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School 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

Infant (Birth to 1 year)*

Toddler (1-3 years)*

Pre-School (3-6 years)*

Adolescent (12-18 years)*

Young Adult (18-30 years)*

Mature Adult (30-60 years)*

Elderly (>60 years)*

Health Assessment

General Assessment

Performing common diagnostic tests and procedures for health assessment *

Collect and interpret subjective and objective data needed for complete assessment*

Formulate nursing diagnosis and maintain student individual health care plan*

Identify normal age specific assessment findings*

Identify and prioritize appropriate interventions based on abnormal assessment findings*

Record assessments, interventions, and follow-up evaluations in individual student health care plans*

Apply critical thinking skills throughout the head-to-toe assessment process*

Support physicians and other healthcare providers in conducting physical exams at the school facility*

Conduct comprehensive physical and psychosocial assessments for a diverse population of school-aged students*

Perform Common Diagnostic Test and Procedures for Health Assessment

Vital signs*

Intake and Output*

Lab values*

Dipstick for ketones*

Fingerstick Glucose*

Identify and Use Growth and Developmental Theories for Health Assessment and Wellness

Piaget’s Stages of cognitive development preoperational thought concrete operations formal operations*

Ericsson’s developmental stages for school age children initiative versus guilt industry versus inferiority identity versus role confusion*

Maslow’s hierarchy of needs*

Collaboration and Community Resources

Communication

Facilitate communication among administrators, school staff, families, community members, and healthcare providers to promote healthcare advocacy and ensure a safe, healthy school environment*

Serve as a liaison between home and school by coordinating with parents about students’ health and safety needs and creating plans to address those needs within the school setting*

Identify and Perform Appropriate referrals to Community Resources:

Case manager*

Department of Child and Family Services*

Social workers*

Medication Administration

General Medication Safety Principles

Administer medications in accordance with physician orders and established best practices*

Assess effectiveness of medication administration*

Identify and perform interventions for side effects of medication*

Accurately document all aspects of medication administration*

Administer medications using six rights of medication administration*

Identify indications of medication administration*

Maintain authorizations for medication administration and treatments medical parental*

Use appropriate patient identifiers prior to each procedure and medication administration*

Maintain proper Storage and safety of medications*

Administer medications through various routes*

Administer Medications Commonly Used in School Settings

NSAIDs*

Laxatives*

Antihistamines*

Corticosteroids*

Prescription*

Diabetic medications*

Behavior medications*

Ointments*

Antiemetics *

Non-prescription*

Bronchodilators (inhalers, nebulizers treatments)*

Seizure medications*

Eye drops*

Nursing Management/ Procedures

Feeding pumps*

Glucometers*

Blood Pressure Machine*

Insulin Pump *

Mechanical lifts *

Nebulizer *

Power wheelchairs *

Ventilators*

Pulse oximeter*

Suction equipment *

02 tank/ gage *

AED*

Thermometers *

Procedures

Perform gastric irritation/ lavage *

Maintain sterile techniques for procedures *

Perform tracheal suctioning*

Perform non- sterile dressing changes *

Perform tracheal care *

Perform nasopharyngeal suctioning *

Perform oral suctioning *

Maintain antiseptic techniques for procedures *

Perform sterile dressing changes *

Perform urinary catheterization (straight and indwelling)*

Acute Chronic and Episodic Conditions

Provide Care for Acute Episodic and Chronic Conditions

Autoimmune diseases*

Integumentary *

Neurological*

Genetic birth defects *

Cancer *

Allergies*

Genitourinary/ Reproductive*

Cardiovascular disorders*

Assistive Care*

Respiratory *

Blood disorders *

Asthma *

Metabolic and Endocrine disorders *

Muscle skeletal *

Technology assistance*

Eye, ear, nose, and throat *

Gastrointestinal disorders*

Anti-diabetic agents*

Insulin administration*

Hypoglycemia*

Provide Care for Diabetes Management

Anti-diabetic agents*

Hyperglycemia*

Hypoglycemia*

Insulin administration*

Emergency Health Problems

Providing Emergency Care For

Head injury*

Cardiac arrest*

Seizures*

Edema/ swelling*

Poisoning *

Avulsions *

Foreign body airway obstruction *

Chest injuries *

Hemorrhage *

Abdominal injuries*

Dental oral *

Respiratory arrest *

Burns*

Spinal cord injury *

Unconsciousness *

Lacerations/ Punctures *

Anaphylaxis fractures *

Respiratory distress*

Perform Interventions for Emergency Situations

Initiates emergency response plans *

Administer emergency medications*

Manual ventilation *

BLS *

CPR*

AED*

Abdominal thrust (Heimlich maneuver)*

Health Promotion and Disease Prevention

Identify Health Needs

Risk factors*

Community health needs*

Environmental concerns*

Immunizations

Adhere to testing requirements and immunization schedules based on specific populations/ ages*

Administer immunizations per protocol*

Maintain immunization health records*

Infection Control

Select and properly utilize personal protective equipment (PPE) as needed*

Follow established hand hygiene protocols*

Apply guidelines for the handling and disposal of biohazardous materials in accordance with policy*

Communicable Diseases

Implement effective measures to reduce the spread of infectious diseases*

Viral *

Fungal *

Parasitic infestations *

Provide education and in-service regarding communicable diseases *

Bacterial *

Sexually transmitted diseases *

Identify the risks associated with a student’s infectious illness within the school setting*

Perform Routine Screening Tests

Depth perception test*

Scoliosis screening test *

TB screening test *

Hearing screening test *

Visual acuity test *

Color discrimination test*

Provide Education

Exercise *

Safety education *

Nutritional issues *

Wellness *

Dental hygiene *

Prevention methods (self- care group programs)*

Provide Appropriate Counseling in a Variety of Settings

Parent meetings *

Collaborative student parent teacher et cetera meetings *

Individual Counseling*

Professional Issues

Maintain Electronic and Hard Copies of Health Records

Accuracy of records *

Health history/ vaccination records *

Authorization for release of information *

Authorization and consent(s) for health services/treatment *

Access to records*

Maintain Compliance as Required by

FERPA *

School district’s code of conduct *

Individuals with disabilities (IEP) Act *

Code of ethics (ANA/NASN) *

Laws related to special education *

Department of Public Health for physical examination and immunization records *

HIPAA *

Student and parent rights *

Americans with disabilities (504) act *

Due process*

Individual rights to privacy *

Nurse practice act /licensure /certifications/ standards of practice in school environment*

Use Principles of Supervision and Delegation of Services

Unlicensed personnel*

Volunteers*

Professional licensed staff*

Provide Consultation to Administration on Health Issues

School board policy*

School health services*

State and federal laws regulations and guidelines*

Follow Legal Reporting Protocols and Policies for

Child abuse/Neglect*

In a couple diseases*

Gunshot wounds*

Animal Bites*

Special Health Issues

Provide Care for Complex Health Issues and Behavioral Issues

Epilepsy*

Autism spectrum*

Cerebral palsy*

ADHD*

Organ Recipients*

Cystic fibrosis*

Anorexia*

Substance Abuse*

Bulimia Nervosa*

Abuse*

Addiction*

Psychosocial problems*

Harassment*

Anxiety*

Suicide*

Bullying*

Depression*

Teenage pregnancy*

Sexuality*

Neglect*

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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