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.
| Universal Precautions | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Working with patients in isolation |
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| Working with patients in restraints |
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| Patient/Family teaching |
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| Patient Identification |
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| Specialty beds |
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| End of life care/palliative care |
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| Knowledge of 'Do Not Use Abbreviations' |
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| Do you have charge/supervisor experience? |
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| Knowledge of current Joint Commission National Patient Safety Goals |
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| Knowledge/familiarity with HCAHPS scores |
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| Acute Care/ Hospital | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Durable Medical Equipment ( DME) |
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| Managed Care |
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| SNF/ Long Term Care |
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| Home Health |
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| Hospice |
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| Outpatient |
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| Physician Office |
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| Understanding of health care economics and health care policies as it applies to delivery of patient care | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Concepts of capital budgeting |
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| Department/unit budgeting |
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| Recruitment techniques |
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| Interviewing techniques |
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| Labor Laws pertaining to hiring |
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| Orientation of new employees |
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| Knowledge of quality improvement/performance improvement tools |
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| Patient Safety |
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| Workplace safety |
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| Promotion of interdepartmental communication |
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| Performance management |
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| Staff Development |
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| Coaching and mentoring |
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| Project management |
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| Business development |
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| Developing Strategic plans |
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| Developing operational plans |
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| Cultural competence |
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| Personal growth and development |
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| Ethical behavior and practice |
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| Professional association involvement |
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| Conflict Management |
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| Team dynamics |
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| Mediation/coaching |
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| TJC Standards |
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| OSHA Standards |
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| Risk Management/Service Utilization |
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| Local Department of Health |
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| State Department of Health |
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| Sitter Services |
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| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Infant (Birth - 1 year) |
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| Preschooler (ages 2-5 years) |
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| Childhood (ages 6-12 years) |
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| Adolescents (ages 13-21 years) |
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| Young Adults (ages 22-39 years) |
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| Adults (ages 40-64 years) |
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| Older Adults (ages 65-79 years) |
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| Elderly (ages 80+ years) |
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