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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 CARED FOR
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (over 79+ years)*
- 1
- 2
- 3
- 4
General Skills
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Patient Head to Toe Assessment*
- 1
- 2
- 3
- 4
Infant/Neonatal Cardiac/Respiratory Arrest*
- 1
- 2
- 3
- 4
Adult Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Prep and Administration of Emergency Meds*
- 1
- 2
- 3
- 4
Crash Carts*
- 1
- 2
- 3
- 4
Defibrillators*
- 1
- 2
- 3
- 4
Care of Patient Restraints*
- 1
- 2
- 3
- 4
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
POST PARTUM MATERNAL ASSESSMENT/CARE
Care of Patient with an Epidural*
- 1
- 2
- 3
- 4
Pain Management*
- 1
- 2
- 3
- 4
Vital Signs/Pulse Oximetry*
- 1
- 2
- 3
- 4
Care of Post-Op Tubal Ligation Patient*
- 1
- 2
- 3
- 4
Care of Post C-section Patient*
- 1
- 2
- 3
- 4
Care of Post Vaginal Delivery Patient*
- 1
- 2
- 3
- 4
Care of Patient with Postpartum Hemorrhage*
- 1
- 2
- 3
- 4
Care of Patient with Fetal Demise*
- 1
- 2
- 3
- 4
Post Anesthesia Care (Epidural, General, Local, Spinal)*
- 1
- 2
- 3
- 4
Breast Care*
- 1
- 2
- 3
- 4
Fundal Assessment*
- 1
- 2
- 3
- 4
Lochia Assessment*
- 1
- 2
- 3
- 4
Episiotomy Assessment/Care*
- 1
- 2
- 3
- 4
Perineum Assessment/Care*
- 1
- 2
- 3
- 4
Bowel Function Assessment*
- 1
- 2
- 3
- 4
Insertion of Catheter (foley or straight)*
- 1
- 2
- 3
- 4
Assessment for DVT*
- 1
- 2
- 3
- 4
POSTPARTUM CARE OF THE MOTHER WITH
Asthma*
- 1
- 2
- 3
- 4
Cardiac disease*
- 1
- 2
- 3
- 4
Diabetes*
- 1
- 2
- 3
- 4
Gestational Hypertension*
- 1
- 2
- 3
- 4
Pre-eclampsia*
- 1
- 2
- 3
- 4
Postpartum Hemorrhage*
- 1
- 2
- 3
- 4
Substance Abuse*
- 1
- 2
- 3
- 4
Infectious Disease*
- 1
- 2
- 3
- 4
Multiple Births*
- 1
- 2
- 3
- 4
NEWBORN ASSESMENT/CARE
Length/Weight/Chest/Head Measurements*
- 1
- 2
- 3
- 4
Infant Identification*
- 1
- 2
- 3
- 4
Vital Signs*
- 1
- 2
- 3
- 4
Administer Injections to Neonate*
- 1
- 2
- 3
- 4
Bathe Infant*
- 1
- 2
- 3
- 4
Reflexes*
- 1
- 2
- 3
- 4
Thermal-Neutral Environment to Prevent Stress*
- 1
- 2
- 3
- 4
Incubator/Isolettes*
- 1
- 2
- 3
- 4
Respiratory Distress*
- 1
- 2
- 3
- 4
Bulb Suction*
- 1
- 2
- 3
- 4
Monitor Bladder and Bowel Patterns*
- 1
- 2
- 3
- 4
Bonding Behaviors (Mother/Infant)*
- 1
- 2
- 3
- 4
Assist with Circumcision*
- 1
- 2
- 3
- 4
Assess Post Op Circumcision*
- 1
- 2
- 3
- 4
Neonatal Jaundice/Phototherapy*
- 1
- 2
- 3
- 4
Drug Addiction/Withdrawal*
- 1
- 2
- 3
- 4
Temperature Regulation Problems*
- 1
- 2
- 3
- 4
PHLEBOTOMY AND IV THERAPY
Insertion, Care and Maintenance of Peripheral IV*
- 1
- 2
- 3
- 4
Care of the Patient with Central Line*
- 1
- 2
- 3
- 4
Drawing Venous Blood*
- 1
- 2
- 3
- 4
Heelstick*
- 1
- 2
- 3
- 4
Drawing Blood from Central Line*
- 1
- 2
- 3
- 4
Administration of Blood/Blood Products*
- 1
- 2
- 3
- 4
MEDICATIONS
Magnesium Sulfate*
- 1
- 2
- 3
- 4
Cytotec*
- 1
- 2
- 3
- 4
Hemabate*
- 1
- 2
- 3
- 4
Methergine*
- 1
- 2
- 3
- 4
Antibiotics*
- 1
- 2
- 3
- 4
Insulin (IV and SQ)*
- 1
- 2
- 3
- 4
Oxytocin*
- 1
- 2
- 3
- 4
Rhogam*
- 1
- 2
- 3
- 4
Analgesics*
- 1
- 2
- 3
- 4
Reversal Agents*
- 1
- 2
- 3
- 4
PCA for Analgesia*
- 1
- 2
- 3
- 4
PATIENT EDUCATION
Breastfeeding*
- 1
- 2
- 3
- 4
Car Seat Safety*
- 1
- 2
- 3
- 4
Latch Score*
- 1
- 2
- 3
- 4
Positioning*
- 1
- 2
- 3
- 4
Use of Electric Breast Pump*
- 1
- 2
- 3
- 4
Use of Manual Breast Pump*
- 1
- 2
- 3
- 4
Formula Preparation and Feeding*
- 1
- 2
- 3
- 4
Infant Caretaking Skills*
- 1
- 2
- 3
- 4
Teach Circumcision Care to Parents*
- 1
- 2
- 3
- 4
Contraceptives*
- 1
- 2
- 3
- 4
Discharge Planning and Infant Requirements*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY
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