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- PACU 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
    Patient Head to Toe Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Medication Titration*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 Patient in Restraints*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
    Document Interventions, Outcomes, Lab Studies, MD Notifications & Follow-up Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ADMISSION TO PACU1234
    Initial Assessment/Vital Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Airway Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Proper Positioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Skin Color, Temp, Turgor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neurological Status*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MONITOR RECOVERY OF PATIENT FROM1234
    General Anesthesia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Regional Anesthesia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Local Anesthesia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEURO SKILLS1234
    Neuro Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Glasgow Coma Scale*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEURO SKILLS- CARE OF THE POST OPERATIVE PATIENT WITH1234
    Spinal Fusion*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
    Ventriculostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Craniotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    ICP Monitor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS KNOWLEDGE AND USE OF1234
    Sedatives*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Barbituates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIAC SKILLS1234
    Use of Doppler*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cardiac Assessment (Auscultation)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Knowledge of Labs and Normal Values*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    12 Lead Interpretation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arrhythmia Analysis*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
    Assist with Insertion of Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Non-Invasive Temporary Pacing Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    INTRAVASCULAR HEMODYNAMIC MONITORING1234
    Pulmonary Artery Catheters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arterial Catheters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Swan-Ganz Catheters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Equipment Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dressing Changes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prevention of Complications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Leveling Waveform Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OBTAIN AND INTERPRET1234
    Cardiac Output*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PA Pressure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PCWP/PAWP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CVP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    LAP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIAC- CARE OF THE POST OPERATIVE PATIENT WITH1234
    Malignant Hyperthermia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    AAA Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Heart Surgery (CABG)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Off Pump Heart Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Valve Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Permanent/Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Congestive Heart Failure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heart Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS KNOWLEDGE AND USE OF1234
    Antiarrhythmics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Calcium Channel Blockers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Beta Blockers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Heparin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dopamine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dobutamine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RESPIRATORY SKILLS1234
    Airway Insertion/Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess Respiratory Rate, Rhythm, Depth & Symmetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Auscultate Breath Sounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recognize Abnormal Breath Sounds (e.g. rales, rhonchi) & Implement Interventions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laryngospasm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Obtain ABGs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Knowledge of ABGs and Normal Values*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Set-up Chest Tube Drainage System*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recognize Air Leak, Assess for SQ Emphysema*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Measure Drainage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PERFORM SUCTIONING1234
    Oral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Endotracheal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    02 ADMINISTRATION1234
    Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasal Cannula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T-Piece*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    ETT Mechanical Ventilator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RESPIRATORY- CARE OF THE POST OPERATIVE PATIENT WITH:1234
    Pneumothorax*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lung Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lobectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS KNOWLEDGE AND USE OF1234
    Bronchodilators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Diuretics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Corticosteroids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Racemic Epinephrine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GASTROINTESTINAL SKILLS1234
    Bowel Sounds/Abdominal Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    G or J Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    NG Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ostomy Care and Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GASTROINTESTINAL- CARE OF THE POST OPERATIVE PATIENT WITH1234
    Gastric Bypass*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Appendectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colostomy/Ileostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    GI Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Small Bowel Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pancreatic Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    ERCP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATIONS KNOWLEDGE AND USE OF1234
    Antiemetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lipids/TPN/PPN*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GU/RENAL SKILLS1234
    Assessment of Output*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Catheters*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urethral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suprapubic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Knowledge of Normal Lab Chemistry Values*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GU/RENAL SKILLS- CARE OF THE POST OPERATIVE PATIENT WITH:1234
    Shunts/ Fistulas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TURB*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney Transplant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Repair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Testicular Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lithotripsy (ESWL)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC SKILLS1234
    Circulation/Movement/Sensation Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cold Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Braces/Casts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC- CARE OF POST OPERATIVE PATIENT WITH1234
    Amputation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Total Joint*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopic Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    EYE/EAR - CARE OF POST-OPERATIVE PATIENT WITH1234
    Cataract Extraction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Keratoplasty (Corneal Transplant)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laser Eye Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Orbital Fracture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Orbital Implant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scleral Bucking (for Retinal Detachment)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dacryocystectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Myringotomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cochlear Implant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PAIN MANGEMENT1234
    Assessment and Documentation of Pain and Follow Up After Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PCA Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural Pain Systems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    KNOWLEDGE AND USE OF1234
    IV Sedation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Titration of Medication Per Orders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Narcotic Analgesic*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
    Muscle Relaxants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ADDITIONAL MEDICATIONS KNOWLEDGE AND USE OF1234
    Calculate Infusion Rates in Dosages Ordered*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Inotropes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vasopressors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vasodilators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Reversal Agents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    IV THERAPY/PHLEBOTOMY1234
    Peripheral IV Insertion, Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PICC Line Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Line Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Port-A-Cath Access, Care and Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drawing Labwork from Central Line/Port*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of Blood/Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    TUBES/DRAINS- CARE OF PATIENT WITH1234
    Penrose Drain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Jackson Pratt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemovac*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OPERATE & MONITOR UNIT EQUIPMENT1234
    Portable Suction Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Transport Monitor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automatic BP Monitor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blanket Warmer/Bear Hugger*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sequential Compression Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulse Oximeter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hyper/Hypothermia Blanket*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Warmer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    PACU Stretcher*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ANESTHESIA EQUIPMENT1234
    Nitrogen Controls*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tanks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wall Units*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    DISCHARGE1234
    Perform A Discharge Physical*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Level of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pupillary Reactions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Motor & Sensory Function*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Muscular Strength (e.g. Hand grasps, Head lift)*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 - 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 -MT-MLT Skills Checklist

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

          CERTIFICATIONS1234
          ASCP MT/MLS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ASCP MLT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HEW*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AMT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          BLOOD BANK1234
          Patient Identification Process*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ABO/Rh/Antibody Screen & ID*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Crossmatch- Immediate Spin/ IgG*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antigen Typing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Gel Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Antibody Typing: Tube Method*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cold Agglutinins*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rhogam Screening*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Direct*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coombs Test Indirect*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cord Blood Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thawing/ Cooling of Blood Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Donor Collection Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Issue Blood Product to Pt. Care Area*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Emergency Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Elutions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Transfusion Reaction Workshop*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Irradiating Packed Cells*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Splitting a Baby Unit*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CHEMISTRY1234
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Acetone Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Blood Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          B-12 Folates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Cardiac Enzymes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Gas*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chromatography- Thin Layer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electrophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Hormone/ Thyroid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Immunoassay*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Osmolality*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Therapeutic Drug Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tumor Markers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Analyzer Use/ Troubleshooting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Review & Interpretation of QC*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Specimen Preparation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HEMATOLOGY / COAGULATION1234
          Automated Instrument Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Differential Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sed Rate Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reticulocyte Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fetal Hemoglobin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          RBC Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Sickle Cell Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Morphology*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual Cell Count*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Body Fluid Manual diff.*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Special Stains- e.g. PAS, LAP, Peroxidase*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          WBC Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Semen Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          PT/PTT/INR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          D-Dimer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrinogen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Factor Assays*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Fibrin Degradation Products*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thrombin Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Platelet Function Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          IMMUNOLOGY / SEROLOGY1234
          RPR/ RPR Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rheumatoid Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          ANA*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          LE Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Rapid*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          HIV Antibody Detection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Rubella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CMV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          MICROBIOLOGY1234
          Plating Micro Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Reading Plates*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Gram Stains*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Monospot/ ASO Titer*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Kit Testing- Flu/Rapid Strep/ RSV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Wet Prep/ KOH Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          AFB Stain/ Culture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          O&P*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          CDiff*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Occult Blood*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Chlamydia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Processing Specimens for Viral/ Fungal Cultures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          URINALYSIS1234
          Crystal Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Macroscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microscopic Analysis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pregnancy Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          PHLEBOTOMY1234
          Newborn/Neonate (birth to 30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Infant (1 month to 1 year)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Toddler (1 year to 3 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preschooler (3 years to 5 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          School Age Child (5 years to 12 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adolescents (12 years to 18 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Young Adults (18 years to 39 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Middle Adults (39 years to 64 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Older Adults (64 years to 79 years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Elderly Adults (over 79+ years)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Patient Identification*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          PPE Equipment (Gloves, Mask, Etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Adult Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Pediatric Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Dermal Stick (Finger/Heel)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Butterfly Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Arterial Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tube Types and Usage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Centrifuge Operations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bleeding Time*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Culture Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Blood Alcohol Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Drug Screening Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently