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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        
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Please enter your full name as it appears on your Social Security Card:

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Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

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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.

* 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 (44.192.65.228) which will be used as a digital signature.



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Hudson Staffing
Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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