Radiation Therapist Skills Checklist

Experience with Patients of Different Ages

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

General Skills

Standard Precautions*

1
2
3
4

Isolation Precautions*

1
2
3
4

Pediatric Respiratory/ Cardiac Arrest*

1
2
3
4

Adult Respiratory/ Cardiac Arrest*

1
2
3
4

Crash Carts*

1
2
3
4

Defibrillators*

1
2
3
4

CT Planning*

1
2
3
4

Workplace Setting

Hospital*

1
2
3
4

Doctor's Office*

1
2
3
4

Orthopedics*

1
2
3
4

Surgery*

1
2
3
4

Trauma*

1
2
3
4

Radiation Therapy

Ortho Voltage Radiation Treatment*

1
2
3
4

Simulation of Treatment Sites*

1
2
3
4

Cobalt 60 Therapy*

1
2
3
4

Strontium 90 Therapy*

1
2
3
4

Accelerator with Electrons*

1
2
3
4

Calculations*

1
2
3
4

Radiation Precautions*

1
2
3
4

Hyperthermia Treatment*

1
2
3
4

Linear Accelerator*

1
2
3
4

Superficial Radiation Treatment*

1
2
3
4

Block Cutting*

1
2
3
4

Geometric Parameters*

1
2
3
4

Patient Measurements*

1
2
3
4

Venipuncture*

1
2
3
4

Proton Beam*

1
2
3
4

Neutron Beam*

1
2
3
4

Brachytherapy Wires*

1
2
3
4

Brachytherapy Seeds or Molds*

1
2
3
4

Brachytherapy Rods*

1
2
3
4

Interstitial Brachytherapy*

1
2
3
4

Interstitial Brachytherapy*

1
2
3
4

Intraluminal Radiation Therapy*

1
2
3
4

Intravenous Radioactively Tagged Molecules*

1
2
3
4

I-131*

1
2
3
4

Provision of Treatments to Patients With

Anal Cancer*

1
2
3
4

Bone Cancer*

1
2
3
4

Brain Cancer*

1
2
3
4

Breast Cancer*

1
2
3
4

Bladder Cancer*

1
2
3
4

Cervical Cancer*

1
2
3
4

Childhood Cancer*

1
2
3
4

Colon Cancer*

1
2
3
4

Esophageal Cancer*

1
2
3
4

Endometrial Cancer*

1
2
3
4

Gallbladder Cancer*

1
2
3
4

Hodgkin’s and Other Lymphomas*

1
2
3
4

Hypopharyngeal Cancer*

1
2
3
4

Kidney Cancer*

1
2
3
4

Laryngeal Cancer*

1
2
3
4

Lip and Oral Cavity Cancer*

1
2
3
4

Lung Cancer*

1
2
3
4

Liver Cancer*

1
2
3
4

Metastatic Squamous Cancer*

1
2
3
4

Ovarian Cancer*

1
2
3
4

Oropharyngeal Cancer*

1
2
3
4

Penile Cancer*

1
2
3
4

Pancreatic Cancer*

1
2
3
4

Testicular Cancer*

1
2
3
4

Uterine Cancer*

1
2
3
4

Vaginal Cancer*

1
2
3
4

Vulvar Cancer*

1
2
3
4

Other Skills

Aria*

1
2
3
4

Mosiaq*

1
2
3
4

Telerad*

1
2
3
4

Nighthawk*

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.*

Select Your Recruiter*

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TODAY'S DATE*

Radiation Therapist Skills Checklist