Nuclear Medicine Technologist Skills Checklist

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PROCEDURES 
Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Arteriogram/Radionuclide1234
Abscess Localization Whole Body1234
Abscess Localization Individual Sites1234
CCK/Ejection Fraction1234
Cisternogram1234
CSF Leak Localization1234
Gallium Scan1234
Gastric Emptying1234
GI Bleed1234
HIDA Scan1234
Indium 111 WBC Scan Whole Body1234
Indium 111 WBC Scan Limited1234
Injection-Lymphatic1234
Lymphatic Scan-Melanoma1234
Meckels Scan1234
Morphine Augmentation1234
MUGA Scan1234
Radiopharmaceutical Prep1234
Radionuclide Arteriogram1234
Renagram1234
Parathyroid1234
Salivary Glands1234
Ventricular Shunt1234
Zevalin Treatment1234
Hyperthyroid Treatment1234
I 131 Therapy Thyroid Ablation1234
Therapy Pain1234
BONE SCAN

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Whole Body1234
3 Phase1234
Limited1234
BRAIN SCAN

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Cerebral Blood Flow1234
LIVER/SPLEEN SCAN

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Liver/Spleen Scan1234
Liver Scan-Hemangioma1234
Liver Imaging1234
Liver Flow1234
LUNG SCAN

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
DTPA Aerosol1234
Perfusion1234
Ventilation/Perfusion1234
RENAL FLOW

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
With Lasix1234
Flow/Function1234
Three Phase1234
Captopril1234
SHUNT

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Abdominal1234
Ventricular1234
THYROID STUDIES

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Cancer Survey1234
Uptake Scan1234
I 123 Scan1234
TUMOR LOCALIZATION

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Whole Body1234
Limited1234
NM SPECT

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Bone1234
Brain1234
Liver1234
Liver Spect w/Flow1234
Renal1234
MYOCARDIAL

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Infarction1234
Exercise/Rest-Single1234
Exercise/Rest-Multiple1234
Pharmacological Stress1234
Thallium/Persantine1234
PROFESSIONAL KNOWLEDGE AND SKILLS

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Quality Control Equipment1234
Daily Surveys/Wipe Testing1234
Hot Lab Management Dose Calibrators1234
Hot Lab Management Generators1234
Computerized Charting1234
National Patient Safety Goals1234
Universal Protocol Procedures/Core Measures1234
Isolation Precautions1234
Infection Prevention1234
Age Specific/Population-Based Care1234
Fall Risk Assessment/Prevention1234
AGE SPECIFIC

Rank each of the following sections on a scale of 1 to 4:

1) No Experience

2 )Limited Experience

3) Experienced

4 )Very Experienced

 *
Under 12 Years Old1234
Adolescents (12 to 18 years)1234
Young Adults (18 to 39 years)1234
Middle Adults (40 to 64 years)1234
Older Adults (65 years & up)1234

Attestation

ATTESTATION: *