This checklist was electronically signed on
September 12, 2026
Instructions:
This checklist is meant to serve as a general guideline for our client
facilities as to the level of your skills within your nursing specialty.
Please use the scale below to describe your experience/expertise in each
area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
PATIENT RIGHTS
APPROPRIATE PPE FOR THE FOLLOWING SCENARIOS
REGULATORY AGENCIES/STANDARDS OF CARE AGENCIES
INTERDISCIPLINARY COMMUNICATION
INFECTION CONTROL
VITAL SIGNS (TAKE AND RECORD)
AMBULATING
POSITIONING/TURNING
ELIMINATION
ENVIRONMENT
NUTRITION/HYDRATION
OBSERVATIONS/REPORTING/DOCUMENTATION
OXYGEN THERAPY
PERSONAL CARE
MEDICATION ADMINISTRATION
MEDICATION ROUTES
AUTOMATED MEDICATION DISPENSING SYSTEMS
MEDICATIONS
TECHNOLOGY
USE OF ANCILLARY EQUIPMENTS
ELECTRONIC DOCUMENTATION
AGE-SPECIFIC COMPETENCIES