LTAC RN Skills Checklist

Fill Out and Submit your Skills Checklist

    (LTAC 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
    • 2 = Need Training
    • 3 = Able to perform with supervision
    • 4 = Able to perform independently
    Age of Patients Cared For

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Clinical Settings

    0
    ★★★★

    0
    ★★★★

    General Skills

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    CARDIOVASCULAR
    Assess

    0
    ★★★★

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Monitoring

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Labs

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    PULMONARY
    Assess

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Monitoring

    0
    ★★★★

    0
    ★★★★

    Labs

    0
    ★★★★

    NEUROLOGY
    Assess

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    GASTROINTESTINAL
    Assess

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Labs

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    RENAL/GENITOURINARY
    Assess

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Monitoring

    0
    ★★★★

    0
    ★★★★

    Labs

    0
    ★★★★

    0
    ★★★★

    ENDOCRINE/METABOLIC
    Patient Experience

    0
    ★★★★

    0
    ★★★★

    MUSCULOSKELETAL
    Assess

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    IMMUNOLOGY/HEMATOLOGY/ONCOLOGY
    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    WOUNDS/INTEGUMENT
    Assess

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Patient Experience

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Monitoring

    0
    ★★★★

    MEDICATION/THERAPEUTIC INTERVENTIONS
    Medication Administration

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    IV Therapy

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Blood

    0
    ★★★★

    Nutrition Therapy

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Oxygen Administration

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Pain Management

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    PROCEDURES/EQUIPMENT
    Perform/Maintain

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Specimen Collections

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    Assist

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    0
    ★★★★

    ADDITIONAL INFORMATION