Administrative Registered Nurse Skills Checklist

EP RN Skills Checklist

Fill Out and Submit your Skills Checklist

(EP RN Skills)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days):

★★★★

Infant (1 month to 1 year):

★★★★

Toddler (1 year to 3 years):

★★★★

Preschooler (3 years to 5 years):

★★★★

School Age Child (5 years to 12 years):

★★★★

Adolescents (12 years to 18 years):

★★★★

Young Adults (18 years to 39 years):

★★★★

Middle Adults (39 years to 64 years):

★★★★

Older Adults (64 years to 79 years):

★★★★

Elderly Adults (over 79+ years):

★★★★

CIRCULATING ROLE

Airway Maintenance:

★★★★

Arm Cases:

★★★★

Biopsy:

★★★★

Co-Ox Setup:

★★★★

Defibrillator Set Up/Use:

★★★★

IABP:

★★★★

Left Heart Pressure Waveform Recognition:

★★★★

RA Pressure Waveform Recognition:

★★★★

RV Pressure Waveform Recognition:

★★★★

PA Pressure Waveform Recognition:

★★★★

PCW Pressure Waveform Recognition:

★★★★

Ejection Fraction:

★★★★

Power Injector Setup/Use:

★★★★

Left Heart Catheterization:

★★★★

Right Heart Catheterization:

★★★★

PTCA/Stents/Balloons:

★★★★

Radiation Protection:

★★★★

Atherectomy:

★★★★

Permanent Pacemaker:

★★★★

Temporary Pacemaker:

★★★★

Setting Threshold of Pacemakers:

★★★★

Rotablator:

★★★★

Sphygmomanometer Monitoring:

★★★★

Transducer Setup/Calibration:

★★★★

Run Angiojet Machine:

★★★★

IVUS:

★★★★

RECORDING POSITION

Biopsy:

★★★★

Handoff Reports:

★★★★

PTCA:

★★★★

Left Heart Caths:

★★★★

Right Heart Caths:

★★★★

Stents:

★★★★

Hematoma Recognition and Management:

★★★★

Rotational Coronary Artherectomy:

★★★★

IVUS:

★★★★

IABP:

★★★★

EP Study:

★★★★

Ablation:

★★★★

Cardioversion:

★★★★

Rotablator:

★★★★

SCRUB POSITION

Left Heart Catheterization:

★★★★

Right Heart Catheterization:

★★★★

PTCA:

★★★★

Stent Implantation:

★★★★

Rotational Coronary Atherectomy:

★★★★

IVUS:

★★★★

IABP:

★★★★

Biopsy:

★★★★

Closure Device:

★★★★

Temporary Pacemaker:

★★★★

AngioJet:

★★★★

Arm Cases:

★★★★

Exchange Sheaths:

★★★★

CATH LAB / ANGIO / SPECIALS - EQUIPMENT

GE Advantx LC Mobile:

★★★★

GE LUA Mobile:

★★★★

Philips Integris H3000:

★★★★

Philips Integris Mobile:

★★★★

Philips Integris V3000:

★★★★

Philips MD-3:

★★★★

Philips Poly A Combo Mobile:

★★★★

Philips Poly A Mobile:

★★★★

Philips Poly C Mobile:

★★★★

Philips Poly C2:

★★★★

Philips Poly C-2 Mobile:

★★★★

Philips Poly C-2 Modular:

★★★★

Siemens ACOM M/B:

★★★★

Siemens AngioSkop D:

★★★★

Siemens AngioSkop D-2:

★★★★

Siemens Angiostar:

★★★★

Siemens Axiom Artis BC:

★★★★

Siemens Axiom Artis FC:

★★★★

Siemens Cathcor:

★★★★

Siemens Coroskop C:

★★★★

Siemens Hicor 1.0/2.0:

★★★★

Siemens Infinity SC 7000:

★★★★

Siemens Infinity SC 8000:

★★★★

Siemens Infinity SC 9000 XL:

★★★★

Siemens Polystar:

★★★★

Toshiba Angiorex Modular:

★★★★

Toshiba Infinix VC-i:

★★★★

Toshiba KXO-200A:

★★★★

Toshiba KXO-80-CD Mobile:

★★★★

Toshiba Super G:

★★★★

RADIOLOGY / FLUOROSCOPY

Airway Maintenance:

★★★★

Arm Cases:

★★★★

Biopsy:

★★★★

Co-Ox Setup:

★★★★

Defibrillator Setup/Use:

★★★★

IABP:

★★★★

Left Heart Pressure Waveform Recognition:

★★★★

RA Pressure Waveform Recognition:

★★★★

RV Pressure Waveform Recognition:

★★★★

PA Pressure Waveform Recognition:

★★★★

PCW Pressure Waveform Recognition:

★★★★

Ejection Fraction:

★★★★

Power Injector Setup/Use:

★★★★

Left Heart Catheterization:

★★★★

Right Heart Catheterization:

★★★★

PTCA/Stents/Balloons:

★★★★

Radiation Protection:

★★★★

Atherectomy:

★★★★

Permanent Pacemaker:

★★★★

Temporary Pacemaker:

★★★★

Setting Threshold of Pacemakers:

★★★★

Rotablator:

★★★★

Sphygmomanometer Monitoring:

★★★★

Transducer Setup/Calibration:

★★★★

Run Angiojet Machine:

★★★★

IVUS:

★★★★

EMR SYSTEMS EXPERIENCE

Please list the EMR systems you have used:

EP RN Skills Checklist

Fill Out and Submit your Skills Checklist

(EP RN Skills)

Proficiency Scale:

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