Biomedical Technician Competency Validation Checklist
This form is to be jointly completed to assess the technical competency of our employees and identify opportunities for improvement. This form
is not an employee evaluation, but will be used as input during the evaluation process.
NAME:
JOB TITLE:
New / or Semi Annual Date:
Annual / Date:
LE ND:
A.
B.
C.
D.
E.
F.
G.
Review Policy
Direct Observation
Video Review/Testing
Skills Lab/Proficiency Testing
Written Exam
Service School
Other (Specify)
Initials
Date
How
Met
Emp
Facility
Customer
Evaluator
CBET Certified / Expiration Date:
CRES Certified / Expiration Date:
CLES Certified / Expiration Date:
STANDARDS:
LEVELS OF PERFORMANCE:
Demonstrates Proficiency in Performing
Technical Procedures Safely in
Accordance with Department Standards
as Evidenced by Unit-Specific Criteria.
N/A
0
1
2
3
Not Applicable
Needs Assistance - Little or no experience
Minimal Assistance - Some experience
Perform Independent -Competent/Experienced
Resource/Instructor - CompetentAble to teach
STANDARD
This section is to be completed with the customer’s input.
Level of
Performance
Self
Customer
Eval
Evaluator
Environment of Care - Demonstrates knowledge of:
1. Safety – Department specific and hospitalwide safety risks
2. Security – Processes for minimizing security risks
3. Haz Mat/Waste – Emergency procedures for spill/MSDS
4. Emergency Preparedness – Role during emergency drills
5. Life Safety – Role in fire drills/response to fire
6. Med Equipment – Safe operation of equipment (see specific list)
7. Utility systems – Emergency procedures for utility failures
Infection Control
1. Hospital wide approach to Performance Improvement
2. Location/use of personal protective equipment
Performance Improvement - Demonstrates Knowledge of:
1. Hospitalwide approach to Performance Improvement
2. How Biomed assists/participates in hospitalwide PI program
Patient Rights - Demonstrates Knowledge of:
1. Patient rights and responsibilities
2. Confidentiality Policy
3. Ethical Issue Resolution Policy
4. Organizational Ethics Policy
Date
How
Met
Emp
BIOMED
Evaluator
BIOMED CORE COMPETENCIES
Use of Biomedical Test Equipment
1. Safety Analyzer
2. Patient Simulator
3. Defibrillator Analyzer
4. Electrosurgical Unit Analyzer
5. Blood Pressure Analyzer
6. Infusion Pump Analyzer
7. Anesthetic Gas Analyzer
8. Respiratory/Ventilator Function Analyzer
9. MultiMeter
10. Digital Pressure Meter
11. Digital Thermometer
12. Analog/Storage Oscilloscope
13. Power Supply
14. Frequency Counter/generator
15. Function generator
16. RF Meter
17. Maintain annual test equipment calibration and records
18. Spectrum analyzer
1
Self
Eval
BIOMED
Evaluator
Date
How
Met
Emp
BIOMED CORE COMPETENCIES
BIOMED
Evaluator
Self
Eval
BIOMED
Evaluator
Environmental Health & Safety Program
1. Bloodborne Pathogens
2. Hazard Communications
3. Energy Control
4. Injury/Illness Reporting
5. Emergency Contingency Plan
6. Ergonomics/Back Safety
Use of Computer Based Equipment Maintenance Program
1. Inventory – Addition, Deletion, Modification
2. Schedule Planned Maintenance
3. Review of Equipment History
4. Search Functions
5. Open/Close Demand Work order
6. Close PM work order
7. Knowledge of Activity and Failure codes for tracking/trending
8. Producing reports
Equipment Management Report to Safety Committee
1. Standard Safety Committee Report
2. Liaison Report
3. Department “Could Not Locate” equipment report
Date
How
Met
Emp
BIOMED
Evaluator
OPERATION AND PREVENTATIVE MAINTENANCE
Alternating Pressure Pads
Anesthesia Units (Specify Model), Vaporizers
Apnea Monitor
Intra aortic Balloon Pump (Specify Model)
Bilirubinometer/Bili Lights
NIBP Units/Modules
Invasive Blood Pressure Units/Modules (arterial, left ventricle, CVP)
Blood Pump (Specify Model)
Cardiac Output Computer (CO module)
Centrifuge
Carbon Dioxide Module (CO2)
Defibrillator
Dialysis Equipment
ECG Equipment
EEG Equipment
Electrosurgical Unit
Fetal Monitors
Fiberoptic Light Sources
Holter Monitor System (Long Term ECG Recorders)
Hypo/Hyperthermia units
Infant Incubators/Isolette
Infant Warmers
Infusion Pumps
Laboratory Equipment (Specify Model)
Lasers, Optical
Lasers, Surgical
PCA Pumps
Pulse Oximeters (SpO2)
Physiologic Monitoring Systems (hardwired with central, War Rooms)
Physical Therapy Ultrasound
Physical Therapy Muscle Stimulators
2
Self
Eval
BIOMED
Evaluator
IT networks, SAN’s Cloud computing,
Distributed Antenna systems
Integration to EMR’s/DataCaptor or other middleware
Diagnostic Imaging equipment: (expand for DI service BMET’s)
1.
X-ray, R&F, portables, digital imaging
2.
CT
3.
Ultrasound
4.
MR
5.
Mammography
6.
Nuclear Medicine, PET, Molecular
7.
PAC’s
8.
CVIS
9.
Cath Lab
10. Radiation Oncology
Sterilizers
Surgical Microscope
Surgical Operating Tables
Surgical Video Camera
Traction Unit
Telemetry Systems
Ventilators (Specify Model)
Other (Please Specify)
Date:
List educational achievements since last revision:
Date:
Evaluator’s comments:
3
Date:
Employee comments:
Date:
Employee signature:
Date:
Evaluator’s signature:
4