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!


Cardiac Echo Skills Checklist

*
Denotes required field

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*
- -
E-Mail Address* Phone Number*
or
 
 
Please mark your level of experience
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
 
Adult Acute Care
 
ED/ICU
 
Adult Outpatient
 
Pediatric Acute Care
 
Pediatric Outpatient
 
ADULT ECHO
1 2 3 4
 
Routine
 
3-D Echo
 
Pedoff Probe
 
Transesophageal Echo
 
Stress Echo
 
Pharmacologic Stress Echo
 
Post-Cath Echo
 
Post-Surgical Echo
 
Imaging with Contrast Agents
 
Sterilization Procedures
 
SPECIAL VIEWS
1 2 3 4
 
Pulmonary Veins
 
Hepatic Veins
 
Suprasternal Notch
 
CALCULATIONS
1 2 3 4
 
Simpson's Rule
 
Proximal Isovelocity Surface Area
 
Distology with TDI
 
LV Strain/LV Volume
 
PEDIATRIC ECHO
1 2 3 4
 
Routine
 
3-D Echo
 
Pedoff Probe
 
Transesophageal Echo
 
PEDIATRIC ANOMALIES
1 2 3 4
 
Aortic Arch Abnormalities/Vascular Ring
 
Arch Sidedness
 
Coarctation of the Aorta
 
Coronary Artery Anomalies
 
Double Outlet Ventricle
 
Hypoplastic Heart Syndrome
 
Pulmonary Venous Return Anomalies
 
Tetralogy of Fallot
 
Transposition of the Great Vessels
 
Triscupid and Pulmonary Atresia
 
Truncus Arteriosis
 
Univentricular Heart Anomalies
 
PEDIATRIC POST-SURGICAL SCANS
1 2 3 4
 
Arterial Switch
 
Blalock - Taussig
 
Damus-Kaye-Stansel
 
Fontan
 
Glenn
 
Konno
 
Mustard
 
Norwood
 
Rastelli
 
Sano
 
Sennig
 
EQUIPMENT
1 2 3 4
 
Philips/ATL (List Types)
 
GE (List Types)
 
Siemens (List Types)
 
Toshiba (List Types)
 
Hitachi (List Types)
 
SonoSite (List Types)
 
Other: List
 
TECHNOLOGY
1 2 3 4
 
McKesson
 
Epic
 
Horizon
 
SCI- Imaging
 
Online Reporting
 
EMR Conversion
 
MISCELLANEOUS
1 2 3 4
 
12 Lead ECG
 
Stress Testing
 
Holter Monitor
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
National Patient Safety Goals
 
Supervisory /Management Experience
 
Isolation/Infection Prevention
 
Procedures for Patients on Ventilators
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS
 
Registered Diagnostic Cardiac Sonographer (RDCS)
 
Registered Cardiac Sonographer (RCS)
 
BLS
Cardiac Echo Skills Checklist, version 3

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.