Peri-Operative RN Skill Checklist

Fill Out and Submit your Skills Checklist
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
IV Therapy
IV Therapy - Assist with:
Administration of blood and products
General Surgery
Thoracic and Open Heart
Vascular
Neurology
Neurology - Cranioplasty/craniotomy
Urology
Gynecology
Orthopedics
Orthopedics - Arthroscopy
Orthopedics - Hip compression nails and lag screws
Orthopedics - Intramedullary rods
Orthopedics - Total joint replacements/revisions
Plastics
Plastics - Mammoplasty
Ear, Nose and Throat
Oral
Ophthalmology
Endoscopic Procedures
Laparoscopic procedures
Transplant
Trauma
Trauma - Gunshot/stab wounds
Equipment
Equipment - Fracture tables
Equipment - Intestinal stapling devices
Equipment - Laser
Camera/video systems
Dermatome
Drills
Miscellaneous
Able to assure a safe environment for the specific needs of various age groups
Able to communicate and/or instruct patients according to their age, maturity, comprehension
Evaluate age-appropriate behavior, motor skills and physiological norms

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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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