Long Term Care Rn Skills Checklist

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 No Experience

2 Need Training

3 Able to perform with supervision

4 Able to perform independently

Cardiac

Use of cardiac monitors

Assessment of heart sounds

Cardiac Arrest

CPR

Care of patients with CHF

Atropine administration

Digoxin administration

Dopamine administration

Inderal administration

Lidocaine administration

Genitourinary

Endocrine

Gastrointestinal

Leadership/patient Care

Medications/iv Therapy

Neurology

Ortho/skin

Respiratory

Age Speciﬁc Competencies

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.