Skill Checklists

Ultrasound

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

Age of Patients Cared For

Newborn (birth - 30 days)*

Infant (30 days - 1 year

Toddler (1 - 3 years)

Preschooler (3 - 5 years)

School Age (5 - 12 years)

Adolescents (12 - 18 years)

Young Adults (18 - 39 years)

Middle Adults (39 - 64 years)

Older Adults (64+ years

GENERAL SKILLS

Preparation of Examination Room

Identification of Patient

Patient Assessment & Education Regarding Procedure

Patient Positioning

Image Optimization (Ex: Transducer Selection, Focal Zone, FOV)

Protocol Selection

Image Archiving

Documentation of Procedure and Patient Data

CDC Standard Precautions

Correlation of Adjunct Imaging Studies to Breast Sonogram

Doppler Mode Selection

Work Setting

Adult Acute Care

Adult Outpatient

Pediatric Acute Care

Pediatric Outpatient

Sonography

Liver

Biliary Tract/ Gallbladder / CBD

Pancreas

Spleen

GI Tract

Kidneys

Adrenals

Bladder

Lymph Nodes

Prostate

Aorta/ Great Vessels

Inferior Vena Cava

Vasculature

SUPERFICIAL STRUCTURES STUDIES

Abdominal wall

Scrotum & Testis

Musculoskeletal

Superficial masses

Thyroid

GYNECOLOGICAL STUDIES

Uterus

Adnexa

Transvaginal Probe

Obstetrics

1st Trimester

2nd / 3rd Trimester

High Risk OB

Fetal Biophysical Profile

Amniocentesis

Fetal Abnormalities

UGR Protocols

Interventional Procedures

Biopsy

Aspiration

Drainage Procedures

Thoracentesis

Paracentesis

Sterile Techniques

Pediatric Studies

General Echo Skills

Venipuncture / IV Placement

Standard Precautions

Isolation Precautions

Pediatric Respiratory / Cardiac Arrest

Adult Respiratory / Cardiac Arrest

Crash Carts

Defibrillators

12 Lead EKG

Stress Testing

Holter Monitoring

Adult Echo

Routine

3-D Echo

Pedoff Probe

Transesophageal Echo

Stress Echo

Pharmacological Stress Echo

Post-Cath Echo

Post-Surgical Echo

Imaging with Contrast Agents

Sterilization Procedures

2-Dimensional

M-Mode

PW Doppler

CW Doppler

Color Doppler

Parasternal Long Axis View

Right Ventricular Inflow Tract (RVIT)

Right Ventricular Outflow Tract (RVOT)

4-Chamber View

2-Chamber View

Diastolic Dysfunction Evaluation

Subcostal View

Special Views

Pulmonary Veins

Hepatic Veins

Suprasternal Notch

Calculations

Simpson's Rule

Proximal Isovelocity Surface Area

Distology with TDI

LV Strain / LV Volume

Pediatric Echo

Routine

3-D Echo

Pedoff Probe

Transesophageal Echo

Pediatric Anomalies

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

Tricuspid and Pulmonary Atresia

Truncus Arteriosus

Univentricular Heart Anomalies

Pediatric Post-Surgical Scans

Arterial Switch

Blalock-Taussig

Damus-Kaye-Stansel

Fontan

Glenn

Konno

Mustard

Norwood

Rastelli

Sano

Sennig

VASCULAR SONOGRAPHY

Arterial - Aorta

Arterial/Venous - Superior Mesenteric

Arterial/Venous - Inferior Mesenteric

Arterial - Celiac

Arterial / Venous - Hepatic

Arterial / Venous - Common Iliac

Arterial / Venous - Internal Iliac

Arterial / Venous - External Iliac

Arterial / Venous - Renal

Arterial / Venous - Splenic

Venous - Inferior Vena Cava

Venous - Portal

Transplants - Liver

Transplants - Renal

ARTERIAL PERIPHERAL

Subclavian

Axillary

Brachial

Radial

Ulnar

Digital

Common Femoral

Superficial Femoral

Deep Femoral

Popliteal

Tibioperoneal Trunk

Posterior Tibial or Anterior Tibial or Peroneal

Segmental Pressure-Upper Extremities

ABI or Segmental Pressure-Lower Ext

PVR (Pulse Volume Recording

Digital Pressure

Post-Exercise Testing

VENOUS PERIPHERAL

Internal Jugular

Subclavian

Axillary

Brachial

Cephalic

Basilic

Radial

Ulnar

Vein Mapping

Common Femoral

Femoral

Deep Femoral

Popliteal

Great Saphenous

Small Saphenous

Calf Veins

Vein Mapping

Reflux Assessment

Carotid Artery

Vertebral Artery

Subclavian Artery

POST INTERVENTION PROCEDURES

Bypass Grafts

Post Catheterization Complications

Endografts

Dialysis Access Grafts/ Fistulae

Stents

Angioplasty

TIPS

BREAST SONOGRAPHY

Fluid Aspiration

Fine Needle Aspiration

Core Biopsy

Vacuum - Assisted Biopsy

Clip Placement

Needle Localization

PACS

Ambra Health

Sectra

Infinitt

IBM Merge

McKesson

Philips

FujiFilm

Impax

Centricity

Carestream Vue

Clarity

eRad PACS

Syngo

Intellaviewer

Epic Radiant

Novo Rad

Equipment

Acuson

Aspen

Cypress

Sequoia

128XP10

Philips/ ATL

HDI 1000

HDI 3000

HDI 4000

HDI 5000

UM9 HDI

Philips P

Sonos 1000

Sonos 2000/ 2500

Sonos 5500

Imagepoint

Imagepoint HX

GE

Logiq 500 PRO

Logiq 7

Logiq 700

Logiq 500MD

Logiq 9

Vivid 5

Vivid 7

Volusion 730

Siemens

Elegra

Prima

Toshiba

SSH-140

Powervision 8000

Konica Minolta

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.