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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.


Emergency Department 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*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
 
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
 
WORK SETTINGS
1 2 3 4
 
Level I Trauma Center
 
Level II Trauma Center
 
Non-Trauma Center Emergency Department
 
Pediatric Emergency Department
 
Emergency Department - Combined Adult/Pediatric
 
Free Standing ER (non-acute)
 
Critical Care Transport
 
Critical Access
 
Cardiac
1 2 3 4
 
Dysrhythmia Management and Interpretation
 
Acute Coronary Syndrome
 
Congestive Heart Failure/Pulmonary Edema
 
Aneurysm
 
Cardiopulmonary Arrest
 
Cardioversion/Defibrillation
 
Transcutaneous Pacemaker
 
Angina (Acute/Chronic)
 
Cardiogenic/Hypovolemic Shock
 
Cardiac Medication IV Push
 
PULMONARY
1 2 3 4
 
Sterile Suction
 
Respiratory Failure
 
COPD/Asthma
 
Aspiration
 
Pneumonia
 
Pneumo/Hemothorax
 
Assist with Chest Tube Insertion/Management/Removal
 
Pulmonary Embolism
 
Tuberculosis
 
External CPAP/BiPAP
 
Ventilator/Trach Management
 
Assist with Intubation
 
Ventilated Patients
 
Arterial Blood Gas Draw
 
NEUROLOGICAL
1 2 3 4
 
Glascow Coma Scale
 
TPA administration
 
CVA
 
Stroke Scale
 
Stroke Scale NIHSS
 
Traumatic Brain Injury
 
Glascow Coma Scale
 
Spinal Cord Injury
 
Assist with Lumbar Puncture
 
CNS infection
 
Seizures
 
ORTHOPEDICS
1 2 3 4
 
Fractures/Casting
 
Open/Complex Fractures
 
Apply/Manage Splints/Boots
 
Circulation Checks
 
Traction
 
Crutches
 
Assist with Joint Manipulation
 
GASTROINTESTINAL
1 2 3 4
 
GI Bleeding (acute and chronic)
 
Liver Disease
 
GI Obstruction
 
Gastric Tubes (i.e.PEG tube, NG Tube)
 
Pancreatitis
 
Liver Disease
 
RENAL/GU
1 2 3 4
 
Acute Renal Failure
 
Renal Calculi
 
Renal Trauma
 
Testicular Torsion/Ovarian Torsion
 
Urosepsis
 
ENDOCRINE
1 2 3 4
 
Hypoglycemia/Hyperglycemia
 
Indwelling Insulin Pumps
 
IV insulin Protocols
 
WOUND MANAGEMENT
1 2 3 4
 
Skin Integrity Assessment
 
Wound Repair
 
SHOCK/TRAUMA
1 2 3 4
 
Injury Severity Score
 
Trauma Code
 
Trauma Team Member
 
Major Trauma
 
Traumatic Amputation
 
Shock Management
 
Burns
 
INFECTIOUS DISEASE/IMMUNOSUPPRESSED PATIENTS
1 2 3 4
 
Contagious/Infectious Patients
 
Isolation
 
Oncology
 
Neutropenia/Reverse Isolation
 
WOMEN'S HEALTH
1 2 3 4
 
Placenta Abruptio/Previa
 
Precipitous Delivery
 
Pregnancy Induced Hypertension
 
Fetal Heart Tones
 
Sexual Assault
 
Reporting Acts of Violence
 
PEDIATRICS
1 2 3 4
 
Management of Pediatric Emergency Patients
 
Identification/Reporting Abuse
 
Abdominal Pain
 
Epiglottitis
 
Asthma/Reactive Airway Disease
 
Fractures
 
Head/Spinal Injury
 
Poison Ingestion
 
Seizures (Febrile/Myoclonic)
 
Sickle Cell Crisis
 
PSYCHIATRIC
1 2 3 4
 
Acute Psychotic Patient
 
Care and Management of Aggressive Patients
 
Seclusion Room Management
 
Drug /ETOH Overdose/Withdrawal
 
Psychiatric Hold
 
Suicidal Patient
 
MISCELLANEOUS
1 2 3 4
 
Bites- Animal/Snake/Human
 
Hazardous Material Exposure
 
Heat Exhaustion/Stroke
 
Drowning
 
IV THERAPY
1 2 3 4
 
Starting IVs
 
Central Line Placement
 
Intraosseous Infusion
 
Phlebotomy
 
Access Med Ports
 
Blood and Blood Product Administration
 
MEDICATIONS
1 2 3 4
 
Anti-Arrhythmics
 
Anticoagulants (IV, oral, & injection)
 
Anti-Hypertensives
 
Anti-Psychotics
 
Anti-Seizure Medications
 
Benzodiazepines
 
Continuous IV Paralytics
 
Continuous IV Sedation
 
Procedural Sedation - Administration
 
IV Vasopressors
 
Narcotics/Opioid Analgesics (IV, oral, & injection)
 
Nitrates (Oral & Topical)
 
Non-Opioid Analgesics (IV, Oral, & Injection)
 
Thrombolytic Therapy
 
Titrating and Maintaining Vasoactive Medications (Heparin not included)
 
Steroids (IV, Oral, Inhaled)
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Triage (ESI LEVEL)
 
Ambulance/Paramedic Radio
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Pressure Ulcer Risk Assessment/Prevention
 
Restraints/Use of Least Restrictive Device
 
Patient/Family Teaching
 
Universal Protocol Procedures (Time Out)
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age Children
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
 
Epic
 
Cerner
 
Eclipsys
 
McKesson
 
Meditech
 
Allscripts
 
Other: Specify
 
Other: Specify
 
Computerized Physician Order Entry - CPOE
 
Bar Coding for Medication Administration
 
EMR Conversion
 
CERTIFICATIONS (Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
PEARS
 
TNCC
 
ENPC
 
CEN
 
Other: Specify
 
Other: Specify
Emergency Department Skills Checklist, version 6

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.

© 2013 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.