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Radiology Technician Skills Checklist - Primary

 

My responses in this checklist represent a true reflection of my experience and comfort level.

 

Please self-rate your comfort level in performing tasks in connection with the below checklist.  Rate your level of comfort for each line item by following the below ranking system.  Simply fill in the appropriate option immediately following the rating number.

 

Typed Name (Typing your name below serves as an electronic signature) *      Date*

                                                           

 

Phone*

               

 

Recruiter

 

Level of Comfort/Experience

N/A=Non-applicable

1=Inexperienced in this area

2=Limited comfort/experience in this area

3=Comfortable/experienced in this area

4=Very comfortable/highly experienced in this area

 

Area

Not applicable

Inexperienced

Limited

Experienced

Highly Experienced

GENERAL DIAGNOSTIC

Abdomen

N/A  

1

2

3

4

Abdominal arteriogram

N/A  

1

2

3

4

Air contrast barium enema

N/A  

1

2

3

4

Angioplasty

N/A  

1

2

3

4

Arch arteriogram

N/A  

1

2

3

4

Barium enema

N/A  

1

2

3

4

Barium swallow

N/A  

1

2

3

4

Bone Density

N/A  

1

2

3

4

Brachial arteriogram

N/A  

1

2

3

4

Bronchogram

N/A  

1

2

3

4

C- Arm fluoroscope

N/A  

1

2

3

4

Carotid arteriogram

N/A  

1

2

3

4

Cervical spine

N/A  

1

2

3

4

ERCP

N/A  

1

2

3

4

Esophogram

N/A  

1

2

3

4

Extremities

N/A  

1

2

3

4

Facial series

N/A  

1

2

3

4

Femoral arteriogram

N/A  

1

2

3

4

Foreign Body Localization

N/A  

1

2

3

4

Gallbladder

N/A  

1

2

3

4

GI Series

N/A  

1

2

3

4

Hip series

N/A  

1

2

3

4

Lumbar spine

N/A  

1

2

3

4

Mastoids

N/A  

1

2

3

4

Mammogram

N/A  

1

2

3

4

Mesenteric arteriogram

N/A  

1

2

3

4

Myelogram

N/A  

1

2

3

4

Pulmonary arteriogram

N/A  

1

2

3

4

Peripheral dexascans

N/A  

1

2

3

4

Pulmonary Arteriogram

N/A  

1

2

3

4

Renal arteriogram

N/A  

1

2

3

4

Renal Cyst Puncture

N/A  

1

2

3

4

Salpingogram

N/A  

1

2

3

4

Skull series

N/A  

1

2

3

4

Small bowel series

N/A  

1

2

3

4

Surgery Experience

N/A  

1

2

3

4

Thoracic spines

N/A  

1

2

3

4

Tomogram

N/A  

1

2

3

4

Transhepatic Cholangiogram

N/A  

1

2

3

4

 

RADIATION THERAPY

Cobalt 60 Therapy

N/A  

1

2

3

4

Dosimetry

N/A  

1

2

3

4

Linear Accelerator

N/A  

1