Interventional Radiology RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name:(Required)

Email(Required)

Date(Required)

MM slash DD slash YYYY

Send to(Required)

AGE OF PATIENTS CARED FOR

Newborn/ Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+ years)(Required)

GENERAL SKILLS

Care of Patient in Restraints(Required)

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

MEDICATION ADMINISTRATION

Moderate/Conscious Sedation(Required)

Sedation Reversal Agents(Required)

Antibiotics IM/IV(Required)

Contrast Medium(Required)

Antiemetics(Required)

Narcotic Pain Medications(Required)

PRE-PROCEDURE

Allen Test(Required)

Doppler(Required)

EKG lead/pad placement(Required)

Blood Pressure Invasive and NonInvasive(Required)

HEMODYNAMIC/LAB INTERPRETATION

Art Line(Required)

Swan Ganz(Required)

Waveform Assessment(Required)

General labwork interpretation(Required)

ABG Interpretation(Required)

Coagulation Interpretation(Required)

CARE AND MAINTENANCE OF

Arterial Line(Required)

Swan Ganz(Required)

Sheath/Removal of Sheath(Required)

MEDICATIONS

Calculate mcg/min and mcg/kg/min(Required)

Diprovan (Propofol)(Required)

Esmolol (Brevibloc)(Required)

Digoxin (Lanoxin)(Required)

Nitroglycerin (SL,IV,IC)(Required)

Dopamine Hydrochloride(Required)

Integrilin (Eptifibatide)(Required)

TPA (Alteplase)/Strepotkinase(Required)

Antihistamines(Required)

Beta Blockers(Required)

Heparin(Required)

Pediatric Medication Doses(Required)

CARDIOVASCULAR

Hematoma Recognition/Management(Required)

Radial, brachial, femoral, pedal pulse checks(Required)

Assessment of heart sounds(Required)

Use of Doppler(Required)

PULMONARY

Set up Oxygen Delivery Devices(Cannula, NRBM, Ambu)(Required)

Assist with Intubation(Required)

Suction equipment (oral,NP, In line)(Required)

Assessment of breath sounds(Required)

NEUROLOGICAL

Identify Sudden Change in LOC(Required)

Assess Sensory, Motor, Speech Function,Gag reflex(Required)

Glasgow Coma Scale(Required)

PROCEDURES DIAGNOSTIC AND INTERVENTIONAL

Panning Table(Required)

Moving Image Intensifier, Knowledge of views ( RAO,LAO, cranial, caudal)(Required)

Hickman CVL, Broviac, Groshong, Jugular CVL, Subclavian CVL(Required)

Hemodialysis Catheter, Femoral Line(Required)

Implantable Ports/Infusaport/Mediport(Required)

PICC(Required)

Declotting Central Venous Lines(Required)

Angiography(Required)

Cerebral/Spinal Angiogram(Required)

Ultrasound or CT guided Biopsy(Required)

Uterine Fibroid Embolization(Required)

Vertebroplasty(Required)

Myelogram(Required)

Lumbar Puncture(Required)

Aortogram with Runoff(Required)

Peripheral Angioplasty/stenting(Required)

Greenfield Filter(Required)

Intravascular Ultrasound(Required)

TIPS(Required)

EVLT (Endovascular Laser Therapy)(Required)

Neuroradiology(Required)

Discogram(Required)

Vertebro/Kyphoplasty(Required)

AAA Endograft Repair(Required)

CARE OF PATIENT DURING EMERGENCY PROCEDURES

Emergency Defibrillation/ Cardioversion(Required)

Anaphylaxis(Required)

Vasovagal Response(Required)

Pneumothorax(Required)

Cardiogenic Shock(Required)

Embolism(Required)

Cardiac/Respiratory arrest(Required)

EQUIPMENT/SUPPLIES

ACT Machine(Required)

Power Injectors(Required)

Manual Pressure Hold(Required)

Femostop/ C-Clamp(Required)

VasoSeal, Angioseal, PerClose(Required)