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)
General Skills
1
2
3
4
Advanced directives
Patient/family teaching
Restrictive devices
(restraints)
Lift/transfer devices
Specialty beds
End of life
care/palliative care
Wound assessment &
care
Automated Medication
Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication
administration
Blood Glucose Monitor
(BGM)
Cardioversion/defibrillation
Electronic ICU
National Patient Safety
Goals
Accurate patient
identification
Effective communication
Interpretation &
communication of lab values
Medication administration
Medication reconciliation
Labeling (medications
& specimens)
Anticoagulation therapy
Monitoring conscious
sedation
Pain assessment &
management
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure
ulcers
Use of rapid response
teams
Awareness of HCAHPS
Rating Stars
(Click)
Cardiovascular
Assessment of heart sounds
Interpretation of
arrhythmias
Performing 12 lead EKG’s
Interpretation of 12 lead
EKG
Interpretation of
hemodynamic monitoring
Assist with Insertion
& Management of:
CVC (Central Venous
Catheter)
Arterial line
Swanz Ganz catheter
Flow trac or Vigileo
monitoring caths
Intra-Aortic Balloon Pump
(IABP)
Ventricular Assist Device
(LVAD, RVAD)
Maintenance &
Management of:
Permanent pacemakers
Implantable Cardioverter
Defibrillator (ICD)
External pacemakers
Epicardial pacemaker wires
Discontinuing
venous/arterial sheaths
Femostop/vasoseal
Care of Patients with:
Acute myocardial
infarction
Pre/post: cardiac
catheterization
Congestive heart failure
Cardiomyopathy
Dysrhythmias/conduction
disturbances
Aortic aneurysm
Thoracic/abdominal surgery
Endoluminal graft
Cardiogenic shock
Hypertensive crisis
Pericarditis/endocarditis
MAZE procedure
Post open heart
(CABG/valve)
Cardiac contusion/trauma
Heart transplant
Cardiac tamponade
Medication Administration:
ACLS medications and
protocols
Antidysrythmics
Antihypertensives
Vasoactive/vasopressor
agents
Anesthetics
(propofol/presedex)
Thrombolytics
(retavase/activase)
Platelet inhibitors
(ReoPro/Integrilin/Aggrastat)
Flolan for pulmonary
hypertension
Rating Stars
(Click)
Pulmonary
Assessment of breath
sounds
Airway Management, Care
& Maintenance of:
Oral/NT/ET airway
Tracheostomy
Arterial blood gas
analysis/interpretation
Obtaining ABG blood
sample/arterial line
Pulse oximetry
Ventilator Management:
BiPAP (Bi-level Positive
Airway Pressure)
Oscillation/high-frequency
ventilation
Nitric
Interpretation of weaning
parameters
Maintenance &
management of pleural chest tubes
Care of Patient with:
Acute respiratory failure
Adult Respiratory Distress
Syndrome (ARDS)
Sudden Inflammation
Respiratory Syndrome (SIRS)
Inhalation injuries
Pneumonia
Pulmonary edema
Near drowning
Chronic Obstructive
Pulmonary Disease (COPD)
Pre/post thoracic surgery
Pulmonary embolism
Pulmonary/chest trauma
Pulmonary hypertension
Status asthmaticus
Medication Administration:
Rapid sequence intubation
drugs/protocols
Nebulizer treatments:
Ventolin, Atrovent
Rating Stars
(Click)
Neurology
Cranial nerve assessment
Glasgow coma scale
NIH stroke scale
NIH stroke certification
Seizure precautions
Skeletal traction
Cervical spine
precautions/logroll positioning
Halo vest/halo traction
Monitoring of
neuromuscular blocking agents/paralytics