A SPECIAL NURSE ASSOCIATES STAFFING PROGRAM

RN Skills Checklist

    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 below to describe your experience/expertise in each area listed below.

    Proficiency Scale:
    1 = No Experience (Theory or observation only during the past 12 months)
    2 = Limited Experience (Performed less than 12 times within the past 12 months and may need a review)
    3 = Experienced (Performed at least once per month within the past 12 months and may need minimal assistance)
    4 = Highly Skilled (Performed on at least a weekly basis over the past 12 months; proficient)

    Rating Stars (Click) CARDIAC
    Use of cardiac monitors
    Assessment of heart sounds
    Cardiac Arrest
    CPR
    Care of patients with CHF
    Atropine administration
    Digoxin administration
    Dopamine administration
    Inderal administration
    Lidocaine administration
    Rating Stars (Click) GENITOURINARY
    Fluid Balance
    Foley Catheter Insertion
    Ileostomy
    GU Irrigations
    Nephrostomy Tube
    Rating Stars (Click) ENDOCRINE
    Blood Glucose Checks
    Insulin Administration
    Care of patients with Diabetes
    Rating Stars (Click) GASTROINTESTINAL
    NG tube care and feedings
    Gastrostomy tube care and feedings
    Colostomy Care
    Assessment of Bowel Sounds
    Rating Stars (Click) LEADERSHIP/PATIENT CARE
    Taking Charge 
    Admission Procedures
    Discharge Procedures
    Patient Education
    Patient Care Plans
    Rating Stars (Click) MEDICATIONS/IV THERAPY
    Medication Calculation
    Reconstitution
    Oral Administration
    Eye Administration
    IM Administration
    SQ Administration
    Rectal Administration
    Starting IV’s
    IV Medication Administration
    Central Line Care
    Rating Stars (Click) NEUROLOGY
    Assessment of Neurological Status
    Seizure Precautions
    Care of a patient with a CVA
    Care of a patient with Alzheimer’s
    Care of patients with Spinal Cord Injury
    Decadron Administration
    Dilantin Administration
    Phenobarbital Administration
    Valium Administration
    Rating Stars (Click) ORTHO/SKIN
    Assessment of skin
    Wound Care and Treatments
    Use of special pressure relief devices
    Care of pts with a total hip replacement
    Care of pts with a total knee replacement
    Crutch Walking
    Rating Stars (Click) RESPIRATORY
    Pulse Oximetry
    Oxygen Administration via nasal cannuia
    Oxygen Administration via face mask
    Principles of chest percussion
    Care of patients with ventilator
    Care of patients with COPD
    Care of patients with ARDS
    Care of patient with a Tracheotomy
    Rating Stars (Click) Age Specific Competencies
    Infant (Birth - 1 year)
    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)
    Elderly (ages 80+ years)
    By submitting this checklist, I hereby certify that ALL information I have provided to FILL IN THE BLANK on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.