ONCOLOGY NURSING CHECKLIST
  ONCOLOGY NURSING 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

 
       
Rating Stars (Click) RADIATION THERAPY: 1 2 3 4  
Skin Assessment  
Total Body Irradiation  
Side Effect Management  
External Radiotherapy  
Brachytherapy  
Radiation Safety Precautions  
Intraoperative Radiation  
Rating Stars (Click) ONCOLOGY PATIENT CARE: 1 2 3 4  
Renal Failure  
Fever  
Pneumonia  
Cqrdiac Arrhymias  
Hypercalcemia  
Hyperkalemia  
Pancreatitis  
Pulmonary Embolism  
Bowel Obstruction  
Diabetes  
Pneumothorax  
Stress Fractures  
RespiratoryDistress  
Spinal Cord Compression  
GI Bleed  
Pleural Effusion  
Infection  
Hypokalemia  
DIC  
Atlelectasis  
Lymphedema  
Rating Stars (Click) VASCULAR DEVICES: 1 2 3 4  
Flush Catheter  
Punctured Catheter  
Chemo Port  
Omega-Port  
S.E.A. Port  
Port-A-Cath  
Opti-Port  
PICC Lines  
Obtain Blood Specimens  
Line Insertion Assistance  
De-Clotting Ports  
Groshong Catheters  
Catheter Port  
Site Care  
Broviac Catheters  
Patient/Teaching  
Hickan Catheters  
Rating Stars (Click) CARE OF PATIENTS WITH: 1 2 3 4  
Foley Catheter Irrigations  
CVP Line Insertion  
Jejunostomy Tubes  
Wound Care  
Colostomy Care  
TURP  
Reverse Isolation  
Liver Biopsy  
Platelet Precautions  
Accucheck  
NG Tube Insertion  
Suprapubic Catheter  
Ileostomy  
Thoracentesis  
Isolation  
Foley Catheter Irrigations  
Bone Marrow Biopsy  
Enterostomal Care  
Chest Tube Care  
Paracentesis  
Gastrostomy Tube  
Narcotic Infusion  
Hemodialysis  
Nephrostomy Tube  
Pain Management  
Pulse Oximetry  
Fistulas/Shunts  
Seizure Precautions  
Peritoneal Dialysis  
Nasotracheal Suctioning  
PCA Pumps  
Rating Stars (Click) CARDIOVASCULAR: 1 2 3 4  
Hyperalimentation  
Peripheral Blood Stem Cells  
Packed RBC’s  
IV Fluid Hydration  
Venoclusive Disease  
Fresh Frozen Plasma  
Infections  
Pneumonitis  
Graft Rejection  
Platelets  
WBC/Lukocytes  
Blood /Byproducts  
Antivirals  
Donor Education  
Allogeneic BMT  
Antibiotics  
GVHD Graft  
Autologous BMT  
Antifungals  
Implantable Infusion Pumps  
Medtronic  
Infusaid  
Ambulatory Infusion Pumps  
Synchormed  
Cormed  
Pharmacia  
Auto Syringe  
Pancretec  
Patency Maintenance  
Patient Teaching  
Rating Stars (Click) PSYCHO & SOCIAL CARE: 1 2 3 4  
Palliative Care  
Hospice Care  
Family Support  
Counseling/Death/Dying  
Identifying Support Groups  
Advance Directives  
Identifying Resources  
Health Care Proxy  
Rating Stars (Click) PHARMACOLOGY: 1 2 3 4  
Floxuridine/FUDR  
Doxorubicin/Adrianycin  
Heparin/Coumadin  
Carmustine/BiCNU  
Dopamine  
Cistplatin  
Mitonycin/Mutanycin  
Dilantin  
Fluorouracil/-FU  
Usulfan/Myleran  
Neupogen/Epogen  
Hydroxyurea/Hydrea  
Corticosteroids  
Vincristine/Oncovin  
Methotrexate/Amethopterin  
Morphine  
Etoposide/VP-6-  
Cyclophosphamide/Cytoxan  
Decadron  
Belomycin/Blenoxane  
Vinblastine/Velban  
Melphalan/Alkeran  
IV Care/Skills  
Chemotherapy Adm  
IM/SQ  
IVPB  
IV Push/Intrathecal  
Rating Stars (Click) ONCOLOGY & GENERAL CARE: 1 2 3 4  
Thrombocytopenia  
Stomatitis  
Hemorrhabe  
Oncology PCU  
Neuropathy  
Bone Marrow Transplant  
Death /Dying  
Venous Access Devices  
Electrolyte Imbalance  
Palliative/Hospice Care  
Neutropenia  
Pain Management  
Telemetry  
Nutritional Needs  
Immunosuppression  
IV Maintenance  
Septic Shock  
Vomiting/Diarrhea/Nausea  
Skin Care  
Blood/Blood Byproducts  
Normal Serum Labs Values  
Radiation Therapy  
Surgical Patient Care  
Chemotherapy Protocols  
Implantable Vascular Ports  
Patient Teaching  
Implantable Infusion Pumps  
Rating Stars (Click) Age Specific Competencies 1 2 3 4  
Infant (Birth - 1 year)  
Preschooler (ages 2-5 years)  
Childhood (ages 6-12 years)  
Adolescents (ages 13-21 years)  
Young Adults (ages 22-39 years)  
Adults (ages 40-64 years)  
Older Adults (ages 65-79 years)  
Elderly (ages 80+ years)