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.
| GENERAL NURSING | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| ADMIT / ORIENT VOLUNTARY CLIENTS |
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| ADMIT / ORIENT INVOLUNTARY CLIENTS |
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| INITIAL COMPREHENSIVE ASSESSMENT |
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| INITIAL FOCUSED ASSESSMENT |
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| INITIAL SCREENING ASSESSMENT |
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| INITIATE CARE PLAN |
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| REASSESSMENT / UPDATE CARE PLAN |
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| MULTI-DISCIPLINARY PLANNING |
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| SUPERVISE UNLICENSED PERSONNEL |
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| VITAL SIGN MONITORING |
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| FULL RESTRAINTS |
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| WRIST RESTRAINTS |
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| AMBULATORY CUFFS |
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| ADMIN / MONITOR TUBE FEEDINGS |
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| ADMIN / MONITOR TUBE FEEDINGS |
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| INSERT / CARE OF FOLEY CATHETER |
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| ASSIST WITH LUMBAR PUNCTURE |
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| ISOLATION TECHNIQUES |
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| ADVANCE DIRECTIVES |
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| PATIENT TEACHING |
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| CASE MANAGER |
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| DISCHARGE PLANNING |
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| DISCHARGE CLIENTS |
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| CULTURAL DIVERSITY |
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| ETHNIC AWARENESS |
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| FORENSIC NURSE |
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| CARE OF PSYCH DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| SCHIZOPHRENIA |
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| PARANOID PSYCHOTIC DISORDER |
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| CATATONIC PSYCHOTIC DISORDER |
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| HALLUCINATIONS |
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| BIPOLAR DISORDER |
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| DEPRESSION |
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| SUICIDAL IDEATION / ATTEMPTS |
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| DELUSIONAL DISORDERS |
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| ANXIETY DISORDERS |
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| PANIC ATTACKS |
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| PHOBIAS |
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| OBSESSIVE / COMPULSIVE DISORDER |
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| DISSOCIATIVE IDENTITY DISORDER |
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| SEXUAL DISORDERS |
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| SEXUAL ABUSE / ASSAULT |
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| SURVIVOR OF ABUSE / VIOLENCE |
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| POST TRAUMATIC STRESS DISORDER |
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| SOMATOFORM DISORDERS (PAIN ETC.) |
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| MENTAL RETARDATION |
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| MENTAL RETARDATION |
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| CARE OF PSYCH DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| ADHD |
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| DEVELOPMENTAL / AUTISTIC DISORDERS |
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| COGNITIVE DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| DELIRIUM |
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| DEMENTIA |
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| ALZHEIMER'S (DEMENTIA) |
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| AMNESTIC DISORDERS |
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| PERSONALITY DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| CLUSTER A - PARANOID / SCHIZOID |
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| CLUSTER B - ANTISOCIAL / BORDERLINE |
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| CLUSTER C - ANXIOUS / FEARFUL |
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| EATING DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| ANOREXIA NERVOSA |
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| BULIMIA NERVOSA |
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| OBESITY |
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| SUBSTANCE RELATED DISORDERS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| ALCOHOL -RELATED |
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| DRUG -RELATED |
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| INTERVENTIONS / THERAPIES | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| CRISIS INTERVENTION |
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| THERAPEUTIC COMMUNICATION |
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| THERAPEUTIC MILIEU |
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| EDUCATION OR VOCATIONAL TRAINING |
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| DRUG & ALCOHOL EDUCATION |
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| ELECTROCONVULSIVE THERAPY |
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| ALTERNATIVE THERAPIES | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| BIOFEEDBACK |
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| GUIDED IMAGERY |
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| EXPRESSIVE THERAPY (ART, MOVEMENT) |
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| MASSAGE THERAPY |
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| MEDITATION |
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| RECREATIONAL THERAPY |
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| THERAPEUTIC TOUCH |
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| CONDUCTING PSYCHOTHERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| INDIVIDUAL |
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| GROUP |
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| COUPLE / FAMILY |
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| BEHAVIORAL |
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| MEDS / IV THERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| ADMINISTER PO MEDICATIONS |
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| ADMINISTER NG / GT MEDS |
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| ADMINISTER RECTAL MEDICATIONS |
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| ADMINISTER IM & SQ MEDS |
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| PERIPHERAL IV INSERTION |
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| USE OF HEPARIN / SALINE LOCKS |
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| ADMINISTER IV MEDICATIONS |
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| NEEDLE - LESS SYSTEMS |
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| CARE OF CENTRAL LINES |
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| CARE OF PICC LINES |
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| ADMIN OF HYPERALIMENTATION |
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| ADMIN OF BLOOD / BLOOD PRODUCTS |
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| INFUSION PUMPS |
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| DISCONTINUE PERIPHERAL IVS |
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| VENIPUNCTURE BLOOD DRAWS |
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| PAIN ASSESSMENT / MANAGEMENT |
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| PSYCHOTROPIC AGENTS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| RAPID TRANQUILIZATION |
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| ANTIPSYCHOTIC AGENTS |
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| HYPNOTICS |
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| ANTIANXIETY AGENTS |
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| ANTIDEPRESSANTS / MOOD ELEVATORS |
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| ANTIMANIC AGENTS |
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| ANTICONVULSANTS |
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| ANTICHOLINERGICS / ANTIPARKINSONS |
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| MEDS SIDE EFFECTS - RECOGNITION AND MANAGEMENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| BLURRED VISION |
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| CONSTIPATION |
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| DROWSINESS |
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| DRY MOUTH |
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| GASTROINTESTINAL EFFECTS |
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| HYPO / HYPERGLYCEMIA |
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| HYPOTENSION / ORTHOSTATIC |
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| INSOMNIA |
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| CHANGES IN LIBIDO |
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| TACHYCARDIA |
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| URINARY RETENTION |
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| WEIGHT GAIN |
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| PARKINSONISM SYMPTOMS |
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| AKATHISIA (MOTOR RESTLESSNESS) |
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| ACUTE DYSTONIC REACTIONS |
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| TARDIVE DYSKINESIA |
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| NEUROLEPTIC MALIGNANT SYNDROME |
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| AGE APPROPRIATE CARE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| NEWBORN (BIRTH-30 DAYS) |
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| INFANT (30 DAYS - 1 YEAR) |
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| TODDLER (1 - 3 YEARS) |
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| PRESCHOOLER (3 - 5 YEARS) |
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| SCHOOL AGE (5 - 12 YEARS) |
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| ADOLESCENTS (12 - 18 YEARS) |
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| YOUNG ADULTS (18 - 39 YEARS) |
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| MIDDLE ADULTS (39 - 64 YEARS) |
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| OLDER ADULTS (64+ YEARS) |
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