RADIOLOGY KNOWLEDGE & SKILLS

CHECKLIST______________
NAME:       f. Panoramix
ID #:      
DATE:       DIRECTIONS: Please indicate your level of experience by
placing a check (√) in the box. Experience level:
1 NO EXPERIENCE
This Skills Checklist is for use by nurses with more than 2 MINIMAL EXPERIENCE-requires supervision/assistance
one year experience in their discipline and specialty.
Please be accurate with your assessment. 3 MODERATELY EXPERIENCED-requires initial review,
then performs independently
4 VERY EXPERIENCED- proficient
DESCRIPTION 1 2 3 4
RADIOGRAPHY DESCRIPTION 1 2 3 4
1. Head/Skull 8. Fluoroscopy/Special Exams
a. Orbits a. GI Tract (Upper & Lower)
b. Mandible b. Swallowing Functions
c. Facial Bones c. Hysterosalpingogram
d. Nasal Bones d. Myelogram
2. Spine/Pelvis e. IVP/Tomograms
a. Cervical Spine f. Trauma Cases
b. Thoracic Spine g. Surgery (C-arm/Portable)
c. Lumbar Spine MAMMOGRAPHY
d. SI Joints 1. Screening Mammograms
e. Scoliosis Studies 2. Diagnostic Mammograms
3. Abdomen 3. Magnification Views
a. Abdominal Series 4. Implants
b. Erect/Decubitus Film 5. Stereotactic Biopsy
4. Thorax 6. Digital
a. PA/Lat Chest 7. Needle Localizations
b. Decubitus Chest RADIATION THERAPY
c. Ribs 1. Linear Accelerator
d. Sternum 2. Linear Accelerator with Electrons
5. Extremities 3. Superficial Treatment
a. Small Extremities 4. Ortho Voltage
b. Large Extremities 5. Hyperthermia Treatment
6. Pediatric 6. Cobalt 60 Therapy
a. Head Work 7. Dosimetry
b. Chest/Abdomen 8. Treatment Planning
c. Spine INTERVENTIONAL/SPECIALS/CARDIO
7. Equipment 1. Angiography/Arteriography
a. R & F Rooms 2. Venography
b. C-Arm 3. Aorteriography
c. Portable Exams 4. Cardiography
d.Automatic Processing/Darkroom 5. Cardiac Catheterizations
e. Daylight System 6. Digital Angiography (DSA)
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 RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________
7. Lymphangiography 4. McKesson
5. Meditech
6. Other:
Name:      
ID #:      
DESCRIPTION 1 2 3 4
SONOGRAPHY/ULTRASOUND
1. General Chest Procedures
2. General Abdominal Procedures
3. Paracentesis
4. Thoracentesis
5. Breast
6. Biopsies
7. Amniocentesis
8. Upper Extremities (Venous/Arterial)
9. Lower Extremities (Venous/Arterial)
10. Female Pelvis
11. Male Pelvis
12. Transvaginal
13. Doppler Studies
14. Color Doppler Studies
15. 2D and M-Mode
16. Stress Testing
17. Portable Studies
18. Carotids
CT
1. Chest
2. Brain with Contrast
3. Brain without Contrast
4. Cervical Spine
5. Thoracic Spine
6. Lumbar Spine
7. Abdomen Studies
8. PET Scan
9. 3-D or Multidimensional
10. Skull/Facial Orbits/Sinuses
11. Biopsy/Angio Procedures
MRI
1. Angio
2. Multiplanar Reconstruction
COMPUTERIZED CHARTING
1. Cerner
2. Eclipsys
3. Epic
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 RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________

Name:       MY EXPERIENCE IS PRIMARILY IN:

Please check the boxes below for each age group for NEUROLOGY       years
which you have expertise in providing age-appropriate PULMONARY       years
nursing care. SURGICAL       years
MEDICAL       years
A. Newborn/Neonatal (birth – 30 days) CARDIAC CARE       years
B. Infant (30 days – 1 year) TELEMETRY       years
C. Toddler (1 – 3 years)
D. Preschool (3 – 5 years) I HAVE CURRENT CERTIFICATIONS FOR:
E. School Age Children (5 – 12 years)
F. Adolescent (12 – 18 years) TYPE EXPIRATION DATE (MM/DD/YY)
G. Young Adults (18 – 39 years) ARRHYTHMIA      
H. Middle Adults (40 – 64 years) CRITICAL CARE      
I. Older Adults (64 + years) ACLS      
BLS      
EXPERIENCE WITH AGE GROUPS: TNCC      
1. Able to assess age appropriate behavior, motor skills NRP      
and physiological norms. PALS      
NALS      
A B C D E F G H I Other            
Other            
Other            
2. Able to adapt care according to normal growth and Other            
development.
The information I have provided in this knowledge and
A B C D E F G H I skills checklist it true and accurate to the best of my
knowledge.

3. Able to communicate and instruct patient according to            

their age, maturity and comprehension ability. Signature (Written/Electronic) Date
ID #:      
A B C D E F G H I
This skills checklist has been reviewed and approved by
Nicole Bloxham, RN.
4. Able to provide a safe environment according to the
specific needs of various age groups.            
Signature (Written/Electronic) Date
A B C D E F G H I ID #:      

Please return to: Northwest Nurse Staffing Company, PA

ATTN: Records Dept.
Fax: (866) 352-4338

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 RADIOLOGY KNOWLEDGE & SKILLS
CHECKLIST______________
Email: records@nns-ic.com

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