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DSP

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

General Skills

Assist with Admission of Patient*

Assist with Ambulation*

Assist with bedpan/urinal/commode*

Backrubs/ Back care*

Basic Medical Asepsis*

Bathing: Complete/Partial/Sitz*

Bed Making- occupied/unoccupied/surgical*

Bed Rails: when/how to use them*

Cast Care*

Charting/ Checklist/Graphic Charts*

Compresses: Warm/ Cold*

Coughing/ deep breathing*

CPR*

Crutch Walking: Assist Patient*

Diabetic Testing*

Dietary Restrictions*

Documentation: vital signs, I & O*

Documentation of Patient’s Belongings*

Elastic Stockings (AE hose)*

Elimination Check & Record*

Fall Precautions*

Foley Catheter Care & Emptying*

Glucometer*

Hand Hygiene*

Transfers*

Use of Assistive Devices*

Vital Signs*

Weight: Measure and Record*

Incident Reporting & Documentation*

Abuse/Neglect Reporting*

Use of Person-Centered Planning Tools*

Provide Medication Support (non-licensed, if allowed)*

Support with Educational or Life Skills Goals*

Training in Client Rights and Advocacy*

Home Maintenance or Chore Coaching with Clients*

Safety Drills and Emergency Preparedness Training*

Electronic Documentation

Infection Control Precautions

Standard Universal Precautions*

Nourishment for Patients*

Observing Patients*

Oral Hygiene*

Patient Safety Standards/Precautions*

Perineal Care*

Prosthetic Devices (care of dentures, contact lenses, etc)*

Use of Communication Devices (e.g., PECs, iPads, speech devices)*

Meal Planning and Cooking with Clients*

Reporting Changes of Patient Condition*

Reporting/ Recording of Patient’s Pain Level*

Skin Care*

Behavioral Health Care

Collaboration with Interdisciplinary Team*

Observe patients to detect behavior patterns*

Report observation to medical staff*

Behavioral Support Plan Implementation*

Support for Individuals with Autism Spectrum Disorder (ASD)*

Support for Individuals with Intellectual or Developmental Disabilities (I/DD)*

Management of Assaultive Behavior*

Crisis Intervention*

Therapeutic Communication*

De-escalation Techniques*

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.