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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Standard Precautions
Isolation Precautions
Pediatric Respiratory/ Cardiac Arrest
Adult Respiratory/ Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Pain Management
Automated Med Dispensing System
Care Planning and 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, Urine)
Administration of Blood and Blood Products
PCA Pumps
Infusion Pumps
Calculate mcg/min and mcg/kg/min
Titrating Medications
Moderate/Conscious Sedation & Reversal Agents

IV THERAPY

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Initiate Peripheral IV
Discontinue Peripheral IV
Central Line Blood Draw
Central Line Care & Maintenance
PICC Line Blood Draw
PICC Line Care & Maintenance

NEURO GENERAL SKILLS

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Assessment of Neuro Signs
Glasgow Coma Scale
Seizure Precautions
Assist With Lumbar Puncture
Halo Traction

NEURO-Care of Patients with:

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CVA
Seizure Activity
Overdose
Neuro/Head Injury/ Trauma
Pre/Post Neuro Surgery
Cranial Hemorrhage
Multiple Sclerosis
Post-Op AV Shunt

MEDICATION KNOWLEDGE AND USE OF

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Decadron
Dilantin
Magnesium Sulfate
Phenobarbital
Steroids
Valium
Versed

CARDIAC GENERAL SKILLS

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Auscultation of Cardiac Sounds
Dopplers
Interpretation of 12 lead EKG
Interpretation of Arrhythmias
Defibrillation/cardioversion
Permanent Pacemaker
Temporary Pacemaker
AICD
Art-Line (transducer set-up, D/C)
Sheath Removal
Interpretation of Cardiac Enzymes

CARDIAC- CARE OF PATIENTS WITH

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Angina
CHF
Post MI
Pre/Post Cardiac Cath
Pre/Post Cardiac Surgery
Open Sternal Wound (Debridement)
Heart Transplant

MEDICATION KNOWLEDGE AND USE OF

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

RESPIRATORY GENERAL SKILLS

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Establishing an Airway
Ambuing Techniques
Administration of O2
Chest Tubes
Pulse Oximetry
Interpretation of ABG
Use of IPPB
Incentive Spirometer
Oral Suctioning
Nasotracheal Suctioning
ET Suctioning

RESPIRATORY CARE OF PATIENTS WITH

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COPD
ARDS
Pre/Post Thoracic Surgery
Pulmonary embolism
Pulmonary Edema
Pneumothorax
Pneumonia
Inhalation Injuries
Emphysema
Asthma
Lung Transplant

MEDICATION KNOWLEDGE AND USE OF:

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Aminophylline
Corticosteroids
Bronchodilators

GASTROINTESTINAL GENERAL SKILLS

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NG Tube Insertion, Care and Maintenance
Gastrostomy Tube
Jejunostomy Tube
Enterostomal Care
Tube Feedings

GASTROINTESTINAL- CARE OF PATIENTS WITH:

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Pancreatitis
G.I. Bleed
Esophageal Bleeding
Bowel Obstruction
Whipple Procedure
Liver Transplant
Paralytic Ileus
E.R.C.P.

MEDICATION KNOWLEDGE AND USE OF:

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Antiemetics
TPN/Hyperalimentation

GENITOURINARY/ RENAL GENERAL SKILLS

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Peritoneal Dialysis
Hemodialysis
Foley/Straight Catheter Insertion
GU Irrigations
Nephrostomy Tube
Suprapubic Tube
Electrolyte Imbalance/ Replacement

GENITOURINARY/ RENAL- CARE OF PATIENTS WITH:

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T.U.R.P.
Shunts and Fistulas
Nephrectomy
Renal Transplant
Renal Trauma
Chronic/Acute Renal Failure

GYNECOLOGY GENERAL SKILLS

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GYN Examp Prep

GYNECOLOGY- CARE OF PATIENTS WITH:

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Ectopic Pregnancy/Ruptured Ectopic Pregnancy
Hysterectomy
Repair of Cystocele/ Rectocele

ORTHOPEDIC GENERAL SKILLS

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Assessment of C/M/S
K-Wises/Steinman Pins
Removal of Hardware

ORTHOPEDIC- CARE OF PATIENT WITH:

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Total Joint Replacement
Spica Cast/Body Cast
Amputation
Traction
Ortho Trauma
Laminectomy

ENDOCRINE GENERAL SKILLS

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Diabetic Teaching
Blood Glucose Monitoring

ENDOCRINE- Care of Patients With:

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Hyper/Hypoglycemia

MEDICATION KNOWLEDGE AND USE OF

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Insulin (IV, SQ)
D50

PHLEBOTOMY/ IV THERAPY

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Peripheral IV Insertion, Care and Maintenance
Assisting with Insertion of Central Lines
Care and Maintenance of Central Lines
Assisting with Insertion of PICC Lines
Care and Maintenance of PICC Lines
Assist with IC Cutdown
Phlebitis

OTHER

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Heparin Drip (Precautions and Maintenance)
Care of Oncology Patient
Chemotherapy Administration
Care of Patient with Burns
Care of Patient with HIV/AIDS
Hyperbaric Oxygenation
Suicide Precautions
Post Mortem Cares

CARDIAC MONITORS

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Hewlett- Packard
Spacelab
Siemens
Marquette
Mennen
Lifecare
Nihon-Koder

VENTILATORS

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Bear
Bennett 7200
CPAP
Emerson
Engstrom/ Erica
EMV
MA-I
MA-II
Monihan
Ohio 560
PEEP
Pressure Pre-Set
Servo
Siemens

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 - Tele, PCU, Stepdown RN