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Non-technical skills of the scrub practitioner: the SPLINTS system.

Flin, Rhona; Mitchell, Lucy; McLeod, Bonnie


Lucy Mitchell

Bonnie McLeod


This article describes the nontechnical skill set, and behavioural rating tool, for scrub practitioners/nurses (e.g. perioperative registered nurses; operating room technicians) known as the Scrub Practitioners' List of Intraoperative Non Technical Skills or the SPLINTS system. The SPLINTS system was developed at the Industrial Psychology Research Centre of the University of Aberdeen, Scotland, by a research team comprising psychologists, scrub nurses, and a surgeon. Details of the system were presented, by Rhona Flin, at the ORNAC National and International Conference with IFPN, in Ottawa, in April of 2013. This article outlines the background of the research project and the method used to develop the SPLINTS system and suggests why it might be a valuable training and assessment tool for scrub practitioners in Canada.


FLIN, R., MITCHELL, L. and MCLEOD, B. 2014. Non-technical skills of the scrub practitioner: the SPLINTS system. ORNAC journal [online], 32(3), pages 33-38. Available from:

Journal Article Type Article
Acceptance Date Sep 30, 2014
Online Publication Date Sep 18, 2014
Publication Date Sep 30, 2014
Deposit Date Sep 12, 2022
Publicly Available Date Sep 12, 2022
Journal ORNAC journal
Print ISSN 1927-6141
Electronic ISSN 2561-4657
Publisher Clockwork Communications
Peer Reviewed Peer Reviewed
Volume 32
Issue 3
Pages 33-38
Keywords Non-technical skills; Scrub practitioner; Nurses; Perioperative; Operating room technicians; Operating room communication; Operating room skills; Patient safety
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