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The skills checklist, required by hospital hiring managers, is an important tool we use to help match you to an ideal assignment. This self-assessment form gives us an overview of your nursing experience and proficiencies so our recruiters are better able to find the positions that suit you. Select the appropriate checklist below and submit your completed form to us with one simple click. If your specialty is not listed below, or if you need additional information or assistance, please contact your local O'Grady Peyton International representative.

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Endoscopy Nursing Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Passport.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
(Country Code - Area Code - Local)
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision 2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent 4. Expert level; can teach/supervise others
 
WORK SETTINGS
1 2 3 4
 
Inpatient
 
Outpatient Endoscopy Center
 
Pediatric Endoscopy
 
Bedside/Portable Endoscopy
 
Pre/Post Procedure
 
PROCEDURES
1 2 3 4
 
Assist with EGD
 
Assist with Endoscopic Ultrasound
 
Assist with active GI bleed
 
Assist with manometry studies
 
Assist with variceal banding
 
Assist with Esophageal Dilation
 
Assist with esophageal ballooning
 
Assist with Sclerotherapy
 
Assist with TEE
 
Assist with Bronchoscopy
 
Assist with Colonoscopy
 
Assist with Polypectomy
 
Assist with ERCP’s
 
Assist with PEG placements
 
Assist with liver BX
 
Assist with collection of hot & cold BX’s
 
Assist with GI Motility and Functional testing
 
Assist with Double Balloon Enteroscopy (DBE)
 
Assist with Endoscopic stent placement
 
Assist with Endoscopic Submucosal Dissection (ESD)
 
Assist with Peroral Endoscopic Myotomy (POEM)
 
Assist with Fine needle aspiration
 
Assist with Gastric Stimulators
 
Assist with Lithotripsy
 
Assist with Capsule Endoscopy
 
Assist with Replacement of Gastrostomy Buttons/Tubes
 
Assist with Sigmoidoscopy
 
Assist with Single Balloon Enteroscopy (SBE)
 
Assist with Transoral incisionless fundoplication (TIF)
 
EQUIPMENT AND PROCESS
1 2 3 4
 
Balloon Dilators
 
Baskets/Nets
 
Biliary Stent
 
Cautery devices
 
CO2 Regulators
 
Cytology brushes
 
Decompression tubes
 
Dilators
 
Electrosurgical units
 
Forceps
 
Foreign body equipment
 
Lithotripters
 
Polyp Snares
 
Savary Dilators
 
Set up of scopes & video equipment
 
Apply external abdominal pressure to assist with scope movement
 
Pre-cleaning of instruments/scopes
 
Sterilization
 
Radiation safety
 
Labeling (medications & specimens)
 
Specimen collection and labeling
 
Anticoagulation therapy
 
Monitoring conscious sedation
 
Management of an Emergency Resuscitation situation
 
ADMINISTER CONSCIOUS SEDATION
1 2 3 4
 
Fentanyl
 
Propofol
 
Demerol
 
Precedex
 
Versed
 
MEDICATION ADMINISTRATION
1 2 3 4
 
Reversal Agents (Flumazenil, Naloxone)
 
Emergency medications (Epinephrine, Atropine)
 
Lidocaine throat spray
 
Opioid Analgesics
 
Insulin
 
EMERGENCY MANAGEMENT
1 2 3 4
 
Emergency response
 
Sedation-related complications (respiratory depression, airway obstruction)
 
Perforation recognition & response
 
Bleeding/hemorrhage management
 
Vasovagal response / hypotension
 
Anaphylaxis
 
CO2 retention concerns
 
PRE-PROCEDURE
1 2 3 4
 
IV insertion/Fluid Administration
 
Colon prep or re-prep
 
Pre Procedure Checklist and Criteria for Procedure
 
Time Out Protocols
 
Consent verification
 
POST PROCEDURE
1 2 3 4
 
Assess for air movement post colonoscopy
 
Assess for gag reflex post EGD
 
Recover conscious sedation
 
Recover monitored anesthesia care sedation
 
Pain Assessment and Management
 
Patient Teaching/Discharge Criteria
 
Managing Patient calls for Concerns
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Fall Risk Assessment/Prevention
 
National Patient Safety Goals/Core Measures
 
Phase 1 Recovery
 
Pressure Ulcer Risk Assessment/Prevention
 
Restraints/Use of Least Restrictive Device
 
Universal Protocol Procedures (Time Out)
 
Interpretation and communication of lab values
 
Dysrhythmia interpretation
 
AGE SPECIFIC/POPULATION BASED-CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age Children
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
CERTIFICATIONS * (Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
CCRN
 
Telemetry Certificate
 
Other: Specify
Endoscopy Nursing Skills Checklist, version 3

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided will result in being ineligible to work with AMN Healthcare. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.
O'Grady Peyton International staffs nursing jobs for individuals wanting to work in the United States. We staff travel nurses domestically and fill long-term nursing and allied health assignments for international providers.
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