Anesthesia Tech Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No Experience / Observed Only

2 May Need Some Review / Occasionally Done (1 - 2 times/month)

3 Limited Experience / Rarely Done (<6 times/year)

4 Experienced / Frequently Done (daily or weekly)

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)

Infant (31 days to 12 months)

Toddler/Preschool (13 months to 5 years)

School Age Child/adolescent (6 years to 18 years)

Young Adults/Middle Adult (19 years to 64 years)

Older Adults/Elderly (65+ years)

General Knowledge

Proper identification of patient using at least 2 identifiers

Proper identification/labeling of all lab or specimen results

Pre-procedural time-out process

Demonstrate application of all monitoring devices

Understanding of scope of practice and limitations as a certified anesthesia technician

Prioritize tasks related to role and function

Delegating responsibilities to other team members of anesthesia team

Knowledge of professional standards to uphold patient rights and confidentiality

Knowledge of \"Do Not Use Abbreviations\"

Do you have charge/supervisor experience?

Knowledge of current Joint Commission National Patient Safety Goals

Knowledge/familiarity with HCAHPS scores

Basic life support

Purpose, use and care of physiological monitors relating to the administration of anesthesia

Biologic hazards, infection control, and standard precautions

Fire, electrical, laser and explosion hazards in the operating room and other anesthesia related areas

Storage, use and safe handling of bulk and cylinder gases

Structure, function and care of all components of anesthesia delivery systems

Sterile technique and the principles of aseptic practice

Usage of common anesthetic gases

Type and indications for local, monitored anesthesia care (MAC), regional and general anesthesia

Assists the licensed anesthesia providers in various settings

Performs duties under the direct supervision of a licensed anesthesia provider and/or Registered Nurse (RN)

Provides support for routine surgical cases by assisting in the preparation and maintenance of patient equipment and anesthesia delivery systems before, during and after anesthesia

Performs first level maintenance on anesthesia equipment

Cleans, sterilizes, disinfects, stocks, orders and maintains the routine anesthesia equipment and supplies

Principles of purchasing and supply levels

Communication skills

Ability to troubleshoot delivery systems, monitors, and ancillary devices

Participate in Quality Assurance

Maintain quality control records for anesthesia department

Use of electronic medical record charting

Participate in continuing education development for the certified anesthesia technician

Implement safety procedures and guidelines for fire safety and infection control

IV Pumps

	Alaris	Alibaba	Bard	Baxter	Braun	CADD	IVAC	Zynomed	N/A
IV Pumps

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.