Loading

Director of Nursing

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

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 year to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

Leadership

Communicates effectively with residents, families, significant others, and other team members*

Communicates effectively with peers, physicians, and state agencies*

Coordinates resident care to the multidisciplinary team via meetings*

Provides updated resident information to physicians, resident, family, legal, consultants, and state agencies in accordance with regulations and/or standards*

Knowledgeable and able to execute human recourse policies as applicable to a variety of people issues*

Delegates as appropriate*

Actions demonstrate excellent customer service skills and builds relationships with families and associates*

Monitors the progress of others*

Enforces regulatory and employee law compliance*

Technical

Assesses and monitor staff compliance of infection control and safety programs*

Demonstrates excellent technical skills and judgement*

Assesses and monitors accuracy of Facility Scorecard and CMS quality indicator date and initiates corrective action as indicated*

Actively participates and contributes to facility meetings and process improvement activities*

Promotes survey preparedness at all times*

Demonstrates basic working knowledge of computer and modules and management reports*

Demonstrates basic understanding of quality event investigating and reporting process*

Maintains a current knowledge of LTC federal and state regulations including Medicare, Medicaid, and JCAHO as applicable*

Ensure that RAI functions are completed timely for all residents*

Provides and monitors the effectiveness of clinical orientation and ongoing training to all associates*

Problem Solving

Utilizes the nursing process to structure care to individual residents' needs*

Demonstrates the ability to assess and interpret data about the resident's status and ensure timely interventions are executed*

Collaborates with DNS/Consultants on identified areas of noncompliance and implements necessary corrective actions*

Effectively troubleshoots and ensures allocation of staffing resources to meet the needs of the residents*

Demonstrates understanding of census as it relates to HOL, expense control, and budgeted PPD*

Assesses and monitors discharge, rehospitalization patterns and implements corrective action as indicated*

Professional Knowledge and Skills

National Patient Safety Goals*

Age Specific Care*

Population Based Care*

Electronic Documentation*

Automated Med Dispensing System*

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.