Loading

Rehab RN

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)*

Setting

Hospital*

Long Term Care*

Long Term Acute Care*

Skilled Nursing Units*

Rehab*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators/External Pacing*

Automated Med Dispensing Systems*

Care Planning & Discharge Planning*

Patient/Family Education*

Electronic Documentation (EMR)*

Patient Assessment (Obtain Patient History)*

IV Pumps*

Advance Directives*

Sterile and Aseptic Technique*

Obtaining Vital Signs*

Transfer of Patient*

Suture/Staple Removal*

Care of Patients in Restraints*

Peripheral IV Insertion, Care, and Maintenance*

Access/Management of Implanted Ports*

Access/Management of Central Lines*

PCA/Epidural Pumps*

Titration of Drips*

Administration of Blood/Blood Products*

Procedures

Blood Cultures*

Dipstick Urine*

Sputum*

Sterile Urine*

Stool*

Throat Swab*

Venipuncture*

IM and SQ Injections*

Assist With

Bedside Invasive Procedures*

Intubation*

Lumbar Puncture*

Cardiovascular - General Skills

Abnormal Heart Sounds/Murmurs*

Auscultation (Rate/Rhythm)*

Capillary Refill*

Color*

Cardiovascular - Care of Patients With

Acute Myocardial infarction*

Angina*

Cardiac Arrest/Cardiopulmonary Resuscitation*

Cardiomyopathy*

Congestive Heart Failure*

Permanent Pacemaker*

Internal Defibrillator*

Cardiac Transplant*

Pre/Post Cardiac Surgery*

Abdominal Aortic Aneurysm/Bypass*

Femoral Popliteal Bypass*

Myocarditis*

Post Angioplasty/Stent*

Thrombophlebitis*

Chest Pain*

Cardiovascular - Monitoring Labs

EKG Monitoring*

Cardiac Enzymes and Isoenzymes*

Coagulation Studies*

BNP*

Troponin*

Pulmonary - General Skills

Assess Lung Sounds*

Rate and Work of Respirations*

Oxygenation Status*

Oxygen Delivery Devices*

Pulmonary - Care of Patients With

Asthma*

Bronchoscopy*

Chest Trauma*

Chest Tubes*

COPD*

Laryngospasm*

Lobectomy*

Lung Transplant*

Obstructive Sleep Apnea*

Pre/Post Thoracic Surgery*

Pneumonectomy*

Pneumonia*

Pneumothorax*

Pulmonary Edema*

Pulmonary Embolism*

Thoracotomy*

Tracheostomy*

Tuberculosis*

Pulmonary - Monitoring Labs

Pulse Oximetry*

Interpretation of ABGs*

Neurological - General Skills

PERRL*

Level of Consciousness*

Neurological Assessment*

Reflex/Motor Deficits*

Visual/Communication Deficits*

Stroke Precautions*

Neurological - Care of Patients With

Alzheimer’s Disease*

Coma*

CVA*

Halo Traction/Cervical tongs*

Intracranial Hemorrhage*

Laminectomy*

Neuromuscular Disease*

Post Craniotomy*

Seizure Disorder*

Spinal Cord Injury*

Pre/Post Neurosurgery*

Closed Head Injuries*

Delirium Tremens*

Encephalitis*

Meningitis*

Overdose*

Guillain Barre Syndrome*

Externalized AV Shunt*

Gastrointestinal - General Skills

Bowel Sounds*

Nutritional Status*

GI Assessment*

GT/PEG Feedings*

Gastrointestinal - Care of Patients With

Abdominal Wounds and Surgeries*

Bowel Obstruction*

Colostomy*

GI Bleeding*

Hepatitis*

Ileostomy*

Pancreatitis*

Paralytic Ileus*

Post Abdominal Surgery*

Liver Transplant*

Inflammatory Bowel Disease*

Liver Failure*

Abdominal Trauma*

Renal/Genitourinary - General Skills

Fluid Status*

Renal/Genitournary - Care of Patients With

Acute Renal Failure*

End Stage Renal Disease*

Hemodialysis*

Peritoneal Dialysis*

Urinary Tract Infection*

Suprapubic Catheter*

Kidney Transplant*

Insertion of Catheter (Straight/Foley)*

Bladder Irrigations*

AV Fistula/Shunt Care*

Nephrostomy Tube*

Nephrectomy*

Pyelonephritis*

TURP*

Ileal Conduit*

Renal Trauma*

Renal Calculi*

Renal/Genitourinary - Monitoring/Labs

Measurement of I & O*

Fluid Balance*

BUN and Creatinine*

Serum Electrolytes*

Endocrine/Metabolic - Care of Patients With

Diabetes Mellitus*

Diabetes Insipidus*

Keto Acidosis*

Diabetic Coma*

Hyperthyroidism*

Hypothyroidism*

Thyroidectomy*

Endocrine/Metabolic - Monitoring/Labs

Blood Glucose*

Endocrine/Metabolic - Knowledge and Use Of

Single Type Insulin*

Mixed Insulins*

Insulin Infusion*

Ortho/Musculoskeletal - General Skills

Pulses/Circulation Checks*

Cast Care*

Crutch Walking*

Traction*

Prosthesis Application*

Assistive Devices*

Ortho/Muscoskeletal - Care of Patients With

Amputation*

External Fixation*

Multiple Trauma*

Paraplegia*

Rheumatoid Arthritis Disease*

Joint Replacement*

Open Reduction Internal Fixation*

Fractures*

Spinal Fusion*

Amputation*

Immunology/Hematology/Oncology - General Skills

Blood Transfusions*

Immunology/Hematology/Oncology - Care of Patients With

Cancer*

HIV/AIDS*

Sickle Cell Anemia*

Acute Leukemia*

Treatment Side Effects*

Chemotherapy*

CRE*

MSRA*

C. Difficile*

Influenza*

Radiation*

Sepsis*

Immunology/Hematology/Oncology - Lab

Hematology*

Wound/Integument - General Skills

S/S Infection*

Skin Assessment*

Dressing Changes*

Stump Wrapping*

Wound/Integument - Care of Patients With

Burns and Stages*

Staged Decubitus Ulcers*

Stasis Ulcers*

Arterial Ulcers*

Suspected Deep Tissue Injuries*

Multiple Abdominal Wounds and Drains*

Gunshot Wound*

Stab Wound*

Lacerations*

Pressure Relief Mattresses*

Traumatic Wounds*

First Degree Burns*

Second Degree Burns*

Third Degree Burns*

Wound/Integument - Equipment

Hemovacs*

Jackson-Pratt Drains*

Penrose Drains*

Surgical Wound Irrigations and Dressings*

Wound/Integument - Monitoring

Skin Breakdown*

Wound/Integument - Medications

Antibiotics*

Antihypertensives*

Anticoagulants*

Anticonvulsants*

Narcotics*

Digoxin*

Diuretics*

Steroids*

Diltiazem*

Antiemetics*

Antispasmodics*

Oral Hypoglycemics*

Inhalers*

IV Conscious Sedation*

Reversal Agents (Narcan, Romazicon)*

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.