligament and penetration into the knee joint |
Done Correctly Done Incorrectly Not Done |
| 9H | All four Schanz screws were inserted medial to the anterior tibial crest in the medial photo to reduce the risk of thermal osteonecrosis and reduce the risk that the drill bit may slip and injure the soft tissues |
Done Correctly Done Incorrectly Not Done |
| 9I | Took a lateral view photo of the simulator |
Done Correctly Done Incorrectly Not Done |
| 9J | All four Schanz screws did not perforate the far cortex in the lateral photo |
Done Correctly Done Incorrectly Not Done |
| 9K | Visually inspected the tibial crest in the lateral photo and confirmed that alignment is within acceptable parameters:
|
Done Correctly Done Incorrectly Not Done |
| 9L | Removed the rods and clamps but left the four Schanz screws in the distal and proximal fragments, used scissors to cut the cellophane wrap overlying the fracture site to separate the two fragments, removed each fragment from the vise clamp, and placed each fragment on a flat surface for inspection of the drill trajectory angles |
Done Correctly Done Incorrectly Not Done |
| 9M | Placed a protractor on the cross-section of the proximal fragment and lined up the center vertical black line of the protractor with the center of the vise attachment |
Done Correctly Done Incorrectly Not Done |
| 9N | Took an overhead ("bird's eye view") photo of the cross-section of the proximal fragment to record the drill trajectory angles relative to the tibial crest and checked that the center vertical black line of the protractor was lined up with the center of the vise |
Done Correctly Done Incorrectly Not Done |
| 9O | For the proximal fragment, the drill trajectory angles of both Schanz screws are identical and between 30°-60° relative to the tibial crest to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 9P | Placed a protractor on the cross-section of the distal fragment and lined up the center vertical black line of the protractor with the center of the vise attachment |
Done Correctly Done Incorrectly Not Done |
| 9Q | Took an overhead ("bird's eye view") photo of the cross-section of the distal fragment to record the drill trajectory angles relative to the tibial crest and checked that the center vertical black line of the protractor was lined up with the center of the vise |
Done Correctly Done Incorrectly Not Done |
| 9R | For the distal fragment, the drill trajectory angles of both Schanz screws are identical and between 30°-60° relative to the tibial crest to avoid injury to neurovascular structures |
Done Correctly Done Incorrectly Not Done |
| 9S | The drill trajectory angles of the proximal and distal fragments are identical |
Done Correctly Done Incorrectly Not Done |
| 9T | Provided specific, clear, and concise directions to the assistant during the simulated procedure |
Done Correctly Done Incorrectly Not Done |
| 9U | Photographed this completed training logbook on a cellphone as a backup and filed this original completed training logbook in your training records. |
Done Correctly Done Incorrectly Not Done |
| 10 | All the checklist items (except for the steps that cannot be performed during simulation training) must be rated as "Done Correctly" to pass this module. |
Passed Module Did Not Pass Module |
Learner's Nameː
Learner's Signature:
Assistant's Nameː
Assistant's Signature:
Procedure Start Time:
Procedure End Time:
Date of Trainingː
Acknowledgements[edit | edit source]
This work is funded by a grant from the Intuitive Foundation. Any research, findings, conclusions, or recommendations expressed in this work are those of the author(s), and not of the Intuitive Foundation.