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Skills Checklists

Before you can begin applying for NurseChoice assignments, you need to complete a skills checklist. Required by hospitals, this mandatory form highlights your skills, proficiencies and experience in your specialty. The quickest and easiest way to complete your skills checklist is online. Just select your specialty from the list below, enter the necessary information on the form and click to submit. Once we receive your completed skills checklist you will be one step closer to finding a rewarding travel assignment that meets your needs.


Cath Lab Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
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
 
Charge Experience
 
EP Lab
 
Interventional Radiology
 
lnterventional Cath Lab
 
Other Setting: Specify
 
Pre/Post Procedural Setting
 
Procedural Cath Lab
 
PRE/POST PROCEDURAL SETTING
1 2 3 4
 
Groin Care
 
IV Insertion
 
Nursing assessment
 
Discharge Criteria
 
Pre-medication
 
EQUIPMENT
1 2 3 4
 
Automatic Implantable Cardiac Defibrillator
 
Cardioversion
 
Defibrillation
 
Intra Aortic Balloon Pump (IABP)
 
SV02 Recording
 
Ventilator Management
 
ASSESSMENT
1 2 3 4
 
Conscious Sedated Patient
 
Dysrhythmia Interpretation and Management
 
PROCEDURES
1 2 3 4
 
AICD Placement
 
Angiography (Pulmonary,saphenous grafts,peripheral)
 
Aortogram
 
Cardiac Biopsy
 
Cardiac Implant Closure Device
 
Cardiac Stent Placement
 
Chronic Total Obstruction
 
Circulate- Procedures
 
Diagnostic Cardiac Catheterization Adult
 
Diagnostic Cardiac Catheterization-Pediatric/Neonatal
 
Directional Coronary Atherectomy
 
IABP Placement/Removal
 
Intravascular Ultrasound
 
Internal Mammary Angiography
 
LAA Left Atrial Appendage
 
Laser Assisted Procedures
 
Myocardial Biopsy
 
Pacemaker Placement Permanent/Temporary
 
Percutaneous Transluminal Coronary Angioplasty
 
Pericardiocentesis
 
Permanent Pacemaker Placement
 
Pulmonary Angiography
 
Radiation Safety Procedures
 
Right and Left cardiac Catheterization
 
Rotational Coronary Atherectomy
 
Saphenous Vein Graft Angiography
 
Scrub in to Assist with Procedures
 
TAVR Transcatheter Valve Repairs
 
Transluminal Extraction Catheter
 
Valvuloplasty
 
Ventricular Assist Device Insertion (R/LVAD)
 
POST CATH PROCEDURES
1 2 3 4
 
Angioseal/vasoseal
 
Fem-stop device
 
Patient Discharge Criteria--Patient/Family Education
 
Sheath removal
 
ELECTROPHYSIOLOGY PROCEDURES
1 2 3 4
 
Baseline Measurements
 
Cardiac Ablation
 
Cardiac Mapping
 
Cardioversion
 
Conduction Study
 
Electrophysiology Evaluation
 
Internal Cardioverter Defibrillator Implant
 
Tilt Table Study
 
MEDICATIONS
1 2 3 4
 
Atropine
 
Cardizem
 
Diuretics
 
Dobutamine
 
Dopamine
 
Fentanyl
 
Heparin
 
Insulin
 
Lidocaine
 
Management and Titration of Vasoactive Medication Drips
 
Nitroglycerine
 
Pronestyl
 
Reversal agents for conscious sedation
 
Sedatives
 
Steroids
 
Versed-Midazolam
 
Tranquilizers
 
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
 
Universal Protocol Procedures
 
Infection Prevention
 
Fall Risk Assessment/Prevention
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age Children
 
Adolescents
 
Young/Middle Adults
 
Older Adults/ Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
CERTIFICATIONS
 
ACLS
 
Arrhythmia Course
 
BLS
 
CCRN
 
PALS
 
Telemetry Certificate
 
Other: Specify
 
Other: Specify
Cath Lab Skills Checklist, version 5

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. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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