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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