Nurses
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Urgent Care & Clinic Rn Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Proficiency Scale & Legend

1 No Experience
2 Need Training
3 Able to perform with supervision
4 Able to perform independently

Cardiovascular

1
2
3
4

Cardiovascular Care Of The Patient With:

1
2
3
4

Pulmonary

1
2
3
4

Pulmonary Care Of The Patient With:

1
2
3
4

Neurological

1
2
3
4

Neurological Care Of The Patient With:

1
2
3
4

Orthopedics

1
2
3
4

Orthopedics Care Of The Patient With:

1
2
3
4

Gastrointestinal

1
2
3
4

Gastrointestinal Care Of The Patient With:

1
2
3
4

Renal/genitourinary

1
2
3
4

Renal/genitourinary Care Of The Patient With:

1
2
3
4

Endocrine/metabolic

1
2
3
4

Endocrine/metabolic Care Of The Patient With:

1
2
3
4

Eent

1
2
3
4

Infectious Disease

1
2
3
4

Infectious Disease Care Of The Patient With:

1
2
3
4

Wound Management

1
2
3
4

Pain Management

1
2
3
4

Psychiatric

1
2
3
4

Psychiatric Care Of The Patient With:

1
2
3
4

Women\'s Health

1
2
3
4

Women\'s Health Care Of The Patient With:

1
2
3
4

Pediatrics

1
2
3
4

Pediatrics Care Of The Pediatric Patient With:

1
2
3
4

Medications (others In System Specific Areas)

1
2
3
4

Age Specific Competencies

1
2
3
4

Miscellaneous

1
2
3
4

Miscellaneous Care Of The Patient With:

1
2
3
4

My experience is primarily in the following settings

  Years
Physician\'s Office
Clinic
Urgent Care
Emergency Dept - Yrs:

Pediatrics

  Years
Physician\'s Office
Clinic
Urgent Care
Emergency Dept - Yrs:

Certifications

  Expiration Date
BLS
ACLS
PALS
Other: Specify