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.
CARDIAC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Use of cardiac monitors |
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Assessment of heart sounds |
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Cardiac Arrest |
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CPR |
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Care of patients with CHF |
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Atropine administration |
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Digoxin administration |
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Dopamine administration |
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Inderal administration |
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Lidocaine administration |
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GENITOURINARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Fluid Balance |
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Foley Catheter Insertion |
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Ileostomy |
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GU Irrigations |
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Nephrostomy Tube |
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ENDOCRINE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Blood Glucose Checks |
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Insulin Administration |
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Care of patients with Diabetes |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
NG tube care and feedings |
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Gastrostomy tube care and feedings |
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Colostomy Care |
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Assessment of Bowel Sounds |
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LEADERSHIP/PATIENT CARE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Taking Charge |
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Admission Procedures |
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Discharge Procedures |
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Patient Education |
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Patient Care Plans |
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MEDICATIONS/IV THERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Medication Calculation |
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Reconstitution |
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Oral Administration |
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Eye Administration |
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IM Administration |
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SQ Administration |
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Rectal Administration |
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Starting IV’s |
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IV Medication Administration |
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Central Line Care |
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NEUROLOGY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Assessment of Neurological Status |
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Seizure Precautions |
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Care of a patient with a CVA |
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Care of a patient with Alzheimer’s |
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Care of patients with Spinal Cord Injury |
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Decadron Administration |
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Dilantin Administration |
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Phenobarbital Administration |
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Valium Administration |
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ORTHO/SKIN | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Assessment of skin |
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Wound Care and Treatments |
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Use of special pressure relief devices |
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Care of pts with a total hip replacement |
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Care of pts with a total knee replacement |
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Crutch Walking |
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RESPIRATORY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pulse Oximetry |
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Oxygen Administration via nasal cannuia |
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Oxygen Administration via face mask |
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Principles of chest percussion |
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Care of patients with ventilator |
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Care of patients with COPD |
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Care of patients with ARDS |
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Care of patient with a Tracheotomy |
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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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