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.
| Abdominal | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Aorta |
 |
||||||
| Appendix/Intussusception |
|
||||||
| GI Tract |
|
||||||
| IVC (Inferior Vena Cava) |
|
||||||
| Liver/Biliary Tract |
|
||||||
| Pancreas/Spleen |
|
||||||
| Renal/Urinary System |
|
||||||
| Trans-Rectal |
|
||||||
| Vasculature |
|
||||||
| OB & Gynecology | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| 1st Trimester |
|
||||||
| 2nd/3rd Trimester |
|
||||||
| High Risk OB |
|
||||||
| Placenta |
|
||||||
| Gestational Age |
|
||||||
| Complications |
|
||||||
| Amniotic Fluid/Amniocentesis |
|
||||||
| Fetal Demise |
|
||||||
| Fetal Abnormalities |
|
||||||
| Fetal Biophysical Profile |
|
||||||
| UGR Protocols |
|
||||||
| Coexisting Disorders |
|
||||||
| Follicular Study |
|
||||||
| Ovaries and Adnexa |
|
||||||
| Pediatric |
|
||||||
| Pelvic Pathology |
|
||||||
| Postmenopausal Pathology |
|
||||||
| Trans-Vaginal |
|
||||||
| Uterus and Adnexa |
|
||||||
| Nuchal Translucency |
|
||||||
| Interventional | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Aspiration |
|
||||||
| Biopsies |
|
||||||
| Drainage |
|
||||||
| Intraoperative |
|
||||||
| Laparoscopic |
|
||||||
| Neonatal | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Congenital Abnormality |
|
||||||
| Neonatal Head |
|
||||||
| Neurosonology | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Enlargement/Displacement |
|
||||||
| Cranial Hemorrhage |
|
||||||
| Atrophic Lesions |
|
||||||
| Spinal Lesions |
|
||||||
| Inflammatory Lesions |
|
||||||
| Brain Swelling/Edema |
|
||||||
| Spinal Tethering |
|
||||||
| Trauma |
|
||||||
| Small Parts | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Abdominal Wall |
|
||||||
| Breast |
|
||||||
| Haematomas/Vessels |
|
||||||
| Musculoskeletal |
|
||||||
| Scrotum and Testes |
|
||||||
| Superficial Masses |
|
||||||
| Thyroid |
|
||||||
| Non-Cardiac/Chest |
|
||||||
| Vascular | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Color Doppler |
|
||||||
| Digital Acquisition Systems |
|
||||||
| Diameter for Percentage of Stenosis |
|
||||||
| PW&OR CW for Percentage of Stenosis |
|
||||||
| TCD |
|
||||||
| PVR (Arms & Legs) |
|
||||||
| IPG (Arms & Legs) |
|
||||||
| Resistive Index |
|
||||||
| Pulsatility Index |
|
||||||
| Power Doppler |
|
||||||
| Segmental Pressures |
|
||||||
| Pulse Volume Recording |
|
||||||
| Abdominal Aorta, IVC |
|
||||||
| Abdominal Doppler |
|
||||||
| Carotid Doppler |
|
||||||
| SMA, Celiac, Renal |
|
||||||
| Hepatic, Splenic |
|
||||||
| Arterial Graft Duplex |
|
||||||
| Arterial Upper Extremities |
|
||||||
| Venous Upper Extremities |
|
||||||
| Arterial Lower Extremities |
|
||||||
| Venous Lower Extremities |
|
||||||
| Penile Doppler |
|
||||||
| Plethysmography for Fingers & Toes |
|
||||||
| Vein Mapping |
|
||||||
| Echo | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Transthoracic |
|
||||||
| Transesophageal (TEE) |
|
||||||
| Holter Monitoring |
|
||||||
| EKG |
|
||||||
| Bubble Studies |
|
||||||
| Adult |
|
||||||
| Neonatal |
|
||||||
| Pediatric |
|
||||||
| 2-D and M Mode |
|
||||||
| Exercise Pharmacological (Dobutamine) |
|
||||||
| Pulsed Doppler |
|
||||||
| Color Doppler |
|
||||||
| Treadmill Exercise Testing |
|
||||||
| ECG |
|
||||||
| Stress |
|
||||||
| Experience in Primary Areas | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Hospitals |
|
||||||
| Clinics |
|
||||||
| Physician Office |
|
||||||
| Mobile |
|
||||||
| Supervisory Experience |
|
||||||
| Age Specific Practice Criteria | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| 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+ years) |
|
||||||
| EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| AllScripts |
|
||||||
| ARIA |
|
||||||
| Athena |
|
||||||
| Canopy |
|
||||||
| Cerner |
|
||||||
| Eclipsys |
|
||||||
| EPIC |
|
||||||
| McKesson |
|
||||||
| Meditech |
|
||||||
| Other Computerized System |
|
||||||
| Computerized Physician Order Entry |
|
||||||
| Bar Coding for Medication Administration |
|
||||||