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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


Nuclear Medicine 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
 
Adult Acute Care
 
Adult Outpatient
 
Bedside/Portable Procedures
 
Nuclear Cardiology
 
Pediatric Inpatient/Outpatient
 
EQUIPMENT
1 2 3 4
 
Digirad
 
D-SPECT
 
General Electric-XELERIS
 
Philips IntelSpace
 
Siemens
 
Nuclear Med Imaging Systems (Specify)
 
PROCEDURES
1 2 3 4
 
Abscess Localization Individual Sites
 
Abscess Localization Whole Body
 
Arteriogram/Radionuclide
 
CCK/Ejection Fraction
 
Cisternogram
 
CSF Leak Localization
 
Gallium Scan
 
Gastric Emptying
 
GI Bleed
 
HIDA Scan
 
Hyperthyroid Treatment
 
I 131 Therapy Thyroid Ablation
 
Indium 111 WBC Scan Limited
 
Indium 111 WBC Scan Whole Body
 
Injection-Lymphatic
 
Lymphatic Scan-Melanoma
 
Meckels Scan
 
Morphine Augmentation
 
MUGA Scan
 
Parathyroid
 
Radionuclide Arteriogram
 
Radiopharmaceutical Prep
 
Renagram
 
Salivary Glands
 
Therapy Pain
 
Ventricular Shunt
 
Zevalin Treatment
 
Bone Scan
1 2 3 4
 
3 Phase
 
Limited
 
Whole Body
 
Brain Scan
1 2 3 4
 
Cerebral Blood Flow
 
Liver/Spleen Scan
1 2 3 4
 
Liver Flow
 
Liver Imaging
 
Liver Scan-Hemangioma
 
Liver/Spleen Scan
 
Lung Scan
1 2 3 4
 
DTPA Aerosol
 
Perfusion
 
Ventilation/Perfusion
 
Renal Flow
1 2 3 4
 
Captopril
 
Flow/Function
 
Three Phase
 
With Lasix
 
Shunt
1 2 3 4
 
Abdominal
 
Ventricular
 
Thyroid Studies
1 2 3 4
 
Cancer Survey
 
I 123 Scan
 
Uptake Scan
 
Tumor Localization
1 2 3 4
 
Limited
 
Whole Body
 
NM Spect
1 2 3 4
 
Bone
 
Brain
 
Liver
 
Liver Spect w/Flow
 
Renal
 
Myocardial
1 2 3 4
 
Exercise/Rest-Multiple
 
Exercise/Rest-Single
 
Infarction
 
Pharmacological Stress
 
Thallium/Persantine
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Daily Surveys/Wipe Testing
 
Fall Risk Assessment/Prevention
 
Hot Lab Management Dose Calibrators
 
Hot Lab Management Generators
 
Infection Prevention
 
Isolation Precautions
 
National Patient Safety Goals
 
Quality Control Equipment
 
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
 
NMTCB
 
CNMT
 
NCT
 
Certified PET Technologist
Nuclear Medicine Technologist Skills Checklist, version 6

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.

© 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.