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!


EEG 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*
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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
 
Perform the Following:
1 2 3 4
 
10-20 Electrode Placement
 
Portable Recording in Adult ICU
 
Portable Recording in Pediatric ICU
 
Portable Recording in NICU
 
ECI-Brain Death Recording
 
Ambulatory EEG
 
Sleep Deprived EEG
 
Sleep EEG
 
EMG
 
Evoked Potentials
1 2 3 4
 
Somatosensory Evoked Potentials (SSEP)
 
Motor Evoked Potential (OR)
 
Visual Evoked Potential
 
Auditory Evoked Potential
 
Assist with Nerve Conduction Studies/Electromyography
 
EQUIPMENT
1 2 3 4
 
Xltek
 
Nihon Koden
 
Biologic
 
Grass
 
Specify:
 
Documentation
1 2 3 4
 
Obtain Patient History
 
Changes in Patient Status
 
Stimulation
 
Hyperventilation
 
Post Hyperventilation
 
Interpreting EEG Patterns
 
MISCELLANEOUS
1 2 3 4
 
National Patient Safety Goals
 
Computerized Charting
 
My experience is in the following settings:
 
Yrs. Adult Inpatient
 
Yrs. Adult Outpatient
 
Yrs. Pediatric Inpatient
 
Yrs. Pediatric Outpatient
 
Yrs. Neonatal
 
Yrs. Management
 
Yrs. Rehabilitation
 
Yrs. Intraoperative Monitoring Experience
 
Certifications/Licensures/Registrations
 
BLS
 
EEG Credential (ABRET)
 
CNIM
 
EP
 
Registered EEG Tech
 
Specify 
Small calendar
Exp. Date 
EEG Technologist Skills Checklist, version 4

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.