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!

Endoscopy Technician 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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First Name*	Middle Name	Last Name*
E-Mail Address*	Phone Number*

 

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

 

Inpatient

 

Outpatient

 

EQUIPMENT

1

2

3

4

 

Endostat

 

ERBE

 

Olympus

 

Pentax

 

Pulse Oximetry

 

REPROCESSING

1

2

3

4

 

Custom Ultrasonics Reprocessor

 

Manual Cleaning

 

Olympus Reprocessor

 

STERIS Reprocessor

 

IV PUMPS

1

2

3

4

 

IV Pumps: Alaris

 

IV Pumps: Alibaba

 

IV Pumps: Bard

 

IV Pumps: Baxter

 

IV Pumps: Braun

 

IV Pumps: Other

 

SPECIALTY OR SPECIFIC SKILLS

1

2

3

4

 

Care of Specimens

 

Endotracheal suctioning

 

Nasal-Pharyngeal suctioning

 

Oral-Pharyngeal suctioning

 

PROCEDURES

1

2

3

4

 

Aragon Plasma Coagulation (APC)

 

Biopsy

 

Bronchoscopy

 

Colonoscopy

 

Conscious Sedation

 

Endoscopic Ultrasound

 

ERCP - Equipment & Monitoring

 

ERCP - Monitoring

 

Esophagogastroduodenoscopy (EGD)

 

Gastroscopy

 

Liver Biopsy

 

Manometry

 

Paracentesis

 

Peroral Endoscopy Myotomy (POEM)

 

PH Studies

 

Polypectomy

 

Scierotherapy

 

Sigmoidoscopy

 

Single/Double Balloon

 

Small Bowel Enteroscopy (SBE)

 

Transesophageal Echocardiogram

 

MONITORING SYSTEMS USED

1

2

3

4

 

GE

 

Philips

 

Spacelabs

 

Other (Specify)

 

PROFESSIONAL KNOWLEDGE AND SKILLS

1

2

3

4

 

Fall Risk Assessment/Prevention

 

Infection Prevention

 

Isolation Precautions

 

Universal Protocol Procedures (Time Out)

 

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 time of completing this form)

1

2

3

4

 

BLS or CPR

Yes

No

 

Certified Endoscope Reprocessor (CER)

Yes

No

 

Certified Flexible Endoscope Reprocessor (CFER)

Yes

No

 

Other: Specify

 

Other: Specify

Endoscopy Technician Skills Checklist, version 2

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.