OnLine Skills Checklist: Nursing
Name:
Directions: Indicate your level of skill and experience by checking the boxes below according to the definitions listed.			Highly Skilled: Able to instruct and supervisor Skilled: Able to function independently Limited Skill: Experienced, but may need review No Experience: No direct experience
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
ASSESSMENTS:
Physical Assessment:
Care Planning:
Nursing Process:
HEMODYNAMICS/LAB:
Dynamap Blood Pressure Monitoring:
Vital Signs Assessments:
Peripheral Blood Draws:
Blood Glucose Checks:
Knowledge of Lab Values:
Wound Cultures:
Specific Gravity (Urine):
PHARMACOLOGY/IV'S:
Total Parenternal Nutrition :
(TPN) Hyperalimentation :
Epidural Catheter Infusion:
Patient Controlled Analgesia (via I.V. Pump):
IV Push Medications:
Chemotherapy:
Unit Dose Medication System:
I.V Morphine Infusions:
Insulin Administration/Infusion Pumps:
Blood Transfusion Platelets:
Peripheral IV Starts and Maintenance:
CVP Monitoring:
IV Fluids/Piggy backs:
Central Lines/Venous Access Devices:
Blood Draws:
Maintenance:
Dressing Changes:
Medication Calculations:
Drug Compatibilities/Side Effects:
Nasogastric Medications:
Intramuscular Injections :
Intradermal Injections:
Sub-Cutaneous Injections:
Oral Medications:
Eye/Ear Medications:
Rectal Medications:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
Pulmonary:
Oxygen Therapy Via:
Nasal Cannula and/or Mask:
Ventilators: PEEP, CPAP, IMV, and weaning:
Pulse Oximetry:
Incentive Spirometry:
Blood Gas Analysis:
Basic Cardiac Life Support Certified (BCLS):
Ventilation with an Ambu Bag:
Lung Assessmment:
Establishing an airway:
Orophaarynageal Suctioning:
Care of patients with:
COPD:
Asthma:
Pulmonary Emboli:
Pneumonia:
ARDS:
Pneumonectomy:
Lobectomy:
Lung Transplant:
USE and Understanding of:
Aminophylline:
Terbutaline:
GENERAL MEDICAL/SURGICAL:
Aseptic (Sterile) Techniques:
Dressing Changes:
Standard Precautions:
Isolation Procedures:
Foley Catheter Insertion/Care:
In & Out Catheterization:
drairis: Jackson Pratt, Penrose:
Sulture/Staple Removal:
Assessement of Incision/Skin:
Open Wound Irrigattions/Wound Packing:
Hemovac Drainage:
Abdominal Drains:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
TABLE FEEDINGS- BOLUS/CONTINUOUS:
Nasogastric:
Gastrostomy:
Jejunostomy:
Use of a Feeding Pump:
Nasogastric Tube Insertion:
Nasogastirc Suction/Irrigation:
Miller Abbot/cantor Tubes:
Bowel Preps:
Stoma care:
Heostomy:
Colostomy:
Chest Tubes/Pleurovacs/Dry Suction:
PRE-POST BIOPSY CARE SUCH AS:
Kidney:
Liver:
Lung:
Breast:
Fine Needle Aspiration:
Bone Marrow:
Skin:
Muscle:
SPECIMEN COLLECTION/HANDLING:
Kidney Tissue:
Liver Tissue:
Lung Tissue:
CSF:
Blood ( Peripherally):
Blood (Central Venous Catheter):
Cultures viral/bacterial:
sputum:
stool:
urine:
24 Hour Urine:
Care of Patients With:
AIDS:
Diabetes Mellitus:
Hypoglycemic?Hyperglycemic Reaction:
GI (Surgery, Bleed, etc.):
Dehiscence:
Endocrine Disorders:
Sickle Cell Disease:
Pre and post plastic Surgery:
Burns:
Skin Grafts:
Pre-Post op care of Liver/Liver Transplant Patient:
Knowledge of Hypo/Hyper thermia Transplant Blankets:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
PSYCHIATRIC DISORDER CARE:
Schizophrenia:
Bipolar Disorder:
Obsessive Compulsive Disorder:
Anorexia:
Bulimia:
Substance Abuse:
Overdose:
Suicide Percautions:
ECT:
DTS:
4 Point Restraints:
CARDIOVASCULAR:
Assessement of Apical Pulse:
Assessement of Heart Sounds:
Assessement of Peripheral Pulses:
Ultrasonic Doppler:
12 Lead EKG:
Interpertation of Arrhythmias:
Defibrillation/cardioversion:
Cardiac Monitors:
Telemetry:
Permanent Pacemaker:
Temporary Pacemaker:
Fluid Overload:
Rotating Touniquets:
Cardiac Arrest :
A Line ( Transducer set up):
Ballon Pump:
Care of Patients with:
Aneurysm:
Acute Myocardial Infarction:
Pre/Post Cardiac Cath:
CHF:
Cardiogenic Shock/Hypovolemic Shock:
Cardiac Arrest :
Pulmonary Edema:
Heart transplant:
Pre/Post cardiac Surgery:
CEA (Carotid Endarterctomy):
Femoral Popliteal Bypass:
Use and Understanding of:
Atropine:
Bretylium:
Digoxin:
Dopamine:
Inderal:
Isuprel:
Lidocaine:
NTG:
Pronestyl:
Quinidine:
Preparation of Emergency Drugs:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
NEUROSCIENCES:
Asssessement of Neuro Signs (Pupils,etc):
Glascow Coma Scale:
Care of Patients with:
Pre-PostNeurosurgery:
CVA:
Alzheimer's:
Meningitis:
Subarachrioid Hemorrhage:
Increased Intracranial Pressure:
ICP Monitoring:
Seizure Activity/Precautious:
Transphenoidal Surgery:
Post-op Discetomy:
Neuro Trauma:
Spinal Cord Injury:
Crutchfield Tongs:
Stryker Frame:
Hydrocephalus/VP Shunt:
External Ventricular Drains:
Lumbar Drains:
Lumber Puncture:
Embolization:
Angiography:
Use and Understanding of:
Decadron:
Dilantin:
Magnesium Sulfate:
Phenobarbital:
Valium:
Renal/Urology:
Renal Transplant:
Receiving Hemodialysis:
Post Bladder Surgery/Cystectomy:
TURP:
Post Penile Prosthesis Insertion:
Post Urinary Diversion to lleal-Conduit:
Post Urinary Diversion to Cutaneous Ureterostomy:
Post Urinary Diversion to Continent Urinary Pouch:
Post Urinary Diversion to Recto-sigmoid Pouch:
Post Nephrectomy:
Post Orchiectomy (Bilateral):
Peritoneal Dialysis:
AV/Fistula/Shunt:
Urethral & Suprapubic Catheters:
Urethral Stents:
Bladder Irrigations/Continuous & Intermittent:
Nephrostomy Tubes:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
ORTHOPEDICS:
Care of Patients with:
Fractures:
Joint Trauma:
Bone Grafts:
Arthroscopy/Arthrotomy:
Amputation:
Total Knee/Hip Replacement:
Splints:
Brace:
Prosthesis:
Halo Traction:
Halo Vest:
Harrington Rod:
TENS:
Assess Circulation, Sensation, Motion, Pre-Post Operative:
Assess Mobility of Patient and Monitor Safe Ues of Crutches, Walker, Canes, Wheelchair:
Able to Reinforce Cast and Use Cutter:
Ues of Abductor Pillows:
Use of spinal Rolls:
Apply Ace Wraps:
Traction set up and maintenance:
Skeletal:
Buck's Extension:
ENT/HEAD & NECK:
Tracheostomy Care:
Fenestrated-CuffedNon-Cuffed:
Shiley Plastic CuffedNon-Cuffed:
Metal:
T-Tube:
Tracheostomy Suctioning Peds/Adults:
Radical Neck Surgeries:
Laryngectomy Patients with Airlon Tubes:
Myringotomy/adenoidectomy:
Cochiear Implant-surgery:
Septoplasty:
a)packing:
b)splint:
C)moustache dressing:
Tympanomastoldectomy:
Ophalmology/Dilating Drugs:
a) pre-cataract:
b) intra-occular lens implant surgery (IOL):
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
BMT/HEMATOLOGY PATIENTS:
Care of Patients Receving BMT:
Care of Patients Receiving Peripheral Stem Cells Transfusion:
Neutroperic Isolation:
Psychological Care:
Lab Values:
Renal/Hepatic Profile:
Hepatitis Profile:
Full Blood Count:
Coagulation Studies:
Cyclosporian A:
Electrolyte Boluses:
GCSF/CGCSF:
OB/GYN:
Care of Patients with:
Endometriosis :
GYN Exam/Pap:
Hysterrectomy:
Labor Assessement:
Vaginal Exam:
Assist with Vaginal Delivery:
Assist with Fetoscope/Doppler:
Internal Monitoring/Lead Connection & Cailibrating:
Identify FHR patterns:
Assist with Fetal Scalp Blood Sampling:
Scrub for Caesarean Section:
Provide Intrapartum Care to Patients with:
PIH (Pregnancy Induced Hypertension):
Preeclampsia:
Multiple Gestation:
Placenta Previa:
Abruptio Placenta:
Malpersentations:
Premature Labor:
Diabetes Mellitus:
Infectious Diseases:
Sickle Cell Disease:
RH Incompatibilities:
Postpartum Assessment:
Fudus Consistency:
Lochia:
Bladder Distention:
Episotomy /Ceasarean Incision:
Neonatal Care:
Assign Apgar Scores:
Suctioning:
Eye Prophylaxis:
Collect Cord Blood Samples:
Neonatal Level I:
Neonatal Level II:
Neonatal Level III:
Draw Blood from 0 Line:
Suction with catheter:
Cord and circumcision care:
NG Feedings:
Administration of Blood and Blood Products:
Administering IV Drips:
Magnesium Suylfate:
Labor Supressant (Ritodrine):
Oxytocin Induction Augment:
	Adult				Pediatrics
	Highly Skilled	Skilled	Limited Skill	No Exp.	Highly Skilled	Skilled	Limited Skill	No Exp.
PEDIATRICS:
calculation of Pediatric Doses:
Preparation of Emergency Drugs:
Scalp Veins:
Apenea Monitor:
Use pf Croup Tent:
Care of Patient with:
Broncho-Pulmonary Dysplasia:
Cystic Fibrosis:
Failure to Thrive:
Overdose/Poison Ingestion:
PDA Ligation:
Reyes Syndrome:
Spina Bilfida:
Tracheoesophageal Fistula:
MANAGEMENT EXPERIENCE:
Precepting New Employees :
Charge Nurse Responsiblities:
Type of Nursing Care Experienced in:
Team Nursing:
Total Patient Care:
Primary Nursing:
COMPUTER EXPERIENCE:
Laboratory:
Radiology:
Nursing Documentation:
Other (Specify):
AGE SPECIFIC COMPETENCY:			Highly Skilled	Skilled	Limited Skill	No Exp.
Neonatal/Newborn (birth-30-days):
Infants (30 days-1 year):
Toddler (1-3 years):
Preschooler (3-5 years):
Older Children (5-12 years):
Adolescents (12-18 years):
Young Adults (18-30 years):
Middle Adults (39-64 years):
Older Adults (64 +years):
How many beds are in your hospital?
How many beds are in your unit?
How many patients do you take care of at one time?
Describe the types of patients you take care of:
Describe a typical day at work, including activities that you do and how you prioritize you day:
COMMENTS/ADDITIONAL EXPERIENCE:
Please wait while your application is being processed...