Soliant.com Skills Self Assessment

Cardiac Catherization
Skills Self Assessment

This skills assessment is designed to determine your level of competency in the areas listed below. By completing this checklist to the best of your ability, you will help us match your skills and areas of interest with our available assignments. Please indicate your appropriate level for each category as well as the date last performed.

Traveler Name:
Traveler Email:
Recruiter Name:
Date:

COMPETENCY LEVELS	DATE LAST PERFORMED
1 = Functionally Independent	Within 6 Months
2 = Some Experience	6 mo. - 12 mo. ago
3 = Minor or No Experience	Over 1 year ago
	Not Performed / Never Worked

Please check appropriate box: RN Tech
Skills	Competency Level	Date Last Performed
ROLES
Circulation
Scrub
Monitor
BASIC KNOWLEDGE
Heart
Coronary Circulation
Vascular Circulation
Hemodynamics
Conduction System
PATHOPHYSIOLOGIC CONDITIONS
Congestive Heart Disease
Ischemia
Hypertension (pulmonary)
Hypotension (pulmonary)
Diseases of the aorta
ELECTROCARDIOGRAM
Application of Leads
Interpretation
Monitoring
Arrhythmias
STRESS TESTING
Preparation of Equipment
Monitoring
Complications
Bicycle Procedures
Thalium/Muga Stress Test
HOLTOR MONITORING
Preparation of Equipment
Application of Leads
Monitoring
PHARMACOLOGY
Drugs
- Antihypertensives
- Nitrates
- Calcium Channel Blockers
- Beta Blockers
- Antiarrhythmics
- Administration Routes
- Contrast Administration
- Direct Thrombin Inhibitors
- Antilytics
- Radial Cocktails
- Glycoprotein llb/lla Inhibitors
- Anticoagulants
- Antiplatelets
- IV Therapy
EQUIPMENT AND INSTRUMENTATION
Pacemakers
- Temporary
- Permanent
Defibrillators
Radiographic Equipment / Cameras
Automatic Pressure Injectors
Catheters, Guidewires, Needles
Cardiac Output Equipment
Transducers
Oxygen Delivery
- Ambu/Mask
- Nasal Cannula
Ergometers
Athrectomy Catheters & Devices
Power Injector
Stents
Intra-aortic Balloon Pumps
Blood Gas Machine
ACT Machine
PATIENT CARE
Preparation for Procedures
Catheterization Protocols
Arterial and Venous Line Management
Patient Education
Emergency Procedures
Radiation Protections
Vital Signs
Normal Lab Values
- Electrolytes
- Blood Gases
- Blood Chemistry
DIAGNOSTIC PROCEDURES
Cardiac Catheterization
- Right-sided Procedure
- Left-sided Procedure
- Preparation and Pre-medication
- Complications
Angiography
- Imaging Systems
- Left Ventriculography
- Coronary Arteriography
- Aortography
- Complications
INTERVENTIONAL / TREATMENTS
Defibrillation and Cardioversion
Percutaneous Transluminal Angioplasty
Implants
- Stents
- Central Venous Line Catheter
- Filters
Atherectomy
Thrombolytic Therapy
Rotoblator
Bracy Therapy
Please list any licenses or certifications held and when they expire:

Please list any area of competence (techniques, procedures, technologies, skills, etc.) where you would like to pursue additional training in order to enhance the level of care, treatment, or services to the population(s) that you serve:

Age Specific Competency

Please indicate the appropriate level for each category. When evaluating your competency level, please focus on the following guidelines: Ability to ensure a safe and caring environment for the specific age groups indicated below. Ability to communicate and instruct patients in the designated age groups. Ability to evaluate age-appropriate behavior and skills.

Age Group	Competency Level	Date Last Performed
Newborn (birth-30 days)
Infant (30 days-1 yrs)
Toddler (1-3 yrs)
Preschooler (3-5 yrs)
School Age (5-12 yrs)
Adolescents (12-18 yrs)
Young Adults (18-39 yrs)
Middle Adults (39-64 yrs)
Older Adults (64 yrs +)

To the best of my knowledge, the information represented above is an accurate reflection of my skills and abilities, and I authorize Soliant Health to share the above skills checklist with its clients.