RN/LVN Skills Checklist for ER

Please rate your experience / frequency (within the last year) using the scale (check the appropriate boxes below) 0 = No theory and/or experience 1 = Limited experience/need supervision and/or support 2 = Experienced/minimal support needed to perform) 3 = Proficient/can perform independently 4 = Expert/very experienced in the field

Recruiter Information

Personal Information

Work Settings

Cardiac

Pulmonary

Neurological

Orthopedics

Gastrointestinal

Renal/GU

Endocrine

Wound Management

Shock/Trauma

Infectious Disease/Immunosuppressed Patients

Womens Health

Pediatrics

Psychiatric

Miscellaneous

IV Therapy

Medications

Cardiac Monitoring and Emerg Response

Professional Knowledge and Skills

Age Specific Competencies

EMR

Certifications

Acknowledgment