Certified Registered Nurse Anesthetist Competency Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 Not performed

2 Intermittent experience

3 Very experienced.

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.

Certified Registered Nurse Anesthetist Competency Skills Checklist

Personal Information

Proficiency Scale & Legend

Skills Expertise

Procedures Performed