Cath Lab Interventional Radiology
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Work Setting | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Procedural Cath Lab | |||||
| Interventional Cath Lab | |||||
| EP Lab | |||||
| Interventional Radiology | |||||
| Pre/Post Procedural Setting | |||||
| Charge Experience | |||||
| Other Setting (List) |
| Equipment | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Automatic Implantable Cardiac Defibrillator | |||||
| Cardioversion | |||||
| Intra Aortic Balloon Pump (IABP) | |||||
| SV02 Recording | |||||
| Ventilator Management |
| Cardiac Cath Lab Procedures | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| AICD Placement | |||||
| Aortography | |||||
| Cardiac Biopsy | |||||
| Cardiac Implant Closure Device | |||||
| Cardiac Stent Placement | |||||
| Diagnostic Cardiac Catheterization Adult | |||||
| Diagnostic Cardiac Catheterization - Pediatric/Neonatal | |||||
| Directional Coronary Atherectomy | |||||
| IABP Placement/Removal | |||||
| Internal Mammary Angiography | |||||
| Laser Assisted Procedures | |||||
| Percutaneous Transluminal Coronary Angioplasty | |||||
| Pericardiocentesis | |||||
| Permanent Pacemaker Placement | |||||
| Pulmonary Angiography | |||||
| Rotational Coronary Atherectomy | |||||
| Saphenous Vein Graft Angiography | |||||
| Transluminal Extraction Catheter | |||||
| Valvuloplasty | |||||
| Ventricular Assist Device Insertion |
| Electrophysiology Procedures | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Electrophysiology Evaluation | |||||
| Baseline Measurements | |||||
| Cardiac Ablation | |||||
| Cardiac Mapping | |||||
| Cardioversion | |||||
| Conduction Study | |||||
| Internal Cardioverter Defibrillator Implant | |||||
| Tilt Table Study |
| IR-Gastrointestinal Studies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Angioplasty | |||||
| Chemoembolization | |||||
| Cholecystostomy | |||||
| Embolization | |||||
| ERCP | |||||
| Esophageal Stent Placement | |||||
| Gastrojejunostomy | |||||
| Liver Ablation | |||||
| Pericentesis | |||||
| Percutaneous Hepatic Angiography | |||||
| TIPS |
| IR-Genitourinary Studies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Adrenal Angiography | |||||
| Angiography of Female GU System | |||||
| Angiography of Male GU System | |||||
| Cystostomy | |||||
| Embolization | |||||
| Nephrostomy | |||||
| Percutaneous Stone Extraction | |||||
| Renal Angiography | |||||
| Renal Artery Angioplasty | |||||
| Renal Artery Stent Placement | |||||
| Ureteral Stent |
| IR-Neurologic Studies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Cerebral Angiography | |||||
| Carotid Angiography |