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.
Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
General Acute Care |
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Home Health |
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Nursing Home |
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Outpatient Clinic |
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Pediatric Rehab |
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Acute Rehab Hospital |
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Rehab Unit in Hospital |
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Neuro | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cerebral Vascular Accident |
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Coma Patients |
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Head Trauma |
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Spinal Cord Injury |
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Parkinson’s Disease |
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Traumatic Brain Injury |
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Neuromuscular Disease |
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Post Craniotomy |
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Bowl/Bladder Programs |
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Ortho | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Arthritis Programs |
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Back Syndrome |
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Cervical Traction |
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Continuous Passive Motion Machine N/A |
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Gait Training |
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Hand Injury |
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Hip Fractures |
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Care of Patient with Halo |
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Hot/Cold Packs |
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Mobilization Techniques |
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Neck Injuries |
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TMJ Dysfunction |
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Total Hip Replacement |
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Total Knee Replacement |
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Pulmonary | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Assessment of breath sounds |
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Chest Physiotherapy |
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Oximetry |
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Nasal cannula |
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Face Mask |
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Portable O2 tank |
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Nasotracheal Suctioning |
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Tracheal Suctioning |
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Care of patient w/Mechanical Vent |
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COPD |
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Pediatrics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cerebral Palsy |
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Activities of Daily Living |
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Learning Disabilities |
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Orthotics |
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Spina Bifida |
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Autism |
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AK Prosthetics |
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Amputees |
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BK Prosthetics |
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Bracing/Joint Immobilization |
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Resting Splints |
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Casts/Check for Circulation |
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Upper Extremity Prosthetics |
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Nutritional Requirements | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Thickened Liquids |
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Minimal |
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Thick |
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Extra Thick |
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Pudding Thick |
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NG Tubes |
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Peg Tubes |
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Restraints | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
4pt |
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Shoulder Strap |
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Hand Mitts |
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Wrist |
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Ankle |
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Pelvic Strap |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Epic |
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Cerner |
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Eclipsys |
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McKesson |
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Meditech |
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Other Computerized System |
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Computerized Physician Order Entry |
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Bar Coding for Medication Administration |
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Other | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Ability to evaluate and assign Functional Independence Score |
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AIDS Patients |
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Burn Management |
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Cardiac Rehabilitation |
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Function Capacity Evaluation |
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Geriatrics |
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Manual Therapy |
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Massage Therapy |
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Muscle Stimulation |
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Pain Management/Giving Meds |
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Physical Capacity |
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Pulmonary Rehab |
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Sterilization Technique |
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TENS |
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Wound Debridement/Dressing Change |
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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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