Nuclear Medicine Technologist 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

Procedures

Arteriogram/Radionuclide

Abscess Localization Whole Body

Abscess Localization Individual Sites

CCK/Ejection Fraction

Cisternogram

CSF Leak Localization

Gallium Scan

Gastric Emptying

GI Bleed

HIDA Scan

Indium 111 WBC Scan Whole Body

Indium 111 WBC Scan Limited

Injection-Lymphatic

Lymphatic Scan-Melanoma

Meckels Scan

Morphine Augmentation

MUGA Scan

Radiopharmaceutical Prep

Radionuclide Arteriogram

Renagram

Parathyroid

Salivary Glands

Ventricular Shunt

Zevalin Treatment

Hyperthyroid Treatment

I 131 Therapy Thyroid Ablation

Therapy Pain

Bone Scan

Brain Scan

Cerebral Blood Flow

Liver/spleen Scan

Lung Scan

Renal Flow

Shunt

Abdominal

Ventricular

Thyroid Studies

Tumor Localization

Whole Body

Limited

Nm Spect

Myocardial

Professional Knowledge And Skills

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.