Nuclear Medicine Technician

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Nuclear Medicine Technologist Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

GENERAL SKILLS

Hospital Experience

1

2

3

Clinic Experience

1

2

3

Teaching/Educational Facility

1

2

3

Vital Signs

1

2

3

Care of patients in restraints

1

2

3

Use of transfer/lifting devices

1

2

3

IV Injection

1

2

3

Positioning Patient

1

2

3

Computerized Charting

1

2

3

Obtaining Consent

1

2

3

Dose Calibrator constancy check

1

2

3

Survey Meter Operational check

1

2

3

Daily Wipe Testing

1

2

3

Hot Lab management generators

1

2

3

Hot Lab Dose calibration

1

2

3

Radiation level survey

1

2

3

Hand/Clothing monitoring

1

2

3

Proper use of syringe shield/gloves/lab coat

1

2

3

Waste disposal

1

2

3

Radioactive Spill procedure/response

1

2

3

Instructions regarding prenatal radiation exposure

1

2

3

Knowledge of "Do Not Use Abbreviations"

1

2

3

Experience as charge nurse/supervisor?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

1

2

3

Knowledge/familiarity with HCAHPS scores

1

2

3

IV Pumps

Alaris

Baxter

IVAC

Alibaba

Braun

Zynomed

Bard

CADD

N/A

Other IV Pumps:

HEAD AND NECK

Brain

1

2

3

Carotid Artery

1

2

3

Shunt Study

1

2

3

Cisternography

1

2

3

Gated SPECT ( post infarct)

1

2

3

Parathyroid

1

2

3

Hyperthyroid Treatment

1

2

3

Thyroid Ablation

1

2

3

Uptake Scan

1

2

3

Cancer Survey

1

2

3

SKELETAL/BONE

Three Phase

1

2

3

Whole Body

1

2

3

Limited

1

2

3

Bone Marrow Scan

1

2

3

CARDIAC

Myocardial Perfusion Imaging

1

2

3

Stress Test/Thallium SPECI

1

2

3

Infarction

1

2

3

Dual Isotopes

1

2

3

CCK Ejection Fraction

1

2

3

MUGA Scan

1

2

3

LUNG AND CHEST

DTPA Aerosol

1

2

3

Perfusion

1

2

3

VQ Ventilation/Perfusion Scan

1

2

3

ABDOMEN, GI AND GU

GI Bleed

1

2

3

Gastric Emptying

1

2

3

Renal Flow

1

2

3

With Lasix

1

2

3

Flow/Function

1

2

3

Three Phase

1

2

3

Voiding Cystogram

1

2

3

Captopril

1

2

3

Liver/Spleen Study

1

2

3

Liver Spect with Flow

1

2

3

Gallbladder

1

2

3

Meckel's Diverticulum

1

2

3

HIDA and CCK-HIDA Scan

1

2

3

Testicular

1

2

3

ENDOCRINE/LYMPHATIC/TUMORS

Lymphoscintigraphy

1

2

3

Lymphatic Scan - Melanoma

1

2

3

Injection-Lymphatic

1

2

3

Gallium Scan

1

2

3

PET Scan

1

2

3

Indium 111 WBC Scan Whole Body

1

2

3

Indium 111 WBC Scan Limited

1

2

3

Abscess Localizations Individual Sites

1

2

3

OTHER PROCEDURES

Brachytherapy

1

2

3

Planar Procedures

1

2

3

SPECT Procedures

1

2

3

Schilling's Test

1

2

3

Stress Holter Monitoring

1

2

3

Gated NVG Stress/Rest

1

2

3

ALARA ( As Low As Reasonably Achievable)

1

2

3

EQUIPMENT USED

Siemens

1

2

3

GE

1

2

3

Hitachi

1

2

3

Phillips

1

2

3

Other:

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