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Hudson Staffing Travel Nurses| Cath Lab/Interventional Radiology Nursing Online Checklist
Cath Lab/Interventional Radiology Nursing Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Cath Lab/Interventional Radiology Nursing field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
Note:
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Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
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Please enter the Last Four digits of your Social Security Number:
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Please provide your contact information:
Phone Number
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E-mail Address
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This profile is for use by healthcare professionals in the Cath Lab/Interventional Radiology Nursing discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTING
1
2
3
4
Procedural Cath Lab
lnterventional Cath Lab
EP Lab
Interventional Radiology
Pre/Post Procedural Setting
Charge Experience
EQUIPMENT
1
2
3
4
Automatic Implantable Cardiac Defibrillator
Cardioversion
Defibrillation
Intra Aortic Balloon Pump (IABP)
SV02 Recording
Ventilator Management
CARDIAC CATH LAB PROCEDURES
1
2
3
4
AICD Placement
Aortography
Cardiac Biopsy
Cardiac Implant Closure Device
Cardiac Stent Placement
Diagnostic Cardiac Catheterization Adult
Diagnostic Cardiac Catheterization-Pediatric/Neonatal
Directional Coronary Atherectomy
IABP Placement/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
1
2
3
4
Electrophysiology Evaluation
Baseline Measurements
Cardiac Ablation
Cardiac Mapping
Cardioversion
Conduction Study
Internal Cardioverter Defibrillator Implant
Tilt Table Study
IR-GASTROINTESTINAL STUDIES
1
2
3
4
Angioplasty
Chemoembolization
Cholecystostomy
Embolization
ERCP
Esophageal Stent Placement
Gastrojejunostomy
Gastrostomy Tube Placement
Liver Ablation
Pericentesis
Percutaneous Hepatic Angiography
TIPS
IR-GENITOURINARY STUDIES
1
2
3
4
Adrenal Angiography
Angiography of Female GU System
Angiography of Male GU System
Cystostomy
Embolization
Nephrostomy
Percutaneous Stone Extraction
Renal Angiography
Renal Artery Angioplasty
Renal Artery Stent Placement
Ureteral Stent
IR-NEUROLOGIC STUDIES
1
2
3
4
Cerebral Angiography
Carotid Angiography
Neurologic Angioplasty
Neurologic Thrombolysis
Vertebroplasty
IR-PERIPHERAL VASCULAR STUDIES
1
2
3
4
Abdominal Aortography
Angioplasty
Central Venous Access/Port Placement
Dialysis Graft Creation/Revision
Dialysis Graft lnterventional
Peripheral Vascular Embolization
Stent Graft Placement
SVC/IVC Venograph
Thoracic Aortography
Upper and Lower Extremity Angiography
IR-PULMONARY PROCEDURES
1
2
3
4
Chest Tube Placement
Pulmonary Embolization
Pulmonary Angiography
Thoracentesis
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Conscious/Procedural Sedation
Assist w/Central Line/Venous Line Insertion
Venous Sampling
Topical Hemostasis (D-Stat, Chito-Seal, Syvek Patch, etc.)
Vascular Closure Systems (Perclose, StarClose, etc.)
External Compression Devices (C-Clamp, Sandbags,etc.)
Physiologic Monitoring/Recording
Sheath Removal and Monitoring
National Patient Safety Goals/Core Measures
Universal Protocol Procedures
Isolation Precautions
Infection Prevention
Age Specific/Population-Based Care
Fall Risk Assessment/Prevention
EMR
1
2
3
4
Cerner
Eclipsys
EPIC
GE
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Medication Administration using Bar Coding Technology
EMR Conversion
Yes
No
Certifications
1
2
3
4
BLS
ACLS
PALS
CCRN
Telemetry Certificate
Arrhythmia Course
Please read and agree to the statements below by marking the checkbox.
You will not be able to submit until you have marked the checkbox.
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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 authorize Hudson Staffing to release this Cath Lab/Interventional Radiology Nursing Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.221.159.255) which will be used as a digital signature.
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Hudson Staffing
Phone:
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