Skills Checklist

Diagnostic Imaging / Radiology Checklist

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GENERAL SKILLS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Advanced directives
Patient/family teaching
Restrictive devices (restraints)
Lift/transfer devices
Specialty beds
End of life care/palliative care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
Checks & marks distal pulses
Performs allen test

MEDICATION ADMINISTRATION:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Emergency meds (ACLS)
Antiarrthymics
Antibiotics
Antihistamines
Beta blockers
Nitrates
Vasopressors
Thrombolytics
Contrast medium

PRE-PROCEDURE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Completion of pre-procedure checklist
Skin prep & shave
Lead placements
Time Out Protocol

POST-PROCEDURE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Monitoring (procedure specific & documentation)
Sedation recovery scale (facility specific)
Maintain & monitor A/V sheaths
Set up & maintain arterial catheters
Set up & maintain Swanz Ganz catheter

GENERAL SKILLS - EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Obtain & monitor ACT
Removal of A/V sheaths
Manual pressure hold
Application & monitoring of vascular closure devices
Assists with IABP insertion
Manages IABP
Radiation safety
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling
Anticoagulation therapy
Reconciliation
Monitoring conscious sedation
Pain assessment & management
Use of PCA (IV, intrathecal, epidural)
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Wound care

CARDIAC MONITORING & EMERGENCY CARE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Obtains 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrythmias
Use of rapid response teams
Cardiac arrest/CPR
O2 therapy & delivery
Ventilator management
Pulse oximetry
Use of doppler

IV THERAPY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Starting & maintaining peripheral IVs
Blood draw: venous
Central line care
Blood draw: central line

GENERAL SKILLS - CONT EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Care & management of ports
Care & management of PICC / Groshong / Hickman
TPN & lipids
Administration of blood/blood products
Administration of chemotherapy
Monitoring chemotherapy (does not initiate)
Endometriosis

OTHER:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Diabetes mellitus
Blood Glucose Monitoring (BGM)
Insulin administration
Awareness of HCAHPS

INTERVENTIONAL RADIOLOGY (RN) EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Circulates for interventional procedures
Scrubs for interventional procedures
Angiogram / aortogram
Angioplasty
Vascular stenting
Declotting
Embolization
TIPS
Port placement
Dialysis catheter placement
Retrieval of foreign body
UAE (Uterine Arterial Embolization)
EVLT (Endovascular Laser Therapy)
Vertebro / kyphoplasty
Neuroradiology
Discogram

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)