RN - Clinic Setting Skills Checklist

RN - Clinic Setting

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
Administrative Skills
Schedule and manage appointments*
- 1
- 2
- 3
- 4
Organize and maintain patient's medical record*
- 1
- 2
- 3
- 4
File medical records*
- 1
- 2
- 3
- 4
Utilize electronic health records for accurate patient documentation*
- 1
- 2
- 3
- 4
Demostrate telephone techniques*
- 1
- 2
- 3
- 4
Billing & Coding
ICD-9 Coding*
- 1
- 2
- 3
- 4
ICD-10 Coding*
- 1
- 2
- 3
- 4
CPT Coding*
- 1
- 2
- 3
- 4
Insurance billing*
- 1
- 2
- 3
- 4
Provision of Care
Obtain and analyze vital signs*
- 1
- 2
- 3
- 4
Perform comprehensive physical patient assessment*
- 1
- 2
- 3
- 4
Obtain and document patient history*
- 1
- 2
- 3
- 4
Obtain and document patient allergies*
- 1
- 2
- 3
- 4
Recognize abnormal assessment findings and intervene accordingly*
- 1
- 2
- 3
- 4
Prioritize responsibilities for effective safe patient care*
- 1
- 2
- 3
- 4
Utilize two patient identifiers prior to treatments, procedures, and medication administration*
- 1
- 2
- 3
- 4
Utilize multiple screening tools (hearing test, vision test, developmental test)*
- 1
- 2
- 3
- 4
Telephone triage procedures*
- 1
- 2
- 3
- 4
Laboratory test interpretation*
- 1
- 2
- 3
- 4
Radiology test interpretation*
- 1
- 2
- 3
- 4
EKG interpretation*
- 1
- 2
- 3
- 4
Develop and maintain nursing care plan*
- 1
- 2
- 3
- 4
Determine time and time intervals*
- 1
- 2
- 3
- 4
Determine start and stop times for time intervals*
- 1
- 2
- 3
- 4
Determine time using military time and analog clock*
- 1
- 2
- 3
- 4
Activate and participate in emergency response plan for emergency situations*
- 1
- 2
- 3
- 4
Perform Basic Life Support, CPR, and Heimlich maneuver*
- 1
- 2
- 3
- 4
Utilize AED for emergency situations*
- 1
- 2
- 3
- 4
Initiate patient referrals to other healthcare agencies*
- 1
- 2
- 3
- 4
Maintain proper body mechanics*
- 1
- 2
- 3
- 4
Understand and follow physicians orders*
- 1
- 2
- 3
- 4
Maintain and apply safety/risk protocols for fall precautions*
- 1
- 2
- 3
- 4
Maintain and apply safety/risk protocols for suicide precautions*
- 1
- 2
- 3
- 4
Perform pain assessment*
- 1
- 2
- 3
- 4
Apply non-pharmacological techniques for pain when appropriate (diversion, relaxation, breathing, etc.)*
- 1
- 2
- 3
- 4
Assess post-surgical patient for complications*
- 1
- 2
- 3
- 4
Perform nursing interventions for end of life care*
- 1
- 2
- 3
- 4
Assess and manage a variety of drains (surgical, wound, etc.)*
- 1
- 2
- 3
- 4
Perform wound/pressure ulcer staging assessment and classification*
- 1
- 2
- 3
- 4
Assess for drug/alcohol dependence and withdrawal*
- 1
- 2
- 3
- 4
Infection Control
Adhere to hand washing guidelines*
- 1
- 2
- 3
- 4
Maintain aseptic technique*
- 1
- 2
- 3
- 4
Maintain Universal Precautions*
- 1
- 2
- 3
- 4
Maintain sterile technique when appropriate*
- 1
- 2
- 3
- 4
Utilize Isolation Precautions when appropriate*
- 1
- 2
- 3
- 4
Utilize Personal Protective Equipment when indicated*
- 1
- 2
- 3
- 4
Disposal of biohazardous materials*
- 1
- 2
- 3
- 4
Maintain clean environment utilizing environmental cleaning procedures*
- 1
- 2
- 3
- 4
Professional Practice
Recognition and reporting of suspected abuse/neglect for all age groups*
- 1
- 2
- 3
- 4
Demostrate assertiveness & initiate advocacy for patients*
- 1
- 2
- 3
- 4
Utilize chain of command to ensure safe patient care*
- 1
- 2
- 3
- 4
Abide by Advance Directives (Living Wills, Health Care Proxy, Power of Attorney for Health Care)*
- 1
- 2
- 3
- 4
Maintain privacy and dignity for each patient*
- 1
- 2
- 3
- 4
Maintain patient confidentiality per HIPAA guidelines*
- 1
- 2
- 3
- 4
Identify and respond to issues of confidentiality*
- 1
- 2
- 3
- 4
Complies with Joint Commission, NPSG, CMS, and other federal/state regulations and guidelines*
- 1
- 2
- 3
- 4
Report incidents as indicated and follow protocols for incidents*
- 1
- 2
- 3
- 4
Report patient conditions as indicated by federal/state regulations and guidelines (abuse/neglect, communicable diseases, gunshot wound, dog bite)*
- 1
- 2
- 3
- 4
I acknowledge and understand the Joint Commission's list of "Do Not Use Abbreviations"*
- Yes
- No
Communicate accurately and effectively in English, both written and verbal*
- 1
- 2
- 3
- 4
Communicate with patient using age and cultural appropriate methods*
- 1
- 2
- 3
- 4
Respond to and initiate written communication*
- 1
- 2
- 3
- 4
Recognize and respond to verbal communication*
- 1
- 2
- 3
- 4
Collaborate with interdisciplinary teams for care of patient*
- 1
- 2
- 3
- 4
Utilize SBAR communication*
- 1
- 2
- 3
- 4
Utilize problem-solving/decision-making techniques*
- 1
- 2
- 3
- 4
Give and receive reports from other healthcare professionals regarding patient care*
- 1
- 2
- 3
- 4
Delegate effectively to licensed and non-licensed personnel*
- 1
- 2
- 3
- 4
Laboratory
Venipuncture*
- 1
- 2
- 3
- 4
Central line blood draws*
- 1
- 2
- 3
- 4
Capillary puncture*
- 1
- 2
- 3
- 4
Throat specimen collection*
- 1
- 2
- 3
- 4
Urine specimen collection*
- 1
- 2
- 3
- 4
Stool specimen collection*
- 1
- 2
- 3
- 4
Suptum specimen collection*
- 1
- 2
- 3
- 4
Tissue specimen collection*
- 1
- 2
- 3
- 4
Use methods for quality testing*
- 1
- 2
- 3
- 4
Perform urinalysis testing*
- 1
- 2
- 3
- 4
Perform glucometer testing*
- 1
- 2
- 3
- 4
Perform pediatric screenings (PKU)*
- 1
- 2
- 3
- 4
Medication Administration
Utilize 6 rights of medication administration*
- 1
- 2
- 3
- 4
Utilize dosage calculation formulas for accurately determine medication dosages*
- 1
- 2
- 3
- 4
Maintain medication and immunization records*
- 1
- 2
- 3
- 4
Provide education to patient regarding medications*
- 1
- 2
- 3
- 4
Obtain history regarding contraindications*
- 1
- 2
- 3
- 4
Obtain history regarding anaphylactic/allergy reactions*
- 1
- 2
- 3
- 4
Assess for therapeutic response, expected outcomes*
- 1
- 2
- 3
- 4
Assess for and manage adverse reactions*
- 1
- 2
- 3
- 4
Waste medications (utilize proper procedures and documentation)*
- 1
- 2
- 3
- 4
Topical*
- 1
- 2
- 3
- 4
Oral*
- 1
- 2
- 3
- 4
Intradermal injection*
- 1
- 2
- 3
- 4
Intramuscular injection*
- 1
- 2
- 3
- 4
Subcutaneous injection*
- 1
- 2
- 3
- 4
IV push*
- 1
- 2
- 3
- 4
IV infusion*
- 1
- 2
- 3
- 4
Blood transfusion*
- 1
- 2
- 3
- 4
Chemotherapy*
- 1
- 2
- 3
- 4
Insulin*
- 1
- 2
- 3
- 4
Drug overdose treatment*
- 1
- 2
- 3
- 4
Antibiotics*
- 1
- 2
- 3
- 4
Analgesics*
- 1
- 2
- 3
- 4
Narcotics*
- 1
- 2
- 3
- 4
IV Fluids*
- 1
- 2
- 3
- 4
Muscle relaxers*
- 1
- 2
- 3
- 4
Anit-anxiety*
- 1
- 2
- 3
- 4
Sedatives*
- 1
- 2
- 3
- 4
Anticoagulant therapy*
- 1
- 2
- 3
- 4
Determine eligibility to receive vaccine*
- 1
- 2
- 3
- 4
Provide patient education in relation to vaccines*
- 1
- 2
- 3
- 4
PPD placement and reading results*
- 1
- 2
- 3
- 4
Flu vaccine*
- 1
- 2
- 3
- 4
Pneumococcal vaccine*
- 1
- 2
- 3
- 4
Varicella*
- 1
- 2
- 3
- 4
DTaP*
- 1
- 2
- 3
- 4
MMR*
- 1
- 2
- 3
- 4
HepA*
- 1
- 2
- 3
- 4
HepB*
- 1
- 2
- 3
- 4
HPV*
- 1
- 2
- 3
- 4
Rotavirus*
- 1
- 2
- 3
- 4
IPV*
- 1
- 2
- 3
- 4
Hib*
- 1
- 2
- 3
- 4
HPV*
- 1
- 2
- 3
- 4
Meningococcal*
- 1
- 2
- 3
- 4
Patient Education
Identify needs for health maintenance and disease prevention*
- 1
- 2
- 3
- 4
Provide instruction for health maintenance and disease prevention*
- 1
- 2
- 3
- 4
Instruct individuals according to their needs*
- 1
- 2
- 3
- 4
Instruct and demostrate use and care of patient equipment*
- 1
- 2
- 3
- 4
Explain general office policies*
- 1
- 2
- 3
- 4
Procedures
Provide education and patient preparation for invasive procedures*
- 1
- 2
- 3
- 4
Obtain patient consent for treatments and procedures*
- 1
- 2
- 3
- 4
Perform time-out procedure*
- 1
- 2
- 3
- 4
Provide Central line/PICC line care*
- 1
- 2
- 3
- 4
Ear lavage*
- 1
- 2
- 3
- 4
Placement and management of peripheral IV*
- 1
- 2
- 3
- 4
Assist with Doppler exams*
- 1
- 2
- 3
- 4
Assist with simple biopsy*
- 1
- 2
- 3
- 4
Assist with I&D*
- 1
- 2
- 3
- 4
Assist with lumbar puncture*
- 1
- 2
- 3
- 4
Assist with wound debridements*
- 1
- 2
- 3
- 4
Assist with Colposcopy*
- 1
- 2
- 3
- 4
Assist with Urodynamic Studies*
- 1
- 2
- 3
- 4
Assist with IUD insertions*
- 1
- 2
- 3
- 4
Assist with bone marrow biopsy*
- 1
- 2
- 3
- 4
Assist with setting of simple bone fractures*
- 1
- 2
- 3
- 4
Assist with suturing*
- 1
- 2
- 3
- 4
Removal of sutures/staples*
- 1
- 2
- 3
- 4
Application of casts/splints*
- 1
- 2
- 3
- 4
Sterile dressing changes*
- 1
- 2
- 3
- 4
Non-sterile dressing changes*
- 1
- 2
- 3
- 4
Oxygen administration*
- 1
- 2
- 3
- 4
Accessing venous ports*
- 1
- 2
- 3
- 4
Measurement and application of anti-embolic stockings*
- 1
- 2
- 3
- 4
Instruct/educate patient to use incentive spirometer*
- 1
- 2
- 3
- 4
Place and manage nasogastric tube*
- 1
- 2
- 3
- 4
Perform oral and nasopharyngeal suctioning*
- 1
- 2
- 3
- 4
Insert and remove indwelling urinary catheter*
- 1
- 2
- 3
- 4
Insert and remove straight urinary catheter*
- 1
- 2
- 3
- 4
Patient Care Settings
General Clinic (more than 5 MDs in practice)*
- 1
- 2
- 3
- 4
General Clinic (less than 5 MDs in practice)*
- 1
- 2
- 3
- 4
General Internal Medicine*
- 1
- 2
- 3
- 4
Allergy Clinic*
- 1
- 2
- 3
- 4
Endocrinology*
- 1
- 2
- 3
- 4
Gastroenterology*
- 1
- 2
- 3
- 4
Health/Wellness Screening*
- 1
- 2
- 3
- 4
OB/GYN*
- 1
- 2
- 3
- 4
Occupational Health*
- 1
- 2
- 3
- 4
Oncology*
- 1
- 2
- 3
- 4
Orthopedics*
- 1
- 2
- 3
- 4
Pediatrics*
- 1
- 2
- 3
- 4
Rehab Clinic*
- 1
- 2
- 3
- 4
Pediatrics*
- 1
- 2
- 3
- 4
Rheumatology*
- 1
- 2
- 3
- 4
Surgical Practice*
- 1
- 2
- 3
- 4
Utilization Review/Case Management*
- 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*
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RN – Clinic Setting Skills Checklist

RN - Clinic Setting

Age of Patients Cared For

Administrative Skills

Billing & Coding

Provision of Care

Infection Control

Professional Practice

Laboratory

Medication Administration

Patient Education

Procedures

Patient Care Settings

Travelers

Company

Contact

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