Instructions: This checklist is
meant to serve as a general guideline for our client facilities as to the
level of your skills within your nursing specialty. Please use the scale
(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Non-Trauma Center Emergency Department
Pediatric Emergency Department
Emergency Department - Combined Adult/Pediatric
Congestive Heart Failure/Pulmonary Edema
Chest Tube Insertion/Management
Skin Integrity Assessment
Some items are covered in system specific areas
INFECTIOUS DISEASE/IMMUNOSUPPRESSED PATIENTS
Contagious/Infectious Patients
Neutropenia/Reverse Isolation
Pregnancy Induced Hypertension
Reporting Acts of Violence
Management of Pediatric Emergency Patients
Identification/Reporting Abuse
Asthma/Reactive Airway Disease
Managing Violent Behavior
Drug /ETOH Overdose/Withdrawal
Bites- Animal/Snake/Human
Hazardous Material Exposure
Blood Product Administration
Anticoagulants (IV, oral, & injection)
Procedural Sedation - Administration
Narcotics/Opioid Analgesics (IV, oral, & injection)
Nitrates (Oral & Topical)
Non-Opioid Analgesics (IV, Oral, & Injection)
Steroids (IV, Oral, Inhaled)
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
CARDIAC MONITORING & EMERG. RESPONSE
Dysrhythmia Interpretation
Management of Cardiac Arrest
PROFESSIONAL KNOWLEDGE AND SKILLS
Ambulance/Paramedic Radio
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Age Specific/Population-Based Care
Pain Assessment & Management
Interpretation and Communication of Lab Values
Age Specific Competencies
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration