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House Supervisor

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)*

General Skills

Standard Precautions*

Isolation Precautions*

Working with patients in restraints*

Patient/Family Education*

Patient Identification*

Specialty Beds*

End of Life/Palliative Care*

Collect Appropriate Data*

Knowledge of current Joint Commission National*

Electronic Documentation*

Setting

Acute Care/Hospital*

SNF/Long Term Care*

Managed Care*

Home Health*

Hospice*

Outpatient*

Physician Office*

Management

Understanding of health care economics and health care policies as it applies to patient care*

Concepts of capital budgeting*

Department/Unit budgeting*

Recruitment techniques*

Interviewing techniques*

Labor laws pertaining to hiring*

Orientation of new employees*

Knowledge of quality improvement/performance improvement tools*

Patient Safety*

Workplace Safety*

Promotion of interdepartmental communication*

Performance management*

Staff development

Coaching and mentoring

Project managemenet

Business development

Developing strategic plans

Cultural competence

Ethical behavior and practice

Professional association involvement

Conflict management

Team dynamics

JCAHO standards

OSHA standards

Risk Management/Service Utilization

Local Department of Health

State Department of Health

Sitter services

Other Skills
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.