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Cardiac Echocardiography CheckList

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 Rating Stars (Click) 1 2 3 4  
Adult Echocardiography 
 
Pediatric 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 
 
Simpsonís Rule 
 
Proximal Isovelocity Surface Area 
 
Diastolgy with TDI 
 
Continuity Equation 
 
PEDIATRIC ECHO Rating Stars (Click) 1 2 3 4  
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 
 
Left Atrium with Pulmonary Veins with Suprasternal Notch 
 
Pulmonary Artery Branches 
 
Ductal View 
 
Arch Sidedness 
 
Scanning Complex Anomolies 
 
Scanning Post-Surgical Repairs 
 
Simpsonís Rule 
 
Proximal Isovelocity Surface Area 
 
Diastology 
 
Stress Echo 
 
Continuity Equation 
 
EQUIPMENT Rating Stars (Click) 1 2 3 4  
Phillips 
 
Siemens 
 
Toshiba 
 
Hitachi 
 
General Electric 
 
HP 
 
Other 
 
         
AGE SPECIFIC EXPERIENCE Rating Stars (Click) 1 2 3 4  
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)