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1:1 School Nurse

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
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 21 years)*

Behavioral & Mental Health Support

Understand student's Behavior Intervention Plan (BIP) or IEP / 504 accommodations*

De-escalate challenging behaviors using trauma-informed strategies*

Collaborate with school counselors, psychologists, and behavioral specialists*

Equipment Use in School Settings

Pulse oximeter*

Suction machine (oral, tracheal, nasopharyngeal)*

Feeding pumps / G-tube equipment*

Wheelchairs (manual and power)*

Lifts/transfer equipment*

Nebulizer / inhaler spacer*

AED (Automated External Defibrillator)*

Oxygen tank / gauge*

Blood glucose monitors*

Seizure monitoring devices (if applicable)*

Medication Administration

Administer medications in accordance with physician orders and care plans*

Follow the six rights of medication administration*

Document all medication administration accurately*

Monitor and report side effects of medications*

Administer seizure rescue medications (e.g., rectal diazepam, intranasal midazolam)*

Administer inhalers / nebulizers*

Administer insulin and monitor blood glucose*

Administer routine over-the-counter medications (NSAIDs, antihistamines, etc.)*

Chronic / Complex Conditions in School Settings

Provide Care for Child With...

Seizure disorders (epilepsy)*

Tracheostomy care and emergencies*

G-tube feeding and troubleshooting*

Asthma (inhalers, nebulizers, rescue plan)*

Diabetes (insulin, blood glucose monitoring, hypoglycemia / hyperglycemia response)*

Severe allergies / anaphylaxis (epinephrine auto-injector)*

Cerebral palsy / neuromuscular conditions*

Behavioral health crisis response (suicidal ideation, aggression, self-harm)*

Psychiatric & Developmental Disorders

Provide Care for Child With...

ADHD*

Autism Spectrum Disorder (ASD)*

Anxiety Disorders*

Depression / Mood Disorders*

Oppositional Defiant Disorder (ODD)*

Conduct Disorder*

Bullying / harassment issues*

Trauma / PTSD in school-aged children*

School Environment & Functional Skills

Comfort providing care during school bus transport to / from school*

Ability to attend and support during school field trips*

Collaborate with teachers, aides, and staff to integrate health supports into classroom*

Coordinate daily routines with school schedule (meals, medications, therapy times)*

Communicate effectively with parents and school staff regarding student needs*

Maintain confidentiality of student health information*

Application Agreement

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.

By completing this Skills Checklist, you agree to receive calls, AI-generated calls, text messages, or emails from and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy.