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
(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Pharmacologic Stress Echo
Imaging with Contrast Agents
Proximal Isovelocity Surface Area
Aortic Arch Abnormalities/Vascular Ring
Coronary Artery Anomalies
Hypoplastic Heart Syndrome
Pulmonary Venous Return Anomalies
Transposition of the Great Vessels
Triscupid and Pulmonary Atresia
Univentricular Heart Anomalies
PEDIATRIC POST-SURGICAL SCANS
Phillips/ATL (List Types)
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals
Supervisory /Management Experience
Isolation/Infection Prevention
Procedures for Patients on Ventilators
Age Specific Competencies
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)