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!

Histotechnologist/Cytotechnologist 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

 

HISTOLOGY

 

WORK SETTINGS

1

2

3

4

 

Free Standing Lab

 

Hospital

 

Reference Lab

 

Specialty Lab: Specify

 

Tissue Processing

1

2

3

4

 

Bone Decal

 

Bone Marrow Processing & Decal

 

Follow Recommended Protocol for Sample

 

Frozen Section Processing

 

GI Processing Schedule

 

Histology Universal Precautions

 

Microwave Processing

 

Processor Quality Control & Maintenance

 

Routine Processing Schedule

 

Embedding

1

2

3

4

 

Embedding GI Specimens

 

Embedding Large Specimens

 

Embedding on Edge

 

Embedding on End

 

Embedding Quality Control & Maintenance

 

Embedding Rate (blks/hour)

 

Embedding Skin

 

Removing Foreign Objects as Allowed by Protocol

 

Special Embedding Instructions

 

Microtomy

1

2

3

4

 

Automated Microtome

 

Manual Microtome

 

Microtome Quality Control & Maintenance

 

Microtomy of Fatty Tissue

 

Microtomy of Frozen Sections

 

Microtomy of Hard Tissue

 

Microtomy Rate (Slides or Blocks/Hr)

 

Immunohistochemistry

1

2

3

4

 

Antibody Aliquot

 

Automated

 

IHC Stainers

 

Instrumentation: Specify

 

Maintain Supply Inventory

 

Manual

 

Multiple Chromogens

 

Protocols per Hand

 

Protocols per Instrument

 

Purchased Antibodies

 

Quality Control & Maintenance

 

Record Keeping/Maintenance

 

Routine/Special Stains

1

2

3

4

 

Automated Special Stains

 

Connective Tissue

 

Fungal

 

H & E - Automated

 

H & E - Manual

 

Manual Special Stains

 

Microorganism

 

Pigment/Mineral

 

Special Staining Quality Control

 

Other: Specify

 

Coverslipping

1

2

3

4

 

Automated

 

Manual

 

CYTOLOGY

 

Fine Needle Aspiration Collection

1

2

3

4

 

Preliminary Diagnosis

 

Smears

 

Stains

 

Touch Prep

 

Thin Layer

1

2

3

4

 

Gynecological

 

Non-Gynecological

 

Smears

1

2

3

4

 

Ascites

 

Bronchial

 

Esophageal

 

Gastric

 

Gynecological

 

Spinal

 

Urine

 

Other: Specify

 

Fixation Techniques

1

2

3

4

 

95% Alcohol

 

Carbowax

 

Cell Block Preparation

 

Cytolyt

 

Filter Prep

 

Saccomono

 

Special Stains

1

2

3

4

 

GMS

 

H & E

 

PAP

 

Other: Specify

 

INSTRUMENTATION (CYTO or HISTO)

1

2

3

4

 

CoPath: Specify Version

 

Cytospin

 

Focal Point Imaging

 

Leika PELORIS

 

Pathos Processor

 

Sakura Tissue Processor

 

Sure Path

 

Thermo Scientific Processor

 

Thin Prep Processor

 

Ventana Tissue Processor

 

Other Instrumentation

 

Other Instrumentation

 

EMR

1

2

3

4

 

Allscripts

 

GE

 

Cerner

 

Eclipsys

 

Epic

 

McKesson

 

Meditech

 

Sunquest

 

Digital Imaging

 

Other: Specify

 

Other: Specify

 

EMR Conversion

Yes

No

 

CERTIFICATIONS(Current at the time of completing this form)

 

BLS

Yes

No

 

ASCP - HT

Yes

No

 

ASCP - HTL

Yes

No

 

ASCP - CT

Yes

No

 

QIHC Certification

Yes

No

 

Mohs Training:

Yes

No

 

Other: Specify

Histotechnologist/Cytotechnologist 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.