Echo Technologist Skills Checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreOut of 4Name(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyAGENewborn/Neonate (birth to 30 days)(Required) 1 2 3 4 Infant (1 month to 1 year)(Required) 1 2 3 4 Toddler (1 year to 3 years)(Required) 1 2 3 4 Preschooler (3 years to 5 years)(Required) 1 2 3 4 School Age Child (5 years to 12 years)(Required) 1 2 3 4 Adolescents (12 years to 18 years)(Required) 1 2 3 4 Young Adults (18 years to 39 years)(Required) 1 2 3 4 Middle Adults (39 years to 64 years)(Required) 1 2 3 4 Older Adults (64+ years)(Required) 1 2 3 4 Elderly Adults (Over 79+ years)(Required) 1 2 3 4 GENERAL SKILLSVenipuncture/IV Placement(Required) 1 2 3 4 Standard Precautions(Required) 1 2 3 4 Isolation Precautions(Required) 1 2 3 4 Pediatric Respiratory/ Cardiac Arrest(Required) 1 2 3 4 Adult Respiratory/ Cardiac Arrest(Required) 1 2 3 4 Crash Carts(Required) 1 2 3 4 Defibrillators(Required) 1 2 3 4 12 Lead EKG(Required) 1 2 3 4 Stress Testing(Required) 1 2 3 4 Holter Monitoring(Required) 1 2 3 4 WORK SETTINGAdult Acute Care(Required) 1 2 3 4 Adult Outpatient(Required) 1 2 3 4 Pediatric Acute Care(Required) 1 2 3 4 Pediatric Outpatient(Required) 1 2 3 4 ADULT ECHORoutine(Required) 1 2 3 4 3-D Echo(Required) 1 2 3 4 Pedoff Probe(Required) 1 2 3 4 Transesophageal Echo(Required) 1 2 3 4 Stress Echo(Required) 1 2 3 4 Pharmacological Stress Echo(Required) 1 2 3 4 Post-Cath Echo(Required) 1 2 3 4 Post-Surgical Echo(Required) 1 2 3 4 Imaging with Contrast Agents(Required) 1 2 3 4 Sterilization Procedures(Required) 1 2 3 4 2-Dimensional(Required) 1 2 3 4 M-Mode(Required) 1 2 3 4 PW Doppler(Required) 1 2 3 4 CW Doppler(Required) 1 2 3 4 Color Doppler(Required) 1 2 3 4 Parasternal Long Axis View(Required) 1 2 3 4 Right Ventricular Inflow Tract (RVIT)(Required) 1 2 3 4 Right Ventricular Outflow Tract (RVOT)(Required) 1 2 3 4 4-Chamber View(Required) 1 2 3 4 2-Chamber View(Required) 1 2 3 4 Diastolic Dysfunction Evaluation(Required) 1 2 3 4 Subcostal View(Required) 1 2 3 4 SPECIAL VIEWSPulmonary Veins(Required) 1 2 3 4 Hepatic Veins(Required) 1 2 3 4 Suprasternal Notch(Required) 1 2 3 4 CALCULATIONSSimpson’s Rule(Required) 1 2 3 4 Proximal Isovelocity Surface Area(Required) 1 2 3 4 Distology with TDI(Required) 1 2 3 4 LV Strain/LV Volume(Required) 1 2 3 4 PEDIATRIC ECHORoutine(Required) 1 2 3 4 3-D Echo(Required) 1 2 3 4 Transesophageal Echo(Required) 1 2 3 4 Pedoff Probe(Required) 1 2 3 4 PEDIATRIC ANOMALIESAortic Arch Abnormalities/Vascular Ring(Required) 1 2 3 4 Arch Sidedness(Required) 1 2 3 4 Coarctation of the Aorta(Required) 1 2 3 4 Coronary Artery Anomalies(Required) 1 2 3 4 Double Outlet Ventricle(Required) 1 2 3 4 Hypoplastic Heart Syndrome(Required) 1 2 3 4 Pulmonary Venous Return Anomalies(Required) 1 2 3 4 Tetralogy of Fallot(Required) 1 2 3 4 Transposition of the Great Vessels(Required) 1 2 3 4 Tricuspid and Pulmonary Atresia(Required) 1 2 3 4 Truncus Arteriosus(Required) 1 2 3 4 Univentricular Heart Anomalies(Required) 1 2 3 4 PEDIATRIC POST-SURGICAL SCANSArterial Switch(Required) 1 2 3 4 Blalock-Taussig(Required) 1 2 3 4 Damus-Kaye-Stansel(Required) 1 2 3 4 Fontan(Required) 1 2 3 4 Glenn(Required) 1 2 3 4 Konno(Required) 1 2 3 4 Mustard(Required) 1 2 3 4 Norwood(Required) 1 2 3 4 Rastelli(Required) 1 2 3 4 Sano(Required) 1 2 3 4 Sennig(Required) 1 2 3 4 EMReClinicalworks(Required) 1 2 3 4 EPIC(Required) 1 2 3 4 McKesson(Required) 1 2 3 4 Care 360(Required) 1 2 3 4 Allscripts(Required) 1 2 3 4 Cerner(Required) 1 2 3 4 Optum Insight(Required) 1 2 3 4 NextGen(Required) 1 2 3 4 Greenway(Required) 1 2 3 4 PACSAmbra Health(Required) 1 2 3 4 Sectra(Required) 1 2 3 4 Infinitt(Required) 1 2 3 4 IBM Merge(Required) 1 2 3 4 McKesson(Required) 1 2 3 4 Philips(Required) 1 2 3 4 FujiFilm(Required) 1 2 3 4 Impax(Required) 1 2 3 4 Centricity(Required) 1 2 3 4 Carestream Vue(Required) 1 2 3 4 Clarity(Required) 1 2 3 4 eRad PACS(Required) 1 2 3 4 Syngo(Required) 1 2 3 4 EQUIPMENTAcuson(Required) 1 2 3 4 Aspen(Required) 1 2 3 4 Cypress(Required) 1 2 3 4 Sequoia(Required) 1 2 3 4 128XP10(Required) 1 2 3 4 Philips/ ATL(Required) 1 2 3 4 HDI 1000(Required) 1 2 3 4 HDI 3000(Required) 1 2 3 4 HDI 4000(Required) 1 2 3 4 HDI 5000(Required) 1 2 3 4 UM9 HDI(Required) 1 2 3 4 Philips P(Required) 1 2 3 4 Sonos 1000(Required) 1 2 3 4 Sonos 2000/ 2500(Required) 1 2 3 4 Sonos 5500(Required) 1 2 3 4 Imagepoint(Required) 1 2 3 4 Imagepoint HX(Required) 1 2 3 4 GELogiq 500 PRO(Required) 1 2 3 4 Logiq 7(Required) 1 2 3 4 Logiq 700(Required) 1 2 3 4 Logiq 500MD(Required) 1 2 3 4 Logiq 9(Required) 1 2 3 4 Vivid 5(Required) 1 2 3 4 Vivid 7(Required) 1 2 3 4 Volusion 730(Required) 1 2 3 4 Elegra(Required) 1 2 3 4 Volusion 730(Required) 1 2 3 4 Prima(Required) 1 2 3 4 Toshiba(Required) 1 2 3 4 SSH-140(Required) 1 2 3 4 Powervision 8000(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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