Radiology Technologist Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No Experience

2 Perform Infrequently (less than three months within the last two years)

3 Limited Experience (6 months to one year within the last two years)

4 Perform Well (at least one year in the last two years)

General Radiology

Abdomen

Specimen Radiographs

Breast Biopsy

Chest

C-Arm Clouroscope

Abdominal Arteriogram

Mesenteric Arteriogram

Needle Localization

Extremities

Selective Angiography

Bilateral Mammograms

Femoral Arteriogram

Brachial Arteriogram

Arch Arteriogram

Renal Arteriogram

Pulmonary Arteriogram

Bone Survey

Bone Age

Carotid Arteriogram

Foreign Body Localization

Hypotonic Duodenography

Hysterosalpingogram

IVP

Lumbar Spine

Renal Cyst Puncture

Skull

Small Bowel Series

Therapy Placement Films

Thoracic Spine

Transhepatic Cholangiogram

T-Tube Cholangiogram

Voiding Cystogram

Angioplasty

Barium Swallow

Bronchogram

Cervical Spine

ER Exams

ERCP

Esophogram

Gall Bladder

GI Series

Hip

Lung Biopsy

Mastoids myelogram

OR Exams

Pediatric Exams

Portable Exams

Sailography

Salpingogram

Tomograms

Ct

Mri

Nuclear Medicine

Ultra Sound

Radiation Therapy

Age Specific Competency

Instruction: Please check the boxes below for age specific competency skills for which you can provide expertise-nursing care.

A = Infancy 0-1 Years

B = Toddler 1-3 Years

C = Preschool 3-6 Years

D = School Age 6-12 Years

E = Early Adulthood 19-45 Years

F = Middle Adulthood 45-60 Years

Experience With Age Groups:	A	B	C	D	E	F
Involve patient and / or family in planning decision-making and control of treatment and care.
Demonstrates knowledge of the physical and psychosocial needs of the patient.
Demonstrates understanding of equipment and procedures needs.
Provides safe environment for specific needs for all age groups.

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.