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1.877.891.4286
1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Endoscopy Tech – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Age Specific Competencies
Newborn/ Neonate (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Child (3 - 13 years)
*
0
1
2
3
4
5
Adolescents (12 - 18 years)
*
0
1
2
3
4
5
Adults (18 - 65 years)
*
0
1
2
3
4
5
Older Adults/Geriatrics (65+ years)
*
0
1
2
3
4
5
General
Assessments, Family History, and Risk Factors
*
0
1
2
3
4
5
Start and Maintain Peripheral IV
*
0
1
2
3
4
5
Complete Pre-Procedure Checklist
*
0
1
2
3
4
5
Consent Forms/Permits
*
0
1
2
3
4
5
Discharge Instructions
*
0
1
2
3
4
5
Interpretation of Lab Values
*
0
1
2
3
4
5
Set-Up of Scope & Video Equipment
*
0
1
2
3
4
5
Cleaning of Scopes
*
0
1
2
3
4
5
Transport Pre-Procedure Patient to Lab
*
0
1
2
3
4
5
Provide Care for the Post-Procedure Patient
*
0
1
2
3
4
5
Transport Post-Procedure Patient to Unit
*
0
1
2
3
4
5
National Patient Safety Goals
*
0
1
2
3
4
5
Automated Med Dispensing System
*
0
1
2
3
4
5
Automated Med Dispensing System - List Types
*
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Procedures
EGDs
*
0
1
2
3
4
5
Active GI Bleed
*
0
1
2
3
4
5
Bronchoscopy
*
0
1
2
3
4
5
Cautery Devices
*
0
1
2
3
4
5
Collection of Hot & Cold Biopsies
*
0
1
2
3
4
5
Colonoscopy
*
0
1
2
3
4
5
Endoscopic Ultrasound
*
0
1
2
3
4
5
ERCP
*
0
1
2
3
4
5
Esophageal Dilations
*
0
1
2
3
4
5
Manometry Studies
*
0
1
2
3
4
5
PEG Placement
*
0
1
2
3
4
5
Polypectomy
*
0
1
2
3
4
5
Sclerotherapy
*
0
1
2
3
4
5
Specimen Collection and Labeling
*
0
1
2
3
4
5
TEE
*
0
1
2
3
4
5
Variceal Banding
*
0
1
2
3
4
5
Cardiovascular
Assess Heart Sounds and Peripheral Pulses
*
0
1
2
3
4
5
EKG Interpretation and Monitoring
*
0
1
2
3
4
5
Non-Invasive Cardiac Monitoring
*
0
1
2
3
4
5
Participate as a Team Member in Resuscitation
*
0
1
2
3
4
5
Perform Defibrillation
*
0
1
2
3
4
5
Recognize and Interpret Arrhythmias
*
0
1
2
3
4
5
Pulmonary
ABG’s Interpretation of Values
*
0
1
2
3
4
5
Airway Management
*
0
1
2
3
4
5
Assess Lung Sounds
*
0
1
2
3
4
5
Assist with Intubation
*
0
1
2
3
4
5
Care of Patient with Mechanical Ventilation
*
0
1
2
3
4
5
Pulse Oximetry
*
0
1
2
3
4
5
Set Up Oxygen
*
0
1
2
3
4
5
Use of Ambu Bag
*
0
1
2
3
4
5
Neurological
Identify Changes in Level of Consciousness
*
0
1
2
3
4
5
Assess Sensory, Motor, Speech
*
0
1
2
3
4
5
Assess Reflexes-Babinski, Gag
*
0
1
2
3
4
5
Medications
Calculate mcg/min and mcg/kg/min
*
0
1
2
3
4
5
Monitor Conscious Sedation
*
0
1
2
3
4
5
Use of Sedation Reversal Agents
*
0
1
2
3
4
5
Use of IV Infusion Pumps
*
0
1
2
3
4
5
Antibiotics
*
0
1
2
3
4
5
Benzodiazepines-Valium, Versed, Ativan
*
0
1
2
3
4
5
Insulin
*
0
1
2
3
4
5
Narcan
*
0
1
2
3
4
5
Narcotics-Morphine, Fentanyl
*
0
1
2
3
4
5
Neuromuscular Blocking Agents-Pavulon, Norcuron
*
0
1
2
3
4
5
Propofol-Diprivan
*
0
1
2
3
4
5
Romazicon-Flumazenil
*
0
1
2
3
4
5
Thrombolytics
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*