Medical

Technical

Skills

Clinical

Assessment

Patient

Care

Diagnostic

Monitoring

Technology

Vital

signs

acquisition

and

interpretation

—

SpO

₂

temperature

pain

scales

Comprehensive

and

focused

physical

examination

technique

Patient

history

taking

HPI

PMH

medication

and

allergy

reconciliation

social

and

family

history

Emergency

Severity

Index

(

ESI

)

and

Manchester

triage

scoring

Fall

risk

assessment

—

Morse

Fall

Scale

Hendrich

Fall

Risk

Model

Braden

Scale

scoring

and

pressure

injury

staging

(

NPIAP

category

interpretation

Holter

and

event

monitor

setup

cardiac

stress

testing

support

1 / 5

Electronic

Health

Records

Health

Informatics

Medication

Management

Pharmacology

Epic

Hyperspace

—

ClinDoc

Cadence

Beaker

and

order

entry

workflows

Oracle

Health

Cerner

Millennium

and

MEDITECH

Expanse

Allscripts

athenahealth

and

eClinicalWorks

ambulatory

platforms

Computerized

provider

order

entry

(

CPOE

)

and

prescribing

via

Surescripts

Clinical

documentation

smart

phrases

and

structured

note

templates

messaging

and

FHIR

(

Fast

Healthcare

Interoperability

Resources

)

standards

Health

Information

Exchange

participation

—

Carequality

CommonWell

ICD

-10-

PCS

CPT

and

HCPCS

coding

;

DRG

assignment

and

CDI

query

practice

Clinical

decision

support

(

CDS

)

rules

order

sets

and

BPA

build

Registry

abstraction

and

reporting

—

STS

NSQIP

MIPS

QPP

Medication

reconciliation

across

admission

transfer

and

discharge

Dose

calculation

—

weight

based

BSA

pediatric

and

drip

rates

pump

programming

and

smart

pump

drug

library

management

High

alert

medication

handling

—

insulin

heparin

opioids

neuromuscular

blockers

Anticoagulation

monitoring

and

interpretation

—

INR

aPTT

anti

Therapeutic

drug

monitoring

—

vancomycin

AUC

gentamicin

phenytoin

levels

Chemotherapy

compounding

USP

safe

handling

and

administration

Immunization

administration

and

vaccine

cold

chain

management

Adverse

drug

reaction

recognition

and

reporting

—

MedWatch

FAERS

Controlled

substance

accountability

and

DEA

documentation

2 / 5

Clinical

Procedures

Technical

Skills

Emergency

Critical

Care

Life

Support

Venipuncture

and

peripheral

insertion

including

ultrasound

guided

access

Central

venous

catheter

PICC

and

midline

insertion

support

and

maintenance

Sterile

technique

—

surgical

hand

scrub

gowning

gloving

sterile

field

setup

Suturing

staple

placement

and

wound

closure

technique

Incision

and

drainage

superficial

abscesses

Urinary

catheterization

—

indwelling

straight

cath

—

and

bladder

scanning

Nasogastric

and

orogastric

tube

insertion

and

placement

verification

Airway

management

—

bag

valve

mask

ventilation

OPA

NPA

supraglottic

devices

Intubation

assistance

and

rapid

sequence

intubation

(

RSI

)

setup

Chest

tube

and

pleural

drain

management

thoracentesis

assistance

Lumbar

puncture

setup

and

CSF

specimen

handling

Joint

injection

and

aspiration

;

splinting

and

casting

application

Phlebotomy

order

draw

and

specimen

labeling

per

CLSI

standards

Basic

Life

Support

(

BLS

)

and

automated

external

defibrillator

(

AED

)

operation

Advanced

Cardiovascular

Life

Support

(

ACLS

)

algorithms

Pediatric

Advanced

Life

Support

(

PALS

)

and

Neonatal

Resuscitation

Program

(

NRP

)

ATLS

primary

and

secondary

trauma

survey

principles

Massive

transfusion

protocol

activation

and

blood

product

administration

Defibrillation

synchronized

cardioversion

and

transcutaneous

pacing

Rapid

Response

and

Code

Blue

team

roles

with

closed

loop

communication

Sepsis

recognition

and

Surviving

Sepsis

Campaign

bundle

execution

Crash

cart

verification

emergency

drug

dosing

and

equipment

readiness

Decontamination

procedures

and

hazardous

materials

first

response

3 / 5

Infection

Prevention

Safety

Laboratory

Specimen

Handling

Imaging

Diagnostic

Technology

Quality

Compliance

Regulatory

Standard

contact

droplet

and

airborne

precaution

implementation

Hand

hygiene

compliance

per

WHO

Five

Moments

Personal

protective

equipment

donning

and

doffing

technique

Isolation

protocols

—

MRSA

VRE

difficile

CRE

respiratory

viruses

Sterile

processing

instrument

decontamination

and

sterilization

cycles

Sharps

safety

and

post

exposure

needlestick

protocol

CLABSI

prevention

bundle

compliance

CAUTI

and

surgical

site

infection

(

SSI

)

prevention

bundles

Environmental

cleaning

and

high

touch

surface

disinfection

Waste

segregation

—

biohazard

sharps

pharmaceutical

regulated

medical

waste

Specimen

collection

labeling

and

chain

custody

documentation

Blood

typing

crossmatching

and

transfusion

reaction

workup

CBC

CMP

coagulation

panel

and

cardiac

biomarker

interpretation

Blood

culture

collection

technique

and

contamination

prevention

Microbiology

—

Gram

stain

culture

plating

antimicrobial

susceptibility

interpretation

Molecular

diagnostics

—

PCR

NAAT

and

rapid

antigen

testing

Urinalysis

and

body

fluid

analysis

—

cell

counts

crystal

identification

Quality

control

calibration

and

proficiency

testing

under

CLIA

CAP

Analytical

balance

centrifuge

micropipette

and

serial

dilution

technique

Correlation

point

care

results

with

reference

laboratory

values

Plain

radiography

positioning

and

ordering

—

chest

abdomen

extremity

with

and

without

contrast

—

indications

and

contrast

precaution

screening

MRI

safety

screening

—

implants

pacemakers

metallic

foreign

bodies

Ultrasound

—

abdominal

obstetric

vascular

and

procedural

guidance

Nuclear

medicine

studies

(

PET

bone

scan

)

and

ALARA

radiation

safety

Mammography

technique

and

RADS

reporting

categories

Fluoroscopy

and

interventional

radiology

procedural

support

Radiation

dose

monitoring

and

shielding

technique

PACS

navigation

and

radiology

interpretation

workflow

Contrast

media

administration

and

extravasation

management

HIPAA

Privacy

and

Security

Rule

application

;

minimum

necessary

standard

The

Joint

Commission

standards

and

survey

readiness

preparation

CMS

Conditions

Participation

and

accreditation

requirements

Root

cause

analysis

(

RCA

)

and

failure

mode

effects

analysis

(

FMEA

)

Plan

Study

Act

(

PDSA

)

quality

improvement

cycles

Patient

safety

event

reporting

and

harm

classification

Informed

consent

advance

directives

and

EMTALA

obligations

OSHA

bloodborne

pathogens

and

tuberculosis

exposure

control

plans

Clinical

documentation

integrity

and

provider

query

practice

Utilization

review

case

management

and

discharge

planning

criteria

4 / 5

Research

Data

Analytics

Communication

Education

Interprofessional

Practice

PRO FICIENCY

SCALE

LEVEL

DEFINITION

TYPICAL

EVIDENCE

Novice

Requires

direct

supervision

and

step

prompting

Coursework

simulation

lab

hours

observation

only

Advanced

Beginner

Performs

independently

routine

cases

;

needs

support

for

variation

Supervised

clinical

rotation

competency

check

off

Competent

Independent

safe

practice

across

common

presentations

Annual

competency

validation

certification

Proficient

Anticipates

complications

and

adapts

without

prompting

Peer

review

charge

preceptor

role

quality

data

Expert

Recognized

resource

;

teaches

standardizes

and

improves

the

practice

Protocol

authorship

publications

national

certification

IRB

submission

protocol

development

and

informed

consent

process

Good

Clinical

Practice

(

GCP

)

and

ICH

guideline

compliance

Clinical

trial

coordination

—

screening

randomization

source

documentation

Electronic

data

capture

—

REDCap

Medidata

Rave

and

similar

platforms

Statistical

analysis

SPSS

SAS

and

Excel

;

biostatistics

fundamentals

Literature

searching

—

PubMed

CINAHL

Cochrane

—

and

critical

appraisal

Evidence

based

practice

models

and

GRADE

evidence

rating

Quality

dashboarding

and

data

visualization

—

Tableau

Power

identification

and

HIPAA

compliant

data

handling

Survey

design

validated

instruments

and

psychometric

evaluation

Structured

handoff

communication

—

SBAR

PASS

TeamSTEPPS

teamwork

communication

and

mutual

support

behaviors

Motivational

interviewing

and

health

coaching

technique

Teach

back

method

and

health

literacy

–

adjusted

patient

education

Interpreter

services

coordination

and

culturally

responsive

care

Conflict

escalation

and

behavioral

emergency

response

Shared

decision

making

and

informed

consent

conversation

Precepting

clinical

teaching

and

competency

validation

Multidisciplinary

rounds

and

care

conference

facilitation

Goals

care

discussion

palliative

communication

and

bereavement

support

5 / 5

Medical Technical Skills

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