fbpx

Interventional Radiology

Interventional Radiology

  • Date Format: 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
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Newborn (birth-30 days)
    Infant (30 days - 1 year)
    Toddler (1 - 3 years)
    Preschooler (3 - 5 years)
    School Age (5 - 12 years)
    Adolescents (12 - 18 years)
    Young Adults (18 - 39 years)
    Middle Adults (39 - 64 years)
    Older Adults (64+ years)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Standard Precautions
    Isolation Precautions
    Sterile Field
    Pediatric Respiratory/Cardiac Arrest
    Adult Respiratory/Cardiac Arrest
    Crash Carts
    Defibrillators
    Adult Ventilator Management
    Care of Patient in Restraints
    Pain Management
    Automated Med Dispensing Systems
    Care Planning & Discharge Planning
    Patient/Family Education
    Electronic Documentation
    Patient Head to Toe Examination
    Pulse Oximetry
    Use of Portable Monitors
    Cardiac Monitoring
    EKG Interpretation (Basic)
    Airway Management
    Oxygen Delivery Devices
    Care of the Patient Under Neutropenic or Bleeding Precautions
    End of Life Care
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Hickman CVL
    Broviac CVL
    Subclavian CVL
    Jugular CVL
    Groshong CVL
    PICC
    Implantable Ports/Infusaport/Mediport
    Femoral Line
    Hemodialysis Catheter
    Declotting Central Venous Lines
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Hickman CVL
    Broviac CVL
    Subclavian CVL
    Jugular CVL
    Groshong CVL
    PICC
    Implantable Ports/Infusaport/Mediport
    Hemodialysis Catheter
    Declotting
    TIPPS
    Angiography
    Cerebral Angiogram
    Spinal Angiogram
    Ultrasound or CT Guided Biopsy
    Uterine Fibroid Embolization
    Vertebroplasty
    Myelogram
    Lumbar Puncture
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Nephrostomy Tubes
    G-tube
    PEG Tube
    Y90 Peripherals
    Renals
    Coiling
    Neuro Intervention
    Neuro Angiography
    Carotid Intervention
    Carotid Angio
    Pedal Access
    Laser
    Snare
    Thrombectomy/ Thrombdysis
    Nephroureteral Stents
    Epistaxis Embolization
    Angiography
    Spinal Angiogram
    Ultrasound or CT Guided Biopsy
    Uterine Fibroid Embolization
    Vertebroplasty/ Kyphoplasty
    Myelogram
    Lumbar Puncture