Skill Checklists

Radiologic Technologist

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

SETTING

Adult Inpatient

ER/Trauma

Adult Outpatient

Pediatric Inpatient

Pediatric Outpatient

Procedures

Chest Studies

Abdominal Studies

Foreign Body/Soft Tissue Studies

Specimen Radiography

Extremities

Upper

Lower

Pelvis Obls/Judet Views

Pelvis SI Joints

Pelvis Sacrum/Coccyx

Spine

Cervical Spine-Obls/Flexion/Extension

Thoracic Spine-Swimmer’s View

Lumbar Spine-Obls/Flexion. Extension

Head

Facial Bones

Mandible

Head (cont.)

Mastoids

Orbits

Sinus Series

TMJ

Skull Series

Tomography

Renal

TMJ

Spine

Spine

Flouroscopy/Contrast Studies

Barium Swallow/Esophagram

Modified Barium Swallow/Protocol Swallow

Swallow Studies with Videotaping

Upper GI Series-Single Contrast

Upper GI Series-Air Contrast

Small Bowel Follow Through

Enema Studies

Barium Enema-Single Contrast

Water Soluble Contrast Enema (e.g. Hypaque)

Barium Enema-Air Contrast

Lower GI Studies thru Colostomy

Cystography

Cystogram

Voiding Cystogram

Cystography (cont.)

Urethrography

Contrast Injection Studies

IVP

IVP with Tomograms

Myelograms

Cervical Spine

Thoracic Spine

Lumbar Spine

Mobile C-Arm Flouroscopy

Broncoscopy with Fluoro Guidance

Bedside Line and Tube Placement

OR Cases

Sterile Procedures in OR

Spine Work

Operative Cholangiography

Hip Studies

Extremity Studies

Cystography

Retrograde Urography

Patient Safety

National Patient Safety Goals

Computerized Charting

Age Specific Practice Criteria

Newborn/neonate (birth-30 days)

Infant (30 days-1 year)

Toddler (1-3 years)

Preschooler (3-5 years)

School age children (5-12 years)

Adolescents (12-18 years)

Young adults (18-39 years)

Middle adults (39-64 years)

Older adults (64+)

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.