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RRTCRT

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

Newborn (birth-30 days)*

Infant (30 days - 1 year)*

Toddler (1 - 3 years)*

Preschooler (3 - 5 years)*

School Age (5 - 12 years)*

Adolescents (12 - 18 years)*

Young Adults (18 - 39 years)*

Middle Adults (39 - 64 years)*

Older Adults (64+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Patient Head to Toe Assessment*

Infant/ Neonatal Cardiac/ Respiratory Arrest*

Adult Respiratory/ Cardiac Arrest*

Prep and Administration of Emergency Meds*

Crash Carts*

Defibrillators*

Care of Patient in Restraints*

Automated Med Dispensing Systems*

Electronic Documentation*

Care Planning & Discharge Planning*

Care of Patients With

Acute/ chronic bronchitis*

ARDS (adult respiratory distress syndrome)*

Aspiration Asthma*

Status Asthmaticus*

Bronchoscopy*

Bronco-Pulmonary dysplasia*

CHF (congestive heart failure)*

COPD (chronic obstructive pulmonary disease)*

Croup*

Cystic fibrosis*

Epiglottis*

Guillain Barre`*

Hemopneumothorax*

Myasthenia Gravis*

Pneumonia*

Pulmonary edema*

Pulmonary embolism*

Smoke inhalation*

TB (tuberculosis)*

Tension pneumothorax*

Thoracotomy*

Tracheal-esophageal fistula*

Tracheotomy*

Failure to thrive*

Fem-pop bypass*

Laryngospasm*

Meconium aspiration*

Near drowning*

Persistent pulmonary hypertension*

Pulmonary interstitial emphysema*

RSV (respiratory syncytial virus)*

Transient tachypnea of newborn*

Medication Administration

Atrovent*

Albuterol*

Bicarbonate*

Breo*

Combivent*

Incruse*

Isuprel*

Mucomyst*

Pulmicort*

Racemic epinephrine*

Spiriva*

Terbutaline sulfate*

Theophylline*

Xopenex*

Knowledge of Effects Of

Alupent*

Anectine*

Atropine*

Azmacort*

Bronkosol*

Corticosteroids*

Cromolyn sodium*

Decadron*

Diazepam*

Digoxin*

Dopamine*

Flovent*

Heliox therapy*

Inhaled steroids*

Ketamine*

Lasix*

Lidocaine*

Morphine*

Nitric oxide*

Pavulon*

Propofol*

Tobramycin*

Versed*

Equipment

Ventilator set up

Achieva*

Siemens*

Bi-Pap*

PB7200*

Sechrist IV 100B*

Servo V60*

Assist control*

CPAP*

Flow-by*

High frequency ventilator*

IMV*

Inverse ratio vent*

Pressure support*

Pressure vents*

SIMV*

Troubleshooting high and low alarms*

Oxygen/ Air delivery systems

Ambu bag*

Croup tent*

e-cylinders*

Nasal cannula*

Non-rebreather*

T-piece*

Trach collar*

Venturi mask*

Medication delivery

Nebulizer

Hand held*

Humidification (cool/ warm)*

Ultrasonic nebulizer*

MDI (metered dose inhaler)

Aero chamber*

IPPB (intermittent positive pressure)*

Procedures

Postural drainage*

Chest percussion therapy*

Sputum collection/ sampling*

ABG’s (arterial blood gas)*

Allen test*

Femoral*

Arterial*

Set up and calibrate arterial lines*

Radial*

Analyzing ABG’s*

Interpreting ABG’s*

Airway Management and Suctioning

Tracheal*

Endotracheal*

Nasotracheal*

Oral*

In-line suctioning*

Adult

Checking cuff pressure*

Extubation*

Intubations*

Manual ventilation

Neo-natal*

Pediatrics*

Diagnostic

Pulmonary function testing*

Assist with bronchoscopes*

Assist with high risk deliveries

Obtain umbilical blood gas*

Obtain capillary blood gas*

Assist with thoracentesis*

Homodynamic monitoring*

Teaching

Incentive spirometer*

Peak flow meter*

Pursed lip breathing*

Segmental breathing*

Splinting*

Work Settings

CCU/ ICU*

Emergency department*

Home care*

Neonatal ICU*

Pediatric*

Pediatric ICU*

Pulmonary rehabilitation*

Transport*

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.