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Cardiac Echo Skills Checklist

Fill Out and Submit your Skills Checklist

I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Skills Checklist

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1No Experience

2Need Training

3Able to perform with supervisione

4Able to perform independently

Work Settings

Adult Acute Care

ED/ICU

Adult Outpatient

Pediatric Acute Care

Pediatric Outpatient

Adult Echo

Routine

3-D Echo

Pedoff Probe

Transesophageal Echo

Stress Echo

Pharmacologic Stress Echo

Post-Cath Echo

Post-Surgical Echo

Imaging with Contrast Agents

Sterilization Procedures

Special Views

Pulmonary Veins

Hepatic Veins

Suprasternal Notch

Calculations

Simpson's Rule

Proximal Isovelocity Surface Area

Distology with TDI

LV Strain/LV Volume

Pediatric Echo

Routine

3-D Echo

Pedoff Probe

Transesophageal Echo

Pediatric Anomalies

Aortic Arch Abnormalities/Vascular Ring

Arch Sidedness

Coarctation of the Aorta

Coronary Artery Anomalies

Double Outlet Ventricle

Hypoplastic Heart Syndrome

Pulmonary Venous Return Anomalies

Tetralogy of Fallot

Transposition of the Great Vessels

Triscupid and Pulmonary Atresia

Truncus Arteriosis

Univentricular Heart Anomalies

Pediatric Post-surgical Scans

Arterial Switch

Blalock - Taussig

Damus-Kaye-Stansel

Fontan

Glenn

Konno

Mustard

Norwood

Rastelli

Sano

Sennig

Equipment

Phillips/ATL (List Types)

GE (List Types)

Siemens (List Types)

Toshiba (List Types)

Hitachi (List Types)

SonoSite (List Types)

Other: List

Technology

McKesson

Epic

Horizon

SCI- Imaging

Online Reporting

EMR Conversion

Miscellaneous

12 Lead ECG

Stress Testing

Holter Monitor

Professional Knowledge And Skills

National Patient Safety Goals

Supervisory /Management Experience

Isolation/Infection Prevention

Procedures for Patients on Ventilators

Certifications

Registered Diagnostic Cardiac Sonograp

Registered Cardiac Sonographer (RCS)

BLS

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

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Reach us

contact@selectsourceintl.com
care@selectsourceintl.com
Phone: +1-952-546-3300
Fax: +1-952-546-3500
13911 Ridgedale Drive, Suite 230
Minnetonka, Minnesota 55305, United States

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