NURSE_MANAGER_SKILLS

		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
0	Provide leadership/management in the skilled/Long Term nursing environment
0	Incorporate advanced analysis, organizational, and problem solving skills to effectively manage staff and residents
0	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
0	Initiates quality improvement studies and follow up
0	Collect data, completing various chart audits and summarizing results for quality improvement
0	Prepares and submit reports as required for mandated reportables (to state department of health) as well as internal reports for quality assurance purposes
0	Oversee programs for residents and staff as needed
0	Ensure that policies and procedures are current and followed by staff
Rating Stars (Click)	MANAGING WORK TEAMS		1	2	3	4
0	Act as liaison between staff and committees
0	Provide individuals and/or teams with direction, encouraging, teamwork and collaboration
0	Provide consultation to individual and/or team leaders as needed
0	Delegate, monitors and directs assignments for infection control activities
Rating Stars (Click)	MANAGING RESOURCES		1	2	3	4
0	Update staff on changes in work or workplace related activities
0	Ensure adequate personal protective equipment is available and utilized throughout the facility
0	Plan and organize work to ensure timely task completion and work flow
0	Make sound, timely decisions with consideration of ramifications
0	Analyze issues, prioritize problems and involve appropriate individuals to select plan for resolution, anticipating outcomes and managing consequences
0	Develop and maintain department budget efficiently
Rating Stars (Click)	INTERPERSONAL RELATIONS		1	2	3	4
0	Provide formal and informal recognition and rewards for employees for positive performance
0	Participate in providing instruction to enhance on the job learning related to infection control
0	Work with medical director and physicians to ensure appropriate transmission standards are in place
0	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
0	Clinical practice
0	Healthcare Policy
0	Shared Governance
0	Case Management
0	Risk Management
0	Evidence Base Practice
0	Information and technology
0	Human Resource management & development
0	Strategic Management
Rating Stars (Click)	COMPETENCIES		1	2	3	4
0	Knowledge/Practice on Admission Procedures
0	Knowledge/Practice on Discharge Procedures
0	Knowledge/Practice on Patient Education
0	Knowledge/Practice on Patient Care Plans
0	Knowledge/Practice on Medications/IV Therapy
0	Knowledge/Practice on Cardiac Monitors, IV/Feeding Pumps, Mechanical Ventilators
0	Knowledge/Practice on CODE/Medical Emergencies
0	Knowledge/Practice on Precaution (Fall, Fractures, Sternum, Seizures, Pressure Ulcer etc)
0	Knowledge/Practice on Universal Precautions & Isolations
0	Knowledge/Practice on PICC & Cental Lines
0	Use of special pressure relief devices
Rating Stars (Click)	Knowledge on the following systems & disease processes		1	2	3	4
0	Cardiac
0	Endocrine
0	Gastroentistinal
0	Genitourinary
0	Neurology
0	Respiratory
0	Ortho/Skin/Wound Care
Rating Stars (Click)	EMR		1	2	3	4
0	Epic
0	Cerner
0	Eclipsys
0	McKesson
0	Meditech
0	Other Computerized System
0	Computerized Physician Order Entry
0	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
0	Newborn/Neonatal (birth – 30 days)
0	Infant (30 days-1 year)
0	Toddler (1-3 years)
0	Preschool (3-5 years)
0	School Age Children (5-12 years)
0	Adolescent (12-17 years)
0	Young Adults (18-44 years)
0	Middle Adults (45-64 years)
0	Older Adults (>65 years)