Skill Checklists
CT Tech Checklist
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
Abdominal
Pancreas
Liver
Pelvis
Temporomandibular
Adrenal
Aorta
Thorax
Brain CT Scans Contrast Non-contrast
Chest
Orbit
Pulmonary embolism
Internal Auditory canal
Facial Bone
Sinus
Mastoid Scan
Neck Scans
Thoracic Scans
Cervical Spines
Lumbar/Sacral Spine Scans
Post Myelogram scans
Trauma Spinal scans
Upper extremity scans
Lower extremity scans
Renal CT Renal cyst puncture
Spin-echo images
Surface coils
Biopsy procedures
Gradient Echo imaging
CT guided Thoracic drainage’s, abdominal drainages
Pediatric Head CT Scans
Pediatric thoracic and abdominal CT Scans
Quality improvement studies/participation
General Electric
Hitachi
Kodak Processor
Siemens
Phillips
High speed Advantage
Radiation badge/ PPE
Hewlett Packard
Other (list)
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)
BLS
5
CNRN
ACLS
CCRN
Other:
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.
