Your name
Your Email
Last 4 Of SSN
Date
E-Signature
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.
Adolescents (12–18 years): 0★★★★−
Young Adults (18–39 years): 0★★★★−
Middle Adults (39–64 years): 0★★★★−
Older Adults (64–79 years): 0★★★★−
Elderly Adults (over 79+ years): 0★★★★−
Standard Precautions: 0★★★★−
Isolation Precautions: 0★★★★−
Pediatric Respiratory/Cardiac Arrest: 0★★★★−
Adult Respiratory/Cardiac Arrest: 0★★★★−
Teach Self Breast Exams: 0★★★★−
Small Facility: 0★★★★−
Large/Regional Facility: 0★★★★−
Outpatient: 0★★★★−
Mobile Units: 0★★★★−
Screening Mammogram: 0★★★★−
Localizations: 0★★★★−
Stereotactic Biopsy: 0★★★★−
Digital Mammography: 0★★★★−
Needle Localization: 0★★★★−
Ultrasound Assistance: 0★★★★−
Biospecimen Radiographs: 0★★★★−
Xeromammography: 0★★★★−
Core Biopsies: 0★★★★−
Magnification View: 0★★★★−
Spot Compression View: 0★★★★−
Implants (Eklund View): 0★★★★−
Male Mammography: 0★★★★−
Post Radiation: 0★★★★−
Special Views: 0★★★★−
3D/Tomo: 0★★★★−
Film Screen: 0★★★★−
Axillary View: 0★★★★−
Tangential: 0★★★★−
Rolled: 0★★★★−
Triangulation: 0★★★★−
Caudocranial: 0★★★★−
Lateromedial Oblique: 0★★★★−
Superolateral to Inferomedial Oblique: 0★★★★−
Bennett Contour: 0★★★★−
Bennett MF-150: 0★★★★−
Fischer Athena: 0★★★★−
Fischer Mammotest: 0★★★★−
GE DMR: 0★★★★−
GE 600T: 0★★★★−
GE Sinex 600T HF: 0★★★★−
GE Senographe 800T: 0★★★★−
Giotto HF: 0★★★★−
Lorad M2E: 0★★★★−
Lorad ABB: 0★★★★−
Lorad Elite: 0★★★★−
Lorad M4: 0★★★★−
Lorad Transpo 350: 0★★★★−
Medison ESP-300: 0★★★★−
Philips Mammo Diagnost: 0★★★★−
Siemens Mammomat: 0★★★★−
Transworld Mam CP: 0★★★★−
Hologic Selenia: 0★★★★−
Hologic Dimensions: 0★★★★−
Ambra Health: 0★★★★−
Sectra: 0★★★★−
Infinitt: 0★★★★−
IBM Merge: 0★★★★−
McKesson: 0★★★★−
Philips: 0★★★★−
FujiFilm: 0★★★★−
Impax: 0★★★★−
Centricity: 0★★★★−
Carestream Vue: 0★★★★−
Clarity: 0★★★★−
eRad PACS: 0★★★★−
Syngo: 0★★★★−
Intellaviewer: 0★★★★−
Epic Radiant: 0★★★★−
Novo Rad: 0★★★★−
Please list the EMR systems you have used: