Nuclear Medicine Technologist Checklist


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.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  Procedures         Rating Stars (Click) 1 2 3 4
  Abscess Localization Whole Body  
  Abscess Localization Individual Sites  
  CCK/Ejection Fraction  
  Cisternogram  
  CSF Leak Localization  
  Gallium Scan  
  Gastric Emptying  
  GI Bleed  
  HIDA Scan  
  Indium 111 WBC Scan Whole Body  
  Indium 111 WBC Scan Limited  
  Injection-Lymphatic  
  Lymphatic Scan-Melanoma  
  Meckels Scan  
  Morphine Augmentation  
  Bone Scan         Rating Stars (Click) 1 2 3 4
  Whole Body  
  3 Phase  
  Limited  
  Brain Scan         Rating Stars (Click) 1 2 3 4
  Cerebral Blood Flow  
  Liver/Spleen Scan         Rating Stars (Click) 1 2 3 4
  Liver/Spleen Scan  
  Liver Scan-Hemangioma  
  Liver Imaging  
  Liver Flow  
  Lung Scan         Rating Stars (Click) 1 2 3 4
  DTPA Aerosol  
  Perfusion  
  Ventilation/Perfusion  
  Renal Flow         Rating Stars (Click) 1 2 3 4
  With Lasix  
  Flow/Function  
  Three Phase  
  Captopril  
  Shunt         Rating Stars (Click) 1 2 3 4
  Abdominal  
  Ventricular  
  Thyroid Studies         Rating Stars (Click) 1 2 3 4
  Cancer Survey  
  Uptake Scan  
  I 123 Scan  
  Tumor Localization         Rating Stars (Click) 1 2 3 4
  Whole Body  
  Limited  
  NM Spect         Rating Stars (Click) 1 2 3 4
  Bone  
  Brain  
  Liver  
  Liver Spect w/Flow  
  Renal  
  Myocardial         Rating Stars (Click) 1 2 3 4
  Infarction  
  Exercise/Rest-Single  
  Exercise/Rest-Multiple  
  Pharmacological Stress  
  Thallium/Persantine  
  Professional Knowledge and Skills         Rating Stars (Click) 1 2 3 4
  Quality Control Equipment  
  Daily Surveys/Wipe Testing  
  Hot Lab Management Dose Calibrators  
  Hot Lab Management Generators  
  Computerized Charting  
  National Patient Safety Goals  
  Universal Protocol Procedures/Core Measures  
  Isolation Precautions  
  Age Specific         Rating Stars (Click) 1 2 3 4
  Under 12 Years Old  
  Adolescents (12 to 18 years)  
  Young Adults (18 to 39 years)  
  Middle Adults (40 to 64 years)  
  Older Adults (65 & up)