Interventional Radiology/Specials Technologist 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

Care of Patient in Restraints
Lifting/Transferring Devices
Automated Med Dispensing Systems
Electronic Documentation
Electronic Documentation
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

Pre-Procedure

Allen Test
Doppler
EKG lead/pad placement
Blood Pressure Invasive and Noninvasive

Hemodynamic Monitoring

Monitoring/Recording cases
Waveform Assessment
Coagulation Interpretation

Cardiovascular

Hematoma Recognition/Management
Radial, brachial, femoral, pedal pulse checks

Pulmonary

Set up Oxygen Delivery Devices(Cannula, NRBM, Ambu)
Assist with Intubation
Suction equipment (oral,NP, In line)

Procedures Diagnostic And Interventional

Panning Table
Moving Image Intensifier, Knowledge of views( RAO, LAO, cranial, caudal)
Scrub Diagnostic Procedures
Scrub Interventional Procedures
Specimen Radiographs
Selective Radiographs
TIPPS Procedure
Angioplasty/Stent
Thrombolysis/Thrombectomy
Embolic Protection Devices
Cerebral Coiling
PVA
Gelfoam
Cerebral Angiography
Carotid Arteriogram
Brachial Arteriogram
Aortogram
Femoral Arteriogram
Renal Arteriogram
Pulmonary Arteriogram
Venogram
Endografts
AV Fistulas

Pacemakers

Permanent Pacemaker/AICD
Temporary Epicardial/Transthoracic Pacing
Temporary External /transvenous pacing

Care Of Patient During Emergency Procedures

Emergency Defibrillation/ Cardioversion
Anaphylaxis
Vasovagal Response
Pneumothorax
Cardiogenic Shock
Embolism
Cardiac/Respiratory arrest

Equipment / Supplies

ACT Machine
Hemochron
Power Injectors
Manual Pressure Hold
Femostop/ C-Clamp
VasoSeal, Angioseal, PerClose

Other Skills (Please List)