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.
Procedures | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Arteriogram/Radionuclide |
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Abscess Localization Whole Body |
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Abscess Localization Individual Sites |
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CCK/Ejection Fraction |
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Cisternogram |
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CSF Leak Localization |
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Gallium Scan |
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Gastric Emptying |
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GI Bleed |
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HIDA Scan |
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Indium 111 WBC Scan Whole Body |
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Indium 111 WBC Scan Limited |
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Injection-Lymphatic |
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Lymphatic Scan-Melanoma |
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Meckels Scan |
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Morphine Augmentation |
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MUGA Scan |
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Radiopharmaceutical Prep |
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Radionuclide Arteriogram |
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Renagram |
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Parathyroid |
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Salivary Glands |
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Ventricular Shunt |
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Zevalin Treatment |
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Hyperthyroid Treatment |
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I 131 Therapy Thyroid Ablation |
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Therapy Pain |
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Bone Scan | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Whole Body |
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3 Phase |
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Limited |
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Brain Scan | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cerebral Blood Flow |
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Liver/Spleen Scan | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Liver/Spleen Scan |
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Liver Scan-Hemangioma |
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Liver Imaging |
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Liver Flow |
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Lung Scan | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
DTPA Aerosol |
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Perfusion |
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Ventilation/Perfusion |
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Renal Flow | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
With Lasix |
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Flow/Function |
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Three Phase |
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Captopril |
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Shunt | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Abdominal |
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Ventricular |
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Thyroid Studies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cancer Survey |
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Uptake Scan |
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I 123 Scan |
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Tumor Localization | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Whole Body |
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Limited |
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NM Spect | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bone |
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Brain |
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Liver |
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Liver Spect w/Flow |
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Renal |
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Myocardial | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infarction |
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Exercise/Rest-Single |
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Exercise/Rest-Multiple |
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Pharmacological Stress |
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Thallium/Persantine |
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Professional Knowledge and Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Quality Control Equipment |
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Daily Surveys/Wipe Testing |
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Hot Lab Management Dose Calibrators |
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Hot Lab Management Generators |
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Computerized Charting |
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National Patient Safety Goals |
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Universal Protocol Procedures/Core Measures |
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Isolation Precautions |
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Infection Prevention |
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Age Specific/Population-Based Care |
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Fall Risk Assessment/Prevention |
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Age Specific | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Under 12 Years Old |
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Adolescents (12 to 18 years) |
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Young Adults (18 to 39 years) |
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Middle Adults (40 to 64 years) |
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Older Adults (65 & up) |
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