Cardiac/Echocardiography Technologist Skills and Qualifications

Qualification Level: 1 No Experience 2 Minimal Experience 3 Experienced (non-expert) 4 Experienced (expert) Name: __________________________________________________________
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Date: __________________________

ULTRASOUND-ECHOCARDIOGRAPHY
Adult Echocardiography Pediatric Echocardiography Fetal Echocardiography Trauma Echocardiography Stress Echocardiography Treadmill Testing Dobutamine Pharmacologic Stress Echo Transesophageal Echocardiography (TEE) Intraoperative Echocardiography Contrast Echocardiography Myocardial Contrast Echo-Guided Procedures Plethysmography Doppler Vascular Procedures Pressure Measurements Two-Dimensional Mode Three-Dimensional Mode M-Mode Ped Off Probe Pulsed Wave Doppler Continuous Wave Doppler Color Doppler Mapping Portable Studies Invasive Procedure Guidance EKG/ECG Parasternal Long Axis View RVIT RVOT Parasternal Short Axis View 4 Chamber View 2 Chamber View Apical Long Subcostal View Subcostal Short Axis of RV Inflow and Outflow IVC Hepatic Veins Abdominal Aorta Suprasternal Notch Simpsons Rule Proximal Isovelocity Surface Area 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

6060 North Central Expressway, #460** Dallas, TX 75206**877-293-6287 (Office) **888-215-2994 (Fax) www.focus-staff.com

Cardiac/Echocardiography Technologist Skills and Qualifications

Qualification Level: 1 No Experience 2 Minimal Experience 3 Experienced (non-expert) 4 Experienced (expert) Diastolgy with TDI Continuity Equation 1 1 2 2 3 3 4 4

PEDIATRIC ECHO
Two-Dimensional Mode Three-Dimensional Mode M-Mode Ped Off Probe Pulsed Wave Doppler Continuous Wave Doppler Color Doppler Mapping Portable Studies Invasive Procedure Guidance EKG/ECG Parasternal Long Axis View RVIT RVOT Parasternal Short Axis View 4 Chamber View 2 Chamber View Inverted Apical 4 Chamber View Inverterd Apical 5 Chamber View Subcostal Long View Subcostal Long with Sweep Subcostal Short with Sweep (Bi Caval View) Subcostal Aortic Arch Subcostal Abdominal Aorta Subcostal Situs View Suprasternal Notch View- Long Suprasternal Notch View- Short Left Atrium with Pulmonary Veins with Suprasternal Notch Pulmonary Artery Branches Ductal View Arch Sidedness Scanning Complex Anomolies Scanning Post-Surgical Repairs Simpsons Rule Proximal Isovelocity Surface Area Diastology Stress Echo Continuity Equation 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

EQUIPMENT
Phillips Siemens 1 1 2 2 3 3 4 4

6060 North Central Expressway, #460** Dallas, TX 75206**877-293-6287 (Office) **888-215-2994 (Fax) www.focus-staff.com

Cardiac/Echocardiography Technologist Skills and Qualifications

Qualification Level: 1 No Experience 2 Minimal Experience 3 Experienced (non-expert) 4 Experienced (expert) Toshiba Hitachi General Electric HP_______________, _______________________ Other ______________________, ________________ 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 4 4

AGE SPECIFIC EXPERIENCE

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) 1 1 1 1 1 1 1 1 1 AB NE YEARS EXPERIENCE IN SPECIALTY (CIRCLE ONE) 1-3 AE OB 4-6 BR PE 6-10 FE VT 10+ 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4

REGISTERY
RCDS RCIS CCI ARDMS SPECIALTY (circle one)

By signing below, I attest that the information contained above is accurate to the best of my knowledge, and that I am the individual completing this form. I further authorize the Company to release this Qualification List to the Client facilities in accordance with the consideration of employment as a Healthcare Professional with those facilities. __________________________________ Print Name _________________________________________ Signature _________________ Date

6060 North Central Expressway, #460** Dallas, TX 75206**877-293-6287 (Office) **888-215-2994 (Fax) www.focus-staff.com