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
BLOOD TUBES
COMPLICATIONS
KEY SKILLS
LABORATORY DATA
PATIENT IDENTIFICATION
PATIENT PREPARATION AND VENIPUNCTURE PROCEDURE
PEDIATRIC PHLEBOTOMY
SPECIAL POPULATIONS
VENIPUNCTURE METHOD
TECHNOLOGY
EQUIPMENTS AND KITS
ELECTRONIC DOCUMENTATION
AGE-SPECIFIC COMPETENCIES