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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


Endoscopy Technician 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
 
Inpatient
 
Outpatient
 
EQUIPMENT
1 2 3 4
 
Endostat
 
ERBE
 
Olympus
 
Pentax
 
Pulse Oximetry
 
REPROCESSING
1 2 3 4
 
Custom Ultrasonics Reprocessor
 
Manual Cleaning
 
Olympus Reprocessor
 
STERIS Reprocessor
 
IV PUMPS
1 2 3 4
 
IV Pumps: Alaris
 
IV Pumps: Alibaba
 
IV Pumps: Bard
 
IV Pumps: Baxter
 
IV Pumps: Braun
 
IV Pumps: Other
 
SPECIALTY OR SPECIFIC SKILLS
1 2 3 4
 
Care of Specimens
 
Endotracheal suctioning
 
Nasal-Pharyngeal suctioning
 
Oral-Pharyngeal suctioning
 
PROCEDURES
1 2 3 4
 
Aragon Plasma Coagulation (APC)
 
Biopsy
 
Bronchoscopy
 
Colonoscopy
 
Conscious Sedation
 
Endoscopic Ultrasound
 
ERCP - Equipment & Monitoring
 
ERCP - Monitoring
 
Esophagogastroduodenoscopy (EGD)
 
Gastroscopy
 
Liver Biopsy
 
Manometry
 
Paracentesis
 
Peroral Endoscopy Myotomy (POEM)
 
PH Studies
 
Polypectomy
 
Scierotherapy
 
Sigmoidoscopy
 
Single/Double Balloon
 
Small Bowel Enteroscopy (SBE)
 
Transesophageal Echocardiogram
 
MONITORING SYSTEMS USED
1 2 3 4
 
GE
 
Philips
 
Spacelabs
 
Other (Specify)
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Isolation Precautions
 
Universal Protocol Procedures (Time Out)
 
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)
1 2 3 4
 
BLS or CPR
 
Certified Endoscope Reprocessor (CER)
 
Certified Flexible Endoscope Reprocessor (CFER)
 
Other: Specify
 
Other: Specify
Endoscopy Technician Skills Checklist, version 2

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.