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.
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 |
![]() |
||||||
Simpson’s 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 |
![]() |
||||||
Simpson’s 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) |
![]() |