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.
Medical Laboratory | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Blood bank |
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Chem |
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Hemo |
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Micro |
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Serol |
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Medical Laboratory | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Patient positioning |
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Fingerstick |
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Venipuncture |
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Warming the puncture site |
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Tourniquet application & removal |
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Decontamination of the puncture site |
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Tuberculosis exposure control plan |
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Post venipuncture site care |
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Order of tube collection |
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Arterial blood gas kits |
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Occult blood packets |
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Heel warmers |
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Pin worm kits |
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Serum separators |
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Blood culture preparation kits |
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Centrifuge |
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Capillary blood kits |
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Bacteria media |
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Drug screen kits |
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Ova parasite containers |
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Legal blood draw kits |
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Paternity blood draw kits |
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RSV kits |
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Chemistry | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acetone analysis |
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Atomic absorption |
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B12/folates |
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CSF protein |
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Drug monitoring |
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Electrolytes |
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Electrophoresis |
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Gas chromatography |
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Hepatitis |
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Hormone testing |
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Immunoelectrophoresis |
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Include blood gas |
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Main chemistry unit |
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Osmolality |
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Stool analysis (fecal fats) |
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Thin layer chromatography |
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Thyroid testing |
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Tumor markers |
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RIA | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Background counts |
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Counters |
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Curves/regressions |
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Data reduction |
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Instrumentation/gamma |
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Radiation safety techniques |
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Scintillation counter |
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Blood Bank | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Antibody identification |
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Antibody titer |
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Blood irradiation |
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Component preparation |
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Direct |
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Indirect |
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Cross match |
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Donor unit collections |
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Emergency release |
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Freezing blood |
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Immediate spin cross match |
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Patient identification |
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Plasmapheresis |
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Plateletpheresis |
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Procedures |
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Rhogam |
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Antigen typing |
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Type, RH |
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Microbiology/Virology | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Concentration techniques |
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Identification |
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Acid fast stain (fluorescent) |
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Acid fast stain (kinyoun) |
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Anaerobic culture |
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Anaerobic identification |
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Blood culture |
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C. difficile assay |
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Cell culture technique (viral) |
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Chlamydia culture |
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Chlamydia smear |
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Culture plating |
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Darkfield |
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Gram stain |
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India ink |
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KOH prep |
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Malarial examination |
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Myobacteria culture |
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Occult blood |
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Organism identification |
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Ova & parasite concentration |
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Trichcone |
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Wet mount |
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K.B. |
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M.I.C. |
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Virus isolation |
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Wet mount-motility |
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Urinalysis | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Automated instrumentation: |
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Large volume automation equipment |
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Small volume automation equipment |
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Crystal identification |
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Macroscopic U.A |
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Microscopic U.A |
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Semen analysis |
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Hematology | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bleeding time |
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Body fluid count |
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CBC |
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D-dimer |
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Differential |
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Eosinophil count |
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Factor assays |
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Fetal hemoglobin |
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Fibrin split products/FDP |
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Fibrinogen |
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Lee-White clotting time |
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Platelet aggregation |
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Platelet count |
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PT & PTT |
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Reticulocyte count |
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Sedimentation rate |
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Special stains (PAS, peroxidase, leukocyte alkaline phosphatase) |
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Sickle cell prep |
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Thrombin time |
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Serology / Immunology | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
ANA |
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ASO titer |
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C3, C4, total complement |
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Cold agglutinins |
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C-reactive protein |
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ELISA testing |
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Febrile agglutinations |
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Fluorescent testing |
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FTA-ABS |
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Hemagglutination inhibition |
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LE cell prep |
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Monospot |
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Pregnancy testing |
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Radial immuno diffusion |
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Rheumatoid factor |
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RPR |
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Rubella serology |
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TORCH studies |
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National Patient Safety Goals | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Accurate patient identification |
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Labeling |
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Effective communication |
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Infection control |
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Quality control/quality assurance |
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Assist with On-site procedure |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Newborn / neonate (Birth-30 days) |
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Infant (31 days-1 year) |
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Toddler (2-3 years) |
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Preschool (ages 4-5 years) |
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School Age (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adult (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adult (ages 65-79 years) |
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Elderly (80+ years) |
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