CYNET_SYSTEMS_MAIN_LOGO.gif   Nurse Manager Skills Checklist
   NAME    
   LAST 4 OF SSN      
   DATE    
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.  
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.  
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

  
       
Rating Stars (Click) LEADERSHIP/PATIENT CARE 1 2 3 4  
Provide leadership/management  in the skilled/Long Term  nursing environment  
Incorporate advanced analysis, organizational, and problem solving skills to effectively manage staff and residents  
Incorporate advanced knowledge of quality improvement, change management techniques and motivational theory to ensure quality of care and resident’s quality of  life is maximized  
Rating Stars (Click) MANAGING DAILY OPERATIONS 1 2 3 4  
Initiates quality improvement studies and follow up  
Collect data, completing various  chart audits and summarizing results for quality improvement  
Prepares and submit reports as required for mandated reportables (to state department of health) as well as internal reports for quality assurance purposes  
Oversee  programs for residents and staff as needed  
Ensure that  policies and procedures  are current and followed by staff  
Rating Stars (Click) MANAGING WORK TEAMS 1 2 3 4  
Act as liaison between  staff and  committees  
Provide individuals and/or teams with direction, encouraging,  teamwork and collaboration  
Provide consultation to individual and/or  team leaders as  needed  
Delegate, monitors and directs assignments for infection control  activities  
Rating Stars (Click) MANAGING RESOURCES 1 2 3 4  
Update staff on changes in work or workplace related activities  
Ensure adequate personal protective equipment is available and utilized throughout the facility  
Plan and organize work to ensure timely task completion and work  flow  
Make sound, timely decisions with consideration of ramifications  
Analyze issues, prioritize problems and involve appropriate individuals  to select plan for resolution, anticipating outcomes and managing consequences  
Develop and maintain department budget efficiently  
Rating Stars (Click) INTERPERSONAL RELATIONS 1 2 3 4  
Provide formal and informal recognition and rewards for employees  for positive performance  
Participate in providing instruction to enhance on the job learning related to infection control  
Work with medical director and physicians to ensure appropriate transmission standards are in place  
Initiate improvement plans needed and supports staff through training and follow up monitoring  
Rating Stars (Click) UNDERSTANDING OF HEALTHCARE ENVIRONMENT& BUSINESS ECONOMICS 1 2 3 4  
Clinical practice  
Healthcare Policy  
Shared  Governance  
Case Management  
Risk Management  
Evidence Base Practice  
Information and technology  
Human Resource management & development  
Strategic Management  
Rating Stars (Click) COMPETENCIES 1 2 3 4  
Knowledge/Practice on Admission Procedures  
Knowledge/Practice on Discharge Procedures  
Knowledge/Practice on Patient Education  
Knowledge/Practice on Patient Care Plans  
Knowledge/Practice on Medications/IV Therapy  
Knowledge/Practice on Cardiac Monitors, IV/Feeding Pumps, Mechanical Ventilators  
Knowledge/Practice on CODE/Medical Emergencies  
Knowledge/Practice on Precaution (Fall, Fractures, Sternum, Seizures, Pressure Ulcer etc)  
Knowledge/Practice on Universal Precautions & Isolations  
Knowledge/Practice on PICC & Cental Lines  
Use of special pressure relief devices  
Rating Stars (Click) Knowledge on the following systems & disease processes 1 2 3 4  
Cardiac  
Endocrine  
Gastroentistinal  
Genitourinary  
Neurology  
Respiratory  
Ortho/Skin/Wound Care  
Rating Stars (Click) EMR 1 2 3 4  
Epic  
Cerner  
Eclipsys  
McKesson  
Meditech  
Other Computerized System  
Computerized Physician Order Entry  
Bar Coding for Medication Administration  
MY EXPERIENCE IS PRIMARILY IN:  
Unit No. of Years Unit No. of Years  
BURN POST PARTUM  
CRITICAL UNIT LABOR & DELIVERY  
PACU NEWBORN NURSERY  
NEUROLOGY LEVEL II NICU  
TELEMETRY LEVEL III NICU  
MEDICAL PICU  
SURGICAL  PEDIATRICS  
ONCOLOGY OB/GYN  
ORTHOPEDICS PSYCHIATRY  
OPERATING ROOM RRT  
EMERGENCY ROOM CRT  
TRAUMA CENTER LEVEL 1    
COMMUNITY ER    
RURAL ER    
Rating Stars (Click) AGE APPROPRIATE CARE 1 2 3 4  
Newborn/Neonatal (birth – 30 days)  
Infant (30 days-1 year)  
Toddler (1-3 years)  
Preschool (3-5 years)  
School Age Children (5-12 years)  
Adolescent (12-17 years)  
Young Adults (18-44 years)  
Middle Adults (45-64 years)  
Older Adults (>65 years)