NEURO EXPERIENCE SKILLS CHECKLIST______________________
25.IV infusion pumps
NAME:
ID #:
DATE:
This Skills Checklist is for use by nurses with more than one
year experience in their discipline and specialty. Please be
accurate with your assessment.
DESCRIPTION
1
1.Charge Duties
2.Primary Care
3.Team nursing
4.Use of computers
5.Pass meds 1-15 patients
6.Pass meds 10-20 patients
7.CPR – initial resuscitation
8.Cardiac arrests – administration of meds
& assist intubation
9.Antiembolism stockings
a.3-way Foley
b.Suprapubic
10.Decubitus care
11.Sterile dressing changes
12.Isolation, regular
13.Isolation, reverse
14.Enteric Isolation
15.Wound and skin isolation
16.Universal Precautions
17.Intracranial pressure monitoring
18.Seizure precautions
19.Mechanical ventilation
20.Neuro assessment
21.Neurodrains and tubes:
a.Ventriculostomies
b.Epidural
c.Subdural
d.Intrathecal
e.Assessment of drainage
22.Lumbar puncture, assisting with
23.Medication,
Principles
of
safe
administration
24.Intravenous therapy, initiating line
Name:
1|Page
2
3
4
DIRECTIONS: Please indicate your years of experience by
placing a check (√) in the box. Experience level:
1 INTERMITTENT
2 1-2 YEARS EXPERIENCE
3 2-3 YEARS EXPERIENCE
4 3+ YEARS EXPERIENCE
DESCRIPTION
26.Administration of IV drugs
a.Digoxin
b.Dilantin
c.Decadron
d.Valium
e.Librium
f.Lasix
g.Nipride
h.Dopamine
i.Phenobarbital
1.Transfusion of blood and blood products
2.Heparin locks
3.Blood drawing, arterial
4.Blood drawing, venous
5.Intralipid administration
6.Hyperalimentation administration
7.Chest suction
8.Gastric suction
9.Gastic lavage
10.Wound irrigations
11.CVP lines
12.Tracheostomy care
13.Patients with impending DT’s
14.Nasogastric tubes
15.Drains:
a.Jackson-Pratt
b.Penrose
c.Hemovac
16.Types of traction:
a.Halo
b.Cervical
c.Pelvic
d.Balanced
17.Cast Care
1
2
3
4
NEURO EXPERIENCE SKILLS CHECKLIST______________________
A
DESCRIPTION
1
18.Types of equipment:
a.Roto-rest bed
b.Circo-electric bed
c.Stryker frame
d.Hoyer lift
COMPUTERIZED CHARTING
1. Cerner
2. Eclipsys
3. Epic
4. McKesson
5. Meditech
6. Other:
2
3
Please check the boxes below for each age group for which
you have expertise in providing age-appropriate nursing
care.
A. Newborn/Neonatal (birth – 30 days)
B. Infant (30 days – 1 year)
C. Toddler (1 – 3 years)
D. Preschool (3 – 5 years)
E. School Age Children (5 – 12 years)
F. Adolescent (12 – 18 years)
G. Young Adults (18 – 39 years)
H. Middle Adults (40 – 64 years)
I. Older Adults (64 + years)
EXPERIENCE WITH AGE GROUPS:
1. Able to assess age appropriate behavior, motor skills and
physiological norms.
A
B
C
D
E
F
G
H
I
2. Able to adapt care according to normal growth and
development.
A
B
C
D
E
F
G
H
I
3. Able to communicate and instruct patient according to
their age, maturity and comprehension ability.
A
B
C
D
E
F
G
H
I
4. Able to provide a safe environment according to the
specific needs of various age groups.
2|Page
B
C
D
E
F
G
H
I
4
I HAVE CURRENT CERTIFICATIONS FOR:
TYPE
ARRHYTHMIA
CRITICAL CARE
ACLS
BLS
TNCC
NRP
PALS
NALS
CCRN
Other
Other
COURSE DATE (MM/DD/YY)
The information I have provided in this knowledge and
skills checklist it true and accurate to the best of my
knowledge.
Signature (Written/Electronic)
ID #:
Date
This skills checklist has been reviewed and approved by
Nicole Bloxham, RN.
Signature (Written/Electronic)
ID #:
Please return to:
Date
Northwest Nurse Staffing Company, PA
ATTN: Records Dept.
Fax: (888) 936-8383
Email: records@northweststaffing.net