We heard you've got skills

CT

  • This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

    • 0 = Not Applicable
    • 1 = No Experience
    • 2 = Some Experience
    • 3 = Intermittent Experience
    • 4 = Experienced
    • 5 = Very Experienced

    *Required fields

    AGE 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • General Skills 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Procedures 0 1 2 3 4 5
  • Head, Spine, & Musculoskeletal

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Neck and Chest

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Abdomen and Pelvis

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Additional Procedures

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Image Display and Post Processing

  • 012345
  • 012345
  • 012345
  • 012345
  • Quality Assurance

  • 012345
  • 012345
  • Equipment 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Computerized Charting 0 1 2 3 4 5
  • EMR

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PACS

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Equipments 0 1 2 3 4 5
  • GE

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Siemens

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Toshiba

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Hitachi

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
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