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EEG Technologist Checklist

EXPERIENCES WITH AGES

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2 )Limited Experience 3) Experienced 4 )Very Experienced *
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)
GENERAL SKILLS

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2 )Limited Experience 3) Experienced 4 )Very Experienced *
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)
Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Pain Management
Automated Med Dispensing Systems
Care Planning & Discharge Planning
Patient/Family Education
Electronic Documentation
Patient Head to Toe Assessment
Peripheral IV Insertion, Care and Maintenance
MEDICATIONS

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Calculate mcg/min and mcg/kg/min
Titrating Medications
Isuprel
Adenosine
Amiodarone
ASSESSMENT AND MONITORING

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Lead Placement
Basic 12 Lead EKG Interpretation
Cardiac Rhythm Interpretation
Doppler
Blood Pressure Invasive and Noninvasive
HEMODYNAMIC MONITORING

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Art Line
Swan Ganz
Waveform Assessment
General Lab Work Interpretation
ABG Interpretation
Cardiac Enzyme Interpretation
Chemistry Interpretation
CARE AND MAINTENANCE

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Central Venous Access Device
Arterial Line
Swan Ganz
IABP
Sheaths
Removal of Sheath
Manual Pressure Hold
C-Clamp
FemStop
VasoSeal, Angioseal, PerClose
Hematoma Recognition/Management
PROCEDURE EQUIPMENT

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Scrub EP Procedures
Circulate EP Procedures
Monitor EP Procedures
Ablation (Atrial/Ventricular)
Velocity Mapping
Cart/Mapping
Rhythmia Mapping
Bloom Stimulator
Micropace EP-4
Diagnostic Catheters
Bi-V
Stereotaxis
AICD Placement
Bovie
PPM
Baylis
Temporary Pacemaker
Peak Plasma Blade
Cardioversion
Internal Cardioversion Catheters/AICD Testing
NIPS Procedure
Pericardiocentesis
Demonstrate Proper Preservations of Tissue Specimen for Lead Extractions
ACT Machine
Lead Extractions - Spectranetics laser
Device Implants
Ablation Equipment (ie: Stockert, Maestro, Cool Flow, Tactisys)
GENERAL SKILLS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Confidentiality of Information/HIPAA
Ordering Supplies
Universal Precautions/Infection Control Procedures
Advance Directives
Vital Signs
Use of Transfer/Life Devices
Pain Management
Caregiver/Patient Education
GENERAL SKILLS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Confidentiality of Information/HIPAA
Ordering Supplies
Universal Precautions/Infection Control Procedures
Advance Directives
Vital Signs
Use of Transfer/Life Devices
Pain Management
Caregiver/Patient Education
DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Obtain Patient History
Changes in Patient Status
Stimulation
Hyperventilation
Post Hyperventilation
Interpreting EEG Patterns
EEG SKILLS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
10-20 Electrode Placement
Portable Recording in Adult ICU
Portable Recording in Pediatric ICU
Portable Recording in NICU
ECI Brain Death Recording
Ambulatory EEG
Sleep-Deprived EEG
Sleep EEG
Electromyography (EMG)
EEG SKILLS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
10-20 Electrode Placement
Portable Recording in Adult ICU
Portable Recording in Pediatric ICU
Portable Recording in NICU
ECI Brain Death Recording
Ambulatory EEG
Sleep-Deprived EEG
Sleep EEG
Electromyography (EMG)
EVOKED POTENTIALS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Somatosensory Evoked Potentials (SSEP)
SSEP in OR
Motor Evoked Potential (OR)
Electromyography in OR
Visual Evoked Potential
Auditory Evoked Potential
Assist with Nerve Conduction Studies/Electromyography
EVOKED POTENTIALS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Somatosensory Evoked Potentials (SSEP)
SSEP in OR
Motor Evoked Potential (OR)
Electromyography in OR
Visual Evoked Potential
Auditory Evoked Potential
Assist with Nerve Conduction Studies/Electromyography
EQUIPMENT * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Paper Machine Experience
Digital Machine
Nicolet
Cadwell
Grass-Telafactor
Biologic
XL-Tek
Nihon Kodon
EQUIPMENT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Paper Machine Experience
Digital Machine
Nicolet
Cadwell
Grass-Telafactor
Biologic
XL-Tek
Nihon Kodon
ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
ELECTRONIC DOCUMENTATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)
AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)