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- Ambulatory 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
    Adult Respiratory/ Cardiac Arrest*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
    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
    Patient/ Family Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Admit and Assess Patients*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
    Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Obtaining Cultures (Blood, Sputum, Swab, Urine)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Advance Directives*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Appropriate Data*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Discharge Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preoperative Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIOVASCULAR1234
    Assess Heart Tones*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bedside Tele Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpretation of Coagulation Studies*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Pulse/ Circulation Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre-Post Op Pacemaker Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PULMONARY1234
    Assess Breath Sounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Apply Oxygen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpret ABGs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oximetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEUROLOGY1234
    Assess Neurological Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidurals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Selective Nerve Root Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess Level of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GI1234
    Insertion/ Monitoring NG Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Flexible Sigmoidoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemorrhoid Banding*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Paracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lap Band Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GU1234
    Bladder Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urethral Dilation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suprapubic Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prostate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOCRINE
    Care of Diabetic Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Diabetic Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Glucose Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENT AND MOUTH1234
    Prosthodontics -Restorative Dentistry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mouth Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myringotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Maxillofacial Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nose Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroid Aspirate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fiberoptic Laryngoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tonsillectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUNDS/ INTEGUMENT1234
    Application of Burn Dressing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dressing Changes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Debridement of Wound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Vac*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OB/ GYN1234
    Electrodesiccation and Curettage (ED7C)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with In-Office Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHO1234
    Arthrocentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Hardware and Pin Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Closed Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Trigger Point Injections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PLASTICS1234
    Rhinoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liposuction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nipple Reconstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    MOHS Repairs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blepharoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mole/ Cyst Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL MEDICATIONS/ THERAPEUTIC INTERVENTIONS1234
    Administer IM and SQ Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer Inhalation Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer PO Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation and Installation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Needleless System*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chemotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    IV THERAPY1234
    Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral IV Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Syringe Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vascular Access Devices Care/ Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer IV Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OXYGEN ADMINISTRATION1234
    Ambu-Bag*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal Cannula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Non-Rebreather Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Venti Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Face Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NUTRITIONAL THERAPY1234
    Lipids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TPN*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procalamine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Enteral Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PAIN MANAGEMENT/ ANESTHESIA1234
    Implantable Narcotic Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Moderate Sedation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Local*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    General*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Axillary Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bier Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL PROCEDURES/ EQUIPMENT1234
    Apply Immobilizers (clavicle, knee, etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Code Resuscitation*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
    Laser*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dermabrasion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drain Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incision and Drainage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    NGT Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patch Test*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Punch Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shave Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procedure Set Up*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Remove External Fixators with Pin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scrub*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Screw-Hardware Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Set-Up/ Assist Suturing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Staple Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suture Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Male*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Female*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TENS Unit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Doppler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    SPECIMEN COLLECTIONS1234
    Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Clean Catch Urine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sterile Urine Collection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sputum*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Butterfly Stick*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Line Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CLINICAL SETTINGS1234
    Surgi-Center*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Out Patient Clinic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Physician Office*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ambulatory Surgery Clinic*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 - Radiation Therapist

      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


      SETTING1234
      Hospital*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Doctor's Office*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Orthopedics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      RADIATION THERAPY1234
      Ortho Voltage Radiation Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Simulation of Treatment Sites*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cobalt 60 Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Strontium 90 Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Accelerator with Electrons*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Calculations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Radiation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hyperthermia Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Linear Accelerator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Superficial Radiation Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Block Cutting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Geometric Parameters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Patient Measurements*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Proton Beam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neutron Beam*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Brachytherapy Wires*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Brachytherapy Seeds or Molds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Brachytherapy Rods*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Interstitial Brachytherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Intraluminal Radiation Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Intravenous Radioactively Tagged Molecules*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      I-131*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      PROVISION OF TREATMENTS TO PATIENTS WITH1234
      Anal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Bone Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Brain Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Breast Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Bladder Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cervical Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Childhood Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Colon Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Esophageal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Endometrial Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Gallbladder Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hodgkin’s and Other Lymphomas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hypopharyngeal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Kidney Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Laryngeal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Lip and Oral Cavity Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Lung Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Liver Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Metastatic Squamous Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Ovarian Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Oropharyngeal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Penile Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Pancreatic Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Testicular Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Uterine Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vaginal Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vulvular Cancer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      OTHER SKILLS1234
      Telerad*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      TNighthawk*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
      Elderly Adults (over 79+ years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











        Allied Health - Certified Surgical First Assistant

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

        MISCELLANEOUS1234
        Adult Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Autoclave*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Automated Med Dispensing Systems*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Care of Scopes & Fiberoptic Equipment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adult Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cidex Soap*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Crash Cart*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Defibrillator*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electronic Documentation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hand-off Communication*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Isolation Precautions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patient Identification*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pediatric Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Standard Precautions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Universal Protocol*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        GENERAL SURGERY1234
        Abdominal Perineal Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adrenalectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Bowel Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cholecystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Colostomy/Ileostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Gastrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hemicolectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hepatic Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Herniorrhaphy-Femoral/ Inguinal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hiatal Herniorrhaphy- Transabdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pancreatectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Organ Procurement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radical Mastectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Saphenous Vein Ligation and Stripping*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Splenectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thyroidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tracheostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Whipple Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        LAPAROSCOPIC PROCEDURES1234
        Hysterectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cholecystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Appendectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hernia Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Colon Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        GYNECOLOGY1234
        Caesarean Section*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dilation & Curettage*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hysterectomy-Vaginal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hysterectomy-Abdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laser Surgery*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radium Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Salpingo- Oopherectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Shirodkar Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Termination of Pregnancy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tubal Ligation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vaginectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vaginal Reconstruction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        G.U. AND CYSTO1234
        Circumcision*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cystoscopy/ Cystostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hypospadius Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ileal Loop*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lithotripsy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nephrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Orchiectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Penile Implant*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Prostatectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ureterolithotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ureteroscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        T.U.R.P./T.U.R.B*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vasectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        ORTHOPEDIC1234
        Amputation- Leg/ Arm*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Application of Halo Traction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Arthroscopy/ Arthrotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Closed Pinning & Reduction of Extremities*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        External Compression Devices*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insertion of Finger Prosthesis*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Total Joint Replacement- Knee, Hip, Shoulder*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spinal Fusion-Harrington Rods*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spica Cast Application*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        O.R.I.F.-Shoulder, Hip, Humerus, etc.*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Dislocation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patellectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tendon Implants & Reanastomosis*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        NEUROSURGERY1234
        Anterior Cervical Fusion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        AV Malformation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Burrholes for Subdural Hematoma*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Craniotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Discectomy/ Laminectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laminectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Meningocele Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nerve Stimulators*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Shunt Procedures- VP/ VA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spinal Procedures/ Fusions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        PLASTICS1234
        Abdominoplasty/Abdominal Lipectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Augmentation Mammoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Breast Reduction/ Reconstruction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cleft Lip/Palate Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dermabrasion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Digital Flexor Tendon Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Face Lift*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Liposuction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Otoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Rhinoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Reduction of Facial Fracture*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Scar Revisions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Skin Grafting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EYE1234
        Excision of Chalazion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Canthotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Correction of Ectropian/ Entropian*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Corneal Transplant*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Enucleation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        I.O.I. Implants*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lacrimal Duct Probing*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Refractive Keratoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Retinal Detachment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vitrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EAR, NOSE & THROAT1234
        Caldwell-Luc*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ethmoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Frontal Flap Sinus Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laryngectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radical Neck*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Septoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Sinusotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tonsillectomy & Adenoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tracheostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Myringotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Mastoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tympanoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stapedectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nasal Polypectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laryngoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        ENDOSCOPY1234
        Bronchoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        CARDIOTHORACIC1234
        Chest Tube Set- Up*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pneumonectomy/ Lobectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Septal Defect Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Sternal Splitting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thoracotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Bronchoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lung/ Wedge Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vein Harvesting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        A-V Shunts*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Aortic Aneurysm, Abdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Aortofemoral Bypass*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Graft Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cardiac Valve Replacement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Coronary Artery Bypass Graft- on Pump*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Endarterectomy- Carotid/ Femoral*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Femoral- Popliteal Bypass*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        External Temporary Pacemaker*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Internal Pacemaker Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Intra-Aortic Balloon Pump Catheter*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patent Ductus Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pericardial Windows*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Portasystemic Shunt*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Septal Defects*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thrombectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vena Cava Ligation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        TRANSPLANTS1234
        Bone Marrow*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pancreas*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Heart*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lung*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Liver*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Multhorgan*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Kidney*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Eye*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        TRAUMA1234
        Burns*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        MVA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Gun Shot Wounds*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stab Wounds*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EQUIPMENT1234
        Robotics*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Fracture Tables*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Video Systems*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        CUSA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cell Saver*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        PACS Diagnostics*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Drills*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Saws*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stapling Devices*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cardiac Monitors*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Position Patient Per Surgeon's Order*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pressure Point Paddling*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Apply Tourniquet as Ordered*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Protect From Nerve damage*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thermoregulation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of fracture table*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of head stabilizer*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of body stabilizer*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of c-arm extensions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Skin Assessment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of retractors*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Packing with sponges*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Digital Manipulation of tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Suctioning, Irrigation, Sponging*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Clamping/Cauterizing vessels or tissues*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tying/ligating clamped vessels or tissues*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Apply hemostatic clips*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Place Local Hemostatic Agents*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Direct Digital Pressure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist in Volume Replacement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist in Autotransfusion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Suturing: all wound layers including muscle & fascia*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Wound dressing: Liquid or spray occlusive*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Absorbent immobilizing dressing*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist to secure drainage system to tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insert/Remove Foley*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Drape Patient*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery Mono*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery Bipolar*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cut Tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Harvest saphenous vein, including skin incision*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dissect Common Femoral Atery and Bifurcate*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insert drainage tubes*No ExperienceNeed TrainingAble to perform with supervisionAble 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)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Infant (30 days-1 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Toddler (1-3 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Preschooler (3-5 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        School Age (5-12 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adolescents (12-18 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Young Adults (18-39 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Middle Adults (39-64 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Older Adults (64 yrs +)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently











          Laboratory -MT-MLT Skills Checklist

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

          CERTIFICATIONS1234
          ASCP MT/MLS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ASCP MLT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HEW*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AMT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          BLOOD BANK1234
          Patient Identification Process*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ABO/Rh/Antibody Screen & ID*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Crossmatch- Immediate Spin/ IgG*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antigen Typing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Gel Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Tube Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cold Agglutinins*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rhogam Screening*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Direct*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Indirect*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cord Blood Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thawing/ Cooling of Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Donor Collection Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Issue Blood Product to Pt. Care Area*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Emergency Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Elutions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Transfusion Reaction Workshop*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Irradiating Packed Cells*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Splitting a Baby Unit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CHEMISTRY1234
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Acetone Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Blood Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          B-12 Folates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cardiac Enzymes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Thin Layer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electrophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Hormone/ Thyroid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Immunoassay*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Osmolality*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Therapeutic Drug Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tumor Markers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Analyzer Use/ Troubleshooting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Review & Interpretation of QC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HEMATOLOGY / COAGULATION1234
          Automated Instrument Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Differential Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sed Rate Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reticulocyte Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fetal Hemoglobin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          RBC Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sickle Cell Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual Cell Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual diff.*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Special Stains- e.g. PAS, LAP, Peroxidase*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          WBC Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Semen Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          PT/PTT/INR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          D-Dimer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrinogen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Factor Assays*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrin Degradation Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thrombin Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Function Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          IMMUNOLOGY / SEROLOGY1234
          RPR/ RPR Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rheumatoid Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ANA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          LE Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Rapid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Antibody Detection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rubella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CMV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          MICROBIOLOGY1234
          Plating Micro Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reading Plates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Gram Stains*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Monospot/ ASO Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Flu/Rapid Strep/ RSV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Wet Prep/ KOH Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AFB Stain/ Culture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          O&P*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CDiff*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Occult Blood*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
          Processing Specimens for Viral/ Fungal Cultures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          URINALYSIS1234
          Crystal Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Macroscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pregnancy Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          PHLEBOTOMY1234
          Newborn/Neonate (birth to 30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Infant (1 month to 1 year)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Toddler (1 year to 3 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preschooler (3 years to 5 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          School Age Child (5 years to 12 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adolescents (12 years to 18 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Young Adults (18 years to 39 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Middle Adults (39 years to 64 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Older Adults (64 years to 79 years)*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
          Patient Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          PPE Equipment (Gloves, Mask, Etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adult Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pediatric Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Dermal Stick (Finger/Heel)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Butterfly Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tube Types and Usage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Centrifuge Operations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bleeding Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Culture Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Alcohol Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Drug Screening Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently