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Skills Checklist

Wound Care/Ostomy 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

  • Work Settings

  • PRESSURE ULCERS

  • NEUROPATHIC ULCERS

  • VENOUS STASIS ULCERS

  • PERIPHERAL ARTERIAL ULCERS

  • OTHER WOUNDS

  • WOUND DEBRIDEMENT

  • DRESSINGS/ TREATMENTS

  • COLOSTOMY / ILEOSTOMY

  • CONTINENT ILEOSTOMY

  • UROSTOMY / CONTINENT

  • CONTINENCE THERAPEUTIC DEVICES

  • BURNS

  • PROFESSIONAL KNOWLEDGE AND SKILLS

  • OTHER / MISC.

  • MM slash DD slash YYYY

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