Sonographer Competency Checklist Form
Use this checklist to evaluate sonographer competency in key imaging and patient-care areas.
Sonographer Full Name
*
First Name
Last Name
Role
*
Please Select
Staff Sonographer
Lead Sonographer
Trainee/Student
Other
Competency Area Being Assessed
*
Please Select
Abdominal Ultrasound
Obstetric/Gynecologic Ultrasound
Vascular Ultrasound
Cardiac Ultrasound
Other
Years of Experience in Sonography
*
Recent Relevant Training Attended
Imaging Technique Competency
*
Rows
Not Competent
Needs Improvement
Competent
Exceeds Expectations
Image Acquisition
1
2
3
4
Image Optimization
5
6
7
8
Equipment Operation
9
10
11
12
Adherence to Protocols
13
14
15
16
Patient Care Competency
*
Rows
Not Competent
Needs Improvement
Competent
Exceeds Expectations
Patient Identification & Safety
17
18
19
20
Patient Communication
21
22
23
24
Patient Comfort & Positioning
25
26
27
28
Professionalism & Teamwork
*
1
2
3
4
5
Adherence to Infection Control Procedures
*
1
2
3
4
5
Additional Comments or Observations
Submit Assessment
Should be Empty: