CT/MRI/Radiography/Mammography Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/Adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Hospital Experience
Clinic Experience
Teaching/Educational Facility
Vital Signs
Care of patients in restraints
Use of transfer/lifting devices
Care of patients in isolation
National Patient Safety Goals
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores
IV Pumps

CT

Venipuncture
Upper extremities
Lower extremities
Upper extremities with contrast
Lower extremities with contrast
RF Ablations with CT
CT Guided Drainage
Adrenal
Appendix
Aortic Dissection
Aortic Aneurysm
Pediatric CT Exams
Abdomen
Biopsy
Brain without contrast
Brain with Contrast
Cervical Spine
Circle of Willis
CTA
Chest
Facial Bones/Maxillofacial
GI tract
IAC
Injection
Joint Studies ( Hip, knee ankle)
Larynx
Liver
Lumbar spine
Lung Biopsy
Pancreas
Pelvis
Pulmonary Embolism study
Radiation Therapy
RFA
Soft Tissue Neck
Spleen
Trauma Patients
TM Joints
3D Imaging
Smart Prep
Smart View
Smart View

MRI

Gradient Echo Imaging
Muliplanar Reconstruction
Partial Saturation Images
Spin Echo Images
Surface Coils
T-1 Weighted Images
T-2 Weighted Images
Open
Closed
Brain
Extremities
Injections
Spine

Radiology

Abdomen
Arthrograms
Bone Density
Chest
ER Exams
GI Series
Hip
Hysterosalpingogram
OR Exams
PACS System
Portable Exams
Renal Tomography
Soft Tissue Studies
Trauma Exams
Urethrography

Extremities

Pelvic/Obliques/Judet Views
Pelvic Sacrum/Coccyx
Pelvic SI Joints
Upper/Lower

Skull

Facial
Mandible
Orbits
Sinus Series

Spine

Cervical Spine
Cervical Spine-Obls/Flexion/Extension
Lumbar spine
Lumbar Spine-Obls/Flexion/Extension
Thoracic Spine
Thoracic Spine-Swimmer's View

Mammography

Bilateral Mammogram
Density Settings
Digital Mammography
Implants
Irradiated Breasts
Male Breast Scan
Mammography Quality Standards Act
Needle Aspiration
Needle Localization
Optical Breast Screening
Post Partum Mastitis
Reduction Mammoplasty
Specimen Radiographs
Spot Compression View
Stereotactic Core Biopsy
Self Breast Exams

Fluoroscopy

Angiogram
Arteriogram
Barium Enema
Bronchogram
ERCP
Esophagram
Gallbladder
Myelogram
Sialogram
Small Bowel Follow Through
Small Bowel Series
Tomogram
T-Tube Cholangiogram
Upper GI Series-Air Contrast
Upper GI Series-Single Contrast
Venograms
Voiding Cystogram

Barium Swallow

Modified Barium Swallow/Protocol Swallow
Swallow Studies with Videotaping

C-Arm Use

Mobile C-Arm Bronchoscopy with Fluoro Guidance

IVP

IVP with Tomograms

Equipment

GE
Philips
Siemens
Toshiba
PACS System
RIS-Cerner

Myelograms

Cervical Spine
Lumbar Spine
Thoracic Spine

OR Cases

Cystography
Extremity Studies
Hip Studies
Operative Cholangiography
Retrograde Urography
Spine Work
Sterile Procedures in OR