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Skills Checklist

Rehab RN

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
Setting
Hospital*
- 1
- 2
- 3
- 4
Long Term Care*
- 1
- 2
- 3
- 4
Long Term Acute Care*
- 1
- 2
- 3
- 4
Skilled Nursing Units*
- 1
- 2
- 3
- 4
Rehab*
- 1
- 2
- 3
- 4
General Skills
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Pediatric Respiratory / Cardiac Arrest*
- 1
- 2
- 3
- 4
Adult Respiratory / Cardiac Arrest*
- 1
- 2
- 3
- 4
Crash Carts*
- 1
- 2
- 3
- 4
Defibrillators / External Pacing*
- 1
- 2
- 3
- 4
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types
Care Planning & Discharge Planning*
- 1
- 2
- 3
- 4
Patient / Family Education*
- 1
- 2
- 3
- 4
Patient Assessment (Obtain Patient History)*
- 1
- 2
- 3
- 4
IV Pumps*
- 1
- 2
- 3
- 4
Advance Directives*
- 1
- 2
- 3
- 4
Sterile and Aseptic*
- 1
- 2
- 3
- 4
Obtaining Vital Signs*
- 1
- 2
- 3
- 4
Transfer of Patient*
- 1
- 2
- 3
- 4
Suture/Staple Removal*
- 1
- 2
- 3
- 4
Care of Patients in Restraints*
- 1
- 2
- 3
- 4
Peripheral IV Insertion, Care, and Maintenance*
- 1
- 2
- 3
- 4
Access/Management of Implanted Ports*
- 1
- 2
- 3
- 4
Access/Management of Central Lines*
- 1
- 2
- 3
- 4
PCA/Epidural Pumps*
- 1
- 2
- 3
- 4
Titration of Drips*
- 1
- 2
- 3
- 4
Administration of Blood/Blood Products*
- 1
- 2
- 3
- 4
Procedures
Blood Cultures*
- 1
- 2
- 3
- 4
Dipstick Urine*
- 1
- 2
- 3
- 4
Sputum*
- 1
- 2
- 3
- 4
Sterile Urine*
- 1
- 2
- 3
- 4
Stool*
- 1
- 2
- 3
- 4
Throat Swab*
- 1
- 2
- 3
- 4
Venipuncture*
- 1
- 2
- 3
- 4
IM and SQ Injections*
- 1
- 2
- 3
- 4
Assist With
Bedside Invasive Procedures*
- 1
- 2
- 3
- 4
Intubation*
- 1
- 2
- 3
- 4
Lumbar Puncture*
- 1
- 2
- 3
- 4
Cardiovascular - General Skills
Abnormal Heart Sounds/Murmurs*
- 1
- 2
- 3
- 4
Auscultation (Rate/Rhythm)*
- 1
- 2
- 3
- 4
Capillary Refill*
- 1
- 2
- 3
- 4
Color*
- 1
- 2
- 3
- 4
Cardiovascular - Care of Patient With
Acute Myocardial Infarction*
- 1
- 2
- 3
- 4
Angina*
- 1
- 2
- 3
- 4
Cardiac Arrest / Cardiopulmonary Resuscitation*
- 1
- 2
- 3
- 4
Cardiomyopathy*
- 1
- 2
- 3
- 4
Congestive Heart Failure*
- 1
- 2
- 3
- 4
Permanent Pacemaker*
- 1
- 2
- 3
- 4
Internal Defibrillator*
- 1
- 2
- 3
- 4
Cardiac Transplant*
- 1
- 2
- 3
- 4
Pre/Post Cardiac Surgery*
- 1
- 2
- 3
- 4
Abdominal Aortic Aneurysm / Bypass*
- 1
- 2
- 3
- 4
Femoral Popliteal Bypass*
- 1
- 2
- 3
- 4
Myocarditis*
- 1
- 2
- 3
- 4
Post Angioplasty/Stent*
- 1
- 2
- 3
- 4
Thrombophlebitis*
- 1
- 2
- 3
- 4
Chest Pain*
- 1
- 2
- 3
- 4
Cardiovascular - Monitoring Labs
EKG Monitoring*
- 1
- 2
- 3
- 4
Cardiac Enzymes and Isoenzymes*
- 1
- 2
- 3
- 4
Coagulation Studies*
- 1
- 2
- 3
- 4
BNP*
- 1
- 2
- 3
- 4
Troponin*
- 1
- 2
- 3
- 4
Pulmonary - General Skills
Assess Lung Sounds*
- 1
- 2
- 3
- 4
Rate and Work of Respirations*
- 1
- 2
- 3
- 4
Oxygenation Status*
- 1
- 2
- 3
- 4
Oxygen Delivery Devices*
- 1
- 2
- 3
- 4
Pulmonary - Care of Patients With
Asthma*
- 1
- 2
- 3
- 4
Bronchoscopy*
- 1
- 2
- 3
- 4
Chest Trauma*
- 1
- 2
- 3
- 4
Chest Tubes*
- 1
- 2
- 3
- 4
COPD*
- 1
- 2
- 3
- 4
Laryngospasm*
- 1
- 2
- 3
- 4
Lobectomy*
- 1
- 2
- 3
- 4
Lung Transplant*
- 1
- 2
- 3
- 4
Obstructive Sleep Apnea*
- 1
- 2
- 3
- 4
Pre/Post Thoracic Surgery*
- 1
- 2
- 3
- 4
Pneumonectomy*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Pneumothorax*
- 1
- 2
- 3
- 4
Pulmonary Edema*
- 1
- 2
- 3
- 4
Pulmonary Embolism*
- 1
- 2
- 3
- 4
Thoracotomy*
- 1
- 2
- 3
- 4
Tracheostomy*
- 1
- 2
- 3
- 4
Tuberculosis*
- 1
- 2
- 3
- 4
Pulmonary - Monitoring Labs
Pulse Oximetry*
- 1
- 2
- 3
- 4
Interpretation of ABGs*
- 1
- 2
- 3
- 4
Neurological - Care of Patients With
PERRL*
- 1
- 2
- 3
- 4
Level of Consciousness*
- 1
- 2
- 3
- 4
Neurological Assessment*
- 1
- 2
- 3
- 4
Reflex/Motor Deficits*
- 1
- 2
- 3
- 4
Visual / Communication Deficits*
- 1
- 2
- 3
- 4
Stroke Precautions*
- 1
- 2
- 3
- 4
Neurological - General Skills
Alzheimer's Disease*
- 1
- 2
- 3
- 4
Coma*
- 1
- 2
- 3
- 4
CVA*
- 1
- 2
- 3
- 4
Halo Traction/Cervical Tongs*
- 1
- 2
- 3
- 4
Intracranial Hemorrhage*
- 1
- 2
- 3
- 4
Laminectomy*
- 1
- 2
- 3
- 4
Neuromuscular Disease*
- 1
- 2
- 3
- 4
Post Craniotomy*
- 1
- 2
- 3
- 4
Seizure Disorder*
- 1
- 2
- 3
- 4
Spinal Cord Injury*
- 1
- 2
- 3
- 4
Pre/Post Neurosurgery*
- 1
- 2
- 3
- 4
Closed Head Injuries*
- 1
- 2
- 3
- 4
Delirium Tremens*
- 1
- 2
- 3
- 4
Encephalitis*
- 1
- 2
- 3
- 4
Meningitis*
- 1
- 2
- 3
- 4
Overdose*
- 1
- 2
- 3
- 4
Guillain Barre Syndrome*
- 1
- 2
- 3
- 4
Externalized AV Shunt*
- 1
- 2
- 3
- 4
Gastrointestinal - Care of Patients With
Bowel Sounds*
- 1
- 2
- 3
- 4
Nutritional Status*
- 1
- 2
- 3
- 4
GI Assessment*
- 1
- 2
- 3
- 4
GT/PEG Feedings*
- 1
- 2
- 3
- 4
Gastrointestinal - General Skills
Abdominal Wounds and Surgeries*
- 1
- 2
- 3
- 4
Bowel Obstruction*
- 1
- 2
- 3
- 4
Colostomy*
- 1
- 2
- 3
- 4
GI Bleeding*
- 1
- 2
- 3
- 4
Hepatitis*
- 1
- 2
- 3
- 4
Ileostomy*
- 1
- 2
- 3
- 4
Pancreatitis*
- 1
- 2
- 3
- 4
Paralytic Ileus*
- 1
- 2
- 3
- 4
Post Abdominal Surgery*
- 1
- 2
- 3
- 4
Liver Transplant*
- 1
- 2
- 3
- 4
Inflammatory Bowel Disease*
- 1
- 2
- 3
- 4
Liver Failure*
- 1
- 2
- 3
- 4
Abdominal Trauma*
- 1
- 2
- 3
- 4
Renal / Genitourinary - General Skills
Fluid Status*
- 1
- 2
- 3
- 4
Renal / Genitourinary - Care of Patients With
Acute Renal Failure*
- 1
- 2
- 3
- 4
End Stage Renal Disease*
- 1
- 2
- 3
- 4
Hemodialysis*
- 1
- 2
- 3
- 4
Peritoneal Dialysis*
- 1
- 2
- 3
- 4
Urinary Tract Infection*
- 1
- 2
- 3
- 4
Suprapubic Catheter*
- 1
- 2
- 3
- 4
Kidney Transplant*
- 1
- 2
- 3
- 4
Insertion of Catheter (Straight/Foley)*
- 1
- 2
- 3
- 4
Bladder Irrigations*
- 1
- 2
- 3
- 4
AV Fistula / Shunt Care*
- 1
- 2
- 3
- 4
Nephrostomy Tube*
- 1
- 2
- 3
- 4
Nephrectomy*
- 1
- 2
- 3
- 4
Pyelonephritis*
- 1
- 2
- 3
- 4
TURP*
- 1
- 2
- 3
- 4
Ileal Conduit*
- 1
- 2
- 3
- 4
Renal Trauma*
- 1
- 2
- 3
- 4
Renal Calculi*
- 1
- 2
- 3
- 4
Renal / Genitourinary - Monitoring Labs
Measurement of I & O*
- 1
- 2
- 3
- 4
Fluid Balance*
- 1
- 2
- 3
- 4
BUN and Creatinine*
- 1
- 2
- 3
- 4
Serum Electrolytes*
- 1
- 2
- 3
- 4
Endocrine/Metabolic - Care of Patients With
Diabetes Insipidus*
- 1
- 2
- 3
- 4
Diabetes Mellitus*
- 1
- 2
- 3
- 4
Keto Acidosis*
- 1
- 2
- 3
- 4
Diabetic Coma*
- 1
- 2
- 3
- 4
Hyperthyroidism*
- 1
- 2
- 3
- 4
Hypothyroidism*
- 1
- 2
- 3
- 4
Thyroidectomy*
- 1
- 2
- 3
- 4
ENDOCRINE/METABOLIC - MONITORING/LAB
Blood Glucose*
- 1
- 2
- 3
- 4
ENDOCRINE/METABOLIC - KNOWLEDGE AND USE OF
Single Type Insulin*
- 1
- 2
- 3
- 4
Mixed Insulins*
- 1
- 2
- 3
- 4
Insulin Infusion*
- 1
- 2
- 3
- 4
ORTHO/MUSCULOSKELETAL - GENERAL SKILLS
Pulses/Circulation Checks*
- 1
- 2
- 3
- 4
Cast Care*
- 1
- 2
- 3
- 4
Crutch Walking*
- 1
- 2
- 3
- 4
Traction*
- 1
- 2
- 3
- 4
Prosthesis Application*
- 1
- 2
- 3
- 4
Assistive Devices*
- 1
- 2
- 3
- 4
ORTHO/MUSCULOSKELETAL - CARE OF PATIENTS WITH
Amputation*
- 1
- 2
- 3
- 4
External Fixation*
- 1
- 2
- 3
- 4
Multiple Trauma*
- 1
- 2
- 3
- 4
Paraplegia*
- 1
- 2
- 3
- 4
Rheumatoid Arthritis Disease*
- 1
- 2
- 3
- 4
Joint Replacement*
- 1
- 2
- 3
- 4
Open Reduction Internal Fixation*
- 1
- 2
- 3
- 4
Fractures*
- 1
- 2
- 3
- 4
Spinal Fusion*
- 1
- 2
- 3
- 4
Amputation*
- 1
- 2
- 3
- 4
IMMUNOLOGY/HEMATOLOGY/ONCOLOGY - GENERAL SKILLS
Blood Transfusions*
- 1
- 2
- 3
- 4
IMMUNOLOGY/HEMATOLOGY/ONCOLOGY - CARE OF PATIENTS WITH
Cancer*
- 1
- 2
- 3
- 4
HIV/AIDS*
- 1
- 2
- 3
- 4
Sickle Cell Anemia*
- 1
- 2
- 3
- 4
Acute Leukemia*
- 1
- 2
- 3
- 4
Treatment Side Effects*
- 1
- 2
- 3
- 4
Chemotherapy*
- 1
- 2
- 3
- 4
CRE*
- 1
- 2
- 3
- 4
MSRA*
- 1
- 2
- 3
- 4
C. Difficile*
- 1
- 2
- 3
- 4
Influenza*
- 1
- 2
- 3
- 4
Radiation*
- 1
- 2
- 3
- 4
Sepsis*
- 1
- 2
- 3
- 4
IMMUNOLOGY/HEMATOLOGY/ONCOLOGY - LAB
Hematology*
- 1
- 2
- 3
- 4
WOUND/INTEGUMENT - GENERAL SKILLS
S/S Infection*
- 1
- 2
- 3
- 4
Skin Assessment*
- 1
- 2
- 3
- 4
Dressing Changes*
- 1
- 2
- 3
- 4
Stump Wrapping*
- 1
- 2
- 3
- 4
WOUND/INTEGUMENT - CARE OF PATIENTS WITH
Burns and Stages*
- 1
- 2
- 3
- 4
Staged Decubitus Ulcers*
- 1
- 2
- 3
- 4
Stasis Ulcers*
- 1
- 2
- 3
- 4
Arterial Ulcers*
- 1
- 2
- 3
- 4
Suspected Deep Tissue Injuries*
- 1
- 2
- 3
- 4
Multiple Abdominal Wounds and Drains*
- 1
- 2
- 3
- 4
Gunshot Wound*
- 1
- 2
- 3
- 4
Stab Wound*
- 1
- 2
- 3
- 4
Lacerations*
- 1
- 2
- 3
- 4
Traumatic Wounds*
- 1
- 2
- 3
- 4
Pressure Relief Mattresses*
- 1
- 2
- 3
- 4
First Degree Burns*
- 1
- 2
- 3
- 4
Second Degree Burns*
- 1
- 2
- 3
- 4
Third Degree Burns*
- 1
- 2
- 3
- 4
WOUND/INTEGUMENT - EQUIPMENT
Hemovacs*
- 1
- 2
- 3
- 4
Jackson-Pratt Drains*
- 1
- 2
- 3
- 4
Penrose Drains*
- 1
- 2
- 3
- 4
Surgical Wound Irrigations and Dressings*
- 1
- 2
- 3
- 4
WOUND/INTEGUMENT - MONITORING
Skin Breakdown*
- 1
- 2
- 3
- 4
WOUND/INTEGUMENT - MEDICATIONS
Antibiotics*
- 1
- 2
- 3
- 4
Antihypertensives*
- 1
- 2
- 3
- 4
Anticoagulants*
- 1
- 2
- 3
- 4
Anticonvulsants*
- 1
- 2
- 3
- 4
Narcotics*
- 1
- 2
- 3
- 4
Digoxin*
- 1
- 2
- 3
- 4
Diuretics*
- 1
- 2
- 3
- 4
Steroids*
- 1
- 2
- 3
- 4
Diltiazem*
- 1
- 2
- 3
- 4
Antiemetics*
- 1
- 2
- 3
- 4
Antispasmodics*
- 1
- 2
- 3
- 4
Oral Hypoglycemics*
- 1
- 2
- 3
- 4
Inhalers*
- 1
- 2
- 3
- 4
IV Conscious Sedation*
- 1
- 2
- 3
- 4
Reversal Agents (Narcan, Romazicon)*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
Other Skills
*
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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