Resources

Skills Checklist

Select your specific clinical area of expertise and fill out the self evaluation form to help us in assessing your experience and find better opportunities for you.

    Nursing- Dialysis RN

    PROFICIENCY SCALE
    1. No Experience 2. Need Training
    3. Able to perform with supervision 4. Able to perform independently

    GENERAL SKILLS1234
    Standard Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Isolation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Respiratory/Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Crash Carts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Defibrillators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care of Patient in Restraints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pain Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automated Med Dispensing Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care Planning & Discharge Planning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient/Family Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral IV Insertion, Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RENAL/GENITOURINARY1234
    Assessment of Renal/GU System*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of urinary catheter (straight cath or foley)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Nephrostomy Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with A V Fistula/ A V Graft*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Tunneled/ Non- Tunneled Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Ileal Conduit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Supra-Pubic Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Renal Failure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Nephrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with TURP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient on Peritoneal Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient on Hemodialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    HEMODIALYSIS SKILLS/PROCEDURES EXPERIENCE1234
    Acute / Inpatient Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chronic / Outpatient Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dialysis Home Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Predialysis Nursing Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    SET UP/ INITIATE DIALYSIS TREATMENT1234
    Bicarbonate Dialysate*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Conductivity Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Priming Dialyzer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Checks for Machine/Alarm Settings*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prep Vascular Access*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fistula Gortex/ Bovine Graft*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Blood Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Volume Status*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vascular Access Function*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arterial and Venous Pressures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Flow Rate*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Subjective Response to Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Management of Anticoagulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Conductivity*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ultrafiltration Calculation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myron L. Water Meter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of Mannitol*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sequential Ultrafiltration/PUF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Documentation of Dialysis Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fluid Overload*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypertension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypotension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Disequilibrium Syndrome*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hyperkalemia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Seizures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Muscle Cramps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Clotted Access/Poor Blood Flow Rate from Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pyrogenic Reaction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemolysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Air Embolus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest Pain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Anemia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neuropathy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pericarditis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Filter Blood Leak*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ALARM1234
    Blood Leak Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arterial Pressure Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Venous Pressure Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Conductivity Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ultrafiltration Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    High Temperature Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Air / Foam Detector Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Power Failure Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Pump Alarm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Age Specific Competency
    Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

    Competency Scale1234
    Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











      Therapy - Occupational Therapy

      PROFICIENCY SCALE
      1. No Experience 2. Need Training
      3. Able to perform with supervision 4. Able to perform independently

      Setting1234
      Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Inpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SNF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Schools*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Orthopedic1234
      Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Osteoarthritis-Frozen Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hand Injuries*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Post-Operative Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Amputations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Neurologic1234
      Stroke Rehabilitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Disorders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Head Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Spinal Cord Injury*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neuromuscular Diseases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Alzheimer's /Dementia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment-Wheelchair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Prosthetics/Orthotics1234
      Upper Extremity Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Procedures/Treatments1234
      Splinting - Wrist*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Hand*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Elbow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional - Dynamic Splinting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Joint Mobilization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Myofacial Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Soft Tissue Manipulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Iontophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      TENS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hydrotherapy - Whirlpool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Sterilization Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cryotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Wound Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Debridement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Ultrasound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Phonophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vision Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neurodevelopmental Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Feeding Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Exercise Programs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Postural Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Safety Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Community Re-entry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Group Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Skilled Nursing Documentation1234
      Medicare A*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Medicare B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      State Healthcare*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Other1234
      Cardiac Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      ICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      CCU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Burn Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Work Hardening - Work Site Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional Capacity Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Transfers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Gait Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Muscle Energy Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Activities of Daily Living*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



      Age Specific Competency
      Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

      Competency Scale1234
      Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











        Allied Health - Cath Lab Tech

        PROFICIENCY SCALE
        1. No Experience 2. Need Training
        3. Able to perform with supervision 4. Able to perform independently

        CIRCULATING ROLE (PAV)1234
        Airway Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Arm Cases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Co-Ox Setup Q.C., Run Sample*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Defibrillator Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IABP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Power Injector Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PTCA/ Stents/ Balloons*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radiation Protection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Permanent Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Setting Threshold of Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sphygmomanometer Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Transducer Setup/Calibration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Run Angiojet Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING1234
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Handoff Reports*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hematoma Recognition & Mgt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra-Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        EP Study*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ablation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        SCRUB POSITION1234
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Stent Implantation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotational Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Closure Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemakers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Angiojet*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Brachial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Peripherals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Impella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PPM*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ICD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        BiV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Loop Recorder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Structural Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Manifold*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ACIST/Medrad*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hybrid OR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Simultaneously Scrub & Pan Xray Table*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        Equipment1234
        Phillips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Toshiba*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        GE*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Artis Zeego*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Shimadzu*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cannon Alphenix*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING EQUIP.1234
        GE MacLab Marquette*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Mennen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Merge Cardio/ Camtronics VERICIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        McKesson*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Philips Xper IM/ WITT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Sensis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



        Age Specific Competency
        Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

        Competency Scale1234
        Peds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Adults*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











          Laboratory - Histotechnologist/Histotechnician

          PROFICIENCY SCALE
          1. No Experience 2. Need Training
          3. Able to perform with supervision 4. Able to perform independently

          HISTOLOGY1234
          Concept of Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Assist with Frozen Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          QC Req and Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Collection of Tissue Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bone Marrow Biopsy & Slides*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Filing of Slides & Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tissue Embedding (inc small Bxs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Running of Tissue Processor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microtome & Disposable Blades*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Principle of Hematoxylin & Eosin Stain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Decalcify Bone & Hand Tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Grossing Small Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          SPECIAL STAIN TECHNIQUES1234
          Group I*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group II*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group III*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group V*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HISTOLOGY1234
          Storage Time of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Disposal of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Universal Histology Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coverslipping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preparation of Stains/Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Proper Labeling of Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          MOHS Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          GYN Prep & Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Non-GYN Prep/Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          FNA Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thinprep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electronic Documents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CERTIFICATIONS
          ASCP*YesNo