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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied 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!

ClubStaffing
5901 Broken Sound Pkwy.
Suite 450
Boca Raton, Florida 33487
Fax: (561) 367-0884


Radiology Technologist 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*
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
 
Acute Care
 
Bedside/Portable Procedures
 
Children's Hospital
 
ER/Trauma
 
Level 1 Trauma
 
Outpatient
 
OR
 
Other:Specify
 
EQUIPMENT
1 2 3 4
 
C-Arm (Specify)
 
Other: Specify
 
PROCEDURES
1 2 3 4
 
Abdominal Studies
 
Chest Studies
 
IVP
 
IVP w/Tomograms
 
Renal Tomography
 
Urethrography
 
EXTREMITIES
1 2 3 4
 
Ankle/Foot
 
Hip/Knee
 
Scapula
 
Shoulder/Elbow
 
Wrist/Hand
 
Spine
1 2 3 4
 
Cervical Spine-Obls/Flexion/Extension
 
Lumbar Spine-Obls/Flexion/Extension
 
Pelvis Obliques/Judet View
 
Sacroiliac Joint
 
Sacrum/Coccyx
 
Thoracic Spine-Swimmer's View
 
Head
1 2 3 4
 
Facial Bones
 
Mandible
 
Orbits
 
Sinus Series
 
FLUOROSCOPY/CONTRAST STUDIES
1 2 3 4
 
Barium Swallow/Esophogram
 
Mobile C-Arm Bronchoscopy w/ Fluoro Guidance
 
Modified Barium Swallow/Protocol Swallow
 
Small Bowel Follow Through
 
Soft Tissue Studies
 
Swallow Studies with Videotaping
 
Upper GI Series-Air Contrast
 
Upper GI Series-Single Contrast
 
ENEMA STUDIES
1 2 3 4
 
Barium Enema-Air Contrast
 
Barium Enema-Single Contrast
 
Lower GI Studies through Colostomy
 
Water Soluble Contrast Enema (e.g. Hypaque)
 
MYELOGRAMS
1 2 3 4
 
Cervical Spine
 
Lumbar Spine
 
Thoracic Spine
 
OR CASES
1 2 3 4
 
Cystography
 
Operative Cholangiography
 
Retrograde Urography
 
Spine Work
 
Sterile Procedures in OR
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Computerized Radiography
 
Digital Equipment
 
Infection Prevention
 
Isolation Precautions
 
National Patient Safety Goals
 
Universal Protocol Procedures/Core Measures
 
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
 
CERTIFICATIONS* (Current at time of completing this form)
 
BLS
 
ARRT
 
Fluoroscopy
 
Other: Specify
Radiology Technologist Skills Checklist, version 8

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.

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