Skill Checklists
Endoscopy Tech
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
Newborn/ Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Child (3-13 yrs)
Adolescents (12 years to 18 years)
Adults (18 years to 65 years)
Older Adults/Geriatrics (65+)
Assessments, Family History, and Risk Factors
Start and Maintain Peripheral IV
Complete Pre-Procedure Checklist
Consent Forms/Permits
Discharge Instructions
Interpretation of Lab Values
Set-Up of Scope & Video Equipment
Cleaning of Scopes
Transport Pre-Procedure Patient to Lab
Provide Care for the Post- Procedure Patient
Transport Post- Procedure Patient to Unit
National Patient Safety Goals
Automated Med Dispensing System
Electronic Documentation
EGDs
Active GI Bleed
Bronchoscopy
Cautery Devices
Collection of Hot & Cold Biopsies
Colonoscopy
Endoscopic Ultrasound
ERCP
Esophageal Dilations
Manometry Studies
PEG Placement
Polypectomy
Sclerotherapy
Specimen Collection and Labeling
TEE
Variceal Banding
Assess heart Sounds and Peripheral Pulses
EKG Interpretation and Monitoring
Non-invasive Cardiac Monitoring
Participate as a Team Member in Resuscitation
Perform Defibrillation
Recognize and Interpret Arrhythmias
ABG’s Interpretation of Values
Airway Management
Assess Lung Sounds
Assist with Intubation
Care of Patient with Mechanical Ventilation
Pulse Oximetry
Set Up Oxygen
Use of Ambu Bag
Identify Changes in Level of Consciousness
Assess Sensory, Motor, Speech
Assess Reflexes- Babinski, Gag
Calculate mcg/min and mcg/kg/min
Monitor Conscious Sedation
Use of Sedation Reversal Agents
Use of IV Infusion Pumps
Antibiotics
Benzodiazepines- Valium, Versed, Ativan
Insulin
Narcan
Narcotics- Morphine, Fentanyl
Neuromuscular Blocking Agents- Pavulon, Norcuron
Propofol- Diprivan
Romazicon-Flumazenil
Thrombolytics
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.
