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Hiring Interview Appointment

Personal Information

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Last

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No experience: requires education, training and supervision
Intermittent experience: may need support or supervise
Proficient: consistent experience, independent
Expert level: can teach/supervise others.

Work Settings

Ambulatory Endoscopy center

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Inpatient endoscopy

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Outpatient Endoscopy center

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Pediatric Endoscopy

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Pre/Post Procedure

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Emergency Management

Pre Procedure

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Post Procedure

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Fire Safety

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Latex Allergy

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Equipment

CO2 regulators

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Cytology brushes

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Decompression tubes

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Dilators

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Forceps

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Foreign body equipment

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Gastrostomy buttons

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Gastrostomy tubes

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Polyp snares

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Medication Administration

Benzodiazepines

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Emergency Medications

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Lidocaine Throat Spray

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Opioid Analgesics

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Propofol

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Reversal agents

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Versed

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Pre-Procedure

12 Lead EKG

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Colon prep

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Informed consent

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Patient assessment

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Starting IVs

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Post-Procedure

Airway Management

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Follow Up Phone Calls

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Recover Conscious Sedation

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4

Recover Monitored Anesthesia Care Sedation

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Procedures

Bravo / pH monitoring

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4

Bronchoscopy

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Circulate

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Colonoscopy

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4

Cricopharyngeal Myotomy

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Double Balloon Enteroscopy (DBE)

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Endoscopic Ablation

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Endoscopic Retrograde Cholgio-Pancreatography (ERCP)

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4

Endoscopic Stent Placement

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4

Endoscopic Submucosal Dissection (ESD)

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Endoscopic Ultrasound

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Esophageal dilation

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Esophageal Manometry

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Esophageal Varices and Banding

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Esophagogastroduodenoscopy (EGD)

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Hot and Cold Biopsy

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Liver Biopsy

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Percutaneous Endoscopic Gastrostomy (PEG) Insertion/Replacement

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4

Peroral Endoscopic Myotomy (POEM)

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Polypectomy

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Replacement of Gastrostomy Buttons

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Replacement of Gastrostomy Tubes

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Scrub

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4

Sigmoidoscopy

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4

Single Balloon Enteroscopy (SBE)

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4

TEE (Transesophageal Echocardiography)

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4

Transoral incisionless fundoplication (TIF)

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Professional Knowledge and Skills

Administering Conscious Sedation

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Electrosurgical Safety

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Infection Control

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Instrument Processing /Cleaning

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Interpretation and communication of lab values

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4

Monitoring Conscious Sedation

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National Patient Safety Goals/Core Measures

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Pain assessment & management

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Radiation Safety

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4

Specimen Handling/labeling

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Sterilization/Disinfection

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Telemetry Interpretation

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Universal Protocol (Time out) Procedure

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4

COMPUTERIZED CHARTING

Cerner

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EPIC

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McKesson

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Meditech

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4

Allscripts

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OASIS

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MIDAS

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Other :

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If other, Please specify :

Age specific competency

Neonate

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Infant

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Child

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Adolescent

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Young Adult

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Middle Adult

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Older Adult

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4

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