We heard you've got skills

Ultrasound

  • 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
  • Sonography 0 1 2 3 4 5
  • Abdomen/ Pelvis

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Superficial Structures Studies 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Gynecological Studies 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Obstetrics

  • 012345
  • 012345
  • 012345
  • 012345
  • Interventional Procedures

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Vascular Sonography 0 1 2 3 4 5
  • Abdomen/ Pelvis

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Arterial Peripheral 0 1 2 3 4 5
  • Upper Extremity

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Lower Extremity

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Stress/ Pressure Testing

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Venous Peripheral 0 1 2 3 4 5
  • Upper Extremity Venous

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Lower Extremity Venous

  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Neck 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Post Intervention Procedures 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Breast Sonography 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Computerized Charting 0 1 2 3 4 5
  • EMR

  • 012345
  • 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
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 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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