Name*
First
Last
Age Specific Care
Proficiency Rating
Frequency Rating
Newborn/Neonate (birth - 30 days) *
Newborn/Neonate (birth - 30 days) proficiency* Newborn/Neonate (birth - 30 days) frequency* Infant (30 days - 1 year) *
Infant (30 days - 1 year) proficiency* Infant (30 days - 1 year) frequency* Toddler (1 - 3 years) *
Toddler (1 - 3 years) proficiency* Toddler (1 - 3 years) frequency* Preschooler (3 - 5 years) *
Preschooler (3 - 5 years) proficiency* Preschooler (3 - 5 years) frequency* School Age Child (5 - 12 years) *
School Age Child (5 - 12 years) proficiency* School Age Child (5 - 12 years) frequency* Adolescents (12 - 18 years) *
Adolescents (12 - 18 years) proficiency* Adolescents (12 - 18 years) frequency* Young Adults (18 - 39 years) *
Young Adults (18 - 39 years) proficiency* Young Adults (18 - 39 years) frequency* Middle Adults (39 - 64 years) *
Middle Adults (39 - 64 years) proficiency* Middle Adults (39 - 64 years) frequency* Older Adults (64+ years) *
Older Adults (64+ years) proficiency* Older Adults (64+ years) frequency* Elderly Adults (over 79+ years) *
Elderly Adults (over 79+ years) proficiency* Elderly Adults (over 79+ years) frequency*
GENERAL SKILLS
Proficiency Rating
Frequency Rating
Assessments, Family History, and Risk Factors *
Assessments, Family History, and Risk Factors proficiency* Assessments, Family History, and Risk Factors frequency* Start and Maintain Peripheral IV *
Start and Maintain Peripheral IV proficiency* Start and Maintain Peripheral IV frequency* Complete Pre-Procedure Checklist *
Complete Pre-Procedure Checklist proficiency* Complete Pre-Procedure Checklist frequency* Consent Forms / Permits *
Consent Forms / Permits proficiency* Consent Forms / Permits frequency* Discharge Instructions *
Discharge Instructions proficiency* Discharge Instructions frequency* Interpretation of Lab Values *
Interpretation of Lab Values proficiency* Interpretation of Lab Values frequency* Set-Up of Scope & Video Equipment *
Set-Up of Scope & Video Equipment proficiency* Set-Up of Scope & Video Equipment frequency* Cleaning of Scopes *
Cleaning of Scopes proficiency* Cleaning of Scopes frequency* Transport Pre-Procedure Patient to Lab *
Transport Pre-Procedure Patient to Lab proficiency* Transport Pre-Procedure Patient to Lab frequency* Provide Care for the Post - Procedure Patient *
Provide Care for the Post - Procedure Patient proficiency* Provide Care for the Post - Procedure Patient frequency* Transport Post - Procedure Patient to Unit *
Transport Post - Procedure Patient to Unit proficiency* Transport Post - Procedure Patient to Unit frequency* National Patient Safety Goals *
National Patient Safety Goals proficiency* National Patient Safety Goals frequency* Automated Med Dispensing Systems *
Automated Med Dispensing Systems proficiency* Automated Med Dispensing Systems frequency* Automated Med Dispensing Systems *
Automated Med Dispensing Systems proficiency* Automated Med Dispensing Systems frequency* Automated Med Dispensing Systems *
Automated Med Dispensing Systems proficiency* Automated Med Dispensing Systems frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency*
Procedures
Proficiency Rating
Frequency Rating
EGDs *
EGDs proficiency* EGDs frequency* Active GI Bleed *
Active GI Bleed proficiency* Active GI Bleed frequency* Bronchoscopy *
Bronchoscopy proficiency* Bronchoscopy frequency* Cautery Devices *
Cautery Devices proficiency* Cautery Devices frequency* Collection of Hot & Cold Biopsies *
Collection of Hot & Cold Biopsies proficiency* Collection of Hot & Cold Biopsies frequency* Colonoscopy *
Colonoscopy proficiency* Colonoscopy frequency* Endoscopic Ultrasound *
Endoscopic Ultrasound proficiency* Endoscopic Ultrasound frequency* ERCP *
ERCP proficiency* ERCP frequency* Esophageal Dilations *
Esophageal Dilations proficiency* Esophageal Dilations frequency* Manometry Studies *
Manometry Studies proficiency* Manometry Studies frequency* PEG Placement *
PEG Placement proficiency* PEG Placement frequency* Polypectomy *
Polypectomy proficiency* Polypectomy frequency* Sclerotherapy *
Sclerotherapy proficiency* Sclerotherapy frequency* Specimen Collection and Labeling *
Specimen Collection and Labeling proficiency* Specimen Collection and Labeling frequency* TEE *
TEE proficiency* TEE frequency* Variceal Banding *
Variceal Banding proficiency* Variceal Banding frequency*
Cardiovascular
Proficiency Rating
Frequency Rating
Assess heart Sounds and Peripheral Pulses *
Assess heart Sounds and Peripheral Pulses proficiency* Assess heart Sounds and Peripheral Pulses frequency* EKG Interpretation and Monitoring *
EKG Interpretation and Monitoring proficiency* EKG Interpretation and Monitoring frequency* Non-invasive Cardiac Monitoring *
Non-invasive Cardiac Monitoring proficiency* Non-invasive Cardiac Monitoring frequency* Participate as a Team Member in Resuscitation *
Participate as a Team Member in Resuscitation proficiency* Participate as a Team Member in Resuscitation frequency* Perform Defibrillation *
Perform Defibrillation proficiency* Perform Defibrillation frequency* Recognize and Interpret Arrhythmias *
Recognize and Interpret Arrhythmias proficiency* Recognize and Interpret Arrhythmias frequency*
Pulmonary
Proficiency Rating
Frequency Rating
ABGs Interpretation of Values *
ABGs Interpretation of Values proficiency* ABGs Interpretation of Values frequency* Airway Management *
Airway Management proficiency* Airway Management frequency* Assess Lung Sounds *
Assess Lung Sounds proficiency* Assess Lung Sounds frequency* Assist with Intubation *
Assist with Intubation proficiency* Assist with Intubation frequency* Care of Patient with Mechanical Ventilation *
Care of Patient with Mechanical Ventilation proficiency* Care of Patient with Mechanical Ventilation frequency* Pulse Oximetry *
Pulse Oximetry proficiency* Pulse Oximetry frequency* Set Up Oxygen *
Set Up Oxygen proficiency* Set Up Oxygen frequency* Use of Ambu Bag *
Use of Ambu Bag proficiency* Use of Ambu Bag frequency*
Neurological
Proficiency Rating
Frequency Rating
Identify Changes in Level of Consciousness *
Identify Changes in Level of Consciousness proficiency* Identify Changes in Level of Consciousness frequency* Assess Sensory, Motor, Speech *
Assess Sensory, Motor, Speech proficiency* Assess Sensory, Motor, Speech frequency* Assess Reflexes - Babinski, Gag *
Assess Reflexes - Babinski, Gag proficiency* Assess Reflexes - Babinski, Gag frequency*
Medications
Proficiency Rating
Frequency Rating
Calculate mcg / min and mcg / kg / min *
Calculate mcg / min and mcg / kg / min proficiency* Calculate mcg / min and mcg / kg / min frequency* Monitor Conscious Sedation *
Monitor Conscious Sedation proficiency* Monitor Conscious Sedation frequency* Use of Sedation Reversal Agents *
Use of Sedation Reversal Agents proficiency* Use of Sedation Reversal Agents frequency* Use of IV Infusion Pumps *
Use of IV Infusion Pumps proficiency* Use of IV Infusion Pumps frequency* Antibiotics *
Antibiotics proficiency* Antibiotics frequency* Benzodiazepines - Valium, Versed, Ativan *
Benzodiazepines - Valium, Versed, Ativan proficiency* Benzodiazepines - Valium, Versed, Ativan frequency* Insulin *
Insulin proficiency* Insulin frequency* Narcan *
Narcan proficiency* Narcan frequency* Narcotics - Morphine, Fentanyl *
Narcotics - Morphine, Fentanyl proficiency* Narcotics - Morphine, Fentanyl frequency* Neuromuscular Blocking Agents - Pavulon, Norcuron *
Neuromuscular Blocking Agents - Pavulon, Norcuron proficiency* Neuromuscular Blocking Agents - Pavulon, Norcuron frequency* Propofol - Diprivan *
Propofol - Diprivan proficiency* Propofol - Diprivan frequency* Romazicon - Flumazenil *
Romazicon - Flumazenil proficiency* Romazicon - Flumazenil frequency* Thrombolytics *
Thrombolytics proficiency* Thrombolytics frequency* Certify your information* I certify that I have provided true and accurate information about my skills and experience to the best of my ability
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