X-Ray Technician/ Radiography Technician 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)
GENERAL SKILLS EXPERIENCE: 1
2
3
4
Advanced directives
Vital Signs
Care of patients in restraints
Use of transfer/lifting devices
Care of patients in isolation
Knowledge of "Do Not Use Abbreviations"
Charge/Supervisor experience
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores
IV Pumps: Alaris
IV Pumps: Alibaba
IV Pumps: Bard
IV Pumps: Baxter
IV Pumps: Braun
IV Pumps: Other
Rating Stars (Click)
RADIOLOGY: 1
2
3
4
Abdomen
Arthrograms
Bone Density
Chest
ER Exams
GI Series
Hip
Hysterosalpingogram
OR Exams
PACS System
Portable Exams
Renal Tomography
Soft Tissue Studies
Trauma Exams
Urethrography
Pelvic/Obliques/Judet Views
Pelvic Sacrum/Coccyx
Pelvic SI Joints
Upper/Lower
Facial
Mandible
Orbits
Sinus Series
Cervical Spine
Cervical Spine-Obls/Flexion/Extension
Lumbar spine
Lumbar Spine-Obls/Flexion/Extension
Thoracic Spine
Thoracic Spine-Swimmer's View
Rating Stars (Click)
FLUOROSCOPY: 1
2
3
4
Angiogram
Arteriogram
Barium Enema
Bronchogram
ERCP
Esophagram
Gallbladder
Myelogram
Sialogram
Small Bowel Follow Through
Small Bowel Series
Tomogram
T-Tube Cholangiogram
Upper GI Series-Air Contrast
Upper GI Series-Single Contrast
Venograms
Voiding Cystogram
Modified Barium Swallow/Protocol Swallow
Swallow Studies with Videotaping
Mobile C-Arm Bronchoscopy with Fluoro Guidance
IVP with Tomograms
Rating Stars (Click)
OR CASES: 1
2
3
4
Cystography
Extremity Studies
Hip Studies
Operative Cholangiography
Retrograde Urography
Spine Work
Sterile Procedures in OR
Rating Stars (Click)
MYELOGRAMS: 1
2
3
4
Cervical Spine
Lumbar Spine
Thoracic Spine
Rating Stars (Click)
TYPES OF EQUIPMENT: 1
2
3
4
GE
Philips
Siemens
Toshiba
PACS System
RIS-Cerner
Rating Stars (Click)
WORK SETTING: 1
2
3
4
Hospital Experience
Clinic Experience
Teaching/Educational Facility
Rating Stars (Click)
AGE-SPECIFIC EXPERIENCE: 1
2
3
4
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)