Cardiac Cath Lab RN Skill 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

2 Intermittent Experience (May Require Assistance)

3 Very Experienced (Able to Teach/Supervise)

4 Some Experience (Require Assistance)

5 Experienced (Performs without Assistance)

General

Physiologic Monitoring

Monitoring/recording of LHC/RHC

Monitoring/recording of aortic/mitral valve cases

Monitoring/recording of PCI (Percutaneous Coronary Interventions)

Monitoring/recording valve cases

Monitoring/recording ASD closures

Monitoring/recording of EP/ablation cases

Monitoring/recording of permanent pacemaker insertions

National Patient Safety Goals

Accurate patient identification

Effective communication

Interpretation & communication of lab values

Medication administration

Medication reconciliation

Labeling (medications & specimens)

Anticoagulation therapy

Monitoring conscious sedation

Pain assessment & management

Infection control

Universal precautions

Isolation

Minimize risk for falls

Prevention of pressure ulcers

Use of rapid response teams

Circulates

Scrubs

Equipment

Interventional Radiology (rn)

Age Specific Competencies

Please list any additional skills/training/equipment:

Skills:

Training

Equipment

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.