Skill Checklists

Cardiac Echocardiography

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

Ultrasound - Echocardiography

Pediatric Echocardiography

Adult Echocardiography

Fetal Echocardiography

Trauma Echocardiography

Stress Echocardiography

Treadmill Testing

Dobutamine

Pharmacologic Stress Echo

Transesophageal Echocardiography (TEE)

Intraoperative Echocardiography

Contrast Echocardiography

Myocardial Contrast

Echo-Guided Procedures

Plethysmography

Doppler Vascular Procedures

Pressure Measurements

Two-Dimensional Mode

Three-Dimensional Mode

M-Mode

Ped Off Probe

Pulsed Wave Doppler

Continuous Wave Doppler

Color Doppler Mapping

Portable Studies

Invasive Procedure Guidance

EKG/ECG

Parasternal Long Axis View

RVIT

RVOT

Parasternal Short Axis View

4 Chamber View

2 Chamber View

Apical Long

Subcostal View

Subcostal Short Axis of RV Inflow and Outflow

IVC

Hepatic Veins

Abdominal Aorta

Suprasternal Notch

Simpson’s Rule

Proximal Isovelocity Surface Area

Diastolgy with TDI

Continuity Equation

Pediatric Echo

Two-Dimensional Mode

Three-Dimensional Mode

M-Mode

Ped Off Probe

Pulsed Wave Doppler

Continuous Wave Doppler

Color Doppler Mapping

Portable Studies

Invasive Procedure Guidance

EKG/ECG

Parasternal Long Axis View

RVIT

RVOT

Parasternal Short Axis View

4 Chamber View

2 Chamber View

Inverted Apical 4 Chamber View

Inverterd Apical 5 Chamber View

Subcostal Long View

Subcostal Long with Sweep

Subcostal Short with Sweep (Bi Caval View)

Subcostal Aortic Arch

Subcostal Abdominal Aorta

Subcostal Situs View

Suprasternal Notch View- Long

Suprasternal Notch View- Short

Pulmonary Artery Branches

Ductal View

Arch Sidedness

Scanning Complex Anomolies

Scanning Post-Surgical Repairs

Simpson’s Rule

Proximal Isovelocity Surface Area

Diastology

Stress Echo

Continuity Equation

EQUIPMENT

Phillips

Siemens

Toshiba

Hitachi

General Electric

HP

Other

Age Specific Experience

Newborn/Neonate (birth to 30 days)

Infant (1 month to 1 year)

Toddler (1 year to 3 years)

Preschooler (3 years to 5 years)

School Age Child (5 years to 12 years)

Adolescents (12 years to 18 years)

Young Adults (18 years to 39 years)

Middle Adults (39 to 64 years)

Geriatric Adults (65+ years)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.