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PATIENT CARE
TECHNICIAN 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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OBTAINING AND RECORDING:
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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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VITAL SIGNS AND WEIGHTS
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Administering an Enema
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Applying Ted Hose
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Asssessing Respirations
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Assisting with Ambulation
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Assist with Dressing
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Colostomy Care
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Denture Care
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EKG
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Incentive Spirometer
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Isolation Techniques
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Making an Unoccupied Bed
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Making an Occupied Bed
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Massaging
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Measuring Height
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Measuring Intake and Output
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Moving the Patient
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Mouth Care
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Perineal Care
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Phlebotomy
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Placing Restraints
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Positioning the Patient
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Postmortem Care
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Range of Motion
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Sterile Technique
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Transferring the Client
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Universal Precautions
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Using a Mechanical Lift
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Recognizing Cardiac Arrest
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Activating Code Team
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Bringing Emergency
Equipment to Room
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Providing Appropriate Code
Support
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GI/GU
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Report Abnormal Findings
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Bowel Function
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Bladder Function
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Placing and Removing Bed
Pan
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Clamping Catheter
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Emptying Foley Bag
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Placing Condom Catheter
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Emptying and Replacing
Ostomy Bag (Established Ostomy)
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Rating Stars
(Click)
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Assessing Pulse
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1
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2
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3
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4
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Apical
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Radial
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Rating Stars
(Click)
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Assessing Temperature
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1
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2
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3
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4
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Axillary
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Oral
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Rectal
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Tympanic
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Rating Stars
(Click)
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Medication Administration
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1
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2
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3
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4
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Buccal
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Oral
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Rectal
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Topical
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Vaginal
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Rating Stars
(Click)
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Weighing the Client
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1
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2
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3
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4
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Chair
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Bed
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Sliding Scale
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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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Rating Stars
(Click)
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Administering Edemas:
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1
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2
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3
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4
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Tap Water
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Fleets
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Return Flow
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Rating Stars
(Click)
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Nutrition:
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1
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2
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3
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4
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Estimating Intake
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Setting up for Meals
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Feeding Patients
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Aspiration Precautions
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Nourishments
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Counting Calories
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Fluid Restriction
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NPO
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Rating Stars
(Click)
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Specimens:
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1
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2
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3
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4
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Collecting Stool
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Collecting Sputum
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Labeling Specimens and
Preparing for Transport
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Rating Stars
(Click)
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Collecting Urine:
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1
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2
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3
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4
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Clean catch
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24 hour
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Rating Stars
(Click)
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Hygiene/Skin:
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1
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2
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3
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4
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Risk Factors for Skin
Breakdown
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Observing Pressure Points
for Redness or Breakdown
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Rating Stars
(Click)
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Bathing/Daisy Hygiene:
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1
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2
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3
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4
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Bathing (Shower/Tub/Arjo)
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Oral Care, including
Patients who are NPO, Comatose
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Pen Care
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Foot Care for Patients with
Impaired Circulation or Sensation
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Incontinence Care
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Shaving and Precautions
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Reducing Pressure and
Friction
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Rating Stars
(Click)
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Use of Pressure and
Friction Reduction Services:
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1
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2
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3
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4
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Special Beds/Mattresses
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Heels and Elbow Protection
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Foot Cradles
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Use of Shower Chair
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Use of Bath/Shower Boat
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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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Reverse Isolation
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Body Substance Isolation
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TB Precautions
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MRSA Precautions
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Hand washing
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Infectious/Hazardous Waste
Disposal
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Supply/Equipment Disposal
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Use of Disposable
Thermometer
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Use of CPR Mask/Bag
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Rating Stars
(Click)
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Proper Use of Specific
Barrier, Methods:
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1
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2
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3
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4
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Gloves
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Gown
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Mask/Goggles
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Rating Stars
(Click)
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Safety and 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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Determining Patient ID
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Identifying Safety Hazards
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Determining Need for
Additional Help
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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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ROM Exercises
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Transferring to bed, WC,
Commode etc
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Turning and positioning
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Patient Safety Module
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Reporting Broken Equipment
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Responding to Safety
Hazards
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Use of HoyerLift
(Dextra/Maxi)
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Bed Operation
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Use of Wheel Locks
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Use of Alarms: Bed,
Patient, Unit
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Use of Call Light
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Documenting Use of
Restraints
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Use of Transfer Belt
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Use of Gait Belt for
Ambulation
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Use of Seizure Pads
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Rating Stars
(Click)
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Application of Restraints:
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1
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2
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3
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4
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Belt including seat belt
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Wrist/Ankle
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Vest
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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 Specific Competencies
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1
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2
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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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