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- Medical Surgical-Telemetry RN

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

    GENERAL SKILLS1234
    Standard Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Isolation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Discontinue PIV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Initiate Peripheral IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lift/ Transfer Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Respiratory/Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Respiratory/Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Crash Carts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Defibrillators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care of Patients in Restraints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pain Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automated Med Dispensing Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care Planning & Discharge Planning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient/Family Education*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
    Patient Head to Toe Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Knowledge of Normal Serum Lab Values*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Obtaining Cultures (Blood, Sputum, Swab, Urine)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Calculate mcg/min and mcg/Kg/min*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Titrating Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PSYCHOLOGICAL1234
    Overdose/ Withdrawal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suicidal Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Manic Disorder/ Behavior*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    De-escalation techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Depression*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Anti-depressants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Anti-anxiety Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Psych Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS1234
    Anticoagulants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Narcotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PCA for Pain Control*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural for Pain Control*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Non-narcotic Analgesics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Topical Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IM Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    SQ Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oral Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Push Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Drip Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antibiotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chemotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEURO GENERAL SKILLS1234
    Assessing Levels of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pupil Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Seizure Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Aneurysm Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assisting with Lumbar Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Hyper/Hypothermia Blanket*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEURO- CARE OF PATIENTS WITH1234
    Stroke*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal Cord Injury - Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal Cord Injury – Long Term*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neuromuscular Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Alzheimer's Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Anticonvulsants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Drip Steroids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIAC GENERAL SKILLS1234
    Cardiac Monitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Auscultation of Cardiac Sounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    EKG- 12 Lead*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recognizing Basic & Life-Threatening Dysrhythmias*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardioversion/ Defibrillation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulse Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpretation of Cardiac Enzymes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Doppler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Automatic BP Cuff (ie Dinamap)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIAC- CARE OF PATIENTS WITH1234
    Angina*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CHF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest Pain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Post MI*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Nitrates (Oral, Topical)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antiarrhythmics (Oral)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antihypertensives (Oral)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heparin Drip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RESPIRATORY GENERAL SKILLS1234
    O2 Cannulas/Masks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nebulizer Set-up/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incentive Spirometry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest PT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulse Oximetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Suctioning1234
    Oral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheostomy Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RESPIRATORY- CARE OF PATIENT WITH:1234
    SOB*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulmonary Embolism*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheostomy Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    COPD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Asthma Exacerbation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pneumonia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre/Post Thoracic Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tuberculosis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    KNOWLEDGE AND USE OF1234
    O2 Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bronchodilators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oral Steroids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Steroids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Inhaler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GASTROINTESTINAL GENERAL SKILLS1234
    Insertion, Care & Maintenance of Nasogastric Tubes (ie Salem Pump, Levine)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasointestinal Tubes (ie Cantor, Miller-Abbot)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Jejunostomy, Gastrostomy, Cecostomy Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Tube Feedings via Flexible Tubes1234
    By Gravity Infusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    By Feeding Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collection of Stool Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Preparation & Cleansing Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GASTROINTESTINAL- CARE OF PATIENTS WITH1234
    Stoma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Obstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pancreatitis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Post Abdominal Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ileostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Inflammatory Bowel Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Obstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hepatitis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Total Parenteral Nutrition (TPN)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral Parenteral Nutrition (PPN)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antiemetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Proton Pump Inhibitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RENAL/GU PROBLEMS GENERAL SKILLS1234
    Insertion of Catheter Straight*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Catheter Foley*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation Continuous*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation Intermittent*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peritoneal Dialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automatic Cycler Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collection of Urine Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemodialysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    A-V Fistula/Shunt Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre- & Post- Dialysis Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suprapubic Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrostomy Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RENAL/GU- CARE OF PATIENT WITH1234
    Urinary Tract Infection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pyelonephritis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Renal Calculi*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urinary Retention/Incontinence*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOCRINE GENERAL SKILLS1234
    Performing Fingerstick*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Blood Glucose Meter Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Visual Blood Glucose Strips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Endocrine- Care of Patient With1234
    Hyper/Hypoglycemia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    DKA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroid Disorders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of Insulin1234
    Single Type*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dextrose*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mixed Insulins*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insulin Infusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC GENERAL SKILLS1234
    Cast Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    C.M.S. Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Traction – Skin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Traction – Skeletal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Range of Motion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Assistive Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Applications of Splints Extremities*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Continuous Passive Motion Machine (CPM)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC- CARE OF PATIENTS WITH1234
    Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rheumatic/Arthritic Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Amputation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUND/SKIN CARE1234
    Dressing Change*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Air Fluidized, Low Airloss Beds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pressure Relief Mattress/Seat Cushion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pressure Sores*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Leg Ulcers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Burns*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUND VACS1234
    Hemovacs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Jackson-Pratt Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Penrose Drains*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T-Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Surgical Wound Irrigations & Dressings*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    VASCULAR1234
    Discontinue PICC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care of Patient with DVT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Draw Blood from Arterial Line*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Draw Blood from Central Line*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral IV Insertion, Care & Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Discontinue Peripheral IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CVP Lines – Measurement of CVP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Line Care & Maintenance (including dressing changes)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood/Blood Product Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Multi-Lumen Central Catheters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Port-A-Caths (Infusa-Ports)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Continuous Subcutaneous Infusion Pumps*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











      Therapy - Occupational Therapy

      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 - Cath Lab Tech

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

        CIRCULATING ROLE (PAV)1234
        Airway Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Arm Cases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Co-Ox Setup Q.C., Run Sample*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Defibrillator Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IABP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Power Injector Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PTCA/ Stents/ Balloons*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radiation Protection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Permanent Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Setting Threshold of Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sphygmomanometer Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Transducer Setup/Calibration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Run Angiojet Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING1234
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Handoff Reports*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hematoma Recognition & Mgt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra-Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        EP Study*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ablation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        SCRUB POSITION1234
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Stent Implantation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotational Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Closure Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemakers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Angiojet*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Brachial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Peripherals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Impella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PPM*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ICD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        BiV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Loop Recorder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Structural Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Manifold*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ACIST/Medrad*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hybrid OR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Simultaneously Scrub & Pan Xray Table*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        Equipment1234
        Phillips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Toshiba*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        GE*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Artis Zeego*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Shimadzu*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cannon Alphenix*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


        HEMODYNAMIC MONITORING EQUIP.1234
        GE MacLab Marquette*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Mennen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Merge Cardio/ Camtronics VERICIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        McKesson*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Philips Xper IM/ WITT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Sensis*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
        Peds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Adults*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











          Laboratory - Histotechnologist/Histotechnician

          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