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.
Aorta: 0★★★★−
Appendix/Intussusception: 0★★★★−
GI Tract: 0★★★★−
IVC (Inferior Vena Cava): 0★★★★−
Liver/Biliary Tract: 0★★★★−
Pancreas/Spleen: 0★★★★−
Renal/Urinary System: 0★★★★−
Trans-Rectal: 0★★★★−
Vasculature: 0★★★★−
Aspiration: 0★★★★−
Biopsies: 0★★★★−
Drainage: 0★★★★−
Intraoperative: 0★★★★−
Laparoscopic: 0★★★★−
Congenital Abnormality: 0★★★★−
Neonatal Head: 0★★★★−
Enlargement/Displacement: 0★★★★−
Cranial Hemorrhage: 0★★★★−
Atrophic Lesions: 0★★★★−
Spinal Lesions: 0★★★★−
Inflammatory Lesions: 0★★★★−
Brain Swelling/Edema: 0★★★★−
Spinal Tethering: 0★★★★−
Trauma: 0★★★★−
1st Trimester: 0★★★★−
2nd/3rd Trimester: 0★★★★−
High Risk OB: 0★★★★−
Placenta: 0★★★★−
Gestational Age: 0★★★★−
Complications: 0★★★★−
Amniotic Fluid/Amniocentesis: 0★★★★−
Fetal Demise: 0★★★★−
Fetal Abnormalities: 0★★★★−
Fetal Biophysical Profile: 0★★★★−
IUGR Protocols: 0★★★★−
Coexisting Disorders: 0★★★★−
Follicular Study: 0★★★★−
Ovaries and Adnexa: 0★★★★−
Pediatric: 0★★★★−
Pelvic Pathology: 0★★★★−
Postmenopausal Pathology: 0★★★★−
Trans-Vaginal: 0★★★★−
Uterus and Adnexa: 0★★★★−
Nuchal Translucency: 0★★★★−
Abdominal Wall: 0★★★★−
Breast: 0★★★★−
Haematomas/Vessels: 0★★★★−
Musculoskeletal: 0★★★★−
Scrotum and Testes: 0★★★★−
Superficial Masses: 0★★★★−
Thyroid: 0★★★★−
Non-Cardiac/Chest: 0★★★★−
Color Doppler: 0★★★★−
Digital Acquisition Systems: 0★★★★−
Diameter for Percentage of Stenosis: 0★★★★−
PW&OR CW for Percentage of Stenosis: 0★★★★−
TCD: 0★★★★−
PVR (Arms & Legs): 0★★★★−
IPG (Arms & Legs): 0★★★★−
Resistive Index: 0★★★★−
Pulsatility Index: 0★★★★−
Power Doppler: 0★★★★−
Segmental Pressures: 0★★★★−
Pulse Volume Recording: 0★★★★−
Abdominal Aorta, IVC: 0★★★★−
Abdominal Doppler: 0★★★★−
SMA, Celiac, Renal: 0★★★★−
Hepatic, Splenic: 0★★★★−
Arterial Graft Duplex: 0★★★★−
Arterial Upper Extremities: 0★★★★−
Venous Upper Extremities: 0★★★★−
Arterial Lower Extremities: 0★★★★−
Venous Lower Extremities: 0★★★★−
Penile Doppler: 0★★★★−
Plethysmography for Fingers & Toes: 0★★★★−
Vein Mapping: 0★★★★−
Transthoracic: 0★★★★−
Transesophageal (TEE): 0★★★★−
Holter Monitoring: 0★★★★−
EKG: 0★★★★−
Bubble Studies: 0★★★★−
Adult: 0★★★★−
Neonatal: 0★★★★−
2-D and M Mode: 0★★★★−
Exercise Pharmacological (Dobutamine): 0★★★★−
Pulsed Doppler: 0★★★★−
Treadmill Exercise Testing: 0★★★★−
ECG: 0★★★★−
Stress: 0★★★★−
AllScripts: 0★★★★−
ARIA: 0★★★★−
Athena: 0★★★★−
Canopy: 0★★★★−
Cerner: 0★★★★−
Eclipsys: 0★★★★−
Epic: 0★★★★−
McKesson: 0★★★★−
Meditech: 0★★★★−
Other Computerized System: 0★★★★−
Computerized Physician Order Entry: 0★★★★−
Bar Coding for Medication Administration: 0★★★★−
Hospitals: 0★★★★−
Clinics: 0★★★★−
Physician Office: 0★★★★−
Mobile: 0★★★★−
Supervisory Experience: 0★★★★−
Newborn/Neonate (birth–30 days): 0★★★★−
Infant (30 days–1 year): 0★★★★−
Toddler (1–3 years): 0★★★★−
Preschooler (3–5 years): 0★★★★−
School age children (5–12 years): 0★★★★−
Adolescents (12–18 years): 0★★★★−
Young adults (18–39 years): 0★★★★−
Middle adults (39–64 years): 0★★★★−
Older adults (64+ years): 0★★★★−
Please list any areas of expertise below: