MRI Tech Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
Work Settings 1
2
3
4
Adult Acute Care
Adult Outpatient
Pediatric Acute Care
Pediatric Outpatient
Trauma
Outpatient Clinical/Free-Standing clinic
Mobile
Supervisory/Management Experience
Rating Stars (Click)
Angio Studies 1
2
3
4
Abdominal Aorta
Chest/Arch
Circle of Willis
Upper & Lower Extremities
Carotids/Neck
Renal Arteries
Subclavian
Rating Stars (Click)
Venogram Studies 1
2
3
4
Carotids/Neck
Renal Arteries
Pelvis
Upper & Lower Extremities
Rating Stars (Click)
MR Studies 1
2
3
4
Cardiac MRI
Head/Neck
Brain/Head w-w/o Contrast
Face w-w/o Contrast
Pituitary w-w/o Contrast
Soft Tissue Neck w-w/o Contrast
TMJ w-w/o Contrast
Rating Stars (Click)
Abdomen/Pelvis 1
2
3
4
Abdomen w-w/o Contrast
Adrenals w-w/o Contrast
Cholangiogram
Pelvis w-w/o Contrast
Sacroiliac Joint w-w/o Contrast
Renal w-w/o Contrast
Rating Stars (Click)
Chest 1
2
3
4
Brachial Plexus
Breast w-w/o Contrast
Chest w-w/o Contrast
Myocardium w-w/o Contrast
Sternum w-w/o Contrast
Rating Stars (Click)
Spine 1
2
3
4
Cervical Spine w-w/o Contrast
Thoracic Spine w-w/o Contrast
Lumbar Spine w-w/o Contrast
Sacrum w-w/o Contrast
Rating Stars (Click)
Upper Extremities 1
2
3
4
Scapula w-w/o Contrast
Shoulder w-w/o Contrast
Arthogram Shoulder
Elbow/Wrist w-w/o Contrast
Hand/Finger w-w/o Contrast
Humerus w-w/o Contrast
Rating Stars (Click)
Lower Extremities 1
2
3
4
Hip w-w/o Contrast
Knee w-w/o Contrast
Foot/Ankle w-w/o Contrast
Femur/Tibia w-w/o Contrast
Rating Stars (Click)
Phase Array 1
2
3
4
Head
Neurovascular
Spine
Torso
Rating Stars (Click)
Surface Coils 1
2
3
4
Extremity
Shoulder
TMJ
Rating Stars (Click)
Images 1
2
3
4
Echo Planar Imaging - EPI
Gradient Echo Imaging
Multiplanar Reconstruction/MRA
Spin Echo Images
T-1 weighted
T-2 weighted
Inversion Recovery
Fat Suppression
Fiesta
Rating Stars (Click)
MRI Imaging Systems 1
2
3
4
GE Signa
Siemens
Hitachi
Philips
Rating Stars (Click)
Professional Knowledge and Skills 1
2
3
4
National Patient Safety Goals
Computerized Charting
Venipuncture
Contrast Administration
Imaging a Patient with Conscious Sedation
Imaging a Patient under Anesthesia
Patient Isolation/Infection Prevention
Rating Stars (Click)
Age Specific 1
2
3
4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)