Download radiology skills checklist

RADIOLOGY SKILLS CHECKLIST
Name______
____
Date_______
______
CHECK PROFICIENCY
Key:
1 = No Experience
2 = Some Experience
3 = Moderate Experience
4 = Proficient
GENERAL (Continued)
GI Series
ER Exams
OR Exams Myelogram
CHECK PROFICIENCY
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GENERAL
Mastoids
Tomogram
Abdomen
KUB
Bilateral Mammogram
ERCP
Needle Localization
Portable Exams
Extremities
Pediatric Exams
Specimen Radiographs
Salpingogram
Therapy Placement Film
Sialography
Small Bowel Series
Cervical Spine
Hypotonic Duodenography
Bronchogram
Foreign Body Localization
CT
Hysterosalpingogram
Brain with Contrast
Voiding Cystogram
Brain w/o Contrast
T-Tube Cholangiogram
Biopsy Procedures
Transhepatic Cholangiogram
Lumbar Spine
C-Arm Flouroscope
Cervical Spine
Thoracic Spine
TM Joints
Lumbar Spine
Pancreas
Skull
Abdomen
Chest
Pelvis
I.V.P.
IAC
Bone Survey
Orbits
Bone Age
Liver
Hip
Larynx
Barium Enema
Chest
Barium Swallow
Renal Cyst Puncture
Gall Bladder
Sinuses
Esophogram
MCNW-F-007, R2 (5/4/2017)
Myelogram
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RADIOLOGY SKILLS CHECKLIST
CHECK PROFICIENCY
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CHECK PROFICIENCY
Special Procedures (Continued
MRI
Carotid Arteriogram
T-1 Weighted Images
Brachial Arteriogram
Surface Coils
Arch Arteriogram
Partial Saturation Images
Renal Arteriogram
T-2 Weighted Images
Femoral Arteriogram
Gradient Echo Imaging
Abdominal Arteriogram
Multiplanar Reconstruction
Masenteric Arteriogram
Spin- Echo Images
Peripheral Angioplasty
MR Angiography
Heart Cath Lab
Type of Equipment
Pulmonary Arteriogram
GE .5
Atherectomy
GE 1.0
Balloon Pumps
GE 1.5
External Pacemakers
Siemens .5
Internal Pacemakers
Siemens 1.0
Coronary Angioplasty
Siemens 1.5
Lt & Rt Heart
Picker .5
Picker 1.0
Nuclear Medicine
Picker 1.5
Cerebral Blood
Phillips .5
GI Bleeding Study
Phillips 1.0
Radionuclide Arteriogram
Phillips 1.5
Radionuclide Venogram
Hitachi .5
I-131 Therapy
Hitachi 1.0
Thallium Stress Test
Hitachi 1.5
SPECT Scanning
Toshiba .5
I-123 Uptake
Toshiba 1.0
Thyroid Therapy
Toshiba 1.5
Bone Scan
Special Procedures
Brain Scam
Selective Angiography
Gallium Scan
Liver scan
MCNW-F-007, R2 (5/4/2017)
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RADIOLOGY SKILLS CHECKLIST
CHECK PROFICIENCY
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CHECK PROFICIENCY
Nuclear Medicine (Continued)
Vascular
Lung Scan
Carotids
Muga Scan
Venous for DVT
Renal Scan
Venous Mapping
Spleen Scan
Arterial Pressure & Imaging
Thyroid Scan
Color Flow
Radiation Therapy
Popliteal
Linear Accelerator
Small Parts
Linear Accelerator w/ Electrons
Thyroid
Superficial Radiation TMT
Breasts
Ortho Voltage Radiation TMT
Prostate
Simulation of Treatment Site
Transrectal Probe
Treatment Planning
Scrotum
Specials
Cobalt 60 Therapy
Neonatal Head
Hyperthermia TMT
OPG Eye
Strontium 90 Therapy
Trans Cranial Doppler
Dosimetry
Abdominal
Echocardiography
Pancreas
Real Time
Liver
Doppler
Gallbladder
M-Mode
Biliary Tract
Color Flow
Renals
Trans-esophageal
Aorta/ Great Vessels
Spleen
Cyst Aspirations
Biopsy Guidance
Pelvic
OB/GYN
Uterus/ Ovaries
Transvaginal Probe
Fetal Measurements for age
Gest Sac Measurements
Amniocentesis Guidance
MCNW-F-007, R2 (5/4/2017)
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RADIOLOGY SKILLS CHECKLIST
Age Specific Practice Criteria
A. Newborn/Neonate (birth - 30 days)
F. Adolescents (12 - 18 years)
B. Infant (30 days - 1 year)
G. Young adults (18 - 39 years)
C. Toddler (1 - 3 years)
H. Middle adults (39 - 64 years)
D. Preschooler (3 - 5 years)
I. Older Adults (64+)
E. School age children (5 - 12 years)
Please check the boxes below for each age group for which you have expertise in providing age-appropriate care
Experience with age groups
A B C D E F G H I
Able to adapt care to incorporate normal growth and development
Able to adapt method and terminology of patient instructions to their age,
comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.
My experience is in the following settings
Yrs. Hospital
Yrs. Other
Yrs. Independent Lab
Yrs. Outpatient Setting – Pediatric
Yrs. Management
Yrs. Mobile Routes
Yrs. Physician's Office
Certifications/Licensures/Registrations
ARRT
Exp. Date:
BLS
Exp. Date:
Fluoroscopy
Exp. Date:
STATE CERTIFICATIONS
State Certification:
Exp. Date:
State Certification:
Exp. Date:
State Certification:
Exp. Date:
The information I have provided is true and accurate to the best of my knowledge. I authorize MedCall NorthWest, Inc. to
release this Skills Checklist to client hospitals as needed in relation to my employment.
Please enter your full legal name as it appears on your Social Security Card.
First Name*
Middle Name *
Last 4 of Social Security Number *
Last Name*
Date *
(mm/dd/yyyy)
* Electronic Signature Agreement. By signing and typing the last 4 of your Social Security Number (SSN) on this
document, you are signing the Document electronically. You agree your electronic signature is the legal equivalent of
your manual signature on the Agreement
Reviewed by:______________________Title:_____________________
MCNW-F-007, R2 (5/4/2017)
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RADIOLOGY SKILLS CHECKLIST
ALLIED JOB DESCRIPTION Radiologic (RT) Technologist Name:
Name: ______
___________________ Date: _______
______
Radiologists use medical imaging technologies, such as X-rays, CT scans and MRIs, to diagnose and make
treatment decisions regarding patients' health problems. Radiologists are fully licensed physicians who
complete at least eleven years of higher education, which includes an undergraduate degree program, Doctor
of Medicine program and a residency. Additionally, all medical doctors must be licensed to practice. Many
choose to become certified by the American Board of Medical Specialties.
Essential duties and responsibilities include:
1. Two years’ experience as a Radiologic Technologist in a clinical setting
2. Graduate of an accredited certificate, Associate or Bachelor’s degree program in Radiologic
Technology
3. Current State License, if applicable (must be in good standing, without disciplinary investigation or
actions) 4. American Registry Radiologic Technologists (ARRT) (R) Certification
4. Ability to perform basic radiographic procedures including fluoroscopy, portable radiographic
procedures, C-arm procedures, OR imaging services and routine procedures, and maintain
records/files
5. Good communication skills needed to explain procedures to patients
6. Working knowledge of equipment maintenance
7. Knowledge of all associated Quality Assurance practices
8. Knowledge of radiation and patient safety
9. Good physical condition as lifting or maneuvering patients may be required
10. IR experience, if required by the hospital
11. Other duties, as assigned.
The information I have provided is true and accurate to the best of my knowledge. I authorize MedCall
NorthWest, Inc. to release this Skills Checklist & Job Description to client hospitals as needed in relation to my
employment.
Please enter your full legal name as it appears on your Social Security Card.
First Name*
Middle Name *
Last 4 of Social Security Number *
Last Name*
Date *
(mm/dd/yyyy)
* Electronic Signature Agreement. By signing and typing the last 4 of your Social Security Number (SSN) on
this document, you are signing the Document electronically. You agree your electronic signature is the legal
equivalent of your manual signature on the Agreement
MCNW-F-007, R2 (5/4/2017)
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