Registered Nurse (general) Skills Checklist

Proficiency Scale & Legend

1 Theory – No Experience

2 Minimal Experience (0-12 Months)

3 Experienced/Competent (Greater than 12 Months)

4 Able to Teach/Supervise

Iv Therapy (line Insertion And Maintenance)

1

2

3

4

Angiocath/Intracath

Butterfly

Hanging Piggyback

Heparin Lock

PICC Lines

IV Push

Blood And Blood Products

1

2

3

4

Administration Of Medications

1

2

3

4

Calculations

1

2

3

4

Pain Management (assessments)

1

2

3

4

Pain Tolerance

Pain Scales

Care Of Patient With:

1

2

3

4

Additional Skills

1

2

3

4

Management Of Infectious Diseases – Wound Care

1

2

3

4

Settings

1

2

3

4

Certifications

	Expiration Date
CPR
BLS
BCLS
ACLS
Other

Licensure(s) Number(s)

Licensure(s) Number(s)	State(s)

AREAS OF EXPERTISE

AREAS OF EXPERTISE	INPATIENT-MONTHS	INPATIENT-YEARS	OUTPATIENT-MONTHS	OUTPATIENT-YEARS
General Acute Care
Rehabilitation Hospital
Sports Medicine Clinic
Children’s Hospital
School System
Home Health Care
Physician’s Office
Skilled Nursing Facility
Management Duties

Please list any additional areas of expertise below:

Please list any additional areas of expertise below

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.