Skill Registry

Use when a task needs the judgment of a Nuclear Medicine Technologist — verifying and administering a radiopharmaceutical dose, running gamma camera/PET or dose-calibrator quality control, deciding whether a radioactive-iodine therapy patient can be released under NRC criteria, troubleshooting an extravasated injection or a photopenic/artifactual image, or working out patient-prep and radiation-safety instructions for a scan or therapy.

Use when a task needs the judgment of a Nuclear Monitoring Technician — converting a raw survey meter count into a dpm/100cm2 or dose-rate result against an action level, deciding whether a "not detected" reading actually clears an item given the instrument's MDA, calculating stay time from an actual dose-rate survey map rather than an RWP estimate, or judging whether a CAM alarm needs an independent grab-sample count before it's dismissed.

Use when a task needs the judgment of a Nuclear Technician — planning a radiation work permit's stay-time and dose budget, telling a contamination problem apart from an exposure-rate problem, responding to a frisker or air-sample alarm, deciding whether a posted survey is still valid before letting someone enter, or reading dosimetry/bioassay results against ALARA administrative levels.

Use when a task needs the judgment of a Certified Registered Nurse Anesthetist (CRNA) — planning an anesthetic technique for a specific patient and procedure, working a difficult-airway or intraoperative crisis (malignant hyperthermia, local anesthetic systemic toxicity, high spinal), risk-stratifying a preoperative patient (ASA-PS, STOP-BANG, Apfel), or making an emergence/PACU-disposition call. US anesthesia practice default. A reasoning aid, not medical advice.

Use when a task needs the judgment of a Multiple Machine Tool Setter, Operator, or Tender — sequencing attention across several simultaneously running machines by actual need rather than fixed rotation, triaging which machine to address first when multiple signal at once, scheduling a setup/changeover to minimize exposure on the other machines being tended, or recalculating a visiting pattern after a workload change.

Use when a task needs the judgment of a certified nurse-midwife — triaging whether labor progress is normal variation or a genuine arrest disorder, deciding when a low-risk pregnancy or birth crosses into a consult/transfer situation, working a shared-decision-making conversation on induction or GBS prophylaxis, or writing a labor/postpartum note that documents the reasoning behind a management decision.

Use when a task needs the judgment of a nurse practitioner — working a differential diagnosis from a presenting complaint, deciding whether a finding is manageable within NP scope or needs physician/specialist referral, applying a clinical decision rule to justify or skip a test, or writing a visit note's assessment-and-plan under a specific state's practice-authority model.

Use when a task needs the judgment of a museum conservator — writing a condition report or treatment proposal, deciding whether damage warrants intervention, setting environmental (RH/temperature/light) parameters for a gallery or storage area, responding to a pest sighting or mold outbreak, or triaging a loan-incoming or disaster-recovery condition check.

Use when a task needs the judgment of a Certified Nursing Assistant (CNA) — taking and reporting vital signs, assisting with ADLs (bathing, toileting, transfers, feeding), observing and reporting a fall risk or skin-integrity change, or deciding whether something observed needs to go to the nurse now versus at the next scheduled check-in.

Use when a task needs the judgment of a Nursing Professor (Postsecondary) — building a clinical-judgment-aligned test blueprint, root-causing an NCLEX-RN pass-rate decline before a Board of Nursing review, resolving a high-stakes exit-exam progression dispute, writing a corrective action plan for a CCNE or ACEN accreditation cycle, or deciding whether a clinical group's staffing violates the state ratio cap.

Use when a task needs the judgment of an OB-GYN — triaging an obstetric complaint by gestational age and urgency, deciding whether a gynecologic finding (adnexal mass, abnormal bleeding, abnormal cytology) stays in general practice or needs subspecialist referral, working a shared-decision conversation on induction, cesarean, or hysterectomy, or writing the operative/delivery note that documents the reasoning behind a management decision.

Use when a task needs the judgment of an occupational health and safety specialist — running a workplace hazard assessment, investigating a recordable incident's root cause, interpreting industrial-hygiene sampling data (noise, chemical exposure) against OSHA limits, designing a hierarchy-of-controls fix, or building an OSHA 300-log-driven safety program review. Distinct from a security-management-specialist (human/physical-threat protection) — this role owns exposure, hazard, and injury risk from the work itself, not from bad actors.

Use when a task needs the judgment of an occupational health and safety technician — calibrating and deploying air/noise sampling equipment, running a quantitative or qualitative respirator fit test, calculating an exposure result from raw pump/lab data and validating it against QC criteria, building a defensible chain-of-custody package, or deciding whether a field data point is usable or must be voided and redone. Distinct from an occupational-health-safety-specialist (19-5011.00), who designs the sampling strategy and the control program; this role executes the sampling plan and owns whether the resulting data would survive an audit.

Use when a task needs the judgment of an occupational therapist — assessing activities-of-daily-living (ADL) independence after injury or illness, recommending adaptive equipment or home modifications, selecting a cognitive-rehabilitation approach after a neurologic event, or building a return-to-work/return-to-independent-living functional-capacity case.

Use when a task needs the judgment of an occupational therapy aide — deciding whether a request falls inside your delegated task list or needs escalation to the supervising OT/OTA, prepping a treatment room or transporting/transferring a patient safely within scope, writing an objective aide note versus a clinical progress note, or handling shared-equipment cleaning and supply turnover between patients.

Use when a task needs the judgment of an occupational therapy assistant (COTA) — running a treatment session against an OT's established plan, documenting session progress toward the OT's goals, deciding whether a change in a patient's presentation can be handled within the existing plan or requires flagging the supervising OT for reassessment, or adapting a therapeutic activity to a patient's day-to-day tolerance within the plan's parameters.

Use when a task needs the judgment of a general office clerk — triaging which of several competing clerical tasks to finish today, covering for an absent specialist without dropping their queue, deciding what to defer and what to hand off at shift-end, or setting up a small office's task-priority system from scratch.

Use when a task needs the judgment of an office machine operator — running a high-volume copy/print job, triaging a jam or malfunction against calling for service, reconciling a postage meter after a mailing run, or scheduling paper stock and setup time across a day's queue of jobs.

Use when a task needs the judgment of an Online Merchant/e-commerce operator — calculating a SKU's true net contribution margin after payment fees, shipping, and expected returns, comparing customer acquisition cost against channel-specific lifetime value, deciding between a marketplace and owned-store channel for a product, monitoring chargeback ratio against card-network thresholds, or setting inventory reorder points that weigh stockout against overstock cost.

Use when a task needs the judgment of an Operating Engineer — re-checking a crane's load chart before a pick when the working radius will change mid-lift, deciding whether a utility locate mark requires hand-digging before mechanized excavation, verifying excavation grade against a laser/GPS benchmark, setting up a swing-radius exclusion zone and signal-person protocol near ground crews, or judging on-outriggers vs on-rubber lift capacity for a pick.

Use when a task needs the judgment of an Operations Research Analyst — formulating a linear or mixed-integer optimization model for allocation/scheduling/blending, sizing safety stock or staffing under a target service level, deciding whether to re-optimize a disrupted schedule from scratch or patch it by hand under time pressure, diagnosing why a solver is slow or returns a spuriously-feasible answer, or translating a model's output into a recommendation a non-technical sponsor will act on.

Use when a task needs the judgment of an Ophthalmic Laboratory Technician — checking a ground lens's axis tolerance against its actual cylinder power on a lensometer, diagnosing missing or induced prism at the optical center, deciding whether a lens must be regrounded before edging, or selecting base curve by the prescription's power range rather than a default.

Use when a task needs the judgment of an Optometrist (OD) — determining a refractive correction, evaluating intraocular pressure and optic-nerve findings for glaucoma risk, triaging a red or symptomatic eye for urgent referral, fitting contact lens parameters including vertex-distance power conversion, or deciding whether a finding needs ophthalmology referral versus in-office management.

Use when a task needs the judgment of an Oral and Maxillofacial Surgeon — scoring extraction/impaction difficulty, evaluating nerve-injury risk from a panoramic radiograph, selecting an anesthesia/sedation level for office-based surgery, planning orthognathic (jaw-repositioning) surgery, or managing a post-surgical complication like dry socket or persistent numbness.