Peri-Operative RN Skill Checklist

Fill Out and Submit your Skills Checklist

    (Peri-Operative RN)

    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
    IV Therapy

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    ★★★★

    IV Therapy - Assist with

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    ★★★★

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    Administration of blood and products

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    General Surgery

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    Thoracic and Open Heart

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    Vascular

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    Neurology

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    Neurology - Cranioplasty/craniotomy

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    Urology

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    Gynecology

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    Orthopedics

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    Orthopedics - Arthroscopy

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    ★★★★

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    Orthopedics - Hip compression nails and lag screws

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    Orthopedics - Intramedullary rods

    0
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    ★★★★

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    Orthopedics - Total joint replacements/revisions

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    ★★★★

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    Plastics

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    Plastics - Mammoplasty

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    ★★★★

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    Ear, Nose and Throat

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    ★★★★

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    Oral

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    Ophthalmology

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    Endoscopic Procedures

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    Laparoscopic procedures

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    Transplant

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    Trauma

    0
    ★★★★

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    Trauma - Gunshot/stab wounds

    0
    ★★★★

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    Equipment

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    Equipment - Fracture tables

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    Equipment - Intestinal stapling devices

    0
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    ★★★★

    Equipment - Laser

    0
    ★★★★

    0
    ★★★★

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    Camera/video systems

    0
    ★★★★

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    ★★★★

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    ★★★★

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    Dermatome

    0
    ★★★★

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    ★★★★

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    Drills

    0
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    Miscellaneous

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    Able to assure a safe environment for the specific needs of various age groups

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    Able to communicate and/or instruct patients according to their age, maturity, comprehension

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    Evaluate age-appropriate behavior, motor skills and physiological norms

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