Mammography 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 independentlyAGE OF PATIENTS CARED FORAdolescents (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 to 79 years)(Required) 1 2 3 4 Elderly Adults (over 79+ years)(Required) 1 2 3 4 GENERAL SKILLSStandard Precautions(Required) 1 2 3 4 Pediatric Respiratory/ Cardiac Arrest(Required) 1 2 3 4 Adult Respiratory/ Cardiac Arrest(Required) 1 2 3 4 Teach Self Breast Exams(Required) 1 2 3 4 WORK SETTINGSmall Facility(Required) 1 2 3 4 Large/Regional Facility(Required) 1 2 3 4 Outpatient(Required) 1 2 3 4 Clinic(Required) 1 2 3 4 Mobile Units(Required) 1 2 3 4 PROCEDURESScreening Mammogram(Required) 1 2 3 4 Film Screen(Required) 1 2 3 4 Localizations(Required) 1 2 3 4 Stereotactic Biopsy(Required) 1 2 3 4 Digital Mammography(Required) 1 2 3 4 Needle Localization(Required) 1 2 3 4 Ultrasound Assistance(Required) 1 2 3 4 Biospecimen Radiographs(Required) 1 2 3 4 Xeromammography(Required) 1 2 3 4 Core Biopsies(Required) 1 2 3 4 Magnification View(Required) 1 2 3 4 Spot Compression View(Required) 1 2 3 4 Implants (Eklund View)(Required) 1 2 3 4 Male Mammography(Required) 1 2 3 4 Post Radiation(Required) 1 2 3 4 Special Views(Required) 1 2 3 4 3D/Tomo(Required) 1 2 3 4 PROJECTIONSAxillary View(Required) 1 2 3 4 Tangential(Required) 1 2 3 4 Rolled(Required) 1 2 3 4 Triangulation(Required) 1 2 3 4 Caudocranial(Required) 1 2 3 4 Lateromedial Oblique(Required) 1 2 3 4 Superolateral to Inferomedial Oblique(Required) 1 2 3 4 EQUIPMENTBennett Contour(Required) 1 2 3 4 Bennett MF-150(Required) 1 2 3 4 Fischer Athena(Required) 1 2 3 4 Fischer Mammotest(Required) 1 2 3 4 GE 600T(Required) 1 2 3 4 GE DMR(Required) 1 2 3 4 GE Sinex 600T HF(Required) 1 2 3 4 GE Senoraphe 800T(Required) 1 2 3 4 Giotto HF(Required) 1 2 3 4 Lorad M2E(Required) 1 2 3 4 Lorad ABB(Required) 1 2 3 4 Lorad Elite(Required) 1 2 3 4 Lorad M4(Required) 1 2 3 4 Lorad Transpo 350(Required) 1 2 3 4 Medison ESP-300(Required) 1 2 3 4 Philips Mammo Diagnost(Required) 1 2 3 4 Siemends Mammomat(Required) 1 2 3 4 Transworld Mam CP(Required) 1 2 3 4 Hologic Selenia(Required) 1 2 3 4 Hologic Dimensions(Required) 1 2 3 4 Other 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 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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