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

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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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Standard Precautions
Isolation Precautions
Protective Isolation
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
Defibrillators
Basic Cardiac Rhythm Recognition
Advanced Cardiac Rhythm Recognition
Pulse Oximetry
Care of Patient in Restraints
Automated Med Dispensing Systems
Electronic Documentation
Care Planning & Discharge Planning
Patient/Family Education
Cancer Screening and Detection

GASTROINTESTINAL

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TPN/PPN Administration
G-Tubes/J-Tubes Feeding and Site Care
Enterostomal Care
Dobhoff Insertion
NG Tube Insertion
Colostomy Irrigation
Colostomy Patient Teaching
Tube Feeding Assessments

ADDITIONAL SKILLS

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Management of Sudden Wound Dehiscence
Would Debridement
Wet to Dry Dressing Changes
Care of Drains and Tubes
Wound Vac

PAIN MANGEMENT

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Pain Assessment
Nonpharmacologic/ Alternative Strategies
Adjuvant Medications for Pain
Oral Pain Medication Administration
Use of Narcotic Pain Patches
IV Push Narcotics
Use of PCA Pump
Continuous Narcotic Infusion
Continuous Epidural Infusion

MEDICATION KNOWLEDGE AND USE OF

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Solu-Cortef
Prednisone
Decadron
Antiemetics
Benadryl

BLOOD DRAW & IV THERAPY

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Peripheral IV Insertion, Maintenance and Discontinuation
Peripheral Venous Blood Draw

Central Venous Catheters

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Hickman
Obtaining Peripheal Blood Cultures
Port-A-Cath Care & Maintenance
Obtaining CVC Blood Cultures
PICC Line Insertion
PICC Line Care and Maintenance
IJ Care & Maintenance
Groshong Care & Maintenance
Administration of IV Fluids
Administration of Antibiotics
Administration of Blood and Blood Products

CHEMOTHERAPY/ BIOTHERAPY ADMINISTRATION

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Knowledge of Normal Lab Values
Calculate Body Surface Area
Care of Patients with Extravasation
Manage Cytotoxic Spills
Safe Handling of Cytotoxic Agents
Handle Body Fluids Post Chemo

Methods of Chemotherapy/ Biotherapy Administration

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Oral
Subcutaneous
IV Push
IVPB & Continuous Infusion
Intrathecal
Intraperitoneal
Intravesicular
Intrapleural

Knowledge and administration

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Immune Therapy
Growth Factors
Monoclonal Antibodies

Chemotherapy hormonal antineplastics

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Antineoplastic Antibiotics
Antimetabolites
Plant Alkaloids
Alkylating Agents

EDUCATION AND CARE OF PATIENT WITH FOLLOWING EFFECTS OF CHEMOTHERAPY/ BIOTHERAPY

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Allergic Reactions - Hives, Itching
Weakness/ Dizziness
Fever/ Chills
Low Blood Pressure
Abnormal Lab Values (Neutropenia, Pancytopenia, etc.)
Fatigue
Nausea/Vomiting
Anorexia
Constipation/Diarrhea
Mucositis/Stomatitis
Renal or Hepatic Toxicity
Cardiac Toxicity
Alopecia
Dermatitis
Cystitis
Neurotoxicity
Pneumonitis
Infertility
Depression/Anxiety
Neuropathy
Altered Skin Integrity

PSYCHOSOCIAL CARE

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Kubler-Ross Stages of Grieving
Identify Support Groups for Patients/Family
Self-Care and Coping Skills
Goal Setting
Advance Directives
Quality of Life Issues
Palliative and Hospice Care

RADIATION THERAPY

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Provide Radiation Therapy Teaching
Provide Skin Care Post-Radiation

ASSESS FOR S/S OF RADIATION THERAPY COMPLICATIONS/ SIDE EFFECTS

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External Radiotherapy
Total Body Irradiation (TBI)
Nonsealed Radioactive Therapy Intraoperative Radiotherapy (IORT)
Brachytherapy
Radioembolization
Radiation Safety Precautions

BONE MARROW TRANSPLANT

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Adult BMT
Pediatric BMT
Stem Cell Transplant
Graft Rejection
Venoocclusive Disease/ Graft-Versus-Host Disease (GVHD)
Administration of Interferons

CARE OF PATIENTS WITH FOLLOWING CRISIS

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Anaphylaxis
S.I.A.D.H.
Superior Vena Cava Syndrome
Organ Obstruction
Spinal Cord Compression
Tumor Lysis Syndrome
DIC
Septicemia
Tamponade
Hypercalcemia

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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