Nurse Manager
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
Provides unit leadership and clinical supervision
Ensures quality patient care and safety standards
Oversees clinical protocols and regulatory compliance
Leads emergency/code response coordination
Manages staffing, scheduling, and workflow
Oversees patient flow and throughput
Coordinates with interdisciplinary departments
Ensures disaster preparedness and surge planning
Conducts audits and performance improvement initiatives
Manages infection control standards
Oversees incident reporting and risk management
Maintains state and federal compliance readiness
Hiring, onboarding, and competency validation
Performance evaluations and coaching
Conflict resolution and team collaboration
Staff education and retention planning
Budget oversight and cost control
Equipment and supply management
PPE and resource allocation monitoring
Medication safety and IV therapy oversight
Emergency/critical care protocol knowledge
EMR proficiency (Epic/Cerner/Meditech)
CPOE and medication barcoding systems
Adult and geriatric care
Pediatric care
Critical care/trauma experience
Community or tertiary hospital experience
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.
