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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SETTING

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Acute
Rehab
Inpatient

Orthopedic

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Neck Injuries / Surgeries
Back Injuries / Surgeries
Hip Fractures / Injuries
Total Hip Replacement
Knee Injuries
Total Knee Replacement
Upper Extremity Joint Replacements
Shoulder Injuries
Degenerative Joint Disease / Arthritis
Hand Injuries
Temporomandibular Joint (TMJ)
Post Operative Care
Amputations

Neurologic:

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Stroke Rehabilitation
Cognitive Disorders
Head Trauma
Spinal Cord Injury
Functional Splinting
Adaptive Equipment-Wheelchair
Neuromuscular Diseases
Multiple Sclerosis

Prosthetics / Orthotics:

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Upper Extremity Prosthetics
Above Knee Prosthetics
Below Knee Prosthetics

SPORTS MEDICINE

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LIDO Machine
Nautilus Machine
Taping

Procedures / Treatments:

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Ankle / Foot Orthosis
Slings
Splints - Wrist / Hand
CPM Machine
Hydrotherapy
Whirlpool
Hubbard Tank
Therapeutic Pool
TENS
Electrical Stimulation
Ultrasound
Cryotherapy
Massage
Diathermy
Acupressure
Spinal Mobilization
Extremity Mobilization
Myofacial Release
Craniosacral Techniques
Cervical Traction
Lumbar Traction
Activities of Daily Living
Gait Training
Transfers
Sports Medicine
Athletic Injuries
Biodex
Cybex
Orthotron

OTHER

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Chest PT
Cardiac Rehab
ICU Procedures
CCU Procedures
SICU Procedures
Burn Management
Work Hardening - Work Site Eval
Work Capacity Eval
Functional Capacity Eval
Muscle Energy Techniques
Universal Precautions
Skilled Nursing Documentation
Medicare A
Medicare B
State Healthcare
Skilled Nursing Documentation
Electronic Documentation

AGE

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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)

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 - PTA