Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
RADIATION THERAPY: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Skin Assessment |
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Total Body Irradiation |
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Side Effect Management |
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External Radiotherapy |
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Brachytherapy |
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Radiation Safety Precautions |
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Intraoperative Radiation |
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ONCOLOGY PATIENT CARE: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Renal Failure |
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Fever |
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Pneumonia |
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Cqrdiac Arrhymias |
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Hypercalcemia |
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Hyperkalemia |
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Pancreatitis |
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Pulmonary Embolism |
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Bowel Obstruction |
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Diabetes |
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Pneumothorax |
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Stress Fractures |
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RespiratoryDistress |
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Spinal Cord Compression |
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GI Bleed |
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Pleural Effusion |
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Infection |
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Hypokalemia |
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DIC |
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Atlelectasis |
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Lymphedema |
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VASCULAR DEVICES: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Flush Catheter |
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Punctured Catheter |
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Chemo Port |
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Omega-Port |
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S.E.A. Port |
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Port-A-Cath |
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Opti-Port |
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PICC Lines |
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Obtain Blood Specimens |
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Line Insertion Assistance |
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De-Clotting Ports |
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Groshong Catheters |
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Catheter Port |
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Site Care |
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Broviac Catheters |
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Patient/Teaching |
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Hickan Catheters |
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CARE OF PATIENTS WITH: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Foley Catheter Irrigations |
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CVP Line Insertion |
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Jejunostomy Tubes |
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Wound Care |
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Colostomy Care |
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TURP |
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Reverse Isolation |
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Liver Biopsy |
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Platelet Precautions |
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Accucheck |
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NG Tube Insertion |
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Suprapubic Catheter |
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Ileostomy |
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Thoracentesis |
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Isolation |
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Foley Catheter Irrigations |
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Bone Marrow Biopsy |
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Enterostomal Care |
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Chest Tube Care |
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Paracentesis |
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Gastrostomy Tube |
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Narcotic Infusion |
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Hemodialysis |
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Nephrostomy Tube |
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Pain Management |
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Pulse Oximetry |
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Fistulas/Shunts |
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Seizure Precautions |
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Peritoneal Dialysis |
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Nasotracheal Suctioning |
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PCA Pumps |
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CARDIOVASCULAR: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Hyperalimentation |
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Peripheral Blood Stem Cells |
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Packed RBC’s |
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IV Fluid Hydration |
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Venoclusive Disease |
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Fresh Frozen Plasma |
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Infections |
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Pneumonitis |
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Graft Rejection |
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Platelets |
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WBC/Lukocytes |
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Blood /Byproducts |
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Antivirals |
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Donor Education |
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Allogeneic BMT |
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Antibiotics |
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GVHD Graft |
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Autologous BMT |
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Antifungals |
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Implantable Infusion Pumps |
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Medtronic |
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Infusaid |
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Ambulatory Infusion Pumps |
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Synchormed |
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Cormed |
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Pharmacia |
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Auto Syringe |
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Pancretec |
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Patency Maintenance |
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Patient Teaching |
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PSYCHO & SOCIAL CARE: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Palliative Care |
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Hospice Care |
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Family Support |
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Counseling/Death/Dying |
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Identifying Support Groups |
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Advance Directives |
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Identifying Resources |
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Health Care Proxy |
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PHARMACOLOGY: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Floxuridine/FUDR |
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Doxorubicin/Adrianycin |
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Heparin/Coumadin |
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Carmustine/BiCNU |
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Dopamine |
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Cistplatin |
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Mitonycin/Mutanycin |
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Dilantin |
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Fluorouracil/-FU |
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Usulfan/Myleran |
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Neupogen/Epogen |
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Hydroxyurea/Hydrea |
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Corticosteroids |
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Vincristine/Oncovin |
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Methotrexate/Amethopterin |
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Morphine |
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Etoposide/VP-6- |
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Cyclophosphamide/Cytoxan |
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Decadron |
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Belomycin/Blenoxane |
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Vinblastine/Velban |
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Melphalan/Alkeran |
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IV Care/Skills |
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Chemotherapy Adm |
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IM/SQ |
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IVPB |
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IV Push/Intrathecal |
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ONCOLOGY & GENERAL CARE: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Thrombocytopenia |
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Stomatitis |
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Hemorrhabe |
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Oncology PCU |
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Neuropathy |
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Bone Marrow Transplant |
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Death /Dying |
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Venous Access Devices |
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Electrolyte Imbalance |
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Palliative/Hospice Care |
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Neutropenia |
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Pain Management |
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Telemetry |
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Nutritional Needs |
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Immunosuppression |
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IV Maintenance |
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Septic Shock |
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Vomiting/Diarrhea/Nausea |
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Skin Care |
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Blood/Blood Byproducts |
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Normal Serum Labs Values |
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Radiation Therapy |
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Surgical Patient Care |
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Chemotherapy Protocols |
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Implantable Vascular Ports |
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Patient Teaching |
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Implantable Infusion Pumps |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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