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.
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 |
![]() |
||||||
Hospice |
![]() |
||||||
Outpatient |
![]() |
||||||
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 |
![]() |
||||||
Mediation/coaching |
![]() |
||||||
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) |
![]() |