Breadcrumb Home Other Checklists Nuclear Medicine Technologist Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Procedures Arteriogram/Radionuclide * Abscess Localization Whole Body * Abscess Localization Individual Sites * CCK/Ejection Fraction * Cisternogram * CSF Leak Localization * Gallium Scan * Gastric Emptying * GI Bleed * HIDA Scan * Indium 111 WBC Scan Whole Body * Indium 111 WBC Scan Limited * Injection-Lymphatic * Lymphatic Scan-Melanoma * Meckels Scan * Morphine Augmentation * MUGA Scan * Radiopharmaceutical Prep * Radionuclide Arteriogram * Renagram * Parathyroid * Salivary Glands * Ventricular Shunt * Zevalin Treatment * Hyperthyroid Treatment * I 131 Therapy Thyroid Ablation * Therapy Pain * Bone Scan Whole Body * 3 Phase * Limited * Brain Scan Cerebral Blood Flow * Liver/Spleen Scan Liver/Spleen Scan * Liver Scan-Hemangioma * Liver Imaging * Liver Flow * Lung Scan DTPA Aerosol * Perfusion * Ventilation/Perfusion * Renal Flow With Lasix * Flow/Function * Three Phase * Captopril * Shunt Abdominal * Ventricular * Thyroid Studies Cancer Survey * Uptake Scan * I 123 Scan * Tumor Localization Whole Body * Limited * NM SPECT Bone * Brain * Liver * Liver SPECT w/Flow * Renal * Myocardial Infarction * Exercise/Rest-Single * Exercise/Rest-Multiple * Pharmacological Stress * Thallium/Persantine * Professional Knowledge and Skills Quality Control Equipment * Daily Surveys/Wipe Testing * Hot Lab Management Dose Calibrators * Hot Lab Management Generators * Computerized Charting * National Patient Safety Goals * Universal Protocol Procedures/Core Measures * Isolation Precautions * Infection Prevention * Age Specific/Population-Based Care * Fall Risk Assessment/Prevention * Age Specific Under 12 Years Old * Adolescents (12 to 18 years) * Young Adults (18 to 39 years) * Middle Adults (40 to 64 years) * Older Adults (65 & up) *