Cardiac Catheterization Technician Skills Checklist

First name:	Last name:
Phone:	Email:
SSN (last 4 only):	Date: (MM/DD/YYYY)

Key - for each box mark:

Limited or no experience
Somewhat experienced but may need review
Can function independently
Competent to supervise

	1	2	3	4
Basic Knowledge
Cardiacvascular Anatomyand Physiology
Heart
Coronary circulation
Vascular system
Hemodynamics
Conduction system
Pathophysiologic conditions
Congestive heart disease
Ischemia
Hypertension (pulmonary)
Hypertension (systemic)
Diseases of the aorta
Electrocardiogram
Application of leads
Interpretation
Monitoring
Arrythmias
Stress Testing
Preparation of Equipment
Monitoring
Complications
Bicycle procedures
Thallium/Muga Stress test
Holter Monitoring
Preparation of equipment
Application of leads
Monitoring
Pharmacology
Drugs
Antihypertensives
Nitrates
Calcium channel blockers
Beta blockers
Antiarrthymics
Administration routes
Contrast administration
IV therapy
Equipmentand Instrumentation
Pacemakers
Temporary
Permanent
Defibrillators
Radiographic equipment (cameras, etc.)
Film processing
Automatic pressure injectors
Catheters, guidewires, needles
Cardiacoutput equipment
Transducers
Oxygen delivery
Ambu/Mask
Nasal cannula
Ergometers
Angio-Jet machine
Power injector
Stents
Intra-aortic balloon pumps
ACT machine
Co-ox machine

	1	2	3	4
PatientCare
Preparation for procedures
Catheterizationprotocols
Arterial and venous line management
Patient education
Emergency procedures
Radiation protections
VitalSigns
Normal Lab Values
Electrolytes
Blood gases
Blood chemistry
Non-Invasive Procedures
Ultrasound
DopplerInstrumentation
Color flow mapping
Transducers and sound beams
Echocardiography
Techniques
Qualitative measurements/calculations
Invasive Procedures
Diagnostic Procedures
Cardiaccatheterization
Right-sided procedure
Left-sided procedure
Preparation and pre-medication
Complications
Angiography
Imaging systems
Left ventriculography
Coronary arteriography
Aortaography
Complications
Treatments
Defibrillation and cardioversion
Percutaneous Translumal Angioplasty
Implants
Stents
Central venous line catheter
Filters
Arthrectomy
Thrombolytic therapy
Rotoblator
Bracy therapy
Roles
Circulating
Pulse oximetry
Calibration of equipment
Documentation
Scrub
Sterile technique

Age Specific Experiences and Certifications

Age Specific Experiences	Infants and Toddlers (birth-2 years)	Children (3-12 years)	Adolescent (13-18 years)	Young Adult (19-39 years)	Middle Adults (40-64 years)	Older Adult (65+ years)
1. Knows the normal growth and development for each age group and adapts care accordingly.
2. Knows the different communication needs for each age group and changes communication methods and terminology accordingly.
3. Knows the different safety risks for each age group and alters the environment accordingly.
4. Knows the different medications, dosages, and possible side effects for each age group and administers medications accordingly.

My Experience is Primarily in:

Medical	Year(s)
Neurology	Year(s)
Surgical	Year(s)
Pulmonary	Year(s)
Telemetry	Year(s)
Renal/GU	Year(s)
Orthopedics	Year(s)
Women's	Year(s)
Oncology	Year(s)
Other:	Year(s)

Certifications

BCLS	Expiration Date (mm/yyyy)
ACLS	Expiration Date (mm/yyyy)
Other:	Expiration Date (mm/yyyy)

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.