Skill Checklists
MRI Tech
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Adult Acute Care
Adult Outpatient
Pediatric Acute Care
Pediatric Outpatient
Angio Studies
Abdominal Aorta
Abdomen
Chest
Circle of Willis
Head without Contrast
Lower Extremities
Neck
Pelvis
Renal
Subclavian
Venogram Studies
Carotid/Neck
Renals
Upper Extremities
MR Studies
Head/Neck
Brain/Head w/wo Contrast
Face w/wo Contrast
Internal Auditory Canal w/wo Contrast
Mandible w/wo Contrast
Nasopharynx without Contrast
Orbits w/wo Contrast
Pituitary w/wo Contrast
Soft Tissue Neck w/wo Contrast
Sinuses w/wo Contrast
TMJ w/wo Contrast
Abdomen/Pelvis
Abdomen w/wo Contrast
Adrenals w/wo Contrast
Buttock w/wo Contrast
Cholangiogram
Pelvis w/wo Contrast
Prostate w/wo Contrast
Renal w/wo Contrast
Scrotum with Contrast
Brachial Plexus
Breast w/wo Contrast
Chest w/wo Contrast
Myocardium w/wo Contrast
Sternum w/wo Contrast
Spine
Cervical Spine w/wo Contrast
Thoracic Spine w/wo Contrast
Lumbar Spine w/wo Contrast
Sacrum w/wo Contrast
Scapula w/wo Contrast
Shoulder w/wo Contrast
Arthrogram Shoulder
Elbow w/wo Contrast
Wrist w/wo Contrast
Hand/Finger w/wo Contrast
Hip w/wo Contrast
Knee without Contrast
Ankle w/wo Contrast
Foot w/wo Contrast
Gradient Echo Imaging
Multiplanar Reconstruction/MRA
Spin Echo Images
Surface Coils
Extremity
Head
Neurovascular
Shoulder
Spine/Phase Array
Torso
T-1 Weighted Images
Phillips
Siemens
Toshiba
Hitachi
General Electric
Other:
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 to 64 years)
Geriatric Adults (65+ years)
Allscripts
Aria
Athena
Canopy
Cerner
Epic
Eclipsys
Mckesson
Meditech
Other Computerized System
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.
