Medical Surgical / Telemetry 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 / Telemetry RN Skills Checklist

  • WORK SETTING EXPERIENCE

  • GENERAL SKILLS

  • CARDIAC MONITORING & EMERGENCY CARE:

  • IV THERAPY:

  • OTHER EXPERIENCE:

  • CARDIAC EXPERIENCE:

  • CARE OF PATIENT WITH:

  • USE & ADMINISTRATION OF THE FOLLOWING:

  • RESPIRATORY EXPERIENCE:

  • CARE OF PATIENT WITH:

  • USE & ADMINISTRATION OF THE FOLLOWING:

  • GYNECOLOGY/GYN MALIGNANCIES EXPERIENCE:

  • EXPERIENCE WITH:

  • DRUG DOSE CALCULATION FOR:

  • NEUROLOGY EXPERIENCE:

  • CARE OF PATIENT WITH:

  • USE & ADMINISTRATION OF THE FOLLOWING:

  • GASTROINTESTINAL EXPERIENCE:

  • CARE OF PATIENT WITH:

  • USE & ADMINISTRATION OF THE FOLLOWING:

  • GENITOURINARY/RENAL EXPERIENCE:

  • CARE OF PATIENT WITH:

  • ORTHOPEDIC EXPERIENCE:

  • OTHER EXPERIENCE:

  • AGE-SPECIFIC EXPERIENCE: