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OB Tech 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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JOB RESPONSIBILITIES &
UNIT ACTIVITY
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1
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2
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3
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4
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Communicates and obtains
information while respecting the rights and privacy and confidentiality of
information in accordance with the Health Insurance Portability and
Accountability Act of 1996 (HIPAA).
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Involves the patient and
family and respects their role in determining the nature of care to be
provided.
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Complies with nursing staff
responsibility included in the hospital policy related to Organ Donation.
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Meets patient and family’s
needs regarding communication, including interpreter Provides accurate
information to patient and families in a timely manner.
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Good time management &
organization& attention to detail
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Reporting details of
changes in patients to Nurses/MD
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Utilizing adaptive
equipment and safety devices properly
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Recognizing cardiac arrest
and activating Code Team
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Bringing Emergency
Equipment to Room
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Providing appropriate code
support
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Identifying unusual
incidents on the unit that require reporting
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Charging of patient care
items
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Reports to RN/MD incidents
involving risk management as needed
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Obtaining needed supplies
and equipment
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Reporting and following up
on faulty equipment and supplies
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Basic understanding of
female anatomy
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Basic understanding of
female anatomy physiology
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Basic understanding of
medical terms
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Rating Stars
(Click)
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OBTAINING AND RECORDING
VITAL SIGNS AND WEIGHTS
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1
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2
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3
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4
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BP, including Orthostatic
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Heart Rate/Pulse (Radial,
Femoral)
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Respirations
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Temperature (Oral,
Axillary, Temperature, Tympanic)
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Scales (Standing, Chair,
Bed)
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Weight, Pounds and
Kilograms
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Rating Stars
(Click)
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USE OF ELECTRONIC VS
EQUIPMENT
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1
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2
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3
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4
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Automatic BP machine
(Dynamap)
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Electronic Thermometer
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Applying Oximeter
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Autoclaves
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Sterilizers
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Ultrasound machines
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Vaginal deliveries
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Rating Stars
(Click)
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INFECTION CONTROL
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1
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2
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3
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4
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Universal Precautions
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Reverse Isolations
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Contact Isolations
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TB Precautions
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MRSA Precautions
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Hand Washing/Foam Hand
Sanitizers
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Infectious/Hazardous Waste
Disposal
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Supply/Equipment Disposal
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Rating Stars
(Click)
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PATIENT/STAFF SAFETY
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1
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2
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3
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4
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Patient Identification
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Identifying Safety Hazards
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Assessing Safety and ADL
Needs
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Recognizing Abuse:
Substance, Physical, Emotional, etc.
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Maintaining Clean, Orderly
Work Area
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Disposing of Sharps
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Handling Hazardous
Materials
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Proper Body Mechanics
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Rating Stars
(Click)
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PERFORMS ADMINISTRATIVE,
CLERICAL WORK
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1
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2
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3
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4
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Scheduling appointments
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Using Telephone System
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Gathering patient’s
information
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Filing paperwork
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Maintaining records
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Running insurance
information
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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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Rating Stars
(Click)
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EXPERIENCE
AREA (CHECK ALL THAT APPLY)
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1
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2
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3
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4
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Post-Partum
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MB – Mother Baby
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L&D – Labor and
Delivery
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Nursery level 1 – Well Baby
Nursery
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level 2 – Sick Baby Nursery
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level 3 –
Premature/Critically ill baby
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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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CERTIFICATIONS:
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1
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2
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3
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Med Tech
|
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CST
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CAN
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BLS
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