Interventional Radiology 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

2 Limited Experience

3 Experienced

4 Very Experienced

General Skills

Standard Precautions

Isolation Precautions

Sterile Field

Pediatric Respiratory/Cardiac Arrest

Adult Respiratory/Cardiac Arrest

Crash Carts

Defibrillators

Pediatric Ventilator Management

Adult Ventilator Management

Care of Patient in Restraints

Pain Management

Automated Med Dispensing Systems

Care Planning & Discharge Planning

Patient/Family Education

Electronic Documentation

Patient Head to Toe Examination

Pulse Oximetry

Use of Portable Monitors

Cardiac Monitoring

EKG Interpretation (Basic)

EKG Interpretation (Advanced)

Airway Management

Oxygen Delivery Devices

Care of the Patient Under Neutropenic or Bleeding Precautions

End of Life Care

Knowledge And Use Of:

Administration Of Blood/blood Products

Circulate- Assist With Insertion/removal/repair Of

Scrub- Assist With Insertion/removal/repair Of:

Circulate The Following Procedures

Scrub The Following Procedures

Age Specific

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.