Nurse Manager Skills Checklist

Nurse Manager 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

General Skills*

	Proficiency	Frequency
Standard Precautions
Isolation Precautions
Pediatric Respiratory / Cardiac Arrest
Adult Respiratory / Cardiac Arrest
Crash Carts
Defibrillators
Admission
Advanced Directives
Collect Appropriate Data
Discharge Teaching
Organ / Tissue Donation
Patient and Family Education
Electronic Documentation
Electronic Med Machines

Setting*

	Proficiency	Frequency
Hospital
Outpatient Clinic
Post-Acute Care

Nursing Management*

	Proficiency	Frequency
Staffing and Scheduling Nursing Unit
Quality Improvement
Employee Health / Injuries
Experience With Regulatory Agencies
On-Call Staff
Bed Control
Internal / External Disasters
Violent / Abusive Patient
Patient Elopement
Capacity Issues
Staffing by Acuity
Recruitment and Retention Strategies
Hiring New Staff
On-Boarding of New Staff
Annual Evaluations
Employee Coaching / Counseling
Infection Control
Analyzing Unit Financials
Budgeting Process and Standards
Supply Inventory Management
Coordinate Patient Care Plans
Providing Medical and Mentoring for Staff
Addressing Patient Issues / Complaints Promptly

Cardiovascular*

	Proficiency	Frequency
Acute MI
Angina
Congestive Heart Failure
Pacemaker

Pulmonary*

	Proficiency	Frequency
Acute Pneumonia
Asthma
COPD
Pulmonary Edema
Pulmonary Embolism
Tracheostomy

Neurological*

	Proficiency	Frequency
Acute Head Injury
Dementia
Stroke
Seizure Disorder

Gastrointestinal*

	Proficiency	Frequency
Abdominal Wounds and Surgeries
Bowel Obstruction Colostomy
GI Bleeding
Pancreatitis
Paralytic Ileus

Renal / Genitourinary*

	Proficiency	Frequency
Acute Renal Failure
End Stage Renal Disease
Hemodialysis
Peritoneal Dialysis
Suprapubic Cath

Endocrine / Metabolic / Toxicology*

	Proficiency	Frequency
Diabetes
Diabetic Ketoacidosis
Drug Overdose
Illicit Drug Overdose

Musculoskeletal*

	Proficiency	Frequency
Traction
Amputation
External Fixation
Paraplegia
Rheumatoid Arthritis
Joint Replacement

Immunology / Hematology / Oncology*

	Proficiency	Frequency
HIV / AIDS
Sickle Cell Anemia
Acute Leukemia
Treatment Side Effects
Chemo / Radiation
Sepsis

Wounds / Integument*

	Proficiency	Frequency
Pressure Injury / Ulcers
Skin Breakdown

Medication / Therapeutic Interventions*

	Proficiency	Frequency
Administer PO Medications
Administer IM / SQ Medications
Administer IV Medications
Insert PIV
Assess IV Insertion
Multi-Lumen Central Venous Catheters
Infusion / PCA Pumps
Administer Blood / Blood Products
NGT Insertion
Dobhoff Insertion
Ambu-Bag
Nasal Cannula
Non-Rebreather Mask
Venti Mask
Portable Oxygen
Tracheostomy Tube
Ventilators
Epidural Anesthesia / Analgesia
Moderate Sedation

Procedures / Equipment*

	Proficiency	Frequency
Chest Tube Drainage
Urinary Catheters
Suctioning (Oral / Nasal / Pharyngeal)
Isolation
Specialty Beds
Universal Precautions
Wound Vac
Butterfly Stick
Venipuncture
Bedside Invasive Procedures
Central Line Insertion
Lumbar Puncture
Paracentesis
Thoracentesis

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. *

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