RNFA

RNFA Skills Checklist

Answer Key:

1. No Experience 2. Limited Experience 3. Experienced 4. Very Experienced

Age Specific

Rows	1	2	3	4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)

Automated Med Dispensing Systems

Rows	1	2	3	4
Accudose
Metro
Omnicell
Promanager Rx
Pyxis

Electronic Documentation

Rows	1	2	3	4
Allscripts
Care360
Cerner
eClinicalWorks
EPIC
MACLAB
McKesson
Meditech
PACS
Soarian

IV Pumps

Rows	1	2	3	4
Alaris
Alibaba
BArd
Baxter
Braun
CADD
IVAC
Zynomed

General Knowledge

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Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Time Out Procedure Pre-Op
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

General Surgery

Rows	1	2	3	4
Abdominal Perineal Resection
Bowel Resection
Cholecystectomy
Gastrectomy
Herniorrhaphy-Femoral/Inguinal, ventral, umbilical
Hiatal Herniorrhaphy-Transabdominal
Laparoscopic General Surgeries
Organ Procurement
Radical Mastectomy
Breast biopsy
Appendectomy
Gastric Bypass
Splenectomy
Thyroidectomy
Tracheostomy

Laparoscopic Procedures

Rows	1	2	3	4
Cholecystectomy
Appendectomy
Hysterectomy
Hernia Repair
Colon Resection

Gynecology

Rows	1	2	3	4
Cesarean Section
Dilation & Curettage
Hysterectomy-Vaginal
Hysterectomy-Abdominal
Laser Surgery
Salpingo-Oopherectomy
Tubal Ligation
Vaginectomy
Vaginal Reconstruction

G.U. and Cysto

Rows	1	2	3	4
Circumcision
Cystoscopy/Cystostomy
Cystectomy
Hypospadius Repair
Lithotripsy
Nephrectomy
Orchiectomy
Penile Implant
Prostatectomy
Ureterolithotomy
T.U.R.P./T.U.R.B.
Vasectomy

Orthopedic

Rows	1	2	3	4
Anterior Cruciate Ligament Reconstruction
Carpal Tunnel surgery
Arthroscopy/Arthrotomy
Closed Pinning & Reduction of Extremities
External Compression Devices
Total Joint Replacement - Knee, Hip
Spinal Fusion-Harrington Rods
Spica Cast Application
O.R.I.F.-Shoulder, Hip, Humerus etc.
Patellectomy
Tendon Implants & Reanastomosis

Neurosurgery

Rows	1	2	3	4
Anterior Cervical Fusion
Burrholes for Subdural Hematoma
Craniotomy
Laminectomy
Shunt Procedures-VP/VA

Plastics

Rows	1	2	3	4
Abdominoplasty/Abdominal Lipectomy
Augmentation Mammoplasty
Cleft Lip/Palate Repair
Facelift
Liposuction
Otoplasty
Rhinoplasty
Reduction of Facial Fracture
Scar Revision
Skin Meshing
Split Thickness Skin Grafting

Eye

Rows	1	2	3	4
Excision of Chalazion
Canthotomy
Correction of Ectropian/Entropian
Corneal Transplant
Enucleation
I.O.I. Implants
Lacrimal Duct Probing
Refractive Keratoplasty
Repair of Retinal Detachment
Vitrectomy

Ear, Nose & Throat

Rows	1	2	3	4
Caldwell-Luc
Ethymoidectomy
Frontal Flap Sinus Procedure
Laryngectomy
Open Reduction Facial Fractures
Radical Neck
Tonsillectomy & Adenoidectomy
Myringotomy
Mastoidectomy
Tympanoplasty
Stapedectomy
Nasal Polypectomy
Laryngoscopy

Thoracic

Rows	1	2	3	4
Hiatal Hernia
Pneumonectomy/Lobectomy
Esophagogastrectomy
Thoracotomy
Endoscopic Thoracic Procedures
Lung/Wedge Resection

Endoscopy

Rows	1	2	3	4
Bronchoscopy
Upper Endoscopy (EGD)
Cystoscopy
Gastroscopy
Colonoscopy

Cardiovascular

Rows	1	2	3	4
A-V Shunt
Aortic Aneurysm, Abdominal
Aorto-Femoral-Pop Bypass Graft
Cardiac Valve Replacement
Coronary Artery Bypass Graft-on pump
Coronary Artery Bypass Graft-off pump
Endarterectomy-Carotid/Femoral
Femoral-Popliteal Bypass
Permanent Pacemaker Insertion
Intra-Aortic Balloon Pump Catheter
Patent Ductus Repair
Pericardial Windows
Portasystemic Shunt
Repair of Septal Defects
Thrombectomy
Vena Cava Ligation

Transplants

Rows	1	2	3	4
Pancreas
Heart
Lung
Liver
Kidney
Eye

Equipment

Rows	1	2	3	4
Robotics
Fracture Tables
Video Systems
CUSA
Cell Saver
PACS Diagnostics
Electrocautery
Drills
Stapling Devices
Ventilators
Cardiac Monitors
Stapling Devices

Sterilization of Equipment

Rows	1	2	3	4
Log
Biological Indicators
Autoclave Operation
High Level
STERIS
Steam
Gas
Flash

I attest that this checklist represents a true reflection of my experience to the best of my knowledge. By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.

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