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 (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)

CARDIOVASCULAR

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Basic 12 lead EKG interpretation
Use of Cardiac Monitor
Assessment of heart sounds
Cardiac arrest/CPR
Heparin drip
Peripheral Pulses
Anticoagulants
Antihypertensives
Digoxin
Nitroglycerine
Permanent pacemaker
Cardiac surgery
Post acute MI
Congestive heart failure (CHF)
Femoral popliteal bypass
Abdominal aortic aneurysm
Carotid endarterectomy
Thrombophlebitis

CARDIAC- CARE OF PATIENTS WITH:

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Angina
CHF
Chest Pain
Post MI

Knowledge and Use of:

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Nitrates (Oral, Topical)
Antiarrhythmics (Oral)
Antihypertensives (Oral)
Heparin Drip

PULMONARY

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Assessment of breath sounds
Chest Physiotherapy
Oral suctioning
Nasotracheal suctioning
Chest tube (care and maintenance)
Oxygen Therapy Administration:
Bag and Mask
Nasal cannula
Facemask
Albuterol (Ventolin)
Corticosteroids
Tracheostomy
Mechanical ventilator
COPD
Emphysema
Pneumonia
Pulmonary edema

Knowledge and Use of:

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O2 Therapy
Bronchodilators
Oral Steroids
IV Steroids
Inhaler

NEUROLOGY

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Assessment of neurological status
Use of Glasgow Coma Scale
Halo traction
Assist with Lumbar Puncture
Post craniotomy
Shunts
CVA
Seizure activity
Head injury/trauma
Spinal cord injury
Parkinson's
Multiple Sclerosis
DTs/ Impending Delirium Tremens

NEURO- CARE OF PATIENTS WITH:

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Stroke
Spinal Cord Injury - Acute
Spinal Cord Injury – Long Term
Neuromuscular Disease
Alzheimer's Disease

ORTHOPEDICS

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Total hip replacement
Total knee replacement
CPM (Constant Passive Motion)
Arthroscopic surgery
Amputation/stump care
Ortho trauma
Skeletal traction
Skin Traction
Spika cast/body cast
Cast care
K-wires/Steinman pins
C.M.S. Check Ins
Range of Motion
Applications of Splints Extremeties

GASTROINTESTINAL

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Insertion, Care & Maintenance of Nasogastric Tubes (ie Salem Pump, Levine)
Assessment of abdomen
Administration of tube feeding
Gastrostomy tube
Jejunostomy tube (J-tube)
Nasointestinal Tubes (ie Cantor, Miller-Abbot)
Colostomy/ileostomy
GI bleed
GI surgery
Hepatitis
Inflammatory bowel disease

RENAL/GENITOURINARY

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Foley catheter insertion
Insertion of Catheter Straight
Suprapubic Catheter
Care of three-way Foley Catheter
Care of supra-pubic catheter
Nephrectomy
Renal failure
Renal transplant
Peritoneal dialysis
Fistula/shunt
T.U.R.P.
UTI (Urinary Tract Infection)
Bladder Irrigation Continuous
Bladder Irrigation Intermittent
Peritoneal Dialysis
Automatic Cycler Machine
Collection of Urine Specimens
Hemodialysis
A-V Fistula/Shunt Care
Pre- & Post- Dialysis Care
Nephrostomy Tube

RENAL/GU- CARE OF PATIENT WITH:

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Urinary Tract Infection
Pyelonephritis
Renal Calculi
Urinary Retention/Incontinence

GASTROINTESTINAL- CARE OF PATIENTS WITH:

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Stoma
Bowel Obstruction
Pancreatitis
Post Abdominal Surgery
Ileostomy
Colostomy
Inflammatory Bowel Disease
Obstruction
Hepatitis

Knowledge and Use of:

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Total Parenteral Nutrition (TPN)
Peripheral Parenteral Nutrition (PPN)
Antiemetics
Proton Pump Inhibitors

Tube Feedings via Flexible Tubes:

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by Gravity Infusion
by Feeding Pump
Collection of Stool Specimens
Bowel Preparation & Cleansing Procedures

RESPIRATORY GENERAL SKILLS

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O2 Cannulas/Masks
Nebulizer Set-up/Use
Incentive Spirometry
Chest PT
Pulse Oximetry

Suctioning:

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Oral
Tracheostomy Tube

RESPIRATORY- CARE OF PATIENT WITH:

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SOB
Pulmonary Embolism
Tracheostomy Tube
COPD
Asthma Exacerbation
Pneumonia
Pre/Post Thoracic Surgery
Chest Tubes
Tuberculosis

ENDOCRINE GENERAL SKILLS

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Performing Fingersticks
Use of Blood Glucose Meter Device
Use of Visual Blood Glucose Strips
Diabetic teaching
Insulin administration
Oral Hypoglycemics
Blood glucose testing

Endocrine- Care of Patient With:

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Hyper/Hypoglycemia
DKA
Thyroid Disorders

Knowledge and Use of Insulin:

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Single Type
Dextrose
Mixed Insulins
Insulin Infusion

ONCOLOGY

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Chemotherapy administration
Isolation/reverse isolation
IV hydration
Nutritional requirements
Care of bone marrow transplant
Hickman catheter
Groshong Catheter
Infusa-port
Broviac
Chemotherapy Certification

WOUND/SKIN CARE

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Dressing Changes
Air Fluidized, Low Airloss Beds
Pressure Relief Mattress/Seat Cushion
Pressure Sores
Leg Ulcers
Burns

WOUND VACS

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Hemovacs
Jackson-Pratt Tubes
Penrose Drains
T-Tubes
Surgical Wound Irrigations & Dressings

VASCULAR/IV

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Discontinue PICC
Care of Patient with DVT
Draw Blood from Arterial Line
Draw Blood from Central Line
Peripheral IV Insertion, Care & Maintenance
Discontinue Peripheral IV
IV Infusion Pumps
CVP Lines – Measurement of CVP
Central Line Care & Maintenance (including dressing changes)
Blood/Blood Product Administration
Multi-Lumen Central Catheters
Port-A-Caths (Infusa-Ports)
Continuous Subcutaneous Infusion Pumps
Calculate Doses
Calculate Rates
Hanging IV Piggybacks
Insert Heparin Lock
Maintain Heparin Lock
Nutritional Infusions

Knowledge and Use of :

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Anticonvulsants
IV Drip Steroids

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 - Medical Surgical