IR RN Skills Checklist

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
Sterile Field*
- 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*
- 1
- 2
- 3
- 4
Pediatric Ventilator Management*
- 1
- 2
- 3
- 4
Adult Ventilator Management*
- 1
- 2
- 3
- 4
Care of Patient in Restraints*
- 1
- 2
- 3
- 4
Pain Management*
- 1
- 2
- 3
- 4
Automated Med Dispensing System*
- 1
- 2
- 3
- 4
Care Planning and Discharge Planning*
- 1
- 2
- 3
- 4
Patient and Family Education*
- 1
- 2
- 3
- 4
Pulse Oximetry*
- 1
- 2
- 3
- 4
Use or Portable Monitors*
- 1
- 2
- 3
- 4
Cardiac Monitors*
- 1
- 2
- 3
- 4
EKG Interpretation*
- 1
- 2
- 3
- 4
Airway Management*
- 1
- 2
- 3
- 4
Oxygen Delivery Devices*
- 1
- 2
- 3
- 4
Care of Patient under Neutropenic or Bleeding Precautions*
- 1
- 2
- 3
- 4
End of life care*
- 1
- 2
- 3
- 4
Knowledge and Use of:
Emergency Medications*
- 1
- 2
- 3
- 4
Antiarrhythmics*
- 1
- 2
- 3
- 4
Antibiotics*
- 1
- 2
- 3
- 4
Anticoagulants*
- 1
- 2
- 3
- 4
Antihistamines*
- 1
- 2
- 3
- 4
Beta Blockers*
- 1
- 2
- 3
- 4
Nitrates*
- 1
- 2
- 3
- 4
Vasopressors*
- 1
- 2
- 3
- 4
Thromolytics*
- 1
- 2
- 3
- 4
Moderate/Conscious Sedation Medications*
- 1
- 2
- 3
- 4
Reversal Agent for Conscious Sedation*
- 1
- 2
- 3
- 4
Contrast Medium*
- 1
- 2
- 3
- 4
Antiemetics*
- 1
- 2
- 3
- 4
Anaglesics*
- 1
- 2
- 3
- 4
IV Therapy*
- 1
- 2
- 3
- 4
Starting PIV’s*
- 1
- 2
- 3
- 4
PICC Lines – Care and Maintenance*
- 1
- 2
- 3
- 4
Central Venous Lines – Care and Maintenance*
- 1
- 2
- 3
- 4
Blood Draw from PICC/CVL*
- 1
- 2
- 3
- 4
Access/Management of Implanted Ports*
- 1
- 2
- 3
- 4
IV Infusion Pumps*
- 1
- 2
- 3
- 4
Administration of Blood Products
Packed Red Blood Cells*
- 1
- 2
- 3
- 4
Platelets*
- 1
- 2
- 3
- 4
Cryoprecipitate*
- 1
- 2
- 3
- 4
Fresh Frozen Plasma*
- 1
- 2
- 3
- 4
Factor Components*
- 1
- 2
- 3
- 4
Blood/Fluid Warmers*
- 1
- 2
- 3
- 4
Pre-Procedure*
- 1
- 2
- 3
- 4
Pre-Procedure Checklist*
- 1
- 2
- 3
- 4
EKG Lead Placement*
- 1
- 2
- 3
- 4
Interpretation of Re-Procedure Labs*
- 1
- 2
- 3
- 4
Pre-Procedure Teaching*
- 1
- 2
- 3
- 4
Set up Equipment*
- 1
- 2
- 3
- 4
Circulate-Assist with Insertion/Removal/Repair of:
Hickman CVL*
- 1
- 2
- 3
- 4
Broviac CVL*
- 1
- 2
- 3
- 4
Subclavian CVL*
- 1
- 2
- 3
- 4
Jugular CVL*
- 1
- 2
- 3
- 4
Groshong CVL*
- 1
- 2
- 3
- 4
PICC*
- 1
- 2
- 3
- 4
Hemodialysis Catheter*
- 1
- 2
- 3
- 4
Declotting Central Venous Lines*
- 1
- 2
- 3
- 4
Implantable Ports/Infusaport/Mediport*
- 1
- 2
- 3
- 4
Femoral Line*
- 1
- 2
- 3
- 4
Scrub-Assist with Insertion/Removal/Repair of:
Hickman CVL*
- 1
- 2
- 3
- 4
Broviac CVL*
- 1
- 2
- 3
- 4
Subclavian CVL*
- 1
- 2
- 3
- 4
Jugular CVL*
- 1
- 2
- 3
- 4
Groshong CVL*
- 1
- 2
- 3
- 4
PICC*
- 1
- 2
- 3
- 4
Implantable Ports/Infusaport/Mediport*
- 1
- 2
- 3
- 4
Femoral Line*
- 1
- 2
- 3
- 4
Hemodialysis Catheter*
- 1
- 2
- 3
- 4
Declotting Central Venous Lines*
- 1
- 2
- 3
- 4
Circulate the following procedures:
Angiography*
- 1
- 2
- 3
- 4
Cerebral Angiogram*
- 1
- 2
- 3
- 4
Spinal Angiogram*
- 1
- 2
- 3
- 4
Ultrasound or CT Guided Biopsy*
- 1
- 2
- 3
- 4
Uterine Fibroid Embolization*
- 1
- 2
- 3
- 4
Vertebroplasty*
- 1
- 2
- 3
- 4
Myelogram*
- 1
- 2
- 3
- 4
Lumbar Puncture*
- 1
- 2
- 3
- 4
Scrub the following procedures:
Angiography*
- 1
- 2
- 3
- 4
Cerebral Angiogram*
- 1
- 2
- 3
- 4
Spinal Angiogram*
- 1
- 2
- 3
- 4
Ultrasound or CT Guided Biopsy*
- 1
- 2
- 3
- 4
Vertebroplasty*
- 1
- 2
- 3
- 4
Myelogram*
- 1
- 2
- 3
- 4
Lumbar Puncture*
- 1
- 2
- 3
- 4
Post-Procedure*
- 1
- 2
- 3
- 4
Sedation Recovery Scales*
- 1
- 2
- 3
- 4
Assess for Gag Reflex*
- 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

Exit mobile version

Skills Checklist

Age of Patients Cared For

General Skills

Knowledge and Use of:

Administration of Blood Products

Circulate-Assist with Insertion/Removal/Repair of:

Scrub-Assist with Insertion/Removal/Repair of:

Circulate the following procedures:

Scrub the following procedures: