Radiology 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

  SETTING         Rating Stars (Click) 1 2 3 4
  Adult Inpatient  
  ER/Trauma  
  Adult Outpatient  
  Pediatric Inpatient  
  Pediatric Outpatient  
  Procedures         Rating Stars (Click) 1 2 3 4
  Chest Studies  
  Abdominal Studies  
  Foreign Body/Soft Tissue Studies  
  Specimen Radiography  
  Extremities         Rating Stars (Click) 1 2 3 4
  Upper  
  Lower  
  Pelvis Obls/Judet ViewsPelvis SI Joints  
  Pelvis Sacrum/Coccyx  
  Spine         Rating Stars (Click) 1 2 3 4
  Cervical Spine-Obls/Flexion/Extension  
  Thoracic Spine-Swimmer�s View  
  Lumbar Spine-Obls/Flexion. Extension  
  Head         Rating Stars (Click) 1 2 3 4
  Facial Bones  
  Mandible  
  Head (cont.)         Rating Stars (Click) 1 2 3 4
  Mastoids  
  Orbits  
  Sinus Series  
  TMJ  
  Skull Series  
  Tomography         Rating Stars (Click) 1 2 3 4
  Renal  
  TMJ  
  Spine  
  Flouroscopy/Contrast Studies         Rating Stars (Click) 1 2 3 4
  Barium Swallow/Esophagram  
  Modified Barium Swallow/Protocol Swallow  
  Swallow Studies with Videotaping  
  Upper GI Series-Single Contrast  
  Upper GI Series-Air Contrast  
  Small Bowel Follow Through  
  Enema Studies         Rating Stars (Click) 1 2 3 4
  Barium Enema-Single Contrast  
  Water Soluble Contrast Enema (e.g. Hypaque)  
  Barium Enema-Air Contrast  
  Lower GI Studies thru Colostomy  
  Cystography         Rating Stars (Click) 1 2 3 4
  Cystogram  
  Voiding Cystogram  
  Cystography (cont.)         Rating Stars (Click) 1 2 3 4
  Urethrography  
  Contrast Injection Studies         Rating Stars (Click) 1 2 3 4
  IVP  
  IVP with Tomograms  
  Myelograms         Rating Stars (Click) 1 2 3 4
  Cervical Spine  
  Thoracic Spine  
  Lumbar Spine  
  Mobile C-Arm Flouroscopy         Rating Stars (Click) 1 2 3 4
  Broncoscopy with Fluoro Guidance  
  Bedside Line and Tube Placement  
  OR Cases         Rating Stars (Click) 1 2 3 4
  Sterile Procedures in OR  
  Spine Work  
  Operative Cholangiography  
  Hip Studies  
  Extremity Studies  
  Cystography  
  Retrograde Urography  
  Patient Safety         Rating Stars (Click) 1 2 3 4
  National Patient Safety Goals  
  Computerized Charting  
  Age Specific Practice Criteria         Rating Stars (Click) 1 2 3 4
  Newborn/neonate (birth-30 days)  
  Infant (30 days-1 year)  
  Toddler (1-3 years)  
  Preschooler (3-5 years)  
  School age children (5-12 years)  
  Adolescents (12-18 years)  
  Young adults (18-39 years)  
  Middle adults (39-64 years)  
  Older adults (64+)