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- Labor and Delivery

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

    GENERAL SKILLS1234
    Patient and Family Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Coaching Needs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Universal 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
    Care of the Patient in restraints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulse Oximetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ventilator Management (Adult)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ventilator Management (Newborn)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prep and Administration of Emergency Meds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Infant/ Neonatal Cardiac/ Respiratory Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Cardiac/ Respiratory Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    End of Life Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Monitoring- Basic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Monitoring- Advanced*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of Blood/ Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Knowledge of Normal Lab Values*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Newborn*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Labor Patient*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 System*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


    CARE OF PATIENTS WITH PRE-EXISTING CONDITIONS/ HIGH RISK OB1234
    Cardiac Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neurological Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Seizure Disorder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chronic Diabetes Mellitus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pregnancy Induced Diabetes Mellitus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Asthma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chronic Hypertension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pregnancy- Induced Hypertension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Infectious Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    HBV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    HIV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sickle Cell Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    RH Incompatibilities*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemolytic Anemia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collagen Vascular Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemorrhage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drug Addiction/ Withdrawal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pyelonephritis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Abruptio Placenta*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Placenta Previa*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Placenta Acreta*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preeclampsia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Eclampsia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Premature Labor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Malpresentations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Breech*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Transverse Lie/ Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Face Presentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Brow Presentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Multiple Gestation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PROM*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chorioamnionitis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Poly/ Oligohydramnios*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prior Tubal Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    VBAC Management/ Trial of Labor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Uterine Rupture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incompetent Cervex (Shirodkar Suture/ Cerclage)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spontaneous Abortions- Complete/ Incomplete*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Intrauterine Growth Retardation (IUGR)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Postdate Pregnancy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    HELLP Syndrome*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    DIC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Demise*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ANTEPARTUM1234
    Triage of Obstetrical Patients*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessment of Birth Plan*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Admission Risk Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Non- Stress Test (NST)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Induction of Labor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oxytocin Challenge Tests (OCT)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Biophysical Profile*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Sonogram*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Sonogram*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Amniocentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Normal Perinatal Vital Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Deep Tendon Reflex Checks (DTR’s)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Edema Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Clonus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess for Comfort*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Breathing/ Relaxation Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Coaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Positioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS1234
    Ritodrine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Magnesium Sulfate*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Terbutaline*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Indomethacin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procardia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pitocin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oxytocin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cervidil*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cytotec*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prostin Suppositories*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Prostin Gel*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antibiotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antihypertensives*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heparin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stadol*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nubain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Morphine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Demerol*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fentanyl*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insulin Drips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insulin Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insulin SC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    AZT/ Other Antiviral Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rhogam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    IV THERAPY/ PROCEDURES1234
    Starting PIV’s*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PICC Lines- Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Venous Lines- Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Invasive Hemodynamic Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Draw from PICC/ CVL*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of Blood/ Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood/ Fluid Warmers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    LABOR ASSESSMENT/ PROCEDURES: MATERNAL1234
    Normal Vital Signs- Baseline*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Identify Common Cardiac Arrhythmias*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Sterile Speculum Exam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Sterile Speculum Exam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginal Exam- Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Status of Membranes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Rupture of Membranes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fern Test*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nitrazine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Presence of Clonus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    DTR’s*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Edema*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Progression Of Labor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dilation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Effacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Position*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Presentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Station*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Contraction Characteristics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Determination of Fetal Head Position*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Documentation of Labor Status and Interventions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Labor Suppressants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collection of Blood Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Urine Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Toxicology Studies*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Vaginal Cultures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fluid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Herpes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chlamydia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Group B Strep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Leopold’s Maneuvers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Amnioinfusion (assist or perform) for:1234
    Variable Decelerations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Meconium*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prolapsed Cord*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vasa Previa*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Catheter Insertion1234
    Straight Cath*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    LABOR ASSESSMENT/ PROCEDURES: FETAL:1234
    Fetal Heart Rate- Doppler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fetal Heart Rate- Auscultate*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Document Fetal Position*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Fetal Heart Rate Patterns: Identify & Treat Baseline1234
    Variability*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Variable Decelerations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Early Decelerations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Late Decelerations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prolonged Decelerations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Fetal Monitor Application*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Internal Fetal Monitor Application (Assist)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Internal Fetal Monitor Application (Perform)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spiral Electrode*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Intrauterine Pressure Catheter (IUPC)1234
    Placement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Calibration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fluid Filled*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Transducer Tipped*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    DELIVERY/ C-SECTION1234
    Assist with Vaginal Delivery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Forceps Extraction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vacuum Extraction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with High Risk Delivery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shoulder Dystocia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemorrhage/ Shock*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Emergency Delivery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Abdominal Shave/ Scrub Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perineal Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Circulate for C-Section*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scrub for C-Section*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with General Anesthesia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient with Epidural Anesthesia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Circulate with Tubal Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scrub for Tubal Ligation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Placenta Delivery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fundus Massage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Cervical Laceration Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Uterine Laceration Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Episiotomy Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Newborn Assessment1234
    Ballard*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dubowitz*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Finnegan/ Abstinence Scoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Apgar Scores*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Initial Vital Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bulb Suctioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Delee Suctioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wall Suctioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Meconium Aspiration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Cord Samples*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with UAC/ UVC Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of IV, Including Scalp IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Radiant Warmer/ Thermoregulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interventions for LGA, SGA, IUGR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interventions for Infant of Diabetic Mother*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oxygen Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bag/ Mask Ventilation of the Newborn*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Intubation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Transport Isolette*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heelstick Glucose*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Eye Prophylaxis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vitamin K*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    ID/ Security Banding*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Promote Bonding Behaviors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lead Placement for Cardiac Monitor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Apnea Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oxyhood*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    POSTPARTUM CARE1234
    Fundal Height*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fundal Massage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lochia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Episiotomy Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perineum Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Maternal Vital Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recovering Post-Op C-Section Patients*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recovering Post-Op Tubal Ligation Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fluid Balance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessment for DVT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Couplet Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Breast Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Breastfeeding*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEWBORN CARE1234
    Cord Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Circumcision Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bath Demonstration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Lumbar Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of IV Antibiotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Newborn Vital Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Assist with Breastfeeding1234
    Latch On*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Positioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARE OF THE INFANT WITH1234
    Cardiac Anomalies*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drug Addiction/ Withdrawal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystic Fibrosis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Meconium Aspiration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pneumonia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulmonary Edema*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    RDS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    NEC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neuromuscular Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spina Bifida*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Seizure Activity*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheoesophageal Fistula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sepsis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sickle Cell Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Low Birth Weight Infants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PAIN MANAGEMENT/ ANESTHESIA1234
    Assess Pain Level*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess Acceptable Level of Pain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Intranasal Pain Medication*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oral Pain Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Pain Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PCA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Conscious Sedation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural Pain Managemen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Intervention for Anesthesia Toxicity*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Assist with Epidural Insertion1234
    Positioning of Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Signs of Dural Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fluid Challenge*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
    Intrathecal Narcotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Misc.YESNO
    Experience with ventilators?*YESNO
    Experience with cardiac monitors?*YESNO
    NRP current?*YESNO
    STABLE current?*YESNO
    Fetal monitoring course - basic?*YESNO
    Fetal monitoring course - intermediate?*YESNO
    Fetal monitoring course - advanced?*YESNO


    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.

    AGE 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 (64-79 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Elderly Adults (over 79+ years)*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