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<p>This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.</p>

<ul class="key">

    <li>0 = Not Applicable</li>

    <li>1 = No Experience</li>

    <li>2 = Some Experience</li>

    <li>3 = Intermittent Experience</li>

    <li>4 = Experienced</li>

    <li>5 = Very Experienced</li>
    
</ul>

<p class="required-fields">*Required fields</p>

<div class="checklist-header">
        <table>
            <tr>
               <th>AGE OF PATIENTS CARED FOR </th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>GENERAL SKILLS</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>CARDIOVASCULAR GENERAL SKILLS</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Invasive Hemodynamic Monitoring:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Cardiovascular- Care of the Child with: </th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Medications Knowledge and Use of </th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>RESPIRATORY GENERAL SKILLS</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Obtaining Blood Gases:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Airway Management:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Suctioning:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Chest Tube (Assist With):</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>O2 Therapy:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Ventilators:</th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

<div class="checklist-header">
        <table>
            <tr>
               <th>Respiratory- Care of Child with: </th>
               <th class="cell">0</th>
               <th class="cell">1</th>
               <th class="cell">2</th>
               <th class="cell">3</th>
               <th class="cell">4</th>
               <th class="cell">5</th>
            </tr>
        </table>
</div>

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QA Testing

Skills Checklist - Pediatric Intensive Care

Anesthesia Technician

Dietitian

EEG Technician

EKG Technician 

Perfusionist

Polysomnographer/Sleep Tech

RRT/CRT

Director of Cardiac Cath Lab

Manager of Cardiac Cath Lab

Cath Lab RN

Cath Lab Tech

Director of Electrophysiology EP Lab

Manager of Electrophysiology EP Lab

EP RN

EP Tech

Director of Interventional Radiology IR Lab

Manager of Interventional Radiology IR Lab

IR RN

IR Tech

Cytotechnologist

HT/HTL

Lab Assistant

Laboratory Director

Laboratory Manager

MT/MLT

Pathologist Assistant

Phlebotomy General

LTC RN

LTC Director of Nursing

MDS Coordinator

Medication Aid

Home Health RN

Hospice RN

Home Health LPN

Hospice LPN

Ambulatory RN

Postpartum RN

Behavioral Health RN

Case Management

Certified Surgical First Assistant

CVOR RN 

CVOR Tech

Dialysis RN

Dialysis Tech

Director of Nursing

Endoscopy RN

Endoscopy Tech

ER RN

House Supervisor

Infection Prevention RN

Intensive Care RN

Infusion RN 

Labor and Delivery RN

LTAC RN

Medical Surgical/ Telemetry

Neonatal Intensive Care

Nurse Manager

OB Tech

Oncology

OR RN

PACU

Pediatric Emergency Room

Pediatric Intensive Care

Pediatric RN

Rehab RN

Sterile Processing Technologist

Surgical Tech

Tele, PCU, Stepdown RN

Transplant Coordinator RN

Director of Radiology

Radiology Manager

Diagnostic Radiology RN

Dosimetrist

Mammography Technologist

Nuclear Medicine Technologist

Medical Physicist

Radiation Therapist

Ultrasound

X-Ray Tech

OT/COTA

Fusion Medical

We have the Skills Checklist here that you need for your specific Specialty! After you've filled out a Quick or Full Application, feel free to take that next step right away and fill out your specific skills checklist.

Skills Checklist - Fusion Medical

We have the Skills Checklist here that you need for your specific Specialty! After you&#039;ve filled out a Quick or Full Application, feel free to take that next step right away and fill out your specific skills checklist.

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Pediatric Intensive Care - Fusion Medical

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PEDIATRIC INTENSIVE CARE