Skill Checklists
Clinic / Urgent Care RN / Primary Care
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
Advanced directives
Patient/family teaching
National Patient Safety Goals
Awareness of HCAHPS scores
Automated Medication Dispensing System (Pyxis, Omnicell etc)
Triage
Lift/transfer devices
Barcoding for medication administration
Computerized Charting
AMA procedures
Electronic Medical Record
Accurate Patient identification
Interpretation of lab values
Labeling of lab specimens
Reconciliation
Monitoring conscious sedation
Universal Precautions
Isolation
Fall risks
Wound care
Prevention of pressure ulcers
Wound VACs
Starting & Maintaining peripheral IVs
Blood Draw: venous
Blood Draw: ABGs
Care & Management of Port
Care & Management of PICC, Groshong, Hickman
TPN Lipids
Obtain 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrhythmias
Interpretation of (cardiac enzymes, Troponin, BNP)
Cardiac arrest/CPR/AED
Oxygen therapy & delivery
Pulse oximetry
Use of Doppler
Defibrillation
External pacer
Should be Auscultation/irregular heart sounds
Peripheral Edema
PQRST Assessment
Aneurysm
Angina
Angioplasty (pre/post)
Arrhythmias
Chest Tubes
CHF
Carotid Endarterectomy
Post MI
Pre/Post heart catheterization
Pre/Post cardiac surgery
Anti-arrhythmic
Antihypertensives
Beta Blocker
Diuretics
Fibrinolytics
Heparin
Nitroglycerin
Nitrates
Morphine
Epinephrine, atropine, antiarrhythmic
Assessment of abnormal breath sounds (wheezing, stridor, crackles)
Abnormal breathing patterns (rapid, labored,)
Oral suctioning
Nasotracheal suctioning
Interpretation of labs/tests (ABGs, pulse oximetry)
Tracheostomy care
Aspiration
Asthma/Reactive Airway Disease
COPD
Pneumonia
Pulmonary Embolism
Pulmonary Edema
Oxygen therapy
Manual resuscitation (AMBU bag, MRB)
Metered Dose inhaler (MDI)
Nebulizers
Pneumothorax
Inhalation injuries
Tuberculosis
Emphysema
Thyroidectomy
Bronchodilators
Expectorants
Steroids
Abnormal uterine bleeding
Assist with cultures
Doppler/ Fetal Heart Tones
Ectopic Pregnancy
Endometriosis
Gyn exam/ pap
Pelvic Inflammatory Disease
Pregnancy-induced hypertension
Post hysterectomy care
Hemorrhage
Vaginal bleeding
Pelvic Tray
CVA
Altered level of consciousness
Glasgow coma scale
overdose
Traumatic brain injury
Delirium tremens
Neuromuscular diseases
TIA
Head Injury
Meningitis
Spinal Cord Injury
Seizure Disorders
Antiepileptics
Spinal immobilization
Cervical collar
Seizure precautions
Assist with lumbar puncture
Assessment of bowel sounds/distention
Nutritional state
Interpretation of labs and electrolyte balance
Ostomy/colostomy
Diarrhea
Management of PEG tube/tube feeds
Constipation/impaction
Hepatitis
Insertion of Ng tube
Pancreatitis
Enemas
Nausea/vomiting
Paralytic ileus
Activated charcoal
Antiemetics
Antispasmodics
Anticholinergics
IV fluids
Ipecac
Laxatives
Catheter insertion/exchange
GU irrigation
Suprapubic tube maintenance
Kidney failure (acute/chronic)
Fluid status
Obstruction
Kidney stones
Renal trauma
Pyelonephritis/UTI
Priapism
Testicular torsion
Urine retention
Assessment of Range of Motion
Assessment of color, warmth, movement, sensation
Assist in reduction of dislocation
Cast Care
Fracture
Splints
Traction
Amputation
Ortho Trauma
Sprain/Strain
Immobilization
Interpretation of labs
Hyperglycemia
Hypoglycemia
Blood glucose
Ketones in urine
Diabetic ketoacidosis
Hyperosmolar Hyperglycemia
POC Blood glucose monitoring
Dextrose
Insulin short acting
Oral Hypoglycemic medications
Insulin Long acting
Visual Acuity
Hearing Acuity
Epistaxis
Enlarged tonsils
Ear irrigation
Eye irrigation
Nasal foreign body
Eye foreign body
Ears foreign body
Mental Status/Behavior
Anxiety/Depression
De-escalation techniques for violent behavior
ETOH withdrawal
Substance abuse over dose
Suicide ideation
Restraints
Antipsychotics
Psychiatric Hold
Antidepressants
Infectious Disease
Isolation Precautions
Use of PPE
Handwashing
Immunosuppression/Neutropenic
Acts of violence
Hazardous exposure
Disaster management
Bites
Burn care
Lacerations
Assist w/ Sutures/staples
Hospital
Clinic
Urgent care
Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)
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.
