LTAC 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
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)*
- 1
- 2
- 3
- 4
Clinical Settings
Hospital within Hospital*
- 1
- 2
- 3
- 4
Free-Standing LTAC*
- 1
- 2
- 3
- 4
General Skills
Admission*
- 1
- 2
- 3
- 4
Advance Directives*
- 1
- 2
- 3
- 4
Collect Appropriate Data*
- 1
- 2
- 3
- 4
Organ/Tissue Donation*
- 1
- 2
- 3
- 4
Patient and Family Teaching*
- 1
- 2
- 3
- 4
Electronic Medical Records*
- 1
- 2
- 3
- 4
Cardiovascular
Assess
Abnormal Heart Sounds/Murmurs*
- 1
- 2
- 3
- 4
Capillary Refill*
- 1
- 2
- 3
- 4
Patient Experience
Acute MI*
- 1
- 2
- 3
- 4
Angina*
- 1
- 2
- 3
- 4
Cardiac Arrest/CPR*
- 1
- 2
- 3
- 4
Cardiomyopathy*
- 1
- 2
- 3
- 4
Congestive Heart Failure*
- 1
- 2
- 3
- 4
Pacemaker*
- 1
- 2
- 3
- 4
AICD (Automatic Implanted Cardioverter/Defibrillator)*
- 1
- 2
- 3
- 4
Post Cardio-Thoracic Surgery*
- 1
- 2
- 3
- 4
Monitoring
CVP Monitoring*
- 1
- 2
- 3
- 4
Arterial Line*
- 1
- 2
- 3
- 4
Cardiac Monitoring*
- 1
- 2
- 3
- 4
Labs
BNP (Brain Natriuretic Peptide)*
- 1
- 2
- 3
- 4
Cardiac Enzymes and Isoenzymes*
- 1
- 2
- 3
- 4
Coagulation Studies*
- 1
- 2
- 3
- 4
Troponin*
- 1
- 2
- 3
- 4
PULMONARY
Assess
Adventitious Breath Sounds*
- 1
- 2
- 3
- 4
Oxygenation Status*
- 1
- 2
- 3
- 4
Rate and Work of Breathing*
- 1
- 2
- 3
- 4
Patient Experience
Acute Pneumonia*
- 1
- 2
- 3
- 4
Chest Tube*
- 1
- 2
- 3
- 4
COPD*
- 1
- 2
- 3
- 4
Pulmonary Edema*
- 1
- 2
- 3
- 4
Pulmonary Embolism*
- 1
- 2
- 3
- 4
Tracheostomy*
- 1
- 2
- 3
- 4
Tuberculosis*
- 1
- 2
- 3
- 4
Monitoring
Pulse Oximetry*
- 1
- 2
- 3
- 4
End Tidal CO2*
- 1
- 2
- 3
- 4
Labs
ABGs*
- 1
- 2
- 3
- 4
NEUROLOGY
Assess
Level of Consciousness*
- 1
- 2
- 3
- 4
Neuro Assessment*
- 1
- 2
- 3
- 4
Reflex/Motor Deficits*
- 1
- 2
- 3
- 4
Visual/Communication Deficits*
- 1
- 2
- 3
- 4
Patient Experience
Alzheimer's Disease*
- 1
- 2
- 3
- 4
Coma*
- 1
- 2
- 3
- 4
CVA/Stroke*
- 1
- 2
- 3
- 4
Neuromuscular Disease*
- 1
- 2
- 3
- 4
Seizure Disorder*
- 1
- 2
- 3
- 4
Spinal Cord Injury*
- 1
- 2
- 3
- 4
Traumatic Brain Injury*
- 1
- 2
- 3
- 4
Halo Traction/Cervical Tongs*
- 1
- 2
- 3
- 4
GASTROINTESTINAL
Assess
Nutritional Status*
- 1
- 2
- 3
- 4
Bowel Sounds*
- 1
- 2
- 3
- 4
GI Assessment*
- 1
- 2
- 3
- 4
Patient Experience
Abdominal Wounds*
- 1
- 2
- 3
- 4
Bowel Obstruction*
- 1
- 2
- 3
- 4
Colostomy*
- 1
- 2
- 3
- 4
GI/Esophageal Bleeding*
- 1
- 2
- 3
- 4
Hepatitis*
- 1
- 2
- 3
- 4
Pancreatitis*
- 1
- 2
- 3
- 4
Liver Failure*
- 1
- 2
- 3
- 4
Cancer*
- 1
- 2
- 3
- 4
Labs
Serum Amylase*
- 1
- 2
- 3
- 4
Serum Ammonia*
- 1
- 2
- 3
- 4
Liver Function Tests*
- 1
- 2
- 3
- 4
RENAL/GENITOURINARY
Assess
Fluid Status*
- 1
- 2
- 3
- 4
Patient Experience
Acute Renal Failure*
- 1
- 2
- 3
- 4
End Stage Renal Failure*
- 1
- 2
- 3
- 4
Hemodialysis*
- 1
- 2
- 3
- 4
Nephrostomy*
- 1
- 2
- 3
- 4
Urinary Tract Infection*
- 1
- 2
- 3
- 4
Suprapubic Cath*
- 1
- 2
- 3
- 4
Fistula/Shunt*
- 1
- 2
- 3
- 4
Monitoring
I &O Measurment*
- 1
- 2
- 3
- 4
Fluid Balance*
- 1
- 2
- 3
- 4
Labs
Serum Electrolytes*
- 1
- 2
- 3
- 4
BUN and Creatinine*
- 1
- 2
- 3
- 4
ENDOCRINE/METABOLIC
Patient Experience
Diabetes*
- 1
- 2
- 3
- 4
Blood Glucose*
- 1
- 2
- 3
- 4
MUSCULOSKELETAL
Assess
Pulse/Circulation Checks*
- 1
- 2
- 3
- 4
Patient Experience
Amputation*
- 1
- 2
- 3
- 4
Joint Replacement*
- 1
- 2
- 3
- 4
Skeletal/Skin Traction*
- 1
- 2
- 3
- 4
Cast Care*
- 1
- 2
- 3
- 4
IMMUNOLOGY/HEMATOLOGY/ONCOLOGY
Patient Experience
Cancer*
- 1
- 2
- 3
- 4
HIV/AIDS*
- 1
- 2
- 3
- 4
Treatment Side Effects - Chemo/Radiation*
- 1
- 2
- 3
- 4
Sepsis*
- 1
- 2
- 3
- 4
WOUNDS/INTEGUMENT
Assess
S/S Infection*
- 1
- 2
- 3
- 4
Staging of PRessure Ulcers*
- 1
- 2
- 3
- 4
Skin Assessment*
- 1
- 2
- 3
- 4
Patient Experience
Burns*
- 1
- 2
- 3
- 4
Pressure Ulcers*
- 1
- 2
- 3
- 4
Surgical Wounds and Drains*
- 1
- 2
- 3
- 4
Statis Ulcers*
- 1
- 2
- 3
- 4
Wounds*
- 1
- 2
- 3
- 4
Monitoring
Skin Breakdown*
- 1
- 2
- 3
- 4
MEDICATION/THERAPEUTIC INTERVENTIONS
Medication Administration
Administer IM and SQ Meds*
- 1
- 2
- 3
- 4
Administer PO Medications*
- 1
- 2
- 3
- 4
Administer IVP Medications*
- 1
- 2
- 3
- 4
Administer IVPB Medications*
- 1
- 2
- 3
- 4
Administer IV Drips and Titration*
- 1
- 2
- 3
- 4
Administer Meds per Feeding Tubes*
- 1
- 2
- 3
- 4
IV Therapy
Assess/Maintain IV*
- 1
- 2
- 3
- 4
Heparin Lock*
- 1
- 2
- 3
- 4
Vascular Access Device - Care/Maintenance*
- 1
- 2
- 3
- 4
Peripheral IV Insertion*
- 1
- 2
- 3
- 4
Blood
Administer Blood/Blood Products*
- 1
- 2
- 3
- 4
Nutrition Therapy
Enteral Feeding Administration*
- 1
- 2
- 3
- 4
TPN/Procalamine*
- 1
- 2
- 3
- 4
Tube Feeding Pumps*
- 1
- 2
- 3
- 4
Bolus Tube Feedings*
- 1
- 2
- 3
- 4
NGT/SBFT Insertion*
- 1
- 2
- 3
- 4
PEG/G-Tube*
- 1
- 2
- 3
- 4
Oxygen Administration
Nasal Cannula*
- 1
- 2
- 3
- 4
Venti Mask*
- 1
- 2
- 3
- 4
Non-Rebreather Mask*
- 1
- 2
- 3
- 4
Ambu-Bag*
- 1
- 2
- 3
- 4
Trach Collar*
- 1
- 2
- 3
- 4
Portable Oxygen Ventilator (IMV, AC, PEEP)*
- 1
- 2
- 3
- 4
Pain Management
Assess Pain Level Tolerance*
- 1
- 2
- 3
- 4
Functional Pain Goal*
- 1
- 2
- 3
- 4
Epidural Analgesia*
- 1
- 2
- 3
- 4
Patient Controlled Analgesia*
- 1
- 2
- 3
- 4
PROCEDURES/EQUIPMENT
Perform/Maintain
Chest Tube Drainage Systems*
- 1
- 2
- 3
- 4
Doppler*
- 1
- 2
- 3
- 4
Dressing Changes*
- 1
- 2
- 3
- 4
Drains (JP-Hemovac-Penrose)*
- 1
- 2
- 3
- 4
Suctioning (Oral-Naso-Pharnyx)*
- 1
- 2
- 3
- 4
Tracheostomy Care/Suctioning*
- 1
- 2
- 3
- 4
Indwelling Urinary Catheter*
- 1
- 2
- 3
- 4
Isolation*
- 1
- 2
- 3
- 4
Wound Vac*
- 1
- 2
- 3
- 4
Specimen Collections
Finger Stick*
- 1
- 2
- 3
- 4
Butterfly Stick*
- 1
- 2
- 3
- 4
Central-Line Blood Draw*
- 1
- 2
- 3
- 4
Clean Catch Urine*
- 1
- 2
- 3
- 4
Urine Catheter Culture Collection*
- 1
- 2
- 3
- 4
Blood Cultures*
- 1
- 2
- 3
- 4
Venipuncture*
- 1
- 2
- 3
- 4
24 Hour Urine*
- 1
- 2
- 3
- 4
Assist
Bedside Invasive Procedures*
- 1
- 2
- 3
- 4
Bronchoscopy*
- 1
- 2
- 3
- 4
Central Line Insertion*
- 1
- 2
- 3
- 4
Chest Tube Insertion*
- 1
- 2
- 3
- 4
Endotracheal Intubation*
- 1
- 2
- 3
- 4
Procedure/Moderate Sedation*
- 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

Skills Checklist

LTAC RN Skills Checklist

Age of Patients Cared For

Clinical Settings

General Skills

Cardiovascular

Assess

Patient Experience

Monitoring

Labs

PULMONARY

Assess

Patient Experience

Monitoring

Labs

NEUROLOGY

Assess

Patient Experience

GASTROINTESTINAL

Assess

Patient Experience

Labs

RENAL/GENITOURINARY

Assess

Patient Experience

Monitoring

Labs

ENDOCRINE/METABOLIC

Patient Experience

MUSCULOSKELETAL

Assess

Patient Experience

IMMUNOLOGY/HEMATOLOGY/ONCOLOGY

Patient Experience

WOUNDS/INTEGUMENT

Assess

Patient Experience

Monitoring

MEDICATION/THERAPEUTIC INTERVENTIONS

Medication Administration

IV Therapy

Blood

Nutrition Therapy

Oxygen Administration

Pain Management

PROCEDURES/EQUIPMENT

Perform/Maintain

Specimen Collections

Assist