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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


Radiation Therapist/Dosimetrist 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*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTINGS
1 2 3 4
 
Acute Care - Adult
 
Outpatient - Adult
 
Acute Care - Pediatric
 
Outpatient - Pediatric
 
PRETREATMENT
1 2 3 4
 
CT/iCT
 
MR
 
Simulation of Treatment Sites
 
Tumor Localization
 
BEAM MODIFYING/POSITIONING
1 2 3 4
 
Compensation Filters
 
Custom Shields
 
Wedges
 
Block Cutting
 
Custom Molds
 
Portal Cast
 
B-Mode Acquisition Targeting
 
TREATMENT PLANS
1 2 3 4
 
Design Treatment Plans
 
Calculate Dose of Radiation
 
Supervise Implementation
 
TREATMENT
1 2 3 4
 
Respiratory Gating
 
External Beam Therapy
 
Linear Accelerator
 
Gamma Knife
 
Stereotactic Radiosurgery
 
Stereotactic Radiotherapy
 
3D Conformal Therapy
 
Tomo Therapy
 
IGRT - Image Guided Radiation Therapy
 
IMRT - Intensity Modulated Radiotherapy
 
Multileaf/Dynamic Multileaf Collimator
 
MiMiC - Multileaf Intensity Modulating Collimator
 
IORT - Intraoperative Radiation Therapy
 
Total Body Irradiation
 
Superficial Tx - Orthovoltage Radiation Treatment
 
Electron Arc Therapy
 
Strontium 90 Treatment
 
Port Films/Electronic Portal Imaging
 
INTERNAL TREATMENT
1 2 3 4
 
Hyperthermia
 
Microwave
 
Ultrasound - Guided
 
BRACHYTHERAPY
1 2 3 4
 
Compute Dose Distribution
 
Assist with Intracavity/Interstitial Administration
 
TREATMENT PLANNING SYSTEMS
1 2 3 4
 
Pinnacle (Philips)
 
Eclipse (Varian)
 
XiO Focus
 
Other (Specify):
 
Other (Specify):
 
RECORD & VERIFY SYSTEMS
1 2 3 4
 
Varis-Vision/Aria
 
Impac MOSAIQ
 
Other (Specify):
 
TREATMENT UNITS
1 2 3 4
 
Varian
 
Siemens
 
Philips
 
GE
 
Other (Specify):
 
Other (Specify):
 
PROFESSIONAL KNOWLEDGE & SKILLS
1 2 3 4
 
Computerized Charting
 
National Patient Safety Goals
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS
 
BLS
 
ARRT (T)
 
Certified Medical Dosimetrist (CMD)
 
Other:
Radiation Therapist/Dosimetrist 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. 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.