Cardiac Echocardiography Skills Checklist

Fill Out and Submit your Skills Checklist
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
Ultrasound-Echocardiography
Adult Echocardiography
0
Pediatric Echocardiography
0
Fetal Echocardiography
0
Trauma Echocardiography
0
Stress Echocardiography
0
Treadmill Testing
0
Dobutamine
0
Pharmacologic Stress Echo
0
Transesophageal Echocardiography (TEE)
0
Intraoperative Echocardiography
0
Contrast Echocardiography
0
Myocardial Contrast
0
Echo-Guided Procedures
0
Plethysmography
0
Doppler Vascular Procedures
0
Pressure Measurements
0
Two-Dimensional Mode
0
Three-Dimensional Mode
0
M-Mode
0
Ped Off Probe
0
Ped Off Probe
0
Continuous Wave Doppler
0
Continuous Wave Doppler
0
Portable Studies
0
Invasive Procedure Guidance
0
EKG/ECG
0
Parasternal Long Axis View
0
RVIT
0
RVOT
0
Parasternal Short Axis View
0
4 Chamber View
0
2 Chamber View
0
Apical Long
0
Subcostal View
0
Subcostal Short Axis of RV Inflow and Outflow
0
IVC
0
Hepatic Veins
0
Abdominal Aorta
0
Suprasternal Notch
0
Simpson’s Rule
0
Proximal Isovelocity Surface Area
0
Diastolgy with TDI
0
Continuity Equation
0
Pediatric Echo
Two-Dimensional Mode
0
Three-Dimensional Mode
0
M-Mode
0
Ped Off Probe
0
Pulsed Wave Doppler
0
Continuous Wave Doppler
0
Color Doppler Mapping
0
Portable Studies
0
Invasive Procedure Guidance
0
EKG/ECG
0
Parasternal Long Axis View
0
RVIT
0
RVOT
0
Parasternal Short Axis View
0
4 Chamber View
0
2 Chamber View
0
Inverted Apical 4 Chamber View
0
Inverterd Apical 5 Chamber View
0
Subcostal Long View
0
Subcostal Long with Sweep
0
Subcostal Short with Sweep (Bi Caval View)
0
Subcostal Aortic Arch
0
Subcostal Abdominal Aorta
0
Subcostal Situs View
0
Suprasternal Notch View - Long
0
Suprasternal Notch View - Short
0
Left Atrium with Pulmonary Veins with Suprasternal Notch
0
Pulmonary Artery Branches
0
Ductal View
0
Arch Sidedness
0
Scanning Complex Anomolies
0
Scanning Post-Surgical Repairs
0
Simpson’s Rule
0
Proximal Isovelocity Surface Area
0
Diastology
0
Stress Echo
0
Continuity Equation
0
Equipment
Phillips
0
Siemens
0
Siemens
0
Hitachi
0
General Electric
0
HP
0
Other
0
Age Specific Experience
Newborn/Neonate (birth to 30 days)
0
Infant (1 month to 1 year)
0
Toddler (1 year to 3 years)
0
Preschooler (3 years to 5 years)
0
School Age Child (5 years to 12 years)
0
Adolescents (12 years to 18 years)
0
Young Adults (18 years to 39 years)
0
Middle Adults (39 to 64 years)
0
Geriatric Adults (65+ years)
0

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  • Phone: +1-952-546-3300
  • Fax: +1-952-546-3500
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    Minnetonka, Minnesota 55305, United States

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