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.
CARDIOVASCULAR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cardiac Anomalies |
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CHF/Pulmonary Edema |
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Cardiogenic Shock |
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Cardioversion |
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Heart Sounds |
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PULMONARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Reactive Airway Disease |
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Croup |
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Pneumonia |
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Epiglottitis |
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Aspiration |
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Airway Obstruction |
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Hemo/Pneumothorax |
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Chest Tube Placement/Management |
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ABG Interpretation |
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NEUROLOGICAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Meningitis/Encephalitis |
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Seizures-Febrile/Epileptic |
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Lumbar Puncture |
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Migraine |
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ORTHOPEDIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Fractures/Casting |
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Open/Complex Fractures |
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Nursemaid's Elbow |
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Apply/Manage Splints |
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Circulation Checks |
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Crutch Walking |
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Car Seat Instruction for Casted Patient |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Abdominal Trauma/Peritoneal Lavage |
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Abdominal Pain |
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Constipation |
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GI Bleeding |
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Hepatitis/Liver Failure |
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Poison Ingestion |
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ENDOCRINE/METABOLIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Hypoglycemia |
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Hyperglycemia |
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DKA |
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GENITOURINARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Renal Failure |
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UTI/Pyelonephritis |
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Renal Trauma |
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Testicular Torsion |
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OB/GYN | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Menstrual Pain |
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Ovarian Cyst |
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Ectopic Pregnancy |
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Pelvic Inflammatory Disease/STD |
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Sexual Assault |
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Reporting Acts of Violence |
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EENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Foreign Body - Eye |
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Foreign Body - Ear |
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Foreign Body - Nose |
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Epistaxis |
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TRAUMA | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Glasgow Coma/Pediatric Trauma Scale |
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Trauma Code |
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Trauma Team Member |
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Brain Injury |
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Spinal Cord Injury |
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Spinal Precautions |
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Facial/Dental Trauma |
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Penetrating Trauma |
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Blunt Trauma |
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Traumatic Amputation |
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Hypovolemic Shock |
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Neurogenic Shock |
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Anaphylactic Shock |
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Septic Shock |
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Burns - 2nd Degree |
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Burns - 3rd Degree |
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INFECTIOUS DISEASE/IMMUNOSUPPRESSION | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Contagious/Infectious Patients |
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Isolation |
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Reporting Communicable Disease |
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Neutropenia/Reverse Isolation |
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PSYCHIATRIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Drug /ETOH Overdose/Withdrawal |
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Psychiatric Hold |
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Suicidal Patient |
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MEDICATIONS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pediatric Dosage Calculations |
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Anti-Arrhythmics |
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Anticoagulants (IV, Oral & Injection) |
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Anti-Hypertensives |
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Anti-Psychotics |
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Anti-Seizure Medications |
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Benzodiazepines |
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Continuous IV Paralytics |
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Continuous IV Sedation |
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Procedural Sedation - Administration |
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Ketamine |
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Emergency Medications |
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Inhaled Medications |
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Insulin |
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IV Vasopressors |
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Narcotics/Opioid Analgesics (IV, Oral & Injection) |
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Reversal Agents |
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Steroids (IV, Oral & Inhaled) |
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Automated Medication Dispensing (i.e. Pyxis, Omnicell) |
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PROFESSIONAL KNOWLEDGE AND SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Recognizing/Reporting Abuse |
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Triage |
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Ambulance/Paramedic Radio |
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Charge Experience |
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EMTALA |
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National Patient Safety Goals/Core Measures |
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Fall Risk Assessment/Prevention |
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Pressure Ulcer Risk Assessment/Prevention |
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Restraints/Use of Least Restrictive Device |
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Patient Family Teaching |
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Car Seat Specific Standards/Teaching |
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Age/Developmentally Specific/Population Based Care |
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Pain Assessment and Management - Verbal/Non-Verbal |
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Interpretation and Communication of Lab Values |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Epic |
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Cerner |
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Eclipsys |
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McKesson |
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Meditech |
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Allscripts |
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Other Computerized System |
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Computerized Physician Order Entry |
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Bar Coding for Medication Administration |
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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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