Cath Lab Tech

Name
First Last
Date
MM slash DD slash YYYY
Self-Assessment Rating Scale:
No Experience
Theory or observation only during the past 12 months

Limited Experience
Performed less than 12 times within the past 12 months and may need a review

Experienced
Performed at least once per month within the past 12 months and may need minimal assistance

Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
Age of Patient Cared For
No Experience Limited Experience Experienced Highly Skilled
Peds
Adults

Circulating Role (PAV)

	No Experience	Limited Experience	Experienced	Highly Skilled
Airway Maintenance
Arm Cases
Biopsy
Co-Ox Setup Q.C., Run Sample
Defibrillator Setup/Use
IABP
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

Scrub Position

	No Experience	Limited Experience	Experienced	Highly Skilled
Left Heart Catheterization
Right Heart Catheterization
Coronary Intervention
Stent Implantation
Rotational Coronary Atherectomy
IVUS
Intra Aortic Balloon Pump
Biopsy
Closure Device
Temporary Pacemakers
Angiojet
Radial
Brachial
Peripherals
IVUS
FFR
Impella
PPM
ICD
BiV
Loop Recorder
Structural Heart
Manifold
ACIST/Medrad
Hybrid OR
Atherectomy
Simultaneously Scrub & Pan Xray Table

Would you like to be alerted when new jobs are posted?

	No Experience	Limited Experience	Experienced	Highly Skilled
GE MacLab Marquette
Mennen
Merge Cardio/ Camtronics VERICIS
McKesson
Philips Xper IM/ WITT
Siemens Sensis