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