Charge RN Skills Checklist

Charge RN Skills Checklist

First Name*

Last Name*

Years of Experience*

E-mail*

example@example.com

ANSWER KEY

PROFICIENCY

1=Not Applicable 2=No Experience 3=Some Experience

4=Experienced 5=Very Experienced

FREQUENCY

1=Never Performed 2=Assisted Only 3=Rarely Performed

4=Occasionally Performed 5=Regularly Performed

Leadership Skills*

	Proficiency	Frequency
Demonstrates Effective Leadership Skills (Planning, Organizing, Leading, and Navigating Change)
Supports Unit Operations by Serving as a Clinical Resource
Leads Clinical Operations by Serving in Multiple Roles for the Unit / Department (Such as Mentor, Role Model, Coach, Educator, etc.)
Implements Current Best Practices Affecting Clinical Specialty / Department

Management Skills & Staff Development*

	Proficiency	Frequency
Applies Knowledge of Healthcare Economics Throughout Departmental Initiatives and Activities in the Delivery of Patient Care
Creates, Implements, and Ensures Patient Satisfaction Initiatives, Including Resolution of Patient Complaints
Participates in the Orientation and Training Process of New Staff
Participates in Ongoing Evaluation Process of Staff Members on the Unit
Collaborates With Educators and Nurse Manager to Organize and Plan Education Inservices Based on Identified Learning Needs of Staff
Seeks Out Performance Feedback From Supervisor / Director to Identify Learning Opportunities and Enhance Job Performance
Participates in Surveys, Reviews, and Audits of the Facility / Department as Needed
Assists Clinical Nursing Instructors With Implementation of Student Clinical Rotations
Participates and Addresses Nurse Sensitive Outcomes and Satisfaction Indicators as Required by Facility Performance Improvement Programs
Promotes Staff Engagement, Recruitment and Retention Strategies, and Measures Successful Outcomes in Collaboration With Nurse Manager

Promotes Continuum of Care & Unit Operations by*

	Proficiency	Frequency
Collaborating With Other Service Lines (Pharmacy, Rehabilitation, Services, Food and Nutrition, Laboratory Services, etc.)
Assisting Staff Nurses in Communication With Other Interprofessional Personnel (Providers, Lab, Pharmacy, Radiology, etc.)
Assisting Staff Nurses in Communicating With Patients, Families, Advocates, Caregivers, etc.
Coordinating and Communicating Patient Flow Related to Resources and Bed Availability Throughout Unit and Facility
Serving as an Organizational Representative, Resource, and Liaison to the Community
Promoting Interdisciplinary Relationships Between Providers and Staff to Build Collaboration and Enhance Professional Practice

Promotes and Demonstrates Effective Intrapersonal and Interprofessional Communication Skills by*

	Proficiency	Frequency
Utilizing Written and Verbal Communication Effectively for Quality Patient Care
Utilizing Effective Problem-Solving and Conflict Resolution Skills
Utilizing SBAR Communication to Facilitate Continuity of Care
Utilizing Information Technology for Patient Care Processes
Utilizing Various Types of Feedback to Staff (Positive, Constructive, Negative)

Professional Regulations*

	Proficiency	Frequency
Promotes and Applies Nursing Code of Ethics Throughout all Aspects of Daily Activities
Adheres to State Nursing Policies for Mandatory Reporting Guidelines (Narcotic Diversion, Drug Abuse, Falsification, of Documentation, Patient Abuse / Neglect, etc.)
Demonstrates Knowledge of Standards Required for Regulatory Purposes (all State and Federal Regulatory Requirements, Accreditation and Licensing Entities)
Follows Organizational Policies and Procedures Related to Risk Management (Patient Falls, Medication Errors, Employee Injuries) in Order to Identify, Track, and Evaluate Areas of High Risk / Liability

Patient Advocacy*

	Proficiency	Frequency
Promotes and Demonstrates Spiritual and Cultural Diversity Considerations
Recognizes and Reports Abuse / Neglect Per Guidelines
Recognizes and Reports Other Patient Conditions Per State / Federal Regulations (Gunshot Wound, Dog Bite, Communicable Disease)
Assists and Supports Staff With End-of-Life Care, Cultural Diversities, Communication Barriers, etc.

Delegation*

	Proficiency	Frequency
Delegates Tasks to Appropriate Support Staff
Assists Staff With Recognizing Opportunities for Delegation
Utilizes 5 Rights of Delegation (Right Task, Circumstance, Person, Directions / Communication, Supervision / Evaluation)
Supervises Care Provided by Other (Patient Care Technicians, Other Assistive Personnel)

Patient Assignments*

	Proficiency	Frequency
Creates, Monitors, and Adjusts Assignments Based on Patient Acuity, Patient Census, and Staffing Availability
Creates and Adjusts Staffing Assignments Based on Staff Skill Level and Competency

Coordinates Patient Flow Into and Out of the Unit*

	Proficiency	Frequency
Assigns New Admissions to Staff Members Based on Acuity and Staffing
Assists With Admissions as Needed
Monitors Patient Discharges to Ensure all Protocols are Implemented (Discharge Instructions, Prescriptions, Referrals, etc.)
Assists With Discharges
Arranges Transportation for Procedures

Direct Patient Care*

	Proficiency	Frequency
Promotes Patient-Centered Care Through the Use of Evidence-Based Practice
Observes and Validates Staff Competencies as Needed
Assumes Patient Assignments as Needed
Assists Staff Nurses in Identifying and Responding to Acute Changes in Patient Status
Coordinates and Implements Bed Assignments Based on Individual Patient Needs
Attends Rounds and Communicates With the Healthcare Team and Interprofessional Providers Regarding Patient Status

Promotes Safety of Physical Environment by*

	Proficiency	Frequency
Conducting Environmental Rounds
Conducting Spot Checks
Ensuring and Maintaining Properly Functioning Equipment
Ensuring and Maintaining Adequate Supplies
Ensuring and Maintaining Efficient Unit Operations
Ensuring and Maintaining Adequate Safety Measures

Age Specific Criteria*

	Proficiency	Frequency
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)

The information provided is true and to the best of my knowledge. I hereby authorize Summit Medical Staffing to present my Skills Checklist to facilities for the purpose of employment. Please Type Your Name in This Box to Electronically Sign this Form.*

First NameLast Name

Date*

MonthDayYear

Hour MinutesAM/PM Option

Form Reply Email Address

Salesforce

Leadership and Management Skills

Communication Skills

Professional Issues

Staffing and Direct Patient Care