RVN Skills Matrix Form
Please be honest with your answers, this form is sent along with your resume/cv to support your expereince.
Full Name (as it appears on the RCVS)
*
First Name
Last Name
RCVS number (if known)
General Overview
Please score yourself out of 5 for how confident you are in each area of practice. 5 = Most Confident a person can be 1 = Little confidence
Consultations
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Preforming Schedule 3 Procedures
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Anaesthesia
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Radiography & Ultrasound
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Emergency
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Lab Work
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Are you are clinical coach
*
Yes
No
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Next
Procedure / Area of business List
Following the same pattern as the previous page, please rate your confidence in each area.
Admittance of Patients
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Product Knowledge
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Bereavement Handling
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Comfortable giving S/C, I/M and I/V injections
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Placement of an IV catheter in a peripheral vein.
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Manage/set up for central line placement
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of infusion pump
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of syringe driver
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Record Keeping
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of pain score charts
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Urine catheter and collection bag management.
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of patient warming equipment (Heat Mats, Egg Warmer, Bair Hugger, etc)
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Feeding tube use and management (Nasogastric & Oesophageal Tubes)
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Back
Next
Nursing Confidence
GDV Patient
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Blocked Cat
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Caesarean Section
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Addison’s Crisis
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
CPR confident to lead
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
CPR confident to assist
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Back
Next
Oxygen Therapy
Use of oxygen concentrator
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of oxygen cylinders
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of nasal prongs
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Management of nasopharyngeal oxygen tube
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of O2 chamber + temperature regulator
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of KRUSSE Oxygen tents
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Back
Next
Anaesthesia
Understanding and basic maintenance of the anaesthetic machine.
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of Anaesthetic circuits (T-Piece, Circle, Lack)
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Monitor anaesthetic / sedation
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of anaesthetic monitoring equipment such as Oesophageal stethoscope
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Pulse oximeter
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Capnography
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Basic ECG trace
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Oscillametric Blood pressure
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Doppler Blood Pressure
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Recovering patient post anaesthetic/sedation
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Back
Next
Radiography
Use / set up of the x-ray machine
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Use of the x-ray developer machine + computer
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Logging exposer and client details
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Transfer the images to client’s file
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Set up Ultrasound Scanner
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
Clean down ultrasound scanner
*
Least
1
2
3
4
Most
5
1 is Least, 5 is Most
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