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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


Mammography 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
 
Freestanding Clinic
 
Hospital
 
Mobile
 
Outpatient
 
Other Setting: Specify
 
PROCEDURES
1 2 3 4
 
Diagnostic Mammograms
 
Digital
 
Fine Needle Aspirations
 
Implants (Eklund view)
 
Magnification Views
 
Male Mammography
 
Needle Localizations
 
Post Radiation
 
Screening Mammograms
 
Specimen Radiography
 
Spot Compressions View
 
Stereotactic Biopsy
 
PROJECTIONS
1 2 3 4
 
Axillary Tail
 
Cranialcaudo
 
Lateromedial Oblique
 
Rolled
 
Tangential
 
Triangulation
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Digital Quality Assurance Procedures
 
Infection Prevention
 
Isolation Precautions
 
National Patient Safety Goals
 
Teach Breast Self Exams (BSE)
 
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 the time of completing this form)
 
BLS
 
ARRT
 
ARRT Certified Mammographer
 
MQSA
 
Other: Specify
Mammography Technologist Skills Checklist, version 4

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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