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Skills Checklist

Infusion Control Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

  • 1
    = No theory and/or experience
  • 2
    = Limited Experience
  • 3
    = Experienced/minimal support needed to perform
  • 4
    = Proficient

  • Age of Patients Care For

  • GENERAL SKILLS

  • KNOWLEDGE OF CURRENT IV THERAPY GUIDELINES

  • INSERTION OF

  • MIDLINE/PICC LINES

  • CARE AND MAINTENANCE

  • MEDICATION ADMINISTRATION

  • EQUIPMENT

  • TROUBLESHOOTING/ COMPLICATIONS

  • DISCONTINUING IV THERAPY

  • MM slash DD slash YYYY

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