Register Nurse Skill Assessment

Name*

Date*

Date

Total years of RN*

Patient Education:*

	No Experience	Need Instruction	Need Refreshing	Competent
Determine patient and family learning needs
Develops/implements teaching plan
Evaluates effectiveness of teaching
Documents response to teaching

Provides instruction in the following:*

	No Experience	Need Instruction	Need Refreshing	Competent
Emergency Care
Diet & Nutrition
Medications: Route, dosage, frequency, side effects, adverse reactions, safe storage, labeling, indications, drug/food interactions, home monitoring program, therapeutic blood levels

Documentation:*

	No Experience	Need Instruction	Need Refreshing	Competent
Documenting on resident
Corrections to the clinical record

Pain assessment and management: *

	No Experience	Need Instruction	Need Refreshing	Competent
Conducts pain evaluation which includes location, onset, intensity, duration, alleviating factors, level of relief
Utilizes a pain rating scale to collect data

Behavioral Assessment:: *

	No Experience	Need Instruction	Need Refreshing	Competent
Psychosocial Status
Suicide Precautions

Delegation: *

	No Experience	Need Instruction	Need Refreshing	Competent
Medication, Training & Re-training
Personal Care(ADL’s) Training & Re-training
Documenting of Demonstrated from clinical staff

Infection Control: *

	No Experience	Need Instruction	Need Refreshing	Competent
Handwashing
Gloving/on-off

Vital Signs: *

	No Experience	Need Instruction	Need Refreshing	Competent
Blood Pressure
Apical Pulse
Radial Pulse
Respirations
Temperature

Eye Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Ointment
Drops
Ear Medication

Nasal Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Spray
Drops

Oral Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Tablet/Capsule
Liquid

Topical Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Ointments
Patches

Vaginal Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Suppository

Rectal Medication: *

	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Suppository

Medication Admin Routes : *

	No Experience	Need Instruction	Need Refreshing	Competent
Subcutaneous
Finger Sticks

Documentation: *

	No Experience	Need Instruction	Need Refreshing	Competent
Signing MAR & TAR
Recognizing and reporting Medication errors
Response to Medication Allergies

Assist with Ambulation: *

	No Experience	Need Instruction	Need Refreshing	Competent
Walker
Cane

Assist with Toileting: *

	No Experience	Need Instruction	Need Refreshing	Competent
Commode
Urinal
Bed

Bathing: *

	No Experience	Need Instruction	Need Refreshing	Competent
Bed
Tub
Shower

Bedbound Care: *

	No Experience	Need Instruction	Need Refreshing	Competent
Bed Making
Occupied
Unoccupied

Blood Sugar: *

	No Experience	Need Instruction	Need Refreshing	Competent
S/S Hypo/Hyperglycemia
Bowel Movements
Constipation
Diarrhea
Cleaning
Cooking
Reporting change of condition
Dressing a patient

Foley Catheter Care: *

	No Experience	Need Instruction	Need Refreshing	Competent
Emptying Bag
Changing Leg Bag

Gloves: *

	No Experience	Need Instruction	Need Refreshing	Competent
Putting On**
Taking Off**
Handwashing
Hoyer Lift

Oral Hygiene: *

	No Experience	Need Instruction	Need Refreshing	Competent
Dentures Care

Ostomy: *

	No Experience	Need Instruction	Need Refreshing	Competent
Emptying Bag
Changing Bag

Oxygen: *

	No Experience	Need Instruction	Need Refreshing	Competent
How to Apply**
How to transfer 02 from the concentrator to portable tank
Safe issues- no Smoking
No open flames or candles, 02 signage visible at the main do
02 tank place in appropriate

Transfers: *

	No Experience	Need Instruction	Need Refreshing	Competent
How to Apply**
How to transfer 02 from the concentrator to portable tank
Safe issues- no Smoking
No open flames or candles, 02 signage visible at the main do
02 tank place in appropriate

Personal Care: *

	No Experience	Need Instruction	Need Refreshing	Competent
Perineal Care
Positioning
ROM Exercises
Skin Care

Transfer: *

	No Experience	Need Instruction	Need Refreshing	Competent
Pt. weighing 100-150 Lbs
Pt weighing over 200 Lbs
Turning a patient
How to use a draw sheet

Wheelchair Operation: *

	No Experience	Need Instruction	Need Refreshing	Competent
How to lock chair
How to remove leg rest
Working with children
Working with Dementia Clients

Register Nurse Signature*

Date*

Date

Register Nurse Skills Assessment Checklist