Resources

Skills Checklist

Select your specific clinical area of expertise and fill out the self evaluation form to help us in assessing your experience and find better opportunities for you.

    Nursing- PCU-Stepdown Checklist

    PROFICIENCY SCALE
    1. No Experience 2. Need Training
    3. Able to perform with supervision 4. Able to perform independently

    GENERAL SKILLS1234
    Standard Precautions*1234
    Isolation Precautions*1234
    Pediatric Respiratory/ Cardiac Arrest*1234
    Adult Respiratory/ Cardiac Arrest*1234
    Crash Carts*1234
    Defibrillators*1234
    Care of Patient in Restraints*1234
    Pain Management*1234
    Automated Med Dispensing System*1234
    Care Planning and Discharge Planning*1234
    Patient/ Family Education*1234
    Electronic Documentation*1234
    Patient Head to Toe Assessment*1234
    Dressing Changes*1234
    Knowledge of Normal Serum Lab Values*1234
    Obtaining Cultures (Blood, Sputum, Swab, Urine)*1234
    Administration of Blood and Blood Products*1234
    PCA Pumps*1234
    Infusion Pumps*1234
    Calculate mcg/min and mcg/kg/min*1234
    Titrating Medications*1234
    Moderate/Conscious Sedation & Reversal Agents*1234


    IV THERAPY1234
    Initiate Peripheral IV*1234
    Discontinue Peripheral IV*1234
    Central Line Blood Draw*1234
    Central Line Care & Maintenance*1234
    PICC Line Blood Draw*1234
    PICC Line Care & Maintenance*1234


    NEURO GENERAL SKILLS1234
    Assessment of Neuro Signs*1234
    Glasgow Coma Scale*1234
    Seizure Precautions*1234
    Assist With Lumbar Puncture*1234
    Halo Traction*1234


    NEURO-Care of Patients with:1234
    CVA*1234
    Seizure Activity*1234
    Overdose*1234
    Neuro/Head Injury/ Trauma*1234
    Pre/Post Neuro Surgery*1234
    Cranial Hemorrhage*1234
    Multiple Sclerosis*1234
    Post-Op AV Shunt*1234


    MEDICATION KNOWLEDGE AND USE OF1234
    Decadron*1234
    Dilantin*1234
    Magnesium Sulfate*1234
    Phenobarbital*1234
    Steroids*1234
    Valium*1234
    Versed*1234


    CARDIAC GENERAL SKILLS1234
    Auscultation of Cardiac Sounds*1234
    Dopplers*1234
    Interpretation of 12 lead EKG*1234
    Interpretation of Arrhythmias*1234
    Defibrillation/cardioversion*1234
    Permanent Pacemaker*1234
    Temporary Pacemaker*1234
    AICD*1234
    Art-Line (transducer set-up, D/C)*1234
    Sheath Removal*1234
    Interpretation of Cardiac Enzymes*1234


    CARDIAC- CARE OF PATIENTS WITH1234
    Angina*1234
    CHF*1234
    Post MI*1234
    Pre/Post Cardiac Cath*1234
    Pre/Post Cardiac Surgery*1234
    Open Sternal Wound (Debridement)*1234
    Heart Transplant*1234


    MEDICATION KNOWLEDGE AND USE OF1234
    Atropine*1234
    Diuretics*1234
    Digoxin*1234
    Dopamine*1234
    Dobutrex*1234
    Heparin Drip (Precautions & Maintenance)*1234
    Inderal*1234
    Inocor*1234
    Isuprel*1234
    Lidocaine*1234
    Nipride*1234
    Nitroglycerin*1234
    Pronestyl*1234
    Morphine*1234
    Thrombolytic Agents*1234
    Magnesium Sulfate*1234
    Versed*1234
    Prep/Titration of Emergency Drugs*1234


    RESPIRATORY GENERAL SKILLS 1234
    Establishing an Airway*1234
    Ambuing Techniques*1234
    Administration of O2*1234
    Chest Tubes*1234
    Pulse Oximetry*1234
    Interpretation of ABG*1234
    Use of IPPB*1234
    Incentive Spirometer*1234
    Oral Suctioning*1234
    Nasotracheal Suctioning*1234
    ET Suctioning*1234


    RESPIRATORY CARE OF PATIENTS WITH 1234
    COPD*1234
    ARDS*1234
    Pre/Post Thoracic Surgery*1234
    Pulmonary embolism*1234
    Pulmonary Edema*1234
    Pneumothorax*1234
    Pneumonia*1234
    Inhalation Injuries*1234
    Emphysema*1234
    Asthma*1234
    Lung Transplant*1234


    MEDICATION KNOWLEDGE AND USE OF:1234
    Aminophylline*1234
    Corticosteroids*1234
    Bronchodilators*1234


    GASTROINTESTINAL GENERAL SKILLS1234
    NG Tube Insertion, Care and Maintenance*1234
    Gastrostomy Tube*1234
    Jejunostomy Tube*1234
    Enterostomal Care*1234
    Tube Feedings*1234


    GASTROINTESTINAL- CARE OF PATIENTS WITH:1234
    Pancreatitis*1234
    G.I. Bleed*1234
    Esophageal Bleeding*1234
    Bowel Obstruction*1234
    Whipple Procedure*1234
    Liver Transplant*1234
    Paralytic Ileus*1234
    E.R.C.P.*1234


    MEDICATION KNOWLEDGE AND USE OF1234
    Antiemetics*1234
    TPN/Hyperalimentation*1234


    GENITOURINARY/ RENAL GENERAL SKILLS1234
    Peritoneal Dialysis*1234
    Hemodialysis*1234
    Foley/Straight Catheter Insertion*1234
    GU Irrigations*1234
    Nephrostomy Tube*1234
    Suprapubic Tube*1234
    Electrolyte Imbalance/ Replacement*1234


    GENITOURINARY/ RENAL- CARE OF PATIENTS WITH:1234
    T.U.R.P.*1234
    Shunts and Fistulas*1234
    Nephrectomy*1234
    Renal Transplant*1234
    Renal Trauma*1234
    Chronic/Acute Renal Failure*1234


    GYNECOLOGY GENERAL SKILLS 1234
    GYN Exam Prep*1234


    GYNECOLOGY- CARE OF PATIENTS WITH:1234
    Ectopic Pregnancy/Ruptured Ectopic Pregnancy*1234
    Hysterectomy*1234
    Repair of Cystocele/ Rectocele*1234


    ORTHOPEDIC GENERAL SKILLS1234
    Assessment of C/M/S*1234
    K-Wises/Steinman Pins*1234
    Removal of Hardware*1234


    ORTHOPEDIC- CARE OF PATIENT WITH1234
    Total Joint Replacement*1234
    Spica Cast/Body Cast*1234
    Amputation*1234
    Traction*1234
    Ortho Trauma*1234
    Laminectomy*1234


    ENDOCRINE GENERAL SKILLS1234
    Diabetic Teaching*1234
    Blood Glucose Monitoring*1234


    ENDOCRINE- Care of Patients With:1234
    Hyper/Hypoglycemia*1234


    MEDICATION KNOWLEDGE AND USE OF1234
    Insulin (IV, SQ)*1234
    D50*1234


    PHLEBOTOMY/ IV THERAPY1234
    Peripheral IV Insertion, Care and Maintenance*1234
    Assisting with Insertion of Central Lines*1234
    Care and Maintenance of Central Lines*1234
    Assisting with Insertion of PICC Lines*1234
    Care and Maintenance of PICC Lines*1234
    Assist with IC Cutdown*1234
    Phlebitis*1234


    OTHER1234
    Heparin Drip (Precautions and Maintenance)*1234
    Care of Oncology Patient*1234
    Chemotherapy Administration*1234
    Care of Patient with Burns*1234
    Care of Patient with HIV/AIDS*1234
    Hyperbaric Oxygenation*1234
    Suicide Precautions*1234
    Post Mortem Cares*1234


    CARDIAC MONITORS1234
    Hewlett- Packard*1234
    Spacelab*1234
    Siemens*1234
    Marquette*1234
    Mennen*1234
    Lifecare*1234
    Nihon-Koder*1234


    VENTILATORS1234
    Bear*1234
    Bennett 7200*1234
    CPAP*1234
    Emerson*1234
    Engstrom/ Erica*1234
    EMV*1234
    MA-I*1234
    MA-II*1234
    Monihan*1234
    Ohio 560*1234
    PEEP*1234
    Pressure Pre-Set*1234
    Servo*1234
    Siemens*1234












      Therapy - OT/COTA

      PROFICIENCY SCALE
      1. No Experience 2. Need Training
      3. Able to perform with supervision 4. Able to perform independently

      Setting1234
      Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Inpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SNF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Schools*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Orthopedic1234
      Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Osteoarthritis-Frozen Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hand Injuries*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Post-Operative Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Amputations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Neurologic1234
      Stroke Rehabilitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Disorders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Head Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Spinal Cord Injury*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neuromuscular Diseases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Alzheimer's /Dementia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment-Wheelchair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Prosthetics/Orthotics1234
      Upper Extremity Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Procedures/Treatments1234
      Splinting - Wrist*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Hand*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Elbow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional - Dynamic Splinting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Joint Mobilization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Myofacial Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Soft Tissue Manipulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Iontophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      TENS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hydrotherapy - Whirlpool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Sterilization Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cryotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Wound Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Debridement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Ultrasound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Phonophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vision Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neurodevelopmental Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Feeding Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Exercise Programs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Postural Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Safety Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Community Re-entry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Group Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Skilled Nursing Documentation1234
      Medicare A*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Medicare B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      State Healthcare*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Other1234
      Cardiac Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      ICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      CCU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Burn Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Work Hardening - Work Site Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional Capacity Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Transfers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Gait Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Muscle Energy Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Activities of Daily Living*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



      Age Specific Competency
      Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

      Competency Scale1234
      Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











        Allied Health - Certified Surgical First Assistant

        PROFICIENCY SCALE
        1. No Experience 2. Need Training
        3. Able to perform with supervision 4. Able to perform independently

        MISCELLANEOUS1234
        Adult Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Autoclave*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Automated Med Dispensing Systems*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Care of Scopes & Fiberoptic Equipment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adult Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cidex Soap*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Crash Cart*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Defibrillator*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electronic Documentation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hand-off Communication*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Isolation Precautions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patient Identification*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pediatric Respiratory/ Cardiac Arrest*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Standard Precautions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Universal Protocol*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        GENERAL SURGERY1234
        Abdominal Perineal Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adrenalectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Bowel Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cholecystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Colostomy/Ileostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Gastrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hemicolectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hepatic Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Herniorrhaphy-Femoral/ Inguinal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hiatal Herniorrhaphy- Transabdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pancreatectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Organ Procurement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radical Mastectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Saphenous Vein Ligation and Stripping*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Splenectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thyroidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tracheostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Whipple Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        LAPAROSCOPIC PROCEDURES1234
        Hysterectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cholecystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Appendectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hernia Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Colon Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        GYNECOLOGY1234
        Caesarean Section*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dilation & Curettage*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hysterectomy-Vaginal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hysterectomy-Abdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laser Surgery*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radium Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Salpingo- Oopherectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Shirodkar Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Termination of Pregnancy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tubal Ligation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vaginectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vaginal Reconstruction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        G.U. AND CYSTO1234
        Circumcision*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cystoscopy/ Cystostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cystectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Hypospadius Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ileal Loop*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lithotripsy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nephrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Orchiectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Penile Implant*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Prostatectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ureterolithotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ureteroscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        T.U.R.P./T.U.R.B*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vasectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        ORTHOPEDIC1234
        Amputation- Leg/ Arm*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Application of Halo Traction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Arthroscopy/ Arthrotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Closed Pinning & Reduction of Extremities*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        External Compression Devices*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insertion of Finger Prosthesis*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Total Joint Replacement- Knee, Hip, Shoulder*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spinal Fusion-Harrington Rods*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spica Cast Application*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        O.R.I.F.-Shoulder, Hip, Humerus, etc.*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Dislocation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patellectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tendon Implants & Reanastomosis*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        NEUROSURGERY1234
        Anterior Cervical Fusion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        AV Malformation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Burrholes for Subdural Hematoma*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Craniotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Discectomy/ Laminectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laminectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Meningocele Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nerve Stimulators*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Shunt Procedures- VP/ VA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Spinal Procedures/ Fusions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        PLASTICS1234
        Abdominoplasty/Abdominal Lipectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Augmentation Mammoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Breast Reduction/ Reconstruction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cleft Lip/Palate Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dermabrasion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Digital Flexor Tendon Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Face Lift*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Liposuction*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Otoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Rhinoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Reduction of Facial Fracture*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Scar Revisions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Skin Grafting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EYE1234
        Excision of Chalazion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Canthotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Correction of Ectropian/ Entropian*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Corneal Transplant*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Enucleation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        I.O.I. Implants*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lacrimal Duct Probing*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Refractive Keratoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Retinal Detachment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vitrectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EAR, NOSE & THROAT1234
        Caldwell-Luc*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Ethmoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Frontal Flap Sinus Procedure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laryngectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Radical Neck*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Septoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Sinusotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tonsillectomy & Adenoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tracheostomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Myringotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Mastoidectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tympanoplasty*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stapedectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Nasal Polypectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Laryngoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        ENDOSCOPY1234
        Bronchoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        CARDIOTHORACIC1234
        Chest Tube Set- Up*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pneumonectomy/ Lobectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Septal Defect Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Sternal Splitting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thoracotomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Bronchoscopy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lung/ Wedge Resection*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vein Harvesting*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        A-V Shunts*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Aortic Aneurysm, Abdominal*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Aortofemoral Bypass*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Graft Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cardiac Valve Replacement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Coronary Artery Bypass Graft- on Pump*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Endarterectomy- Carotid/ Femoral*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Femoral- Popliteal Bypass*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        External Temporary Pacemaker*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Internal Pacemaker Insertion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Intra-Aortic Balloon Pump Catheter*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Patent Ductus Repair*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pericardial Windows*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Portasystemic Shunt*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Repair of Septal Defects*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thrombectomy*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Vena Cava Ligation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        TRANSPLANTS1234
        Bone Marrow*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pancreas*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Heart*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Lung*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Liver*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Multhorgan*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Kidney*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Eye*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        TRAUMA1234
        Burns*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        MVA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Gun Shot Wounds*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stab Wounds*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently


        EQUIPMENT1234
        Robotics*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Fracture Tables*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Video Systems*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        CUSA*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cell Saver*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        PACS Diagnostics*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Drills*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Saws*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Stapling Devices*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cardiac Monitors*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Position Patient Per Surgeon's Order*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Pressure Point Paddling*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Apply Tourniquet as Ordered*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Protect From Nerve damage*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Thermoregulation*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of fracture table*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of head stabilizer*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of body stabilizer*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of c-arm extensions*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Skin Assessment*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Use of retractors*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Packing with sponges*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Digital Manipulation of tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Suctioning, Irrigation, Sponging*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Clamping/Cauterizing vessels or tissues*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Tying/ligating clamped vessels or tissues*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Apply hemostatic clips*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Place Local Hemostatic Agents*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Direct Digital Pressure*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist in Volume Replacement*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist in Autotransfusion*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Suturing: all wound layers including muscle & fascia*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Wound dressing: Liquid or spray occlusive*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Absorbent immobilizing dressing*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Assist to secure drainage system to tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insert/Remove Foley*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Drape Patient*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery Mono*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Electrocautery Bipolar*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Cut Tissue*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Harvest saphenous vein, including skin incision*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Dissect Common Femoral Atery and Bifurcate*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Insert drainage tubes*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently



        Age Specific Competency
        Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

        Competency Scale1234
        Newborn (birth-30 days)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Infant (30 days-1 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Toddler (1-3 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Preschooler (3-5 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        School Age (5-12 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Adolescents (12-18 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Young Adults (18-39 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Middle Adults (39-64 yrs)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently
        Older Adults (64 yrs +)*No ExperienceNeed TrainingAble to perform with supervisionAble to perform independently











          Laboratory - Histotechnologist/Histotechnician Skills Checklist

          PROFICIENCY SCALE
          1. No Experience 2. Need Training
          3. Able to perform with supervision 4. Able to perform independently

          HISTOLOGY1234
          Concept of Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Assist with Frozen Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          QC Req and Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Collection of Tissue Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bone Marrow Biopsy & Slides*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Filing of Slides & Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tissue Embedding (inc small Bxs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Running of Tissue Processor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microtome & Disposable Blades*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Principle of Hematoxylin & Eosin Stain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Decalcify Bone & Hand Tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Grossing Small Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          SPECIAL STAIN TECHNIQUES1234
          Group I*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group II*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group III*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group V*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HISTOLOGY1234
          Storage Time of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Disposal of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Universal Histology Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coverslipping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preparation of Stains/Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Proper Labeling of Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          MOHS Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          GYN Prep & Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Non-GYN Prep/Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          FNA Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thinprep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electronic Documents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CERTIFICATIONS
          ASCP*YesNo