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.
| AGE OF PATIENTS CARED FOR * | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Peds |
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| Adults |
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| CIRCULATING ROLE (PAV) * | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Airway Maintenance |
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| Arm Cases |
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| Biopsy |
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| Co-Ox Setup Q.C., Run Sample |
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| Defibrillator Setup/Use |
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| Defibrillator Setup/Use |
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| IABP |
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| Power Injector Setup/Use |
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| Left Heart Catheterization |
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| Right Heart Catheterization |
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| PTCA/ Stents/ Balloons |
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| Radiation Protection |
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| Atherectomy |
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| Permanent Pacemaker |
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| Temporary Pacemaker |
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| Setting Threshold of Pacemakers |
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| Rotablator |
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| Sphygmomanometer Monitoring |
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| Transducer Setup/Calibration |
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| Run Angiojet Machine |
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| IVUS |
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| HEMODYNAMIC MONITORING * | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Biopsy |
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| Handoff Reports |
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| Left Heart Caths |
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| Right Heart Caths |
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| Coronary Intervention |
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| Hematoma Recognition & Mgt |
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| Coronary Atherectomy |
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| IVUS |
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| Intra Aortic Balloon Pump |
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| EP Study |
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| Ablation |
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| Rotablator |
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| FFR |
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| CATH LAB/ ANGIO/ SPECIALS: EQUIPMENT * | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Phillips |
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| Siemens |
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| Toshiba |
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| GE |
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| Siemens Artis Zeego |
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| Shimadzu |
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| Cannon Alphenix |
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| Electronic Documentation |
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| HEMODYNAMIC MONITORING EQUIP. * | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| GE MacLab Marquette |
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| Mennen |
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| Merge Cardio/ Camtronics VERICIS |
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| McKesson |
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| Philips Xper IM/ WITT |
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| Siemens Sensis |
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