EP RN Skills Checklist

Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (over 79+ years)*
- 1
- 2
- 3
- 4
Circulating Role
Airway Maintenance*
- 1
- 2
- 3
- 4
Arm Cases*
- 1
- 2
- 3
- 4
Biopsy*
- 1
- 2
- 3
- 4
Co-Ox Setup*
- 1
- 2
- 3
- 4
Defibrillator Set Up/Use*
- 1
- 2
- 3
- 4
IABP*
- 1
- 2
- 3
- 4
Left Heart Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
RA Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
RV Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
PA Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
PCW Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
Ejection Fraction*
- 1
- 2
- 3
- 4
Power Injector Setup/Use*
- 1
- 2
- 3
- 4
Left Heart Catherization*
- 1
- 2
- 3
- 4
Right Heart Catherization*
- 1
- 2
- 3
- 4
PTCA/Stents/Balloons*
- 1
- 2
- 3
- 4
Radiation Protection*
- 1
- 2
- 3
- 4
Atherectomy*
- 1
- 2
- 3
- 4
Permanent Pacemaker*
- 1
- 2
- 3
- 4
Temporary Pacemaker*
- 1
- 2
- 3
- 4
Setting Threshold of Pacemakers*
- 1
- 2
- 3
- 4
Rotablator*
- 1
- 2
- 3
- 4
Sphygmomanometer Monitoring*
- 1
- 2
- 3
- 4
Transducer Setup/Calibration*
- 1
- 2
- 3
- 4
Run Angiojet Machine*
- 1
- 2
- 3
- 4
IVUS*
- 1
- 2
- 3
- 4
Recording Position
Biopsy*
- 1
- 2
- 3
- 4
Handoff Reports*
- 1
- 2
- 3
- 4
PTCA*
- 1
- 2
- 3
- 4
Left Heart Caths*
- 1
- 2
- 3
- 4
Right Heart Caths*
- 1
- 2
- 3
- 4
Stents*
- 1
- 2
- 3
- 4
Hematoma Recognition and Management*
- 1
- 2
- 3
- 4
Rotational Coronary Artherectomy*
- 1
- 2
- 3
- 4
IVUS*
- 1
- 2
- 3
- 4
IABP*
- 1
- 2
- 3
- 4
EP Study*
- 1
- 2
- 3
- 4
Ablation*
- 1
- 2
- 3
- 4
Cardioversion*
- 1
- 2
- 3
- 4
Rotablator*
- 1
- 2
- 3
- 4
Scrub Position
Left Heart Catheterization*
- 1
- 2
- 3
- 4
Right Heart Catheterization*
- 1
- 2
- 3
- 4
PTCA*
- 1
- 2
- 3
- 4
Stent Implantation*
- 1
- 2
- 3
- 4
Rotational Coronary Atherectomy*
- 1
- 2
- 3
- 4
IVUS*
- 1
- 2
- 3
- 4
IABP*
- 1
- 2
- 3
- 4
Biopsy*
- 1
- 2
- 3
- 4
Closure Device*
- 1
- 2
- 3
- 4
Temporary Pacemaker*
- 1
- 2
- 3
- 4
AngioJet*
- 1
- 2
- 3
- 4
Arm Cases*
- 1
- 2
- 3
- 4
Exchange Sheaths*
- 1
- 2
- 3
- 4
Cath Lab/Angio/Specials - Equipment
GE Advantx LC Mobile*
- 1
- 2
- 3
- 4
GE LUA Mobile*
- 1
- 2
- 3
- 4
Philips Integris H3000*
- 1
- 2
- 3
- 4
Philips Integris Mobile*
- 1
- 2
- 3
- 4
Philips Integris V3000*
- 1
- 2
- 3
- 4
Philips MD-3*
- 1
- 2
- 3
- 4
Philips Poly A Combo Mobile*
- 1
- 2
- 3
- 4
Philips Poly A Mobile*
- 1
- 2
- 3
- 4
Philips Poly C Mobile*
- 1
- 2
- 3
- 4
Philips Poly C2*
- 1
- 2
- 3
- 4
Philips Poly C-2 Mobile*
- 1
- 2
- 3
- 4
Philips Poly C-2 Modular*
- 1
- 2
- 3
- 4
Siemens ACOM M/B*
- 1
- 2
- 3
- 4
Siemens AngioSkop D*
- 1
- 2
- 3
- 4
Siemens AngioSkop D-2*
- 1
- 2
- 3
- 4
Siemens Angiostar*
- 1
- 2
- 3
- 4
Siemens Axiom Artis BC*
- 1
- 2
- 3
- 4
Siemens Axiom Artis FC*
- 1
- 2
- 3
- 4
Siemens Cathcor*
- 1
- 2
- 3
- 4
Siemens Coroskop C*
- 1
- 2
- 3
- 4
Siemens Hicor 1.0/2.0*
- 1
- 2
- 3
- 4
Siemens Infinity SC 7000*
- 1
- 2
- 3
- 4
Siemens Infinity SC 8000*
- 1
- 2
- 3
- 4
Siemens Infinity SC 9000 XL*
- 1
- 2
- 3
- 4
Siemens Polystar*
- 1
- 2
- 3
- 4
Toshiba Angiorex Modular*
- 1
- 2
- 3
- 4
Toshiba Infinix VC-i*
- 1
- 2
- 3
- 4
Toshiba KXO-200A*
- 1
- 2
- 3
- 4
Toshiba KXO-80-CD Mobile*
- 1
- 2
- 3
- 4
Toshiba Super G*
- 1
- 2
- 3
- 4
Radiology/Fluorosopy
Airway Maintenance*
- 1
- 2
- 3
- 4
Arm Cases*
- 1
- 2
- 3
- 4
Biopsy*
- 1
- 2
- 3
- 4
Co-Ox Setup*
- 1
- 2
- 3
- 4
Defibrillator Setup/Use*
- 1
- 2
- 3
- 4
IABP*
- 1
- 2
- 3
- 4
Left Heart Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
RA Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
RV Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
PA Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
PCW Pressure Waveform Recognition*
- 1
- 2
- 3
- 4
Ejection Fraction*
- 1
- 2
- 3
- 4
Power Injector Setup/Use*
- 1
- 2
- 3
- 4
Left Heart Catherization*
- 1
- 2
- 3
- 4
Right Heart Catherization*
- 1
- 2
- 3
- 4
PTCA/Stents/Balloons*
- 1
- 2
- 3
- 4
Radiation Protection*
- 1
- 2
- 3
- 4
Atherectomy*
- 1
- 2
- 3
- 4
Permanent Pacemaker*
- 1
- 2
- 3
- 4
Temporary Pacemaker*
- 1
- 2
- 3
- 4
Setting Threshold of Pacemakers*
- 1
- 2
- 3
- 4
Rotablator*
- 1
- 2
- 3
- 4
Sphygmomanometer Monitoring*
- 1
- 2
- 3
- 4
Transducer Setup/Calibration*
- 1
- 2
- 3
- 4
Run Angiojet Machine*
- 1
- 2
- 3
- 4
IVUS*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY
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Skills Checklist

Age of Patients Cared For

Circulating Role

Recording Position

Scrub Position

Cath Lab/Angio/Specials - Equipment

Radiology/Fluorosopy