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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


Histotechnologist/Cytotechnologist 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
 
HISTOLOGY
 
WORK SETTINGS
1 2 3 4
 
Free Standing Lab
 
Hospital
 
Reference Lab
 
Specialty Lab: Specify
 
Tissue Processing
1 2 3 4
 
Bone Decal
 
Bone Marrow Processing & Decal
 
Follow Recommended Protocol for Sample
 
Frozen Section Processing
 
GI Processing Schedule
 
Histology Universal Precautions
 
Microwave Processing
 
Processor Quality Control & Maintenance
 
Routine Processing Schedule
 
Embedding
1 2 3 4
 
Embedding GI Specimens
 
Embedding Large Specimens
 
Embedding on Edge
 
Embedding on End
 
Embedding Quality Control & Maintenance
 
Embedding Rate (blks/hour)
 
Embedding Skin
 
Removing Foreign Objects as Allowed by Protocol
 
Special Embedding Instructions
 
Microtomy
1 2 3 4
 
Automated Microtome
 
Manual Microtome
 
Microtome Quality Control & Maintenance
 
Microtomy of Fatty Tissue
 
Microtomy of Frozen Sections
 
Microtomy of Hard Tissue
 
Microtomy Rate (Slides or Blocks/Hr)
 
Immunohistochemistry
1 2 3 4
 
Antibody Aliquot
 
Automated
 
IHC Stainers
 
Instrumentation: Specify
 
Maintain Supply Inventory
 
Manual
 
Multiple Chromogens
 
Protocols per Hand
 
Protocols per Instrument
 
Purchased Antibodies
 
Quality Control & Maintenance
 
Record Keeping/Maintenance
 
Routine/Special Stains
1 2 3 4
 
Automated Special Stains
 
Connective Tissue
 
Fungal
 
H & E - Automated
 
H & E - Manual
 
Manual Special Stains
 
Microorganism
 
Pigment/Mineral
 
Special Staining Quality Control
 
Other: Specify
 
Coverslipping
1 2 3 4
 
Automated
 
Manual
 
CYTOLOGY
 
Fine Needle Aspiration Collection
1 2 3 4
 
Preliminary Diagnosis
 
Smears
 
Stains
 
Touch Prep
 
Thin Layer
1 2 3 4
 
Gynecological
 
Non-Gynecological
 
Smears
1 2 3 4
 
Ascites
 
Bronchial
 
Esophageal
 
Gastric
 
Gynecological
 
Spinal
 
Urine
 
Other: Specify
 
Fixation Techniques
1 2 3 4
 
95% Alcohol
 
Carbowax
 
Cell Block Preparation
 
Cytolyt
 
Filter Prep
 
Saccomono
 
Special Stains
1 2 3 4
 
GMS
 
H & E
 
PAP
 
Other: Specify
 
INSTRUMENTATION (CYTO or HISTO)
1 2 3 4
 
CoPath: Specify Version
 
Cytospin
 
Focal Point Imaging
 
Leika PELORIS
 
Pathos Processor
 
Sakura Tissue Processor
 
Sure Path
 
Thermo Scientific Processor
 
Thin Prep Processor
 
Ventana Tissue Processor
 
Other Instrumentation
 
Other Instrumentation
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Cerner
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Sunquest
 
Digital Imaging
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS(Current at the time of completing this form)
 
BLS
 
ASCP - HT
 
ASCP - HTL
 
ASCP - CT
 
QIHC Certification
 
Mohs Training:
 
Other: Specify
Histotechnologist/Cytotechnologist Skills Checklist, version 5

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.