CT Technologist Skills Checklist
  CT Technologist Skills Checklist
   NAME    
   LAST 4 OF SSN      
   DATE    
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.  
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: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
       
Rating Stars (Click) CT TECHNOLOGIST SKILLS 1 2 3 4  
Abdominal  
Pancreas  
Liver  
Pelvis  
Temporomandibular  
Adrenal  
Aorta  
Thorax  
Brain CT Scans Contrast Non-contrast  
Chest  
Orbit  
Pulmonary embolism  
Internal Auditory canal  
Facial Bone  
Sinus  
Mastoid Scan  
Neck Scans  
Thoracic Scans  
Cervical Spines  
Lumbar/Sacral Spine Scans  
Post Myelogram scans  
Trauma Spinal scans  
Upper extremity scans  
Lower extremity scans  
Renal CT Renal cyst puncture  
Spin-echo images  
Surface coils  
Biopsy procedures  
Gradient Echo imaging  
CT guided Thoracic drainage’s, abdominal drainages.  
Pediatric Head CT Scans  
Pediatric thoracic and abdominal CT Scans  
Quality improvement studies/participation.  
Rating Stars (Click) EQUIPMENT USAGE:    
General Electric  
Hitachi  
Kodak Processor  
Siemens  
Phillips  
High speed Advantage  
Radiation badge/ PPE  
Hewlett Packard  
Other (list):  
Rating Stars (Click) Age Specific Competencies 1 2 3 4  
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)