| SKILL #1 Cannulate a Small Duct |
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Materials Needed
Rubber tubing
Pipe cleaners
Activity
Segment A: Place pipe cleaner through a plastic tube from right to left. The grasper is used to manipulate the pipe cleaner. The dissector is used to stabilize the tube. (Note: Two graspers can be used.)
Segment B: The grasper and dissectors switch hands and the pipe cleaner is passed from left to right. (Note: Two graspers can be used.)
Error Definition
Inappropriate hand used
Dropped pipe cleaner
Time for Completion
For both segments, 40 seconds
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| SKILL #2 Pegboard with Single Hand Transfer |
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Materials Needed
Foam pegboard
Pegs (10)
Activity
Segment A: With dominant hand, remove and replace 10 pegs.
Segment B: With nondominant hand, remove and replace 10 pegs.
Error Definition
Inappropriate hand used
Peg Dropped
Time for Completion
For both segments, 120 seconds
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| SKILL #3 Pegboard With Peg Pass |
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Materials Needed
Foam pegboard
Pegs (10)
Activity
Segment A: Remove all pegs with nondominant hand. Pick up peg with dominant hand, transfer to nondominant hand, place in pegboard. Place 10 pegs in Board.
Segment B: Remove all pegs with dominant hand. Pick up a Peg with nondominant hand, transfer to dominant hand, place in pegboard. Place 10 pegs in Board.
Error Definition
Inappropriate hand used
Peg Dropped
Appropriate transfer not completed
Time for Completion
For both segments, 120 seconds
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| SKILL #4 Rope Pass |
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Materials Needed
34 in. rope (black marks placed with permanent marker at 1 in. intervals)
Activity
Segment A: manipulate the length of rope by passing it from one hand to another touching only the white areas of the rope.
Segment B: Pass the length of rope in the same manner as segment A, but in the opposite direction.
Error Definition
Crossing hands
Dropped rope
Time for Completion
For both segments, 120 seconds
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| SKILL #5 Appropriate Bites in Suturing |
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Materials Needed
Foam suture target. (The holes should be 0.5 mm in diameter and about 2 to 3 mm apart.) (See video demo for example.)
Standard SH needles
Activity
Place the needle and suture through one hole and out its opposite hole. Continue through the next target hole and out its opposite hole, and so on, until all pairs of holes have been sutured.
Error Definition
Not properly loading the needle
Dropped needle
Not properly regrasping the needle
Not entering or exiting the proper circle
Time for Completion
520 seconds
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| SKILL #6 Following the Curve of the Needle |
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Materials Needed
Block of pressed wood with a ring eyelet placed on top of block (block should be placed in a marked circle)
Standard SH needles
Activity
While passing the needle from one instrument to another, place the needle and suture five times through the eyelet in the same direction without moving the block out of the circle.
Error Definition
Moving the block out of the circle
Not following the curve of the needle
Dropped needle
Time for Completion
500 seconds
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