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Transplant Coordinator 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 Adult (18 years to 39 years)*

Middle Adult (39 years to 64 years)*

Older Adult (64 years to 79 years)*

Edlerly Adults (over 79+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators*

Advanced Directives*

Patient and Family Education*

Electronic Documentation*

Automated Med Dispensing Systems*

Pre-Transplant

Transplant Center Protocols*

Absolute and Relative Contraindications to Transplant*

Wait List Criteria*

Positive Crossmatch*

Pre-Transplant Evaluation Testing (Organ Specific)*

Evaluation Process*

Organ Allocation Process*

Clinical Transplant Team Collaboration*

Post-Transplant

Transplant Related Infections*

Organ Rejection*

Immunosuppressive Drug Monitoring*

Clinical Transplant Team Collaboration*

Immunosuppressive Regiments*

Monitoring Drug Toxicity Levels*

Living Donation

Monitoring Organ-Specific Complications*

Pre-Transplant Candidates

Heart*

Lung*

Kidney*

Liver*

Pancreas*

Colon*

Small Bowel*

Post-Transplant Recipients

Liver*

Split Liver*

Reduced Liver*

Kidney*

Lung*

Heart*

Colon*

Pancreas*

Small Bowel*

Cardiovascular

GENERAL

Abnormal Heart Sounds/Murmurs*

Auscultation*

Capillary Refill*

PATIENT EXPERIENCE

Acute MI*

Angina*

Cardiomyopathy*

Cardiopulmonary Arrest*

Congestive Heart Failure*

Pacemaker*

Pericarditis*

AICD*

MONITORING

EKG Monitoring*

Arrythmia Interpretation*

LABS

Coagulation Studies*

BNP*

Troponin*

Pulmonary

GENERAL

Adventitious Breath Sounds*

Rate and Work of Breathing*

PATIENT EXPERIENCE

Asthma*

Chest Tubes*

COPD*

Cystic Fibrosis*

Pneumonia*

Pulmonary Embolism*

MONITORING

Pulse Oximetry*

LABS

Interpretation of ABGs*

Neurology

GENERAL

Level of Consciousness*

Neurological Assessment*

PATIENT EXPERIENCE

Stroke*

Intercranial Hemorrhage*

Seizure Disorder*

Gastrointestinal

GENERAL

Nutritional Status*

GI Assessment*

PATIENT EXPERIENCE

Bowel Obstruction*

Colostomy*

Cirrhosis*

GI Bleeding*

Hepatitis*

Liver Failure*

Pancreatitis*

Paralytic Ileus*

LABS

Liver Function Tests*

Serum Ammonia*

Serum Amylase*

Urine Amylase*

Renal/Genitourinary

GENERAL

Fluid Status*

PATIENT EXPERIENCE

Acute Renal Failure*

End Stage Renal Disease*

Hemodialysis*

Nephrostomy*

Peritoneal Dialysis*

MONITORING

Measurement of Intake and Output*

Fluid Balance*

LABS

BUN and Creatinine*

Serum Electrolytes*

Endocrine/Metabolic

GENERAL

Diabetes*

Diabetic Ketoacidosis*

LABS

Blood Glucose*

Immunology/Hematology/Oncology

GENERAL

Blood Transfusions*

PATIENT EXPERIENCE

Cancer*

Cytomegalovirus*

HIV/AIDS*

Acute Leukemia*

Sepsis*

LABS

Hematology*

Wounds/Integument

GENERAL

Signs/Symptoms of Infection*

Skin Assessment*

PATIENT EXPERIENCE

Surgical Wounds with Drains*

Stasis Ulcers*

Wounds*

MONITORING

Skin Breakdown*

MEDICATON ADMINISTRATION

Administer IM and SQ*

Administer PO*

Administer IV*

Bladder Irrigation and Installation*

Immunosuppressive Therapy*

IV Therapy

Adverse Reactions*

Assess/Maintain IV*

PCA Pumps*

Syringe Pumps*

Vascular Access Device Care/Maintenance*

Infusion Pumps*

Insert Peripheral IV*

BLOOD

Administer Blood/Blood Products*

Albumin*

NUTRITIONAL THERAPY

Enteral Administration*

TPN and Hyperalimentation*

Tube Feeding Pumps*

NGT Insertion*

Dobhoff Insertion*

PEG*

OXYGEN ADMINISTRATION

Ambu-bag*

Nasal Cannula*

Non-Rebreather Mask*

Venti Mask*

Portable Oxygen*

Tracheostomy*

PAIN MANAGEMENT

Assess Pain Level/Tolerance*

Epidural Anesthesia/Analgesia*

Patient Controlled Analgesia*

Moderate Sedation*

PERFORM

Chest Tube Drainage Systems*

Doppler*

Dressing Changes*

Drains (JP-Hemovac-Penrose)*

Suctioning (Oral-Naso-Pharynx)*

Indwelling Urinary Catheter*

Hyper/Hypothermia Blanket*

Incentive Spirometry*

Isolation*

Specialty Beds*

Early Mobility*

SPECIMEN COLLECTIONS

Butterfly Stick*

Central-Line Blood Draw*

Clean Catch Urine*

Blood Cultures*

Finger Stick*

Urine Dipstick*

Sputum*

Sterile Urine*

Stool*

Throat Swab*

Venipuncture*

ASSIST

Bedside Invasive Procedures*

Bronchoscopy*

Central Line Insertion*

Chest Tube Insertion*

Pericardiocentesis*

Paracentesis*

Thoracentesis*

Lumbar Puncture*

Settings

Hospital*

Medical Units*

Surgical Units*

Oncology*

Clinic*

Outpatient Clinic*

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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