This skills checklist is for you to provide a personal inventory of your experience in specific clinical areas. This document will not be a factor in determining or accepting your application for employment with Upsource Medical.

*Required fields

  • Accepted file types: pdf.
    Please submit your BLS, ACLS, ARRT, RCIS, etc.
  • Self Evaluation Check List

    This evaluation is for assessing your skills and extent of knowledge in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Upsource Medical.
  • Circulating Role

  • Recording Position

  • Scrub Position

  • Imaging Equipment - Cath Lab/EP

  • Recording Equipment - Hemodynamic Monitoring

  • Age Experience

    Age-Appropriate Care: Ability to adapt care to incorporate normal growth and development, adapt method and terminology of client instructions as it relates to the age and comprehension level of the client, and to ensure a safe environment - reflecting specific needs of the client and various age groups.
  • Acceptance

  • Date Format: MM slash DD slash YYYY