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 (birth-30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults (64+ years)

GENERAL SKILLS

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Standard Precautions
Isolation Precautions
Discontinue PIV
Initiate Peripheral IV
Lift/ Transfer Devices
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
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
Knowledge of Normal Serum Lab Values
Obtaining Cultures (Blood, Sputum, Swab, Urine)
Calculate mcg/min and mcg/Kg/min
Titrating Medications

PSYCHOLOGICAL

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Overdose/ Withdrawl
Suicidal Precautions
Manic Disorder/ Behavior
De-escalation techniques
Depression

Knowledge and Use of :

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Anti-depressants
Anti-anxiety Medications
Psych Medications

MEDICATIONS

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Anticoagulants
Narcotics
PCA for Pain Control
Epidural for Pain Control
Non-narcotic Analgesics
Topical Medications
IM Medications
SQ Medications
Oral Medications
IV Push Medications
IV Drip Medications
Antibiotics
Chemotherapy

NEURO GENERAL SKILLS

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Assessing Levels of Consciousness
Pupil Checks
Seizure Precautions
Aneurysm Precautions
Assisting with Lumbar Puncture
Use of Hyper/Hypothermia Blanket

NEURO- CARE OF PATIENTS WITH:

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Stroke
Spinal Cord Injury - Acute
Spinal Cord Injury – Long Term
Neuromuscular Disease
Alzheimer's Disease

Knowledge and Use of :

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Anticonvulsants
IV Drip Steroids

CARDIAC GENERAL SKILLS

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Cardiac Monitors
Auscultation of Cardiac Sounds
EKG- 12 Lead
Recognizing Basic & Life-Threatening Dysrhythmias
Cardioversion/ Defibrillation
Pulse Checks
Interpretation of Cardiac Enzymes
Use of Doppler
Use of Automatic BP Cuff (ie Dinamap)

CARDIAC- CARE OF PATIENTS WITH:

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Angina
CHF
Chest Pain
Post MI

Knowledge and Use of:

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Nitrates (Oral, Topical)
Antiarrhythmics (Oral)
Antihypertensives (Oral)
Heparin Drip

RESPIRATORY GENERAL SKILLS

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O2 Cannulas/Masks
Nebulizer Set-up/Use
Incentive Spirometry
Chest PT
Pulse Oximetry

Suctioning:

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Oral
Tracheostomy Tube

RESPIRATORY- CARE OF PATIENT WITH:

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SOB
Pulmonary Embolism
Tracheostomy Tube
COPD
Asthma Exacerbation
Pneumonia
Pre/Post Thoracic Surgery
Chest Tubes
Tuberculosis

Knowledge and Use of:

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O2 Therapy
Bronchodilators
Oral Steroids
IV Steroids
Inhaler

GASTROINTESTINAL GENERAL SKILLS

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Insertion, Care & Maintenance of Nasogastric Tubes (ie Salem Pump, Levine)
Nasointestinal Tubes (ie Cantor, Miller-Abbot)
Jejunostomy, Gastrostomy, Cecostomy Tubes

Tube Feedings via Flexible Tubes:

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by Gravity Infusion
by Feeding Pump
Collection of Stool Specimens
Bowel Preparation & Cleansing Procedures

GASTROINTESTINAL- CARE OF PATIENTS WITH:

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Stoma
Bowel Obstruction
Pancreatitis
Post Abdominal Surgery
Ileostomy
Colostomy
Inflammatory Bowel Disease
Obstruction
Hepatitis

Knowledge and Use of:

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Total Parenteral Nutrition (TPN)
Peripheral Parenteral Nutrition (PPN)
Antiemetics
Proton Pump Inhibitors

RENAL/GU PROBLEMS GENERAL SKILLS

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Insertion of Catheter Straight
Insertion of Catheter Foley
Bladder Irrigation Continuous
Bladder Irrigation Intermittent
Peritoneal Dialysis
Automatic Cycler Machine
Collection of Urine Specimens
Hemodialysis
A-V Fistula/Shunt Care
Pre- & Post- Dialysis Care
Suprapubic Catheter
Nephrostomy Tube

RENAL/GU- CARE OF PATIENT WITH:

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Urinary Tract Infection
Pyelonephritis
Renal Calculi
Urinary Retention/Incontinence

ENDOCRINE GENERAL SKILLS

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Performing Fingersticks
Use of Blood Glucose Meter Device
Use of Visual Blood Glucose Strips

Endocrine- Care of Patient With:

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Hyper/Hypoglycemia
DKA
Thyroid Disorders

Knowledge and Use of Insulin:

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Single Type
Dextrose
Mixed Insulins
Insulin Infusion

ORTHOPEDIC GENERAL SKILLS

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Cast Care
C.M.S. Checks
Traction – Skin
Traction – Skeletal
Range of Motion
Use of Assistive Devices
Applications of Splints Extremities
Continuous Passive Motion Machine (CPM)

ORTHOPEDIC- CARE OF PATIENTS WITH:

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Total Joint Replacement
Rheumatic/Arthritic Disease
Amputation

WOUND/SKIN CARE

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Dressing Changes
Air Fluidized, Low Airloss Beds
Pressure Relief Mattress/Seat Cushion
Pressure Sores
Leg Ulcers
Burns

WOUND VACS

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Hemovacs
Jackson-Pratt Tubes
Penrose Drains
T-Tubes
Surgical Wound Irrigations & Dressings

VASCULAR

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Discontinue PICC
Care of Patient with DVT
Draw Blood from Arterial Line
Draw Blood from Central Line
Peripheral IV Insertion, Care & Maintenance
Discontinue Peripheral IV
IV Infusion Pumps
CVP Lines – Measurement of CVP
Central Line Care & Maintenance (including dressing changes)
Blood/Blood Product Administration
Multi-Lumen Central Catheters
Port-A-Caths (Infusa-Ports)
Continuous Subcutaneous Infusion Pumps

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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