Cath Lab / Interventional Radiology Nursing Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
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.
Proficiency Scale:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
Work Setting
Procedural Cath Lab
0
lnterventional Cath Lab
0
EP Lab
0
Interventional Radiology
0
Pre/Post Procedural Setting
0
Charge Experience
0
Other Setting (List)
0
Equipment
Automatic Implantable Cardiac Defibrillator
0
Cardioversion
0
Cardioversion
0
Intra Aortic Balloon Pump (IABP)
0
SV02 Recording
0
Ventilator Management
0
Cardiac Cath Lab Procedures
AICD Placement
0
Aortography
0
Cardiac Biopsy
0
Cardiac Implant Closure Device
0
Cardiac Stent Placement
0
Diagnostic Cardiac Catheterization Adult
0
Diagnostic Cardiac Catheterization-Pediatric/Neonatal
0
Directional Coronary Atherectomy
0
IABP Placement/Removal
0
Internal Mammary Angiography
0
Laser Assisted Procedures
0
Percutaneous Transluminal Coronary Angioplasty
0
Pericardiocentesis
0
Permanent Pacemaker Placement
0
Pulmonary Angiography
0
Rotational Coronary Atherectomy
0
Saphenous Vein Graft Angiography
0
Transluminal Extraction Catheter
0
Valvuloplasty
0
Ventricular Assist Device Insertion
0
Electrophysiology Procedures
Electrophysiology Evaluation
0
Baseline Measurements
0
Cardiac Ablation
0
Cardiac Mapping
0
Cardioversion
0
Conduction Study
0
Internal Cardioverter Defibrillator Implant
0
Tilt Table Study
0
IR-Gastrointestinal Studies
Angioplasty
0
Chemoembolization
0
Cholecystostomy
0
Embolization
0
ERCP
0
Esophageal Stent Placement
0
Gastrojejunostomy
0
Gastrostomy Tube Placement
0
Liver Ablation
0
Pericentesis
0
Percutaneous Hepatic Angiography
0
TIPS
0
IR-Genitourinary Studies
Adrenal Angiography
0
Angiography of Female GU System
0
Angiography of Male GU System
0
Cystostomy
0
Embolization
0
Nephrostomy
0
Percutaneous Stone Extraction
0
Renal Angiography
0
Renal Artery Angioplasty
0
Renal Artery Stent Placement
0
Ureteral Stent
0
IR-Neurologic Studies
Cerebral Angiography
0
Carotid Angiography
0
Neurologic Angioplasty
0
Neurologic Thrombolysis
0
Vertebroplasty
0
IR-Peripheral Vascular Studies
IR-Peripheral Vascular Studies
0
Angioplasty
0
Central Venous Access/Port Placement
0
Dialysis Graft Creation/Revision
0
Dialysis Graft lnterventional
0
Peripheral Vascular Embolization
0
Stent Graft Placement
0
SVC/IVC Venograph
0
Thoracic Aortography
0
Upper and Lower Extremity Angiography
0
IR-Pulmonary Procedures
Chest Tube Placement
0
Pulmonary Embolization
0
Pulmonary Angiography
0
Thoracentesis
0
Professional Knowledge And Skills
Conscious/Procedural Sedation
0
Assist w/Central Line/Venous Line Insertion
0
Venous Sampling
0
Topical Hemostasis (D-Stat, Chito-Seal, Syvek Patch, etc.)
0
Vascular Closure Systems (Perclose, StarClose, etc.)
0
External Compression Devices (C-Clamp, Sandbags,etc.)
0
Physiologic Monitoring/Recording
0
Sheath Removal and Monitoring
0
National Patient Safety Goals/Core Measures
0
Universal Protocol Procedures
0
Isolation Precautions
0
Infection Prevention
0
Age Specific/Population-Based Care
0
Fall Risk Assessment/Prevention
0
EMR
Cerner
0
Eclipsys
0
Epic
0
GE
0
McKesson
0
Meditech
0
Other Computerized System
0
Computerized Physician Order Entry
0
Medication Administration using Bar Coding Technology
0
EMR Conversion
Certifications
Other: Specify
Age Specific Competencies
Infant (Birth - 1 year)
0
Preschooler (ages 2-5 years)
0
Childhood (ages 6-12 years)
0
Adolescents (ages 13-21 years)
0
Young Adults (ages 22-39 years)
0
Adults (ages 40-64 years)
0
Older Adults (ages 65-79 years)
0
Elderly (ages 80+ years)
0

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  • Phone: +1-952-546-3300
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