Mammography Technologist 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 1
2
3
4
Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Teach Self Breast Exams
Rating Stars (Click)
WORK SETTING 1
2
3
4
Small Facility
Large/Regional Facility
Outpatient
Clinic
Mobile Units
Rating Stars (Click)
PROCEDURES 1
2
3
4
Screening Mammogram
Film Screen
Localizations
Stereotactic Biopsy
Digital Mammography
Needle Localization
Ultrasound Assistance
Biospecimen Radiographs
Xeromammography
Core Biopsies
Magnification View
Spot Compression View
Implants (Eklund View)
Male Mammography
Post Radiation
Special Views
3D/Tomo
Rating Stars (Click)
PROJECTIONS 1
2
3
4
Axillary View
Tangential
Rolled
Triangulation
Caudocranial
Lateromedial Oblique
Superolateral to Inferomedial Oblique
Rating Stars (Click)
EQUIPMENT 1
2
3
4
Bennett Contour
Bennett MF-150
Fischer Athena
Fischer Mammotest
GE 600T
GE DMR
GE Sinex 600T HF
GE Senoraphe 800T
Giotto HF
Lorad M2E
Lorad ABB
Lorad Elite
Lorad M4
Lorad Transpo 350
Medison ESP-300
Philips Mammo Diagnost
Siemens Mammomat
Transworld Mam CP
Hologic Selenia
Hologic Dimensions
Other
Rating Stars (Click)
EMR 1
2
3
4
eClinicalworks
EPIC
McKesson
Care 360
Allscripts
Cerner
Optum Insight
NextGen
Greenway
PACS
Ambra Health
Sectra
Infinitt
IBM Merge
McKesson
Philips
FujiFilm
Impax
Centricity
Carestream Vue
Clarity
eRad PACS
Syngo
Rating Stars (Click)
AGE OF PATIENTS CARED FOR 1
2
3
4
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)