Skills Checklist - Infection Prevention RN

This Skills Checklist is a self-evaluation to assess your recent experience in various clinical settings focusing on the past 2 years.

0 = No Experience
1 = Some Experience
2 = Intermittent Experience
3 = Experienced
4 = Very Experienced

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AGE OF PATIENTS CARED FOR

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Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)

GENERAL SKILLS

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Draw Blood Cultures
Perform Blood Draw
Discontinue ART Line
Discontinue PICC Line
Initiate IV Access
Adult Respiratory/ Cardiac Arrest
Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Defibrillators
Care of Patients in Restraints
Pain Management
Automated Med Dispensing Systems
Care Planning
Discharge Planning
Patient/Family Education
Electronic Documentation
Patient Head to Toe Assessment
Dressing Changes
Knowledge of Normal Serum Lab Values
Obtaining Cultures (Blood, Sputum, Swab)
Administration of Blood & Blood Products
PCA Pumps

Infusion Pump:

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Calculate mcg/min and mcg/kg/min
Titrating Medications

NEURO GENERAL SKILLS

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Cranial Nerve Assessment
ICP Monitoring
Assessment of Neuro Signs
Glascow Coma Scale
Stroke Scale
Seizure Precautions
Assist with Lumbar Puncture
Crutchfield Tongs
Halo Traction
Stryker Frame
Hypo/Hyperthermia Blanket

NEURO-CARE OF PATIENT WITH:

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Meningitis
Coma
CVA/TIA
Seizure Activity
Overdose
Neuro Injury/Trauma
Pre/Post Neuro Surgery
Cranial Hemorrhage

KNOWLEDGE AND USE OF

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Anti-seizure Meds
Sedatives
Analgesics

CARDIAC GENERAL SKILLS

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Interpretation of 12 lead EKG
Interpretation of Arrhythmias
Defibrillation/Cardioversion
Permanent Pacemaker
Temporary Pacemaker
AICD
Interpretation of Hemodynamic Monitoring
Art-Line (Transducer set-up, D/C)
Swan-Ganz (Transducer set-up, D/C)
Balloon Pump (IABP)
SVO2 Monitoring
Sheath Removal
Interpretation of Cardiac Enzymes

CARDIAC- CARE OF PATIENT WITH:

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Aneurysm
Acute MI/Unstable Angina
CHF
Cardiogenic/Hypovolemic Shock
Pre/Post Cardiac Surgery
Pre/Post Cardiac Cath
Percutaneous Transluminal Coronary Angioplasty
Heart Transplant

KNOWLEDGE AND USE OF

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Atropine
Bretylol
Bumex
Digoxin
Dopamine
Dobutrex
Heparin Drip (Precautions & Maintenance):
Inderal
Inocor
Isuprel
Lidocaine
Nipride
Nitroglycerin
Pronestyl
Titrate Morphine
Thrombolytic Agents
Magnesium Sulfate
Versed
Prep/Titration of Emergency Drugs

RESPIRATORY GENERAL SKILLS

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Establishing an Airway
Oxygen Delivery Systems
Chest Tubes (Emerson/Pleuravac)
Pulse Oximetry
Interpretation of ABG
Drawing ABG Blood Sample from Art- Line
Use of Intermittent Positive Pressure Breathing
Use of Pressure Support
Suctioning
Ventilators

RESPIRATORY- CARE OF PATIENT WITH:

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COPD
ARDS
Pre/Post Thoracic Surgery
Pulmonary Embolism
Pulmonary Edema
Pneumonia
Inhalation Injuries
Lung Transplant

KNOWLEDGE AND USE OF

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Bronchodilators
Corticosteroids

GASTROINTESTINAL GENERAL SKILLS

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NG Tube Insertion
Gastrostomy Tube
Jejunostomy Tube
Enterostomal Care

GASTROINTESTINAL- CARE OF PATIENT WITH:

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PEG Tube
Pancreatitis
GI Bleed
Esophageal Bleeding
Bowel Obstruction
Whipple Procedure
Liver Transplant
Hepatitis
Paralytic Ileus
Endoscopic Retrograde Cholangio-Pancreatography

KNOWLEDGE AND USE OF

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Antiemetics
Proton Pump Inhibitors
TPN/Hyperalimentation

GENITOURINARY/RENAL GENERAL SKILLS

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Foley/Straight Catheter Insertion
GU Irrigations (Continuous and Intermittent)
Nephrostomy Tube
Suprapubic Tube
Electrolyte Imbalance/Replacement

GENITOURINARY/RENAL- CARE OF PATIENT WITH:

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T.U.R.P.
Shunts & Fistulas
Nephrectomy
Renal Transplant
Renal Failure
Peritoneal Dialysis
Hemodialysis
Continuous Renal Replacement Therapy
Renal Trauma

ENDOCRINE GENERAL SKILLS

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Diabetic Teaching

ENDOCRINE- CARE OF PATIENT WITH:

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Hyper/Hypoglycemia
Diabetic Ketoacidosis

KNOWLEDGE AND USE OF

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Insulin (IV, SQ)
D50

VASCULAR GENERAL SKILLS

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Peripheral Pulses
Dopplers
Peripheral IV Insertion, Care and Maintenance
Assisting with Insertion of Central Lines
Care and Maintenance of Central Lines
Assist with IV Cutdown

OTHER

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Care of Patient with Trauma Wounds
Care of Oncology Patient
Chemotherapy Administration
Care of Patient with Burns
Care of Patient with HIV/AIDS
Hyperbaric Oxygenation
Suicide Precautions
Post Mortem Cares

Position Category

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Total Years of Experience

First Name

Last Name

Social Security #

Date of Birth

Email

Phone

Attestation

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified, particularly within the last 2 years. I hereby authorize Alliant Personnel Resources (The Company) to collect, store, and release any information that I have provided in this Skills Checklist and/or any other documentation and information they have collected or that I have submitted in any form to its parent company(s), its subsidiaries, or other subcontractors/its service providers as it deems necessary in its business operations as well as to individuals and companies in relation to consideration of employment as a Healthcare Professional with those companies and individuals. I acknowledge that The Company will take precaution and care to protect my personal information that is collected/stored/shared but cannot guarantee permanent data security and I release The Company from all related liability for damages or punitive liability.

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Skills Checklist - Intensive Care RN