Advantage RN ~ Travel Nurse Staffing Company

RADIOLOGY TECHNOLOGIST SKILLS CHECKLIST

This profile is for use by radiology technologists with more than one year experience in their 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: Last Name: Email:

Please check the boxes below for each age group for which you have provided age-appropriate care:

A. Newborn/Neonatal (birth - 30days)
B. Infant (30 days - 1 year)
C. Toddler (1-3 years)
D .Preschooler (3-5 years)
E. School age children (5-12 years)
F. Adolescents (12-18 years)
G. Young adults (18-39 years)
H. Middle adults (39-64 years)
I. Older adults (64+)

Please indicate the number of years experience in the following areas:

J. Adult Acute Care
K. Adult Outpatient
L. Pediatric Acute Care
M. Pediatric Outpatient
N. ER Trauma
O. Portable
P. OR

Please indicate your level of experience in the following procedures: A: Theory, no practice  B. Intermittent  C. One-Two Years Current Experience  D. Two-plus years experience, can function independently

Skill

Experience

 Skill

Experience
A. Extremities A B C D G. Fluoroscopy/Contrast Studies A B C D
1. Upper 1. Barium Swallow/Esophagram
2. Lower 2. Modified Barium Swallow/Protocol Swallow
3. Pelvis Obls/Judet Views 3. Swallow-Studies with Videotaping
4. Pelvis SI Joints 4. Upper GI Series-Single Contrast
5. Pelvis Sacrum/Coccyx 5. Upper GI Series-Air Contrast
B. Spine   6. Small Bowel Follow Through
1. Cervical Spine-Obls/Flexion/Extension H. Enema Studies  
2. Thoracic Spine-Swimmer's View 1. Barium Enema-Single Contrast
3. Lumbar Spine-Obls/Flexion/Extension 2. Barium Enema-Double Contrast
4. Scoliosis Study 3. Barium Enema-Air Contrast
C. Head   4. Water Soluble Contrast Enema (e.g. Hypaque)
1. Facial Bones 5. Lower GI Studies thru Colostomy
2. Mandible I. Cystography  
3. Mastoids 1. Cystogram
4. Orbits 2. Voiding Cystogram
5. Sinus Series 3. Urethrography
6. TMJs J. Contrast Injection Studies  
7. Skull Series 1. IVP
8. IACS 2. IVP with Tomograms
9. Laryngogram 3. IV Cholangiogram
10. Salivary Gland K. Myelograms  
D. Chest Studies   1. Cervical Spine
1. Chest PA/LAT 2. Thoracic Spine
2. Infant 3. Lumbar Spine
3. Pediatric L. Mobile C-Arm Fluoroscopy  
4. Decubitus 1. Broncoscopy with Fluoro Guidance
5. Lordotic 2. Bedside Line and Tube Placement
6. Sternum M. OR Cases  
7. Ribs 1. Sterile Procedures in OR
E. Abdominal Studies   2. Spine Work
1. AP 3. Operative Cholangiography
2. KUB N. Other  
3. Complete 1. Foreign Body/Soft Tissues Studies
4. Cine-Esophogram 2. Speciman Radiography
5. Gall Bladder  
F. Tomography    
1. Renal  
2. TMJs  
3. Spine  

The information I have given is true and accurate to the best of my knowledge.  I hereby authorize Advantage RN to release this Radiology Technologists Skills Checklist to facilities of Advantage RN in relation to consideration of my employment.