Urgent Care & Clinic Skills Checklist

Fill Out and Submit your Skills Checklist

    (Urgent Care & Clinic 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
    CARDIOVASCULAR
    Assessment

    0

    0

    0

    Interpretation of Labs/Tests

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    Medications

    0

    0

    0

    0

    PULMONARY
    Assessment

    0

    0

    Interpretation of Lab/Tests

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    0

    Medications

    0

    0

    0

    NEUROLOGICAL
    Assessment

    0

    0

    Equipment & Procedures

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    Medications

    0

    0

    0

    0

    0

    ORTHOPEDICS
    Assessment

    0

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    Medications

    0

    GASTROINTESTINAL
    Assessment

    0

    0

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    Medications

    0

    0

    0

    0

    RENAL/GENITOURINARY
    Assessment

    0

    0

    Interpretation of Labs

    0

    Equipment & Procedures

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    0

    Medications

    0

    ENDOCRINE/METABOLIC
    Assessment

    0

    Interpretation of Labs

    0

    0

    Equipment & Procedures

    0

    Care of the Patient with

    0

    0

    Medications

    0

    0

    0

    EENT
    Assessment

    0

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    0

    0

    Medications

    0

    0

    0

    INFECTIOUS DISEASE
    Assessment

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    Medications

    0

    0

    WOUND MANAGEMENT

    0

    0

    0

    0

    PAIN MANAGEMENT

    0

    0

    0

    0

    0

    PSYCHIATRIC
    Assessment

    0

    0

    0

    Equipment & Procedures

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    Medications

    0

    0

    WOMEN'S HEALTH
    Assessment

    0

    0

    0

    Equipment & Procedures

    0

    0

    Care of the Patient with

    0

    0

    0

    0

    0

    0

    0

    PEDIATRICS

    0

    0

    0

    Assessment

    0

    0

    0

    Equipment & Procedures

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Care of the Pediatric Patient with

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Medications (Others in System Specific Areas)

    0

    0

    0

    Age Specific Competencies

    0

    0

    0

    0

    0

    0

    0

    0

    MISCELLANEOUS

    0

    0

    0

    0

    0

    Care of the Patient with

    0

    0

    0

    My experience is primarily in the following settings
    Adults

    Pediatrics

    CERTIFICATIONS