Medical / Surgical RN Skills Checklist

Instructions:

Please rate your experience / frequency (within the last year) using the following scale (check the appropriate boxes below):

  • 0 = No Experience / Observed Only
  • 1 = Limited Experience / Rarely Done (<6 times/year)
  • 2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
  • 3 = Experienced / Frequently Done (daily or weekly)

Medical/Surgical RN Skills Checklist

  • TYPE OF FACILITY EXPERIENCE

  • AGE OF PATIENTS CARED FOR

  • GENERAL SKILLS

  • NEUROLOGIC Care of patients with

  • CARDIAC Care of patients with

  • RESPIRATORY Care of patients with

  • GASTROINTESTINAL- Care of Patient with:

  • RENAL/GU - Care of patients with

  • ENDOCRINE - Care of patients with:

  • KNOWLEDGE AND USE OF

  • ORTHOPEDIC - Care of patients with:

  • WOUND/SKIN- Care of Patient with:

  • ADDITIONAL MEDICAL/SURGICAL SKILLS- Care of Patient With:

  • INFECTIOUS DISEASE - Care of the patient with:

  • MEDICATIONS