We heard you've got skills

ER RN

  • This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

    • 0 = Not Applicable
    • 1 = No Experience
    • 2 = Some Experience
    • 3 = Intermittent Experience
    • 4 = Experienced
    • 5 = Very Experienced

    *Required fields

    AGE OF PATIENTS CARED FOR 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • GENERAL SKILLS 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Immunocompromised 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • HEENT DISORDERS- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PULMONARY- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Knowledge And Use Of 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • CARDIOVASCULAR- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Knowledge And Use Of 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • NEUROLOGICAL- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Knowledge And Use Of 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • GASTROINTENSTINAL- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • RENAL- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • OBSTETRICS/GYNECOLOGY- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Knowledge And Use Of 0 1 2 3 4 5
  • 012345
  • 012345
  • PSYCHIATRIC- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • SEXUAL ASSULT/CHILD ABUSE- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • ORTHOPEDIC - Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • LACERATIONS - Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • TRAUMA - Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • BURNS - Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PEDIATRIC GENERAL SKILLS 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • PEDIATRIC- Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • ENVIRONMENTAL - Care of patient with: 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Knowledge And Use Of 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • MISCELLANEOUS INSTRUMENTS/TRAYS 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
logo-header

Submitting.... Please don't leave this page.