Cath Lab Tech

I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Proficiency Scale

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Age of Patients Cared For Rating Stars (Click) 1 2 3 4
Pediatrics
Adults
Circulating Role (PAV) Rating Stars (Click) 1 2 3 4
Airway Maintenance
Arm Cases
Biopsy
Co-Ox Setup Q.C., Run Sample
Defibrillator Setup/Use
Intra Aortic Balloon Pump
Power Injector Setup/Use
Left Heart Catheterization
Right Heart Catheterization
PTCA/Stents/Balloons
Radiation Protection
Atherectomy
Permanent Pacemaker
Temporary Pacemaker
Setting Threshold of Pacemakers
Rotablator
Sphygmomanometer Monitoring
Transducer Setup/Calibration
Run Angiojet Machine
IVUS
Hemodynamic Monitoring Rating Stars (Click) 1 2 3 4
Biopsy
Handoff Reports
Left Heart Catheterizations
Right Heart Catheterizations
Coronary Intervention
Hematoma Recognition & Management
Coronary Atherectomy
IVUS
Intra Aortic Balloon Pump
EP Study
Ablation
Rotablator
FFR
Cath Lab/Angio/Specials (Equipment) Rating Stars (Click) 1 2 3 4
Philips
Siemens
Toshiba
GE
Siemens Artis Zeego
Shimadzu
Cannon Alphenix
Electronic Documentation
Hemodynamic Monitoring Equipment Rating Stars (Click) 1 2 3 4
GE MacLab Marquette
Mennen
Merge Cardio/Camtronics VERICIS
McKesson
Philips Xper IM/WITT
Siemens Sensis