Health Care Skills Rating
  EEG 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)
AGE OF PATIENTS CARED FOR 1
2
3
4
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)
Rating Stars (Click)
GENERAL SKILLS 1
2
3
4
Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
Defibrillators
Electronic Documentation
Automated Med Dispensing Systems
Rating Stars (Click)
BASIC SKILLS 1
2
3
4
10-20 Electrode Placement
Portable Recording in Adult ICU
Portable Recording in Pediatric ICU
Portable Recording in NICU
ECI-Brain Death Recording
Ambulatory EEG
Sleep Deprived EEG
Sleep EEG
EMG
Rating Stars (Click)
EVOKED POTENTIALS 1
2
3
4
Somatosensory Evoked Potential (SSEP)
Motor Evoked Potential
Visual Evoked Potential
Auditory Evoked Potential
Assist with Nerve Conduction Studies/EMG
Rating Stars (Click)
EQUIPMENT 1
2
3
4
Paper Machine Experience
Digital Machine Experience
Nicolet
Cadwell
Grass
Xltek
Nihon Kohden
Rating Stars (Click)
DOCUMENTATION 1
2
3
4
Obtain Patient History
Changes in Patient Status
Stimulation
Hyperventilation
Post Hyperventilation
Interpreting EEG Patterns