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 Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Care of Patient in Restraints |
|
||||||
Electronic Documentation |
|
||||||
Isolation Precautions |
|
||||||
Medicare Documentation |
|
||||||
Patient/Family Education |
|
||||||
Written Documentation |
|
||||||
Care of Patients With | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute/Chronic Bronchitis |
|
||||||
ARDS |
|
||||||
Aspiration Pneumonia |
|
||||||
Asthma |
|
||||||
Atelectasis |
|
||||||
Bacterial/Viral Pneumonia |
|
||||||
Bronchiectasis |
|
||||||
Broncho-Pulmonary Dysplasia |
|
||||||
Cardiac Surgery |
|
||||||
Congestive Heart Failure |
|
||||||
Croup |
|
||||||
Cystic Fibrosis |
|
||||||
Diabetic Ketoacidosis |
|
||||||
Emphysema |
|
||||||
Epiglottitis |
|
||||||
Failure to Thrive |
|
||||||
Fem-pop Bypass |
|
||||||
Gullian Barre |
|
||||||
Hayaline Membrane Disease (HMD/IRDS) |
|
||||||
Lung Cancer |
|
||||||
Meconium Aspiration |
|
||||||
Myasthenia Gravis |
|
||||||
Myesthena Gravis |
|
||||||
Myocardial Infarction |
|
||||||
Near Drowning |
|
||||||
Neonatal Pneumonia |
|
||||||
Open Hearts |
|
||||||
Pacemakers |
|
||||||
Persistant Fetal Circulation |
|
||||||
Pulmonary Interstitial Emphysema (PIE) |
|
||||||
Pleural Effusion |
|
||||||
Pulmonary Edema |
|
||||||
Pulmonary Embolism |
|
||||||
Respiratory Failure |
|
||||||
Respiratory Syncytial Virus |
|
||||||
Respiratory Distress Syndrome |
|
||||||
Respiratory Distress Syndrome |
|
||||||
Tracheo-Esophageal Fistula |
|
||||||
Transient Tachpnea |
|
||||||
Thoracotomies |
|
||||||
Tuberculosis |
|
||||||
Therapy and Procedures | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Apnea Monitor |
|
||||||
Assessment of Breath Sounds |
|
||||||
Carbogen Delivery |
|
||||||
Diaphragmatic Breathing |
|
||||||
Disinfection and Sterilization |
|
||||||
End-Tidal CO2 Monitoring |
|
||||||
Nasal-Oral Airway Placement |
|
||||||
Oximetry |
|
||||||
Pursed Lip Breathing |
|
||||||
Transcutaneous Monitoring |
|
||||||
Oxygen Administration: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acapella |
|
||||||
Aerosol Set Up/Mask/Trach |
|
||||||
Analyze Oxygen |
|
||||||
BiPAP Nasal/Mask |
|
||||||
Bronchial Hygiene Therapy |
|
||||||
Chest Physical Therapy/Postural Drainage |
|
||||||
CPAP Nasal/Mask |
|
||||||
Continuous Medication Nebulizer |
|
||||||
Cough Assisted machine |
|
||||||
Croup Tent Set Up |
|
||||||
EzPAP Expansion Therapy |
|
||||||
Flutter Valve Therapy |
|
||||||
Hand Held Nebulizer |
|
||||||
Heated Aerosol Mask/Trach Collar |
|
||||||
Heliox Delivery |
|
||||||
Incentive Spirometry (IS) |
|
||||||
Infant Hood Set Up |
|
||||||
Intrapulmonary Percussive Ventilation (IPV) |
|
||||||
Metered Dose Inhaler |
|
||||||
Nasal Cannula |
|
||||||
Nitric Oxide Delivery |
|
||||||
Oxgen Tank Set Up/Change Tank |
|
||||||
Partial Rebreather/Non-Rebreather Mask |
|
||||||
PEP Mask/PEP Valve Therapy |
|
||||||
Positive Pressure Breathing (IPPB) |
|
||||||
Simple Mask |
|
||||||
Splint Cough |
|
||||||
Sputum Induction |
|
||||||
Venturi Mask |
|
||||||
Vest Airway Clearance |
|
||||||
Obtaining Arterial Blood Gases: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
ABG Interpretation/Analyzer |
|
||||||
Airway Pressure Release Ventilation (ARPV) |
|
||||||
Allen Test |
|
||||||
Arterial Blood Gas Analysis |
|
||||||
Arterial Line Insertion |
|
||||||
Arterial Line Maintenance |
|
||||||
Bronchoscopies/Assist |
|
||||||
Change, Clean Trach Tubes |
|
||||||
Check Intracuff Pressures |
|
||||||
Continuous Positive Airway Pressure (CPAP) |
|
||||||
Endotracheal |
|
||||||
Extubations |
|
||||||
Perform Independently |
|
||||||
Assist Only |
|
||||||
Femoral Artery |
|
||||||
Flow/Volume/Pressure Waveform Interpretation |
|
||||||
High Frequency Ventilator |
|
||||||
Independent Sychronous Lung Ventilation |
|
||||||
Inhaler Reservoirs |
|
||||||
Intra Aortic Balloon Pump (IABP) |
|
||||||
Intubations |
|
||||||
Perform Independently |
|
||||||
Assist Only |
|
||||||
Inverse Ratio Ventilation |
|
||||||
Nasotracheal |
|
||||||
Negative Inspiratory Force |
|
||||||
Peak Flow Rat Monitoring |
|
||||||
Positive End Expiratory Pressure (PEEP) |
|
||||||
Pressure Assist/Control |
|
||||||
Pressure Regulated Volume Control (PRVC) |
|
||||||
Pressure Support Ventilation (PSV) |
|
||||||
Pulmonary Function Testing |
|
||||||
Pulmonary Stress Testing |
|
||||||
Radial/Brachial Artery |
|
||||||
Ventilator Management: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Intermittent Mandatory Ventilation (IMV) |
|
||||||
Inverse Ratio Ventilation |
|
||||||
Pressure Release Modes/Techniques |
|
||||||
Suctioning |
|
||||||
Synchronized Intermittent Mandatory Ventilation (SIMV) |
|
||||||
Ventilate Patient with Manual Resuscitator |
|
||||||
Ventilator Modes |
|
||||||
Ventilator Set Up/On Tanks |
|
||||||
Volume Assist/Control |
|
||||||
Other: |
|
||||||
Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Care |
|
||||||
Adult Critical Care Unit |
|
||||||
Burn ICU |
|
||||||
Emergency Room |
|
||||||
Home Care |
|
||||||
Medical/Surgical General Floor Care |
|
||||||
Neonatal ICU Level II |
|
||||||
Neonatal ICU Level III |
|
||||||
Pediatric General Floor Care |
|
||||||
Pediatric ICU |
|
||||||
Pediatric ICU Level II |
|
||||||
Pediatric ICU Level III |
|
||||||
Pulmonary Rehabilitation |
|
||||||
Pulmonary Function Lab |
|
||||||
Skilled Nursing |
|
||||||
Sleep Lab |
|
||||||
Transplant |
|
||||||
Transports |
|
||||||
Equipment | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bird/Avea |
|
||||||
Drager |
|
||||||
Puritan-Bennett |
|
||||||
Sechrist-Infant Star |
|
||||||
Servo |
|
||||||
Siemens |
|
||||||
SIMS |
|
||||||
Age | 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) |
|