We heard you've got skills

Intensive Care 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
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  • GENERAL SKILLS 0 1 2 3 4 5
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  • Infusion Pump:

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  • NEURO GENERAL SKILLS 0 1 2 3 4 5
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  • Neuro-Care of Patient with: 0 1 2 3 4 5
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  • Knowledge and Use of 0 1 2 3 4 5
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  • CARDIAC GENERAL SKILLS 0 1 2 3 4 5
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  • Cardiac- Care of Patient with: 0 1 2 3 4 5
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  • Knowledge and Use of 0 1 2 3 4 5
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  • RESPIRATORY GENERAL SKILLS 0 1 2 3 4 5
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  • Respiratory- Care of Patient with: 0 1 2 3 4 5
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  • Knowledge and Use of 0 1 2 3 4 5
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  • GASTROINTESTINAL GENERAL SKILLS 0 1 2 3 4 5
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  • Gastrointestinal- Care Of Patient with: 0 1 2 3 4 5
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  • Knowledge and Use of 0 1 2 3 4 5
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  • GENITOURINARY/RENAL GENERAL SKILLS 0 1 2 3 4 5
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  • Genitourinary/Renal- Care of Patient with: 0 1 2 3 4 5
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  • ENDOCRINE GENERAL SKILLS 0 1 2 3 4 5
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  • Endocrine- Care of Patient with: 0 1 2 3 4 5
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  • Knowledge and Use of 0 1 2 3 4 5
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  • VASCULAR GENERAL SKILLS 0 1 2 3 4 5
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  • Other 0 1 2 3 4 5
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  • 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.
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