Cath Lab Technician Skills Checklist

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PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS:

Proficiency

  1. I have never done the stated task.
  2. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient.
  3. I have performed the task/skill several times and feel moderately comfortable functioning independently but would require a resource person nearby.
  4. I have performed the task/skill frequently and would feel very comfortable and proficient performing it without supervision or practice.

Frequency

  1. 5 or less Annually
  2. 5 or less Quarterly
  3. 3 or less Monthly
  4. 1 - 5 times Daily/Weekly
WORK SETTINGS *
SKILLFREQUENCY
Procedural Cath Lab
Interventional Cath Lab
EP Lab
Pre/Post Procedural Setting
Charge/Lead Experience
EQUIPMENT *
SKILLFREQUENCY
Automatic Implantable Cardiac Defibrillator
Cardioversion
Defibrillation
Intra Aortic Balloon Pump (IABP)
CARDIAC CATH LAB PROCEDURES *
SKILLFREQUENCY
AICD Placement
Aortography
Cardiac Biopsy
Cardiac Implant Closure Device
Cardiac Stent Placement
Diagnostic Cardiac Catheterization - Pediatric/Neonatal
Diagnostic Cardiac Catheterization - Adult
Directional Coronary Atherectomy
Intra-Aortic Balloon Pump (IABP) Placement
Intra-Aortic Balloon Pump (IABP) Removal
Internal Mammary Angiography
Laser Assisted Procedures
Percutaneous Transluminal Coronary Angioplasty
Pericardiocentesis
Permanent Pacemaker Placement
Pulmonary Angiography
Rotational Coronary Atherectomy
Saphenous Vein Graft Angiography
Transluminal Extraction Catheter
Valvuloplasty
Ventricular Assist Device Insertion
ELECTROPHYSIOLOGY PROCEDURES *
SKILLFREQUENCY
Electrophysiology Evaluation
Baseline Measurements
Cardiac Ablation
Cardiac Mapping
Cardioversion
Conduction Study
Internal Cardioverter Defibrillator Implant
Tilt Table Study
KNOWLEDGE & SKILLS *
SKILLFREQUENCY
Topical Hemostasis
Vascular Closure Systems
External Compression Devices
Sheath Removal and Monitoring
Fall Risk Assessment/Prevention
ELECTRONIC DOCUMENTATION *
SKILLFREQUENCY
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
AGE SPECIFIC COMPETENCIES *
SKILLFREQUENCY
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

Attestation

ATTESTATION: *