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IR RN

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
n/a
1
2
3
4
5

* Required

Age

Pediatrics*

Adults*

General Skills

Standard Precautions*

Isolation Precautions*

Time Out/ Pre-Procedural Verification*

Sterile Field*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators*

Adult Ventilator Management*

Care of Patient in Restraints*

Pain Management*

Automated Med Dispensing Systems*

Care Planning & Discharge Planning*

Patient/Family Education*

Patient Head to Toe Examination*

Pulse Oximetry*

Use of Portable Monitors*

Cardiac Monitoring*

EKG Interpretation (Basic)*

Airway Management*

Oxygen Delivery Devices*

Care of the Patient Under Neutropenic or Bleeding Precautions*

End of Life Care*

Anesthesia/Sedation

Anesthesia Toxicity*

Minimal Sedation*

Moderate Sedation*

Deep Sedation*

General Sedation*

Use of Sedation Reversal Agents*

Positioning Patients*

Monitoring Moderate Sedations*

Circulate

Hickman CVL*

Broviac CVL*

Subclavian CVL*

Jugular CVL*

Groshong CVL*

PICC*

Implantable Ports/Infusaport/Mediport*

Hemodialysis Catheter*

Declotting*

TIPPS*

Angiography*

Cerebral Angiogram*

Spinal Angiogram*

Ultrasound or CT Guided Biopsy*

Uterine Fibroid Embolization*

Vertebroplasty*

Myelogram*

Lumbar Puncture*

EKOS*

Nephrostomy Tubes*

G-tube*

PEG Tube*

Y90 Peripherals*

Renals*

Coiling*

Neuro Intervention*

Neuro Angiography*

Carotid Intervention*

Carotid Angio*

Pedal Access*

Laser*

Snare*

Thrombectomy/ Thrombolysis*

Nephroureteral Stents*

Epistaxis Embolization*

Angiography*

Spinal Angiogram*

Ultrasound or CT Guided Biopsy*

Uterine Fibroid Embolization*

Vertebroplasty/ Kyphoplasty*

Myelogram*

Lumbar Puncture*

Computer Systems

Epic*

Cerner*

Meditech*

Other*

Hemodynamic Monitoring Equipment

GE MacLab Marquette*

Mennen*

Merge Cardio/ Camtronics VERICIS*

McKesson*

Philips Xper IM/ WITT*

CARTO*

Siemens Sensis*

Application Agreement

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.