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CRNA

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

Work Setting

Outpatient Surgery Center*

Plastic Surgery Center*

Private Practice Office Setting*

Dentist Office*

Acute Care Hospital*

Procedures

General*

Trauma*

Vascular*

ENT*

Neurosurgical*

Orthopedics*

Obstetrics*

Plastics*

Cardiac*

Gastrointestinal *

Urology*

Gynecology *

Cardiothoracic*

Optometry *

Pulmonary*

Colorectal *

Airway Management

Endotracheal Intubation*

Nasal Intubation*

Fiber Optic Intubation*

Ventilation*

Oxygenation*

Light Sedation (MAC)*

LMA Management*

Skills

Intravenous Line Insertion *

Arterial Line Setup*

Arterial Line Monitoring*

Central Venous Pressure Line Setup*

Central Venous Pressure Line Monitoring*

Cardiac Output Monitoring*

SVR and PVR Monitoring*

Cardiac Rhythm Monitoring and Interpretation*

Code Management*

Management of Ventilator Patients*

Monitor Neuromuscular Blockade*

Physical Assessment*

Intracranial Pressure Monitoring*

Systematic Vascular Resistance Monitoring*

Conscious Sedation Monitoring*

Interpretation of Lab Results*

Infection Control Practices*

Mask Induction and Maintenance*

Neuraxial Blocks*

Regional Blocks*

Pharmacological Agents

Vasopressor Infusions*

Dysrhythmia Agents*

Heparin Infusion*

Pain Management/ERAS Infusion*

Neuromuscular Blocking Agents*

Nitroglycerine Infusion*

Nitroprusside Infusion*

Sedation Agents*

Age of Patients Cared For

Newborn (birth - 30 days)*

Infant (30 days - 1 year)*

Toddler (1 -3 years)*

Preschooler (3 - 5 years)*

School Age (5 – 12 years)*

Adolescent (12 – 18 years)*

Young Adult (18 - 39 years)*

Middle Adult (39 - 64 years)*

Older Adult (64+ years)*

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.