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
ULTRASOUND-ECHOCARDIOGRAPHY
Pediatric Echocardiography
Pharmacologic Stress Echo
Transesophageal Echocardiography (TEE)
Intraoperative Echocardiography
Contrast Echocardiography
Doppler Vascular Procedures
Invasive Procedure Guidance
Parasternal Long Axis View
Parasternal Short Axis View
Subcostal Short Axis of RV Inflow and Outflow
Proximal Isovelocity Surface Area
Invasive Procedure Guidance
Parasternal Long Axis View
Parasternal Short Axis View
Inverted Apical 4 Chamber View
Inverted Apical 5 Chamber View
Subcostal Long with Sweep
Subcostal Short with Sweep (Bi Caval View)
Subcostal Abdominal Aorta
Suprasternal Notch View- Long
Suprasternal Notch View- Short
Left Atrium with Pulmonary Veins with Suprasternal Notch
Pulmonary Artery Branches
Scanning Complex Anomalies
Scanning Post-Surgical Repairs
Proximal Isovelocity Surface Area
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 to 64 years)
Geriatric Adults (65+ years)