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
Breast Milk Collection and Storage
Breastfeeding - Latch Score
Breastfeeding - Supplemental Feeding
Parent/Infant Interaction/Attachment
Pregnancy Induced Hypertension
Pre-Term Labor/Premature Rupture of Membranes
FHM Interpretation and Management
Opioids and Reversal Agents
Blood Product Administration
Circumcision Care/Teach to Parents
Cord Care/Teach to Parents
Infant Identification and Security
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals/Core Measures
Experience in a "Baby Friendly" Facility
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Age Specific/Population-Based Care
Pain Assessment & Management - Adult
Pain Assessment & Management - Neonate
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