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.
CARDIAC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Angina |
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Post Acute MI |
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Congestive Heart Failure |
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Post Cardiac Cath |
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Post Cardiac Surgery |
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Aneurysm |
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Carotid Endarterectomy |
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Post Vascular Surgery |
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Post Cardiac Transplant |
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PULMONARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pneumonia |
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COPD |
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Tuberculosis |
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Pulmonary Embolism |
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Tracheostomy Management |
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CPAP/BiPAP |
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Interpretation of Arterial Blood Gases |
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Post Lung Transplant |
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NEUROLOGICAL & PSYCHIATRIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Stroke Scale Assessment |
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Traumatic Brain Injury |
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CVA |
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Post Craniotomy |
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Seizure Disorders |
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Spinal Cord Injuries |
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Mood Disorders |
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Substance Withdrawal |
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ORTHOPEDICS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Circulation/Skin Checks |
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Continuous Passive Motion Devices |
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Ambulation Assistive Devices |
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Prosthetics |
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Cast Care |
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Pin Care |
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Traction |
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Total Joint Replacement |
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Amputation |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bariatrics |
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Feeding Tubes |
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GI Bleeding |
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Bowel Obstruction |
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GI Surgery |
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Liver Disease |
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Pancreatitis |
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Post Liver Transplant |
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Post Pancreas Transplant |
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RENAL/GENITOURINARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Arteriovenous Fistula/Shunt |
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3 Way Catheter & Bladder Irrigation |
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Suprapubic Catheter |
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Renal Failure |
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Peritoneal Dialysis |
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GU Surgery |
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Nephrostomy Tubes |
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Renal Transplant |
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Management Pre/Post Hemodialysis |
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Gyn Surgery |
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ENDOCRINE METABOLIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Diabetes Type I |
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Diabetes Type II |
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Blood Glucose Monitoring |
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IV Insulin Protocols |
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Management of Hypoglycemia |
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Indwelling Insulin Pumps |
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Pituitary Disorders |
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ONCOLOGY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Chemotherapy Administration |
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Radiation Therapy |
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Medical Oncology |
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Surgical Oncology |
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Radiation Implants |
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Bone Marrow Transplant |
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MEDICATIONS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Antiarrhythmics |
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Anticoagulants (IV, oral, & injection) |
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Anti-Depressants |
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Anti-Hypertensives |
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Anti-Psychotics |
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Benzodiazepines |
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Emergency Medications |
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Epidural Analgesia |
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Inhaled Medications |
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Insulin |
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Narcotics/Opioid Analgesics (IV, oral, & injection) |
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Nitrates (Oral & Topical) |
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Non-Opioid Analgesics (IV, Oral, & Injection) |
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Oral Hypoglycemics |
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Patient Controlled Analgesia |
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Procedural Sedation Administration |
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Reversal Agents |
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Steroids (IV, Oral, Inhaled) |
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Automated Medication Dispensing (i.e. Pyxis, Omnicell) |
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IV THERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Starting IVs |
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Central Line Blood Draws |
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Central Line/Implanted Line Care |
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TPN & Lipids |
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Blood Product Administration |
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Monitoring of Chemotherapy |
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CARDIAC MONITORING & EMERG. RESPONSE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Placement of Telemetry Leads |
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Rhythm Interpretation |
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Dysrhythmia Management |
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Obtain 12 Lead EKG |
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Use of Rapid Response Teams |
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PROFESSIONAL KNOWLEDGE AND SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
National Patient Safety Goals/Core Measures |
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Fall Risk Assessment/Prevention |
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Pressure Ulcer Risk Assessment/Prevention |
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Restraints/Use of Least Restrictive Device |
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Patient/Family Teaching |
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Age Specific/Population-Based Care |
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Isolation Precautions |
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Infection Prevention |
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Pain Assessment & Management |
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Charge Experience |
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Interpretation and Communication of Lab Values |
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Wound Care /Wound Vac |
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Specialty Beds |
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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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EMR Conversion |
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