Nurses
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IV Therapy RN Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Proficiency Scale & Legend

1 No Experience/Observed Only
2 Limited Experience/Rarely Done (6 times/year)
3 May Need Some Review/Occasionally Done (1 - 2 times/month)
4 Experienced/Frequently Done (daily or weekly)

Iv Therapy Experience With The Following Ages:

1
2
3
4

General Skills

1
2
3
4

Insertion Of:

1
2
3
4

Midline\'s/picc Lines:

1
2
3
4

Care And Maintenance:

1
2
3
4

Medication Administration

1
2
3
4

Equipment:

1
2
3
4

Troubleshooting/ Complications:

1
2
3
4

Discontinuing Iv Therapy

1
2
3
4

GENERAL SKILLS - Automated Med Dispensing Systems (check all that apply)

GENERAL SKILLS - Electronic Documentation (check all that apply)

IV Pumps (check all that apply):