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Registered Nurse Skills Checklist | ||||||
| NAME | |||||||
| LAST 4 OF SSN | |||||||
| DATE | |||||||
| I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination. | |||||||
| 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. | |||||||
| Proficiency Scale: |
1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently |
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| Rating Stars (Click) | Medication Administration | 1 | 2 | 3 | 4 | ||
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Documentation on M.A.R. | ||||||
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Dose calculation | ||||||
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Generic equivalents | ||||||
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Usage of PDR | ||||||
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Knowledge of drug actions/interactions | ||||||
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Verification of narcotic wastage | ||||||
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Oral medications | ||||||
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Sublingual medications | ||||||
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Intradermal medications | ||||||
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Parenteral medications | ||||||
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Subcutaneous medications | ||||||
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Intramuscular medications | ||||||
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Topical medications | ||||||
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Eye drops | ||||||
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Ear drops | ||||||
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Swallowing precautions | ||||||
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Inventory and storage control | ||||||
| Rating Stars (Click) | Infectious Control | 1 | 2 | 3 | 4 | ||
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AIDS/HIV interaction | ||||||
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Hepatitis interaction | ||||||
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Hospice | ||||||
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MRSA | ||||||
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VRE | ||||||
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Fever management | ||||||
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Interpretation of labs | ||||||
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Decubitus/Wound care (Contaminated) | ||||||
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Linen -Transporting, storing, & Handling | ||||||
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Cleaned | ||||||
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Soiled | ||||||
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Personal clothing | ||||||
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Proper disposal of sharpes and waste | ||||||
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Standard precautions | ||||||
| Rating Stars (Click) | Pain Management | 1 | 2 | 3 | 4 | ||
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Documentation and assessment of site, character, & frequency of pain | ||||||
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Assessment of pain levels | ||||||
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Documentation of response to pain medications | ||||||
| Rating Stars (Click) | Intraveneous Therapy | 1 | 2 | 3 | 4 | ||
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I.V. certified (Check "4") | ||||||
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Administration of I.V. antibiotics | ||||||
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Administration of I.V. fluids | ||||||
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Administration of I.V. pain medications | ||||||
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Administration of I.V. cardiac meds | ||||||
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Blood draws - peripheral | ||||||
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Blood draws - central line | ||||||
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Blood draws - implanted catheter | ||||||
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Care of I.V. site - peripheral | ||||||
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Care of I.V. site - central line | ||||||
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Care of I.V. site - implanted catheter | ||||||
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I.V. dose calculations | ||||||
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I.V. insertion - peripheral | ||||||
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Use of infusion pumps | ||||||
| Rating Stars (Click) | Diabetic Care | 1 | 2 | 3 | 4 | ||
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Diabetic monitoring | ||||||
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S/S hyper/hypoglycemia | ||||||
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Diabetic patient teaching | ||||||
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Performing fingersticks | ||||||
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Use of glucometers | ||||||
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Insulin infusions | ||||||
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Regular, long-acting insulin | ||||||
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Mixed insulin | ||||||
| Rating Stars (Click) | Psychosocial Problems | 1 | 2 | 3 | 4 | ||
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Assessment and documentation of behavioral problems (target behaviors) | ||||||
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Assessment and documentation of s/s of depression | ||||||
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Assessment and documentation of patient response to psychotropic medications | ||||||
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Parameters for use of restraints in long-term care settings | ||||||
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Assessment and documentation of effectiveness of preventive medicine medications | ||||||
| Rating Stars (Click) | Orthopedics | 1 | 2 | 3 | 4 | ||
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Assessment of circulation | ||||||
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Assessment of gait | ||||||
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Assessment of range of motion | ||||||
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Amputation care | ||||||
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Post-arthroscopy care | ||||||
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Casts and related care | ||||||
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Osteoporosis | ||||||
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Pinned fractures | ||||||
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Total hip replacement | ||||||
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Total knee replacement | ||||||
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Rheumatic/Arthritic disease | ||||||
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Continuous passive motion | ||||||
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Canes | ||||||
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Cervical collars | ||||||
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Gait belts | ||||||
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Prostheses | ||||||
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Slings | ||||||
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Transfer board | ||||||
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Walker | ||||||
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Wheelchair | ||||||
| Rating Stars (Click) | Cardiovascular Problems | 1 | 2 | 3 | 4 | ||
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Auscultation of rate/rythym | ||||||
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Blood pressure | ||||||
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Doppler | ||||||
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Pulses | ||||||
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Circulation checks | ||||||
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CPR | ||||||
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Post-abdominal aortic bypass | ||||||
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Aneurysm | ||||||
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Angina | ||||||
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Post carotic endarterectomy | ||||||
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Fem-pop bypass | ||||||
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Permanent pacemaker | ||||||
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Post acute M.I. | ||||||
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Post cardiac surgery | ||||||
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Thrombophlebitis | ||||||
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DVT | ||||||
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Congestive heart failure | ||||||
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Administration of post-op cardiac meds | ||||||
| Rating Stars (Click) | Gastrointestinal Problems | 1 | 2 | 3 | 4 | ||
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Administration of tube feedings | ||||||
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Administration of medications via tube | ||||||
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Inflammatory bowel disease | ||||||
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Bowel prep | ||||||
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G.I. bleeding | ||||||
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Gualac | ||||||
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Nutritional status | ||||||
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Colostomy care | ||||||
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Post abdominal surgery | ||||||
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NG tube placement and care | ||||||
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Nasointestinal tube care | ||||||
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Assessment of bowel tones | ||||||
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Assessment of abdomen | ||||||
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Enema administration | ||||||
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Assessment of bowel incontinence | ||||||
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Signs and symptoms of fecal impaction | ||||||
| Rating Stars (Click) | Neurological Problems | 1 | 2 | 3 | 4 | ||
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Post-Op anticonvulsant medications | ||||||
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Assessing levels of consciousness | ||||||
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Dementias (Re-direction/Validation) | ||||||
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Neuromuscular disease | ||||||
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CVA | ||||||
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Pupil check | ||||||
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A.I.M.S. | ||||||
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Seizure precautions | ||||||
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Administration of anticonvulsant | ||||||
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Medications | ||||||
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Aneurysm precautions | ||||||
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Spinal cord injuries - long term | ||||||
| Rating Stars (Click) | Urinary Problems | 1 | 2 | 3 | 4 | ||
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Assessment and care of AV shunt | ||||||
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Post renal surgery | ||||||
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Renal failure | ||||||
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Assessment of urinary incontinence | ||||||
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Assessment of I and O data | ||||||
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Use of bladder scanne | ||||||
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Signs and symptoms of UTI | ||||||
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Indwelling catheter insertion | ||||||
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Indwelling catheter care | ||||||
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Straight catheter insertion | ||||||
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Suprapubic catheter care | ||||||
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Screening for UTI via urine dipstick | ||||||
| Rating Stars (Click) | Wounds, Pressure Sores, and Skin Impairments | 1 | 2 | 3 | 4 | ||
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Assessment and care of post-surgical wounds | ||||||
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Assessment, prevention, and care of pressure ulcers | ||||||
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Assessment and documentation of skin conditions/wounds | ||||||
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Dressing changes - asceptic | ||||||
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Dressing changes - sterile | ||||||
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Wound irrigation | ||||||
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Application of wound care products | ||||||
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Use of air fluidized, low air-loss beds | ||||||
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Use of pressure-relieving seat cushions | ||||||
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Staple and suture removal | ||||||
| Rating Stars (Click) | Other Skills | 1 | 2 | 3 | 4 | ||
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Alert charting system | ||||||
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Use of 24-hour written and verbal reporting systems | ||||||
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Use of "911" in LTC setting | ||||||
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Regulatory guidelines related to the prevention of abuse and neglect of residents | ||||||
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Regulatory guidelines related to resident rights in LTC setting | ||||||
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Discerning code status | ||||||
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Incident and accident reporting | ||||||
| Rating Stars (Click) | Age Specific Competencies | 1 | 2 | 3 | 4 | ||
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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) | ||||||