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!

Interventional Radiology Nursing Skills Checklist

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WORK SETTING

1

2

3

4

 

Procedural Cath Lab

 

lnterventional Cath Lab

 

EP Lab

 

Interventional Radiology-Special Procedures Room

 

Interventional Radiology-Special Procedures Room

 

Interventional Radiology- Endovascular Lab

 

Interventional Radiology -CT Scan Suite

 

Interventional Radiology -US Suite

 

Pre/Post Procedural Setting

 

Other Setting (List)

 

EQUIPMENT

1

2

3

4

 

Defibrillation

 

Dye Injector

 

Radiation Safetey Procedures

 

Ventilator Management

 

ADMIT PATIENT TO PREPROCEDURE HOLDING AREA

1

2

3

4

 

Pre-Procedure Care/Groin Care

 

Ensure consent is signed/Patient is clear to begin procedure

 

RASS SCORING SYSTEM

 

INTERVENTIONAL PROCEDURES

1

2

3

4

 

AV Fistula/Shunt Declotting – Preparation/Procedure Assistance

 

Abscess dye test– Preparation/Procedure Assistance

 

Chemo-Embolization– Preparation/Procedure Assistance

 

CT Scan Guided Biopsy – Preparation/Procedure Assistance

 

CT Scan Guided Procedures- Preparation/Procedure Assistance

 

Liver Biopsy and Embolization – Preparation/Procedure Assistance

 

Lower Extremity Angiogram – Preparation/Procedure Assistance

 

Lumbar Puncture – Preparation/Procedure Assistance

 

Myelogram – Preparation/Procedure Assistance

 

NG-Tube Insertion Under Fluroscopy

 

Perm HD Shunt Placement- Prep/Procedure Assistance

 

Prepare and Assist with Line Placement

 

Provide care for the post-procedure patient

 

Specimen Collection and Preparation

 

T-Tube Cholangiogram

 

Temp HD Shunt Placement- Prep/Procedure Assistance

 

Ultrasound Guided Biopsy – Preparation/Procedure Assistance

 

Upper Extremity Angiogram – Preparation/Procedure Assistance

 

Uterine Fibroid Embolization – Preparation/Procedure Assistance

 

Other Procedures (please list):

 

IR-GASTROINTESTINAL STUDIES

1

2

3

4

 

Angioplasty

 

Chemoembolization

 

Cholecystostomy

 

Embolization

 

ERCP

 

Esophageal Stent Placement

 

Gastrojejunostomy

 

Gastrostomy Tube Placement

 

Liver Ablation

 

Paracentesis

 

Percutaneous Hepatic Angiography

 

TIPS

 

IR-GENITOURINARY STUDIES

1

2

3

4

 

Adrenal Angiography

 

Angiography of Female GU System

 

Angiography of Male GU System

 

Cystostomy

 

Embolization

 

Nephrostomy

 

Percutaneous Stone Extraction

 

Renal Angiography

 

Renal Artery Angioplasty

 

Renal Artery Stent Placement

 

Ureteral Stent

 

IR-NEUROLOGIC STUDIES

1

2

3

4

 

Cerebral Angiogram

 

Carotid Angiography

 

Kyphoplasty

 

Neurologic Angioplasty

 

Neurologic Thrombolysis

 

Vertebroplasty

 

IR-PERIPHERAL VASCULAR STUDIES

1

2

3

4

 

Abdominal Aortography

 

Angioplasty

 

Central Venous Access/Port Placement

 

Dialysis Graft Creation/Revision

 

Dialysis Graft lnterventional

 

Peripheral Vascular Laser Treatment

 

Peripheral Vascular Athrectomy

 

Peripheral Vascular Stent Placement

 

Peripheral Vascular Embolization

 

Placement/Retrieval of IVC Filter

 

Stent Graft Placement

 

SVC/IVC Venograph

 

Thoracic Aortography

 

Upper and Lower Extremity Angiography

 

IR-PULMONARY PROCEDURES

1

2

3

4

 

Assist with chest tube insertion

 

Assist with intubation

 

Interpret ABG

 

Provide care for the patient with mechanical ventilation

 

Pulmonary Angiography

 

Pulmonary Embolization

 

Thoracentesis

 

CARDIOVASCULAR

1

2

3

4

 

Interpret arrhythmias

 

Manage hyptertension/hypotension

 

Run Cardiac Arrest/Respiratory Arrest Code Situations

 

MEDICATIONS

1

2

3

4

 

Administer Emergency Medications in a Code Situation

 

Administer IV atropine

 

Administer IV benzodiazepines (Valium, Versed, Ativan)

 

Administer IV diltiazem (Cardizem)

 

Administer IV dobutamine (Dobutrex)

 

Administer IV dopamine

 

Administer IV epinephrine

 

Administer IV heparin

 

Administer IV lidocaine

 

Administer IV narcotics (morphine, fentanyl)

 

Administer IV neuromuscular blocking agents (Pavulon, Norcuron)

 

Administer IV nitroglycerine

 

Administer IV propofol (Diprivan)

 

Administer Reversal Agents (Narcan/Flumazenil)

 

Administer TPA

 

Titrate vasoactive drugs (Heparin is not a Vasoactive drug)

 

Use IV infusion pump to calculate drug doses

 

PROFESSIONAL KNOWLEDGE AND SKILLS

1

2

3

4

 

Conscious/Procedural Sedation

 

Assist w/Central Line/Venous Line Insertion

 

Venous Sampling

 

Topical Hemostasis (D-Stat, Chito-Seal, Syvek Patch, etc.)

 

Vascular Closure Systems (Perclose, StarClose, etc.)

 

External Compression Devices (C-Clamp, Sandbags,etc.)

 

Physiologic Monitoring/Recording

 

Sheath Removal and Monitoring

 

Universal Protocol Procedures

 

Infection Prevention

 

Fall Risk Assessment/Prevention

 

AGE SPECIFIC/POPULATION BASED CARE

1

2

3

4

 

Neonate/Infant

 

Toddler/Preschool

 

School Age Children

 

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

 

BLS

Yes

No

 

ACLS

Yes

No

 

PALS

Yes

No

 

CCRN

Yes

No

 

Telemetry Certificate

Yes

No

 

Other: Specify

 

Other: Specify

Interventional Radiology Nursing Skills Checklist, version 1

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* 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.