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Skills Checklists

Before you can begin applying for NurseChoice assignments, you need to complete a skills checklist. Required by hospitals, this mandatory form highlights your skills, proficiencies and experience in your specialty. The quickest and easiest way to complete your skills checklist is online. Just select your specialty from the list below, enter the necessary information on the form and click to submit. Once we receive your completed skills checklist you will be one step closer to finding a rewarding travel assignment that meets your needs.


PCU/Intermediate Care/Stepdown/Telemetry Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
CARDIAC/VASCULAR
1 2 3 4
 
12 Lead EKG Performance
 
Cardioversion
 
Carotid Endarterectomy
 
Dysrhythmia interpretation and management
 
Epicardial pacing wires
 
Pacemaker - Temporary/Permanent
 
Post Vascular Surgery
 
Pre/Post Cardiac Cath
 
Pre/Post Open Heart Surgery
 
Recognizing & Activating Resuscitation Event
 
Sheath Removal
 
PULMONARY
1 2 3 4
 
Assist with Chest Tube Placement & Management
 
Chest physiotherapy
 
External CPAP/BiPAP
 
Intubation/Extubation
 
Post Thoracic Surgery
 
Ventilator/Trach Management/ Chronic/Stable Vents
 
NEUROLOGIC AND PSYCHIATRIC
1 2 3 4
 
Brain Injury
 
CVA
 
ETOH/Drug Withdrawal (CIWAL)
 
Glascow Coma Scale
 
Post Craniotomy
 
Spinal Cord Injury
 
Stroke Scale Assessment
 
ENDOCRINE/METABOLIC
1 2 3 4
 
Diabetes - Hypo/Hyperglycemic Crisis
 
Indwelling Insulin Pumps
 
IV Insulin Protocols/Insulin drips
 
Transplants
 
INTEGUMENTARY
1 2 3 4
 
Sterile dressing changes
 
Wound Drains
 
Wound staging & care
 
Wound Vac
 
MEDICATIONS
1 2 3 4
 
Anti-Arrhythmics
 
Anticoagulants (IV, oral, & injection)
 
Anti-Hypertensives
 
Anti-Psychotics
 
Anti-Seizure Medications
 
Bar Coding for Medication Administration
 
Benzodiazepines
 
Chemotherapy Administration
 
Diuretics
 
Manage Vasoactive Drips - No Titration (heparin not included)
 
Narcotics/Opioid Analgesics (IV, oral, & injection)
 
Nitrates (Oral & Topical)
 
Non-Opioid Analgesics (IV, Oral, & Injection)
 
PCA Pumps
 
Titrate Vasoactive Drips (heparin not included)
 
IV THERAPY
1 2 3 4
 
Starting IVs
 
PICC line Care/Blood Draws
 
Central Line/Implanted Line Care/Blood Draws
 
TPN & Lipids
 
Blood Product Administration
 
Arterial Line Management
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Interpretation and Communication of Lab Values
 
Isolation Precautions
 
National Patient Safety Goals/Core Measures
 
Pain Assessment & Management
 
Patient/Family Teaching
 
Pressure Ulcer Risk Assessment/Prevention
 
Restraints/Use of Least Restrictive Device
 
Specialty Beds
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
Computerized Physician Order Entry
 
EMR
1 2 3 4
 
Epic
 
Cerner
 
Eclipsys
 
McKesson
 
Allscripts
 
GE
 
Meditech
 
Other: Specify
 
Computerized Physician Order Entry - CPOE
 
Medication Administration using Bar Coding Technology
 
EMR Conversion
 
CERTIFICATIONS (Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
CCRN
 
Telemetry Certificate
 
Other: Specify
PCU/Intermediate Care/Stepdown/Telemetry Skills Checklist, version 7

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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