Skills Checklist

Congratulations on your decision to apply for a travel nursing position with Med Travelers! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


Polysomnographic Technologist Skills Checklist

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This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
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E-Mail Address* Phone Number*
or
 
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTINGS
1 2 3 4
 
Hospital
 
Independent Lab
 
STUDY TYPES
1 2 3 4
 
Adult MSLT/MWT
 
Pediatric MSLT/MWT
 
Seizure Study
 
Research Study
 
Portable Sleep Study
 
ELECTRODE PLACEMENT - EEG
1 2 3 4
 
Standard 10-20 Hook-Up
 
Seizure hook-Up
 
Full head Hook-Up
 
ELECTRODE PLACEMENT - BODY
1 2 3 4
 
ECG
 
Limb Leads
 
Intercostal Leads
 
Face
 
MONITORING
1 2 3 4
 
EEG
 
ECG
 
PLM
 
O2 Saturation
 
End-Tidal CO2
 
STAGING & SCORING
1 2 3 4
 
Sleep Stages
 
Arousal
 
Respiratory Events
 
Periodic Breathing
 
Complex Sleep Apnea
 
Cheyne-Stokes
 
Obstructive Sleep Apnea
 
Hypopnea
 
MASK FITTING
1 2 3 4
 
Full Face
 
Nasal Mask
 
Nasal Pillow
 
TITRATION
1 2 3 4
 
CPAP
 
BiPAP
 
ASV
 
VPAP
 
MEDICATION EFFECT ON SLEEP STUDY
1 2 3 4
 
SSRI
 
Tricyclic Antidepressants
 
Benzodiazepines
 
Alcohol
 
Opioids
 
Caffeine/Stimulants
 
EQUIPMENT
1 2 3 4
 
Nihon Kohden
 
Respironics
 
ResMed
 
Other (Specify):
 
Other (Specify):
 
Other (Specify):
 
TECHNOLOGY
1 2 3 4
 
Software (Specify):
 
Software (Specify):
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Patient Education
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS
 
BLS
 
RPSGT
 
CPSGT
 
RST
 
RRT
 
CRTT
 
Other:
 
State License:
Polysomnographic Technologist Skills Checklist, version 5

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.