Register Nurse Skill Assessment

Name

Date

Total years of RN

Patient Education:

Rows	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:

Rows	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:

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

Pain assessment and management:

Rows	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::

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Psychosocial Status
Suicide Precautions

Delegation:

Rows	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:

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

Vital Signs:

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

Eye Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Ointment
Drops
Ear Medication

Nasal Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Spray
Drops

Oral Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Tablet/Capsule
Liquid

Topical Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Ointments
Patches

Vaginal Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Suppository

Rectal Medication:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Creams
Suppository

Medication Admin Routes :

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Subcutaneous
Finger Sticks

Documentation:

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

Assist with Ambulation:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Walker
Cane

Assist with Toileting:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Commode
Urinal
Bed

Bathing:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Bed
Tub
Shower

Bedbound Care:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Bed Making
Occupied
Unoccupied

Blood Sugar:

Rows	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:

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

Gloves:

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

Oral Hygiene:

Rows	No Experience	Need Instruction	Need Refreshing	Competent
Dentures Care

Ostomy:

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

Oxygen:

Rows	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:

Rows	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:

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

Transfer:

Rows	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:

Rows	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

Register Nurse Skills Assessment Checklist