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