Cardiac Interventional Technologist Skills Checklist

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GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
HIPAA Regulations123
National Patient Safety Goals123
Awareness of HCAHPS scores123
Electronic Medical Record123
Accurate Patient Identification123
Demonstrates knowledge of anatomy123
Proper body mechanics123
Technique to preserve respect and dignity for patients123
Introduction of self prior to providing care123
Therapeutic communications123
Supervisor/Lead experience123
Chest compressions123
Rescue breathing123
PATIENT CARE:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Vital signs (HR, BP, Resp, Temp)123
Oxygen saturation (pulse ox)123
Weight123
Manual BP (cuff and stethoscope)123
Auscultation (heart sounds, apical pulse)123
Palpation for pulse123
Carotid pulse123
Brachial pulse123
Radial pulse123
Femoral pulse123
Skin prep (shaving, alcohol prep, diaphoretic patients, etc)123
Patient positioning for procedures/tests123
CARDIOVASCULAR:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Coronary circulation123
Vascular system123
Congestive Heart Failure123
Ischemia123
Pulmonary hypertension123
Systemic hypertension123
Diseases of aorta123
CARDIOVASCULAR ELECTROPHYSIOLOGY:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Cardiac cycle123
Electoral conduction system123
Refractory123
Transmembrane potential123
Polarization123
Depolarization123
Repolarization123
Action potential123
Phase 0 – phase 4123
ELECTROCARDIOGRAM:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Application of leads123
Interpretation123
Monitoring123
Arrhythmias123
P, Q, R, S, and T waves123
Baseline values123
Voltage123
Axis / hexaxial system123
Intervals123
Segments123
Complexes123
Normal and abnormal ST segment123
Recognition of recording error / artifacts123
Incorrect standardization123
Incorrect paper speed123
Lead reversals123
Incorrect lead placement123
Electrical interference123
Somatic tremor123
Wandering baseline123
EKG INTERPRETATION:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Ventricular tachycardia123
Ventricular fibrillation123
Atrial tachycardia123
Atrial fibrillation123
Atrial flutter123
Junctional escape rhythms123
Asystole123
PEA (pulseless electrical activity)123
Normal sinus rhythm123
Sinus tachycardia123
Sinus bradycardia123
Acute myocardial infarction patterns123
Cardiac pacemakers123
Wolff-parkinson-white123
First degree heart block123
Second degree heart block123
Second degree heart block Type 1123
Second degree heart block Type 2123
Third degree heart block123
EKG, HOLTER, STRESS TESTING INSTRUMENTATION, & CARDIAC EQUIPMENT:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
EKG calibration methods123
Single channel123
Three channel123
Stress test techniques and contraindications123
Protocols123
Bruce123
Modified Bruce123
Naught on123
Prep techniques123
Test interpretation123
Calculation123
Double product123
Bicycle procedure123
Ergometers123
Arms123
Legs123
Treadmill123
Preparation techniques123
Lead placement123
Interpretation123
Recognition of artifact123
Temporary Pacemakers123
Permanent Pacemakers123
Defibrillators123
Event Monitor123
Holter Monitor123
Image archiving and optimization123
ECHOCARDIOGRAPHY:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Cardiac doppler123
Pedof transducers123
Portable studies123
Stress testing123
Transesophageal Echocardiography (TEE)123
2-D and M Mode123
Pulsed doppler123
Treadmill exercise testing123
Carotid123
Transcerebral doppler123
Portal system/ shunt evaluation123
Abdominal vasculature123
ELECTRONIC DOCUMENTATION:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Allscripts123
Care360123
Cerner123
CPSI123
eClinicalWorks123
Eclipsys123
EPIC123
MACLAB123
McKesson/Paragan123
Meditech123
PACS123
Quadramed123
Soarian123
CARDIAC MEDICATIONS:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Antihypertensives123
Nitrates123
Calcium channel blockers123
Beta-blockers123
Cardiac glycosides123
Antiarrhythmics123
Emergency medications123
Epinephrine123
Atropine123
Verapamil123
Lidocaine123
Oxygen123
Isuprel123
INFECTION CONTROL:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Hand hygiene123
Precautions associated with PPE (transmission, contact, airborne, droplet)123
Universal Precautions 123
Negative-pressure room123
Prevention and protocols for HAIs (CAUTI, CLABSI, VAP)123
Prevention and protocols for MRSA, C.DIFF, Sepsis, etc.123
IR PROCEDURES - PREPARE:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Cerebral Angiogram123
Lower Extremity Angiogram123
Upper Extremity Angiogram123
Ultrasound Guided Biopsy123
CT Scan Guided Biopsy123
Liver Biopsy & Embolization123
Line Placement - Broviac123
Line Placement - Groshong123
Line Placement - Hickman123
Line Placement - PICC123
Line Placement - PortaCath123
Uterine Fibroid Embolization123
Temp Hemodialysis Shunt Placement123
Perm Hemodialysis Shunt Placement123
AV Fistula/Shunt Declotting123
Vertebroplasty123
Lumbar Puncture123
Myelogram123
IR PROCEDURES - ASSIST:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Cerebral Angiogram123
Lower Extremity Angiogram123
Upper Extremity Angiogram123
Ultrasound Guided Biopsy123
CT Scan Guided Biopsy123
Liver Biopsy & Embolization123
Line Placement - Broviac123
Line Placement - Groshong123
Line Placement - Hickman123
Line Placement - PICC123
Line Placement - PortaCath123
Uterine Fibroid Embolization123
Temp Hemodialysis Shunt Placement123
Perm Hemodialysis Shunt Placement123
AV Fistula/Shunt Declotting123
Vertebroplasty123
Lumbar Puncture123
Myelogram123
WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Acute care hospital123
Outpatient clinic123
Long term care123
Rehabilitation center123
Home health/private duty123
Hospice123
AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *
Infant (birth to 1 year)123
Toddler (1-3 years)123
Preschooler (4-5 years)123
Childhood (6-12 years)123
Adolescent (13-17 years)123
Young Adult (18-30 years)123
Adults (31-64 years)123
Older Adults (65-79 years)123
Elderly (80+ years)123

Attestation

ATTESTATION: *