Operating Room RN – First Assist Only Skills Checklist (RNFA)

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)

Case Manager RN Skills Checklist

  • AGE OF PATIENTS CARED FOR

  • SKILLED ENVIRONMENTS

  • GENERAL CASE MANAGEMENT

  • EXPERIENCE