|
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) | ||||||