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.
| Administrative Duties | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Data Entry |
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| Medical Records - Entry |
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| Medical Records - Maintenance |
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| Electronic Medical Records - Entry |
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| Electronic Medical Records - Maintenance |
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| Gathers data and runs reports |
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| Patient Files - Set up, report and record |
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| Completion and filing/distribution of reports |
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| Schedules appointments/tests |
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| Takes, distributes and prioritizes messages |
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| Assists physicians with procedures |
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| Assists nursing staff |
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| Prepares patients for appointments and exams |
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| Gathers patient history and VS |
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| Gives injections as directed |
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| Performs phlebotomy skills |
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| Collects lab. Specimens |
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| Administer EKGs |
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| Completes specimen testing, i.e. glucose, strep, mono, flu |
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| Prepares and maintains supplies and equipment |
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| Knows utilization of patient care equipment/instruments |
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| Develops patient, physician and peer relationships |
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| Maintains/protects patient confidentiality |
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| Adheres to facility policies and procedures |
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| Adheres to OSHA, HIPPA, legal and ethical guidelines |
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| Adheres to quality protocol and standards |
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| Attends and participates in required meetings |
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| Schedules appointments, tests and treatments |
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| Responds to emergencies in a calm organized manner |
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| Understands/follows the reporting process acording to the chain of command |
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| Computer Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Medic, Medic Soft |
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| Centricity |
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| Medical Manager |
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| HIS |
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| Word, Word Perfect |
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| Soft |
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| Windows |
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| IDX |
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| Meditech |
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| AGE SPECIFIC COMPETENCIES | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Newborn (birth to 30 days) |
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| Infant (31 days to 1 year) |
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| Toddler (ages 2-3 years) |
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| Preschooler (ages 4-5 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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