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Hospice Skills Checklist

Fill Out and Submit your Skills Checklist

I hereby certify that ALL information I have provided 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.

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:

1No Experience

2Need Training

3Able to perform with supervisione

4Able to perform independently

WORK SETTINGS

ASSESSMENT

PLAN OF CARE

SYMPTOM MANAGEMENT

PAIN MANAGEMENT

WOUND CARE

PEDIATRICS

MEDICATION ADMIN

AFTER DEATH

COMPLIANCE

PROFESSIONAL KNOWLEDGE AND SKILLS

EMR

Certifications

BLS

CHPN

ACHPN

Other: Specify

Our Motto?

We deliver

SSI has created an innovative and cost effective delivery method that provides you with the best quality candidates from highly selective talent pool.

Why SSI

Capabilities

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Reach us

contact@selectsourceintl.com
care@selectsourceintl.com
Phone: +1-952-546-3300
Fax: +1-952-546-3500
13911 Ridgedale Drive, Suite 230
Minnetonka, Minnesota 55305, United States

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