Registered Nurse Supervisor CheckList

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.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Universal Precautions Rating Stars (Click) 1 2 3 4  
Working with patients in isolation 
Working with patients in restraints 
Patient/Family teaching 
Patient Identification 
Specialty beds 
End of life care/palliative care 
Knowledge of 'Do Not Use Abbreviations' 
Do you have charge/supervisor experience? 
Knowledge of current Joint Commission National Patient Safety Goals 
Knowledge/familiarity with HCAHPS scores 
Acute Care/ Hospital Rating Stars (Click) 1 2 3 4  
Durable Medical Equipment ( DME) 
Managed Care 
SNF/ Long Term Care 
Home Health 
Physician Office 
Understanding of health care economics and health care policies as it applies to delivery of patient care Rating Stars (Click) 1 2 3 4  
Concepts of capital budgeting 
Department/unit budgeting 
Recruitment techniques 
Interviewing techniques 
Labor Laws pertaining to hiring 
Orientation of new employees 
Knowledge of quality improvement/performance improvement tools 
Patient Safety 
Workplace safety 
Promotion of interdepartmental communication 
Performance management 
Staff Development 
Coaching and mentoring 
Project management 
Business development 
Developing Strategic plans 
Developing operational plans 
Cultural competence 
Personal growth and development 
Ethical behavior and practice 
Professional association involvement 
Conflict Management 
Team dynamics 
TJC Standards 
OSHA Standards 
Risk Management/Service Utilization 
Local Department of Health 
State Department of Health 
Sitter Services 
Age Specific Competencies Rating Stars (Click) 1 2 3 4  
Infant (Birth - 1 year) 
Preschooler (ages 2-5 years) 
Childhood (ages 6-12 years) 
Adolescents (ages 13-21 years) 
Young Adults (ages 22-39 years) 
Adults (ages 40-64 years) 
Older Adults (ages 65-79 years) 
Elderly (ages 80+ years)