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.
Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Adult Acute Care |
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Adult Outpatient |
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Pediatric Acute Care |
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Pediatric Outpatient |
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Procedures | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Angio Studies |
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Abdominal Aorta |
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Abdomen |
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Chest |
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Circle of Willis |
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Head without Contrast |
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Lower Extremities |
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Neck |
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Pelvis |
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Renal |
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Subclavian |
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Venogram Studies |
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Carotid/Neck |
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Renals |
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Pelvis |
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Upper Extremities |
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Lower Extremities |
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MR Studies |
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Head/Neck |
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Brain/Head w/wo Contrast |
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Face w/wo Contrast |
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Internal Auditory Canal w/wo Contrast |
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Mandible w/wo Contrast |
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Nasopharynx without Contrast |
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Orbits w/wo Contrast |
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Pituitary w/wo Contrast |
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Soft Tissue Neck w/wo Contrast |
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Sinuses w/wo Contrast |
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TMJ w/wo Contrast |
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Abdomen/Pelvis |
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Abdomen w/wo Contrast |
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Adrenals w/wo Contrast |
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Buttock w/wo Contrast |
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Cholangiogram |
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Pelvis w/wo Contrast |
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Prostate w/wo Contrast |
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Renal w/wo Contrast |
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Scrotum with Contrast |
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Chest |
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Brachial Plexus |
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Breast w/wo Contrast |
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Chest w/wo Contrast |
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Myocardium w/wo Contrast |
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Sternum w/wo Contrast |
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Spine |
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Cervical Spine w/wo Contrast |
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Thoracic Spine w/wo Contrast |
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Lumbar Spine w/wo Contrast |
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Sacrum w/wo Contrast |
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Upper Extremities |
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Scapula w/wo Contrast |
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Shoulder w/wo Contrast |
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Arthrogram Shoulder |
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Elbow w/wo Contrast |
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Wrist w/wo Contrast |
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Hand/Finger w/wo Contrast |
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Lower Extremities |
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Hip w/wo Contrast |
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Knee without Contrast |
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Ankle w/wo Contrast |
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Foot w/wo Contrast |
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MRI Scan Types | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Gradient Echo Imaging |
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Multiplanar Reconstruction/MRA |
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Spin Echo Images |
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Surface Coils |
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Extremity |
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Head |
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Neurovascular |
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Shoulder |
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Spine/Phase Array |
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Torso |
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T-1 Weighted Images |
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Equipment | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Phillips |
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Siemens |
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Toshiba |
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Hitachi |
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General Electric |
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Other: |
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Age Specific Experience | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Newborn/Neonate (birth to 30 days) |
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Infant (1 month to 1 year) |
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Toddler (1 year to 3 years) |
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Preschooler (3 years to 5 years) |
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School Age Child (5 years to 12 years) |
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Adolescents (12 years to 18 years) |
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Young Adults (18 years to 39 years) |
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Middle Adults (39 to 64 years) |
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Geriatric Adults (65+ years) |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Allscripts |
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Aria |
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Athena |
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Canopy |
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Cerner |
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Epic |
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Eclipsys |
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Mckesson |
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Meditech |
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Other Computerized System |
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