APPENDIX F: PBA LAPAROSCOPIC SLEEVE GASTRECTOMY Procedure-based assessment - Laparoscopic Sleeve Gastrectomy Rating scale Did not perform this step 0 Performs some part of the task, needs assistance to complete task 1 Performs the task with direct guidance & instruction 2 Performs the task with minimal guidance & instruction 3 Performs the task with no guidance or instruction 4 Not applicable na The order of executed steps is not relevant for scoring 1. Operative set-up Positioning of monitors and OR team 0 1 2 3 4 na Positioning patient 0 1 2 3 4 na Time-out procedure including checking antibiotic prophylaxis 0 1 2 3 4 na Disinfection, sterile exposure 0 1 2 3 4 na Placement of gastric bougie 0 1 2 3 4 na Feedback: 2. Starting the laparoscopy Local anesthetic before trocar placement 0 1 2 3 4 na Introduction of additional trocars under laparoscopic sight 0 1 2 3 4 na Introduction of liver retractor 0 1 2 3 4 na Exposure of operative field 0 1 2 3 4 na Inspection for and correction of hiatal hernia 0 1 2 3 4 na Feedback: 192 A
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