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DIRECTOR OF PATIENT
CARE SERVICES SKILLS CHECKLIST
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NAME
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LAST 4 OF SSN
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DATE
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I hereby certify that
ALL information I have provided to IMCS Group on this skills checklist and
all other documentation, is true and accurate. I understand and acknowledge
that any misrepresentation or omission may result in disqualification from
employment and/or immediate termination.
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Instructions: This checklist is
meant to serve as a general guideline for our client facilities as to the
level of your skills within your nursing specialty. Please use the scale
below to describe your experience/expertise in each area listed below.
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Proficiency Scale:
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1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
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Rating Stars (Click)
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Knowledge on
StandardsCompliance
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1
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2
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3
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4
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Regulatory and professional
standards of care such as : JCAHO, CMS, IHI, CAP, etc
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Quality/performance
improvement programs
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Knowledgeof “tracer”
methodology as a management tool
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Knowledge and practice of
ofUniversal Behavioral Standards
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Knowledge and practice of
of standards of nursing practice
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Knowledge and practice of
nursing policies and procedures
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Rating Stars
(Click)
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OperationalPerformance
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1
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2
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3
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4
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Personnel, supply and
equipment budgets
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Collaborates with the other
department head/ leaders
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Developsstrategic master
staffing plans
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Ensure adequate staffing
coverage
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Established productivity
measures based on patient populationneeds
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Develops,oversees and
monitors service/unit operational performance metrics
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Develops,oversees and
monitor overtime costs, vacancy and turnover rates
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Rating Stars
(Click)
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ClinicalPractice/Patient
Care
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1
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2
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3
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4
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Collaborates with the Nurse
Executive and NurseManagers
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Establishes nursing care
standards
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Evaluates overall staff
compliance.
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Identifiesresearch
protocols effecting the patient population served
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Ensuresaccountability in
the provision of support services/ patient care
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Ensuresa safe and caring
environment for patients
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Ensures positive
healthteaching, patient and family expectations of care
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Developsinstitutional
goals, objectives and values
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Fostersand
implementsculturaldiversity programs
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Rating Stars
(Click)
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Management
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1
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2
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3
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4
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Overall planning process s
foreach unit within the service line
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Analyzespatient
satisfaction survey
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Establish service based
customerservices agenda
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Analyzes findingsfrom staff
satisfaction survey
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Establish a service based
recruitment andretention agenda
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Develop effective plans for
delivery of nursing care
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Ensuresresolution of
patient and family concerns or complaints
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Conductsmonthly meetings
with the nursing management
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Address equipment,
scheduling, and any staff concerns
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Monitor staff performance
metrics and improvement activities
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Maintains good staff and
customer relationship
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Promotes excellence,
teamwork, adaptability & responsibility
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Rating Stars
(Click)
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Human Resource
Development/Management
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1
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2
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3
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4
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Hires,educates, mentors,
and evaluates nursing management
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Workswith human resources
to counsel,discipline and terminate staff as needed
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Educates nursing management
in procedures and systems such as informationsystems, fiscal responsibility
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Promotesa level of
professionalism on the unit
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Motivates staffacademic
pursuit andcontinuing education and professional certification goals
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Rating Stars
(Click)
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Interactive Relationships
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1
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2
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3
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4
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Empower nursing management
and staff
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Utilize collaborative
approaches and encouraging new ideas
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Lead various
interdisciplinary patient care committees
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Rating Stars
(Click)
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Qualifications
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1
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2
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3
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4
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Current RN license in good
standing in the state of practice
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Baccalaureate degree in
nursing or a related field
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Experience in nursing
administration
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Experience in nursing
administration or supervision
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Evidence of continuing
education directly related to the job specifications.
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Rating Stars
(Click)
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EMR
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1
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2
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3
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4
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Epic
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Cerner
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Eclipsys
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McKesson
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Meditech
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Other Computerized System
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Computerized Physician
Order Entry
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Bar Coding for Medication
Administration
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MY EXPERIENCE IS
PRIMARILY IN:
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Unit
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No. of Years
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Unit
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No. of Years
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BURN
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POST PARTUM
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CRITICAL UNIT
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LABOR & DELIVERY
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PACU
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NEWBORN NURSERY
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NEUROLOGY
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LEVEL II NICU
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TELEMETRY
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LEVEL III NICU
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MEDICAL
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PICU
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SURGICAL
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PEDIATRICS
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ONCOLOGY
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OB/GYN
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ORTHOPEDICS
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PSYCHIATRY
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OPERATING ROOM
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RRT
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EMERGENCY ROOM
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CRT
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TRAUMA CENTER
LEVEL 1
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COMMUNITY ER
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RURAL ER
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Rating Stars
(Click)
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AGE APPROPRIATE CARE
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1
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2
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3
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4
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Newborn/Neonatal (birth –
30 days)
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Infant (30 days-1 year)
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Toddler (1-3 years)
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Preschool (3-5 years)
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School Age Children (5-12
years)
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Adolescent (12-17 years)
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Young Adults (18-44 years)
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Middle Adults (45-64 years)
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Older Adults (>65 years)
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