This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Adulk Acute Care
ED/ ICU
Adult Outpatient
Pediatric Acute Care
Pediatric Outpatient
Routine
3 D Echo
Pedoff Probe
Transesophageal echo
Stress Echo
Pharmacologic Stress Echo
Post -Cath Echo
Post Surgical Echo
Imaging With Contrast Agents
Sterilization Procedures
Pulmonary Veins
Hepatic Veins
Suprasternal Notch
Simpson's Rule
Proximal Isovelocity Surface Area
Distology with TDI
LV Strain / LV Volume
3-D Echo
Transesophageal Echo
Aortic Arch Abnormalities / Vascular Ring
Arch Sidedness
Coarctation of the Aorta
Coronary Artery Anomalies
Double Outlet Ventricle
Hypoplastic Heart Syndrome
Pulmonary Venous Return anomalies
Tetralogy of Fallot
Transposition of the Great Vessels
Triscupid and Pulmonary Atresia
Trancus Arteriosis
Univentricular Heart Anomalies
Arterial Switch
Blalock Taussig
Damus KAye Stansel
Fontan
Glenn
Konno
Mustard
Norwood
Rastelli
Sano
Sennig
Phillips / ATL (List types)
GE (List Types)
Siemens (List Types)
Toshiba(List Types)
Hitachi (List Types)
Sonosite (List Types)
Other : List
Mckesson
Epic
Horizon
SCI -Imaging
Online Reporting
EMR Conversion
National Patient Safety Goals
Supervisory / Management Experience
Isolation/ Infection Prevention
Procedure for Patients on Ventilators
12 Lead ECG
Stress Testing
Holter Monitor
Registered Diagnostic Cardiac Sonographer
Registered Cardiac Sonograher (RCS)
BLS
Infant (Birth to 1 year)
Pre-schooler (ages 2-5 years)
Childhood (Ages 6-12 years)
Adolescent (ages 12-18 years)
Young Adult (ages 18-30 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79)
Elderly (Ages 80+ years)
