Skills Checklist

Congratulations on your decision to apply for a Travel position with Med Travelers! Before we can offer you an employment opportunity, an electronic skills assessment must be completed. From the 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.
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1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others

 

WORK SETTING

1

2

3

4

 

Hospital

 

Outpatient

 

EEG PERFORMED

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

 

Evoked Potentials

1

2

3

4

 

Assist with Nerve Conduction Studies/Electromyography

 

Auditory Evoked Potential

 

Motor Evoked Potential (OR)

 

Somatosensory Evoked Potentials (SSEP)

 

Visual Evoked Potential

 

EQUIPMENT

1

2

3

4

 

Biologic

 

Cadwell

 

Grass

 

Nicolet

 

Nihon Koden

 

Xltek

 

Other: Specify

 

PROFESSIONAL KNOWLEDGE AND SKILLS

1

2

3

4

 

Changes in Patient Status

 

Hyperventilation

 

Interpreting EEG Patterns

 

Post Hyperventilation

 

Stimulation

 

AGE SPECIFIC/POPULATION-BASED CARE

1

2

3

4

 

Neonate/Infant

 

Toddler/Preschool

 

School Age

 

Adolescents

 

Young/Middle Adults

 

Older Adults/Geriatrics

 

EMR

1

2

3

4

 

Allscripts

 

GE

 

Bar Coding for Medication Administration

 

Cerner

 

Computer Physician Order Entry

 

Eclipsys

 

Epic

 

McKesson

 

Meditech

 

Other: Specify

 

Other: Specify

 

EMR Conversion

Yes

No

 

CERTIFICATIONS(Current at the time of completing this form)

 

BLS

Yes

No

 

EEG Credential (ABRET)

Yes

No

 

CNIM

Yes

No

 

EP

Yes

No

 

Registered EEG Tech

Yes

No

 

Other: Specify

EEG Technologist Skills Checklist, version 5

You must agree with the statements at the bottom of the form before submitting your skills checklist.

Please read and agree to the statements below by marking the checkbox.

* 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. Falsification of any information provided, will result in being ineligible to travel with AMN. 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.