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RN SUPERVISOR 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) | Universal Precautions | 1 | 2 | 3 | 4 | ||
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Working with patients in isolation | ||||||
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Working with patients in restraints | ||||||
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Patient/Family teaching | ||||||
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Patient Identification | ||||||
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Specialty beds | ||||||
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End of life care/palliative care | ||||||
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Knowledge of "Do Not Use Abbreviations" | ||||||
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Do you have charge/supervisor experience? | ||||||
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Knowledge of current Joint Commission National Patient Safety Goals | ||||||
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Knowledge/familiarity with HCAHPS scores | ||||||
| Rating Stars (Click) | Acute Care/ Hospital | 1 | 2 | 3 | 4 | ||
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Durable Medical Equipment ( DME) | ||||||
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Managed Care | ||||||
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SNF/ Long Term Care | ||||||
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Home Health | ||||||
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Hospice | ||||||
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Outpatient | ||||||
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Physician Office | ||||||
| Rating Stars (Click) | Understanding of health care economics and health care policies as it applies to delivery of patient care | 1 | 2 | 3 | 4 | ||
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Concepts of capital budgeting | ||||||
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Department/unit budgeting | ||||||
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Recruitment techniques | ||||||
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Interviewing techniques | ||||||
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Labor Laws pertaining to hiring | ||||||
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Orientation of new employees | ||||||
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Knowledge of quality improvement/performance improvement tools | ||||||
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Patient Safety | ||||||
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Workplace safety | ||||||
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Promotion of interdepartmental communication | ||||||
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Performance management | ||||||
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Staff Development | ||||||
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Coaching and mentoring | ||||||
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Project management | ||||||
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Business development | ||||||
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Developing Strategic plans | ||||||
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Developing operational plans | ||||||
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Cultural competence | ||||||
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Personal growth and development | ||||||
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Ethical behavior and practice | ||||||
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Professional association involvement | ||||||
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Conflict Management | ||||||
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Team dynamics | ||||||
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Mediation/coaching | ||||||
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TJC Standards | ||||||
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OSHA Standards | ||||||
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Risk Management/Service Utilization | ||||||
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Local Department of Health | ||||||
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State Department of Health | ||||||
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Sitter Services | ||||||
| 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) | ||||||