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Nurse Manager

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*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrrest*

Crash Carts*

Defibrillators*

Admission*

Advanced Directives*

Collect Appropriate Data*

Discharge Teaching*

Organ/Tissue Donation*

Patient and Family Education*

Electronic Documentation*

Electronic Med Machines*

Setting

Hospital*

Outpatient Clinic*

Post-Acute Care*

Nursing Management

Staffing and Scheduling Nursing Unit*

Quality Improvement*

Employee Health/Injuries*

Experience with Regulatory Agencies*

On-Call Staff*

Bed Control*

Internal/External Disasters*

Violent/Abusive Patient*

Patient Elopement*

Capacity Issues*

Staffing by Acuity*

Recruitment and Retention Strategies*

Hiring New Staff

On-Boarding of New Staff

Annual Evaluations

Employee Coaching/Counseling

Infection Control

Analyzing Unit Financials

Budgeting Process and Standards

Supply Inventory Management

Coordinate Patient Care Plans

Providing Medical and Mentoring to Staff

Addressing Patient Issues/Complaints Promptly

Cardiovascular

Acute MI

Angina

Congestive Heart Failure

Pacemaker

Pulmonary

Acute Pneumonia

Asthma

COPD

Pulmonary Edema

Pulmonary Embolism

Tracheostomy

Neurological

Acute Head Injury

Dementia

Stroke

Seizure Disorder

Gastrointestinal

Abdominal Wounds and Surgeries

Bowel Obstruction Colostomy

GI Bleeding

Pancreatitis

Paralytic Ileus

Renal/Genitourinary

Acute Renal Failure

End Stage Renal Disease

Hemodialysis

Peritoneal Dialysis

Suprapubic Cath

Endocrine/Metabolic/Toxicology

Diabetes

Diabetic Ketoacidosis

Drug Overdose

Illicit Drug Overdose

Muscoloskeletal

Traction

Amputation

External Fixation

Paraplegia

Rheumatoid Arthritis

Joint Replacement

Immunology/Hematology/Oncology

HIV/AIDS

Sickle Cell Anemia

Acute Leukemia

Treatment Side Effects

Chemo/Radiation

Sepsis

Wounds/Integument

Pressure Injury/Ulcers

Skin Breakdown

Medication/Therapeutic Interventions

Administer PO Medications

Administer IM/SQ Medications

Administer IV Medications

Insert PIV

Assess IV Insertion

Multi-Lumen Central Venous Catheters

Infusion/PCA Pumps

Administer Blood/Blood Products

NGT Insertion

Dobhoff Insertion

Ambu-Bag

Nasal Cannula

Non-Rebreather Mask

Venti Mask

Portable Oxygen

Tracheostomy Tube

Ventilators

Epidural Anesthesia/Analgesia

Moderate Sedation

Procedures/Equipment

Chest Tube Drainage

Urinary Catheters

Suctioning (Oral/Nasal/Pharyngeal)

Isolation

Specialty Beds

Universal Precautions

Wound Vac

Butterfly Stick

Venipuncture

Bedside Invasive Procedures

Central Line Insertion

Lumbar Puncture

Paracentesis

Thoracentesis

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.

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