ECHO-VASCULAR TECHNICIAN SKILLS EVALUATION
ECHO-VASCULAR TECHNICIAN SKILLS EVALUATION
SELF ASSESSMENT
Personal Information
Name
*
First
Last
Title / Specialty
*
Email
*
Phone
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(###)
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Technique
Use of contrast agents
Expert
Experienced
Familiar
Never Performed
IV insertion
Expert
Experienced
Familiar
Never Performed
IV maintenance
Expert
Experienced
Familiar
Never Performed
Setup errors
Expert
Experienced
Familiar
Never Performed
Technical artifact
Expert
Experienced
Familiar
Never Performed
Other
Expert
Experienced
Familiar
Never Performed
Rating for Other
Echocardiography
M-Mode
Expert
Experienced
Familiar
Never Performed
Color flow
Expert
Experienced
Familiar
Never Performed
Rating for Other
Real time
Expert
Experienced
Familiar
Never Performed
Stress echo
Expert
Experienced
Familiar
Never Performed
Pediatric echocardiogram
Expert
Experienced
Familiar
Never Performed
Adult echocardiogram
Expert
Experienced
Familiar
Never Performed
Doppler
Expert
Experienced
Familiar
Never Performed
Dobutamine stress echocardiogram
Expert
Experienced
Familiar
Never Performed
TEE (transesophageal esopography)
Expert
Experienced
Familiar
Never Performed
Other
Expert
Experienced
Familiar
Never Performed
Rating for Other
Vascular Procedures
M-Mode
Expert
Experienced
Familiar
Never Performed
Color flow
Expert
Experienced
Familiar
Never Performed
Real time
Expert
Experienced
Familiar
Never Performed
Duplex
Expert
Experienced
Familiar
Never Performed
Flow studies
Expert
Experienced
Familiar
Never Performed
Photoplethysmography
Expert
Experienced
Familiar
Never Performed
Strain gauge and Pneumoplethysmography
Expert
Experienced
Familiar
Never Performed
Arterial peripheral upper extremity
Expert
Experienced
Familiar
Never Performed
Arterial peripheral lower extremity
Expert
Experienced
Familiar
Never Performed
Arterial peripheral stress/ pressure testing
Expert
Experienced
Familiar
Never Performed
Carotid artery
Expert
Experienced
Familiar
Never Performed
Vertebral artery
Expert
Experienced
Familiar
Never Performed
Subclavian artery
Expert
Experienced
Familiar
Never Performed
Venous peripheral upper extremity
Expert
Experienced
Familiar
Never Performed
Venous peripheral lower extremity
Expert
Experienced
Familiar
Never Performed
Other
Expert
Experienced
Familiar
Never Performed
Rating for Other
General
Quality control of equipment
Expert
Experienced
Familiar
Never Performed
Recognition of malfunctions
Expert
Experienced
Familiar
Never Performed
Transducer selection
Expert
Experienced
Familiar
Never Performed
Image annotation
Expert
Experienced
Familiar
Never Performed
Patient variables
Expert
Experienced
Familiar
Never Performed
Criteria for diagnostic quality
Expert
Experienced
Familiar
Never Performed
Criteria for diagnostic quality
Expert
Experienced
Familiar
Never Performed
Disinfection and cleaning
Expert
Experienced
Familiar
Never Performed
Other
Expert
Experienced
Familiar
Never Performed
Rating for Other
Equipment (list):
Certifications
RCS (Registered cardiac sonographer)
Expert
Experienced
Familiar
Never Performed
RVS (Registered vascular specialist)
Expert
Experienced
Familiar
Never Performed
RDCS (Registered diagnostic cardiac sonographer)
Expert
Experienced
Familiar
Never Performed
RVT (Registered vascular technician)
Expert
Experienced
Familiar
Never Performed
Age Specific
Neo-natal
Expert
Experienced
Familiar
Never Performed
Pediatrics
Expert
Experienced
Familiar
Never Performed
Adolescents
Expert
Experienced
Familiar
Never Performed
Adults
Expert
Experienced
Familiar
Never Performed
Geriatrics
Expert
Experienced
Familiar
Never Performed
