Skip to content

CareStaff Partners

About Us
Employees
Employers
Contact
Blog

HEALTHCARE
- Nursing
- Therapy
SCHOOLS
TELEPRACTICE

About Us
Employees
Employers
Contact
Blog

HEALTHCARE
- Nursing
- Therapy
SCHOOLS
TELEPRACTICE

Interventional Radiology RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

"*" indicates required fields

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name*

Email*

Todays Date*

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)

0

1

2

3

Infant (31 days to 12 months)

0

1

2

3

Toddler/Preschool (13 months to 5 years)

0

1

2

3

School Age Child/adolescent (6 years to 18 years)

0

1

2

3

Young AdultsMiddle Adult (19 years to 64 years)

0

1

2

3

Older Adults/Elderly (65+ years)

0

1

2

3

General Skills

Care of Patient in Restraints

0

1

2

3

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

Other Electronic Documentation:

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

Peripheral IV Insertion, Care and Maintenance

0

1

2

3

Access/Management of Implanted Ports

0

1

2

3

Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)

0

1

2

3

Cardiac Monitoring/Interpretation

0

1

2

3

PCA/Epidural pumps

0

1

2

3

Titration of drips

0

1

2

3

Administration of Blood/Blood Products

0

1

2

3

Administration of FFP, Cryo, Platelets

0

1

2

3

Pediatric/divided RBC Units

0

1

2

3

Knowledge of "Do Not Use Abbreviations"

0

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

0

1

2

3

Knowledge/familiarity with HCAHPS scores

0

1

2

3

Medication Administration

Moderate/Conscious Sedation

0

1

2

3

Sedation Reversal Agents

0

1

2

3

Antibiotics IM/IV

0

1

2

3

Contrast Medium

0

1

2

3

Antiemetics

0

1

2

3

Narcotic Pain Medications

0

1

2

3

Pre-procedure

Allen Test

0

1

2

3

Doppler

0

1

2

3

EKG lead/pad placement

0

1

2

3

Blood Pressure Invasive and NonInvasive

0

1

2

3

Hemodynamic/lab Interpretation

Art Line

0

1

2

3

Swan Ganz

0

1

2

3

Waveform Assessment

0

1

2

3

General labwork interpretation

0

1

2

3

ABG Interpretation

0

1

2

3

Coagulation Interpretation

0

1

2

3

Care And Maintenance Of

Arterial Line

0

1

2

3

Swan Ganz

0

1

2

3

Sheath/Removal of Sheath

0

1

2

3

Medications

Calculate mcg/min and mcg/kg/min

0

1

2

3

Diprovan (Propofol)

0

1

2

3

Esmolol (Brevibloc)

0

1

2

3

Digoxin (Lanoxin)

0

1

2

3

Nitroglycerin (SL,IV,IC)

0

1

2

3

Dopamine Hydrochloride

0

1

2

3

Integrilin (Eptifibatide)

0

1

2

3

TPA (Alteplase)/Strepotkinase

0

1

2

3

Antihistamines

0

1

2

3

Beta Blockers

0

1

2

3

Heparin

0

1

2

3

Pediatric Medication Doses

0

1

2

3

Cardiovascular

Hematoma Recognition/Management

0

1

2

3

Radial, brachial, femoral, pedal pulse checks

0

1

2

3

Assessment of heart sounds

0

1

2

3

Use of Doppler

0

1

2

3

Pulmonary

Set up Oxygen Delivery Devices(Cannula, NRBM, Ambu)

0

1

2

3

Assist with Intubation

0

1

2

3

Suction equipment (oral,NP, In line)

0

1

2

3

Assessment of breath sounds

0

1

2

3

Neurological

Identify Sudden Change in LOC

0

1

2

3

Assess Sensory, Motor, Speech Function,Gag reflex

0

1

2

3

Glasgow Coma Scale

0

1

2

3

Procedures Diagnostic And Interventional

Panning Table

0

1

2

3

Moving Image Intensifier, Knowledge of views ( RAO,LAO, cranial, caudal)

0

1

2

3

Hickman CVL, Broviac, Groshong, Jugular CVL, Subclavian CVL

0

1

2

3

Hemodialysis Catheter, Femoral Line

0

1

2

3

Implantable Ports/Infusaport/Mediport

0

1

2

3

PICC

0

1

2

3

Declotting Central Venous Lines

0

1

2

3

Angiography

0

1

2

3

Cerebral/Spinal Angiogram

0

1

2

3

Ultrasound or CT guided Biopsy

0

1

2

3

Uterine Fibroid Embolization

0

1

2

3

Vertebroplasty

0

1

2

3

Myelogram

0

1

2

3

Lumbar Puncture

0

1

2

3

Aortogram with Runoff

0

1

2

3

Peripheral Angioplasty/stenting

0

1

2

3

Greenfield Filter

0

1

2

3

Intravascular Ultrasound

0

1

2

3

TIPS

0

1

2

3

EVLT (Endovascular Laser Therapy)

0

1

2

3

Neuroradiology

0

1

2

3

Discogram

0

1

2

3

Vertebro/Kyphoplasty

0

1

2

3

AAA Endograft Repair

0

1

2

3

Care Of Patient During Emergency Procedures

Emergency Defibrillation/ Cardioversion

0

1

2

3

Anaphylaxis

0

1

2

3

Vasovagal Response

0

1

2

3

Pneumothorax

0

1

2

3

Cardiogenic Shock

0

1

2

3

Embolism

0

1

2

3

Cardiac/Respiratory arrest

0

1

2

3

Equipment/supplies

ACT Machine

0

1

2

3

Power Injectors

0

1

2

3

Manual Pressure Hold

0

1

2

3

Femostop/ C-Clamp

0

1

2

3

VasoSeal, Angioseal, PerClose

0

1

2

3

awards updated 2022

SIA_CM_Member_2018

© 2023 CareStaff Partners. All Rights Reserved.

Terms of Service Privacy Policy