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- Ambulatory 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
    Adult Respiratory/ Cardiac Arrest*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
    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
    Patient/ Family Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Admit and Assess Patients*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
    Electronic Documentation*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
    Advance Directives*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collect Appropriate Data*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Discharge Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preoperative Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Prep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIOVASCULAR1234
    Assess Heart Tones*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bedside Tele Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpretation of Coagulation Studies*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Perform Pulse/ Circulation Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre-Post Op Pacemaker Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PULMONARY1234
    Assess Breath Sounds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Apply Oxygen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Interpret ABGs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thoracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oximetry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEUROLOGY1234
    Assess Neurological Signs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidurals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Selective Nerve Root Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assess Level of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GI1234
    Insertion/ Monitoring NG Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Flexible Sigmoidoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hemorrhoid Banding*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liver Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Paracentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Lap Band Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GU1234
    Bladder Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Cystoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urethral Dilation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nephrostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Kidney Biopsy*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
    Prostate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOCRINE
    Care of Diabetic Patient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Diabetic Teaching*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Glucose Testing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENT AND MOUTH1234
    Prosthodontics -Restorative Dentistry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mouth Biopsy*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
    Maxillofacial Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nose Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Thyroid Aspirate Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fiberoptic Laryngoscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tonsillectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUNDS/ INTEGUMENT1234
    Application of Burn Dressing*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
    Debridement of Wound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Vac*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OB/ GYN1234
    Electrodesiccation and Curettage (ED7C)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with In-Office Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHO1234
    Arthrocentesis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    External Hardware and Pin Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arthroscopy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Open Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Closed Reduction and Internal Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Trigger Point Injections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PLASTICS1234
    Rhinoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Liposuction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nipple Reconstruction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    MOHS Repairs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blepharoplasty*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mole/ Cyst Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL MEDICATIONS/ THERAPEUTIC INTERVENTIONS1234
    Administer IM and SQ Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer Inhalation Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer PO Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation and Installation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Needleless System*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


    IV THERAPY1234
    Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral IV Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Syringe Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vascular Access Devices Care/ Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administer IV Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    OXYGEN ADMINISTRATION1234
    Ambu-Bag*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
    Non-Rebreather Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Venti Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Face Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NUTRITIONAL THERAPY1234
    Lipids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TPN*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procalamine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Enteral Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PAIN MANAGEMENT/ ANESTHESIA1234
    Implantable Narcotic Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Moderate Sedation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Epidural*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Local*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    General*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Axillary Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bier Block*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GENERAL PROCEDURES/ EQUIPMENT1234
    Apply Immobilizers (clavicle, knee, etc.)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Code Resuscitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assist with Lumbar Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Laser*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Dermabrasion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Drain Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incision and Drainage*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    NGT Insertion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patch Test*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Punch Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Shave Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Procedure Set Up*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Remove External Fixators with Pin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Scrub*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Screw-Hardware Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Set-Up/ Assist Suturing*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Staple Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suture Removal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Male*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Foley/ Straight Catheter - Female*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    TENS Unit*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


    SPECIMEN COLLECTIONS1234
    Venipuncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Clean Catch Urine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sterile Urine Collection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sputum*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Butterfly Stick*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Central Line Draw*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CLINICAL SETTINGS1234
    Surgi-Center*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Out Patient Clinic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Physician Office*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ambulatory Surgery Clinic*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 - X-Ray Technologist

        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
        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


        WORK SETTING1234
        Adult Acute Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Adult Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Pediatric Acute Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Pediatric Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Bedside/ Portable Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ER/ Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        OR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        CHEST AND THORAX1234
        Chest Routine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Chest SP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ribs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Chest Lateral Decubitus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sternum*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Upper Airway (Soft-Tissue Neck)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        CARDIAC1234
        Thumb or Finger*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hand*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Wrist*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Forearm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Elbow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Humerus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Clavicle*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Scapula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        AC Joints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        LOWER EXTREMITY1234
        Toes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Foot*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ankle*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Knee*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Tibia-Fibula*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Femur*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Patella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Calcaneus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEAD1234
        Skull*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Paranasal Sinuses*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Facial Bones*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Orbits*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Zygomatic Arches*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Nasal Bones*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Mandible*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        TMJ*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        SPINE AND PELVIS1234
        Cervical Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Thoracic Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Lumbar Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sacrum and/ or Coccyx*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cross-Table Lateral Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Pelvis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cross-Table Lateral Hip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Scoliosis Series*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sacroiliac Joints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        ABDOMEN1234
        Cervical Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Thoracic Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Lumbar Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sacrum and/ or Coccyx*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cross-Table Lateral Spine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Pelvis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cross-Table Lateral Hip*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Scoliosis Series*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sacroiliac Joints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        FLUOROSCOPY STUDIES1234
        Upper GI Series, Single or Double Contrast*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Contrast Enema, Single or Double Contrast*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Small Bowel Series*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Esophagus*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cystography/ Cystourethrography*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
        Myelography*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Arthrography*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hysterosalpingography*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        MOBILE RADIOGRAPHIC STUDIES1234
        Chest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Abdomen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Orthopedic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        EQUIPMENT1234
        GE*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Fuji*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
        Hitachi*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Portables*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        C-Arm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        EMR1234
        eClinicalworks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        EPIC*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
        Care 360*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Allscripts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cerner*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
        Optum Insight*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        NextGen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Greenway*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        PACS1234
        Ambra Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sectra*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Infinitt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IBM Merge*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*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FujiFilm*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Impax*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Centricity*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Carestream Vue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Clarity*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        eRad PACS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Syngo*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











          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