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RADIOLOGY KNOWLEDGE & SKILLS

CHECKLIST______________
NAME:      
ID #:       DIRECTIONS: Please indicate your level of
DATE:       experience by placing a check (√) in the
box. Experience level:
1 NO EXPERIENCE
This Skills Checklist is for use by nurses 2 MINIMAL EXPERIENCE-requires
with more than one year experience in supervision/assistance
their discipline and specialty. Please be 3 MODERATELY EXPERIENCED-requires
accurate with your assessment. initial review, then performs
independently
4 VERY EXPERIENCED- proficient
DESCRIPTION 1 2 3 4
RADIOGRAPHY
1. Head/Skull DESCRIPTION 1 2 3 4
a. Orbits 8. Fluoroscopy/Special Exams
b. Mandible a. GI Tract (Upper & Lower)
c. Facial Bones b. Swallowing Functions
d. Nasal Bones c. Hysterosalpingogram
2. Spine/Pelvis d. Myelogram
a. Cervical Spine e. IVP/Tomograms
b. Thoracic Spine f. Trauma Cases
c. Lumbar Spine g. Surgery (C-arm/Portable)
d. SI Joints MAMMOGRAPHY
e. Scoliosis Studies 1. Screening Mammograms
3. Abdomen 2. Diagnostic Mammograms
a. Abdominal Series 3. Magnification Views
b. Erect/Decubitus Film 4. Implants
4. Thorax 5. Stereotactic Biopsy
a. PA/Lat Chest 6. Digital
b. Decubitus Chest 7. Needle Localizations
c. Ribs RADIATION THERAPY
d. Sternum 1. Linear Accelerator
5. Extremities 2. Linear Accelerator with
a. Small Extremities Electrons
b. Large Extremities 3. Superficial Treatment
6. Pediatric 4. Ortho Voltage
a. Head Work 5. Hyperthermia Treatment
b. Chest/Abdomen 6. Cobalt 60 Therapy
c. Spine 7. Dosimetry
7. Equipment 8. Treatment Planning
a. R & F Rooms INTERVENTIONAL/SPECIALS/CARDIO
b. C-Arm 1. Angiography/Arteriography
c. Portable Exams 2. Venography
d.Automatic 3. Aorteriography
Processing/Darkroom 4. Cardiography
e. Daylight System 5. Cardiac Catheterizations
f. Panoramix 6. Digital Angiography (DSA)
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RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________
7. Lymphangiography 3. Epic
4. McKesson
5. Meditech
Name:       6. Other:
ID #:      
DESCRIPTION 1 2 3 4
SONOGRAPHY/ULTRASOUND
1. General Chest Procedures
2. General Abdominal
Procedures
3. Paracentesis
4. Thoracentesis
5. Breast
6. Biopsies
7. Amniocentesis
8. Upper Extremities
(Venous/Arterial)
9. Lower Extremities
(Venous/Arterial)
10. Female Pelvis
11. Male Pelvis
12. Transvaginal
13. Doppler Studies
14. Color Doppler Studies
15. 2D and M-Mode
16. Stress Testing
17. Portable Studies
18. Carotids
CT
1. Chest
2. Brain with Contrast
3. Brain without Contrast
4. Cervical Spine
5. Thoracic Spine
6. Lumbar Spine
7. Abdomen Studies
8. PET Scan
9. 3-D or Multidimensional
10. Skull/Facial Orbits/Sinuses
11. Biopsy/Angio Procedures
MRI
1. Angio
2. Multiplanar Reconstruction
COMPUTERIZED CHARTING
1. Cerner
2. Eclipsys

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RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________

Name:      
MY EXPERIENCE IS PRIMARILY IN:
Please check the boxes below for each
age group for which you have expertise in NEUROLOGY       years
providing age-appropriate nursing care. PULMONARY       years
SURGICAL       years
A. Newborn/Neonatal (birth – 30 days) MEDICAL       years
B. Infant (30 days – 1 year) CARDIAC CARE       years
C. Toddler (1 – 3 years) TELEMETRY       years
D. Preschool (3 – 5 years)
E. School Age Children (5 – 12 years) I HAVE CURRENT CERTIFICATIONS FOR:
F. Adolescent (12 – 18 years)
G. Young Adults (18 – 39 years) TYPE EXPIRATION
H. Middle Adults (40 – 64 years) DATE (MM/DD/YY)
I. Older Adults (64 + years) ARRHYTHMIA      
CRITICAL CARE      
EXPERIENCE WITH AGE GROUPS: ACLS      
1. Able to assess age appropriate BLS      
behavior, motor skills and physiological TNCC      
norms. NRP      
PALS      
A B C D E F G H I NALS      
Other            
Other            
2. Able to adapt care according to normal Other            
growth and development. Other            

A B C D E F G H I The information I have provided in this


knowledge and skills checklist it true and
accurate to the best of my knowledge.
3. Able to communicate and instruct
patient according to their age, maturity            
and comprehension ability. Signature Date
(Written/Electronic)
A B C D E F G H I ID #:      

This skills checklist has been reviewed


4. Able to provide a safe environment and approved by Nicole Bloxham, RN.
according to the specific needs of various
age groups.            
Signature Date
A B C D E F G H I (Written/Electronic)
ID #:      

Please return to: Northwest Nurse Staffing


Company, PA

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RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________
ATTN: Records Dept.
Fax: (866) 352-4338

Email: records@nns-ic.com

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