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1.877.891.4286
1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
ER RN – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Age of Patients Cared For
Newborn/Neonate (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Preschooler (3 - 5 years)
*
0
1
2
3
4
5
School Age Child (5 - 12 years)
*
0
1
2
3
4
5
Adolescents (12 - 18 years)
*
0
1
2
3
4
5
Young Adults (18 - 39 years)
*
0
1
2
3
4
5
Middle Adults (39 - 64 years)
*
0
1
2
3
4
5
Older Adults (64 - 79 years)
*
0
1
2
3
4
5
Elderly Adults (79+ years)
*
0
1
2
3
4
5
General Skills
Isolation Precautions
*
0
1
2
3
4
5
Pediatric Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Adult Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Crash Carts
*
0
1
2
3
4
5
Defibrillators
*
0
1
2
3
4
5
Care of Patient in Restraints
*
0
1
2
3
4
5
Pain Management
*
0
1
2
3
4
5
Automated Med Dispensing Systems
*
0
1
2
3
4
5
Automated Med Dispensing Systems - List Types
*
Care Planning & Discharge Planning
*
0
1
2
3
4
5
Patient/Family Education
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
Patient Head to Toe Assessment
*
0
1
2
3
4
5
Peripheral IV Insertion, Care and Maintenance
*
0
1
2
3
4
5
Triage Procedures
*
0
1
2
3
4
5
Lab Values
*
0
1
2
3
4
5
Procedure for Patient Signing AMA
*
0
1
2
3
4
5
Consent for Treatment of Minor
*
0
1
2
3
4
5
Disaster Protocols
*
0
1
2
3
4
5
Crisis Intervention
*
0
1
2
3
4
5
Upholding Patient’s Rights
*
0
1
2
3
4
5
Reporting Procedures for Acts of Violence
*
0
1
2
3
4
5
Care of Patients with Infectious Diseases
*
0
1
2
3
4
5
Care of Patient with Central Line
*
0
1
2
3
4
5
Immunocompromised
Care of Patients with Cancer
*
0
1
2
3
4
5
Care of Patients with HIV/AIDS
*
0
1
2
3
4
5
Care of Patients with Hepatitis
*
0
1
2
3
4
5
Care of Patients with TB
*
0
1
2
3
4
5
HEENT Disorders-Care of Patient With
Set-up for Lamp Exam
*
0
1
2
3
4
5
Use of Morgan Lens Irrigation
*
0
1
2
3
4
5
Ear Irrigations
*
0
1
2
3
4
5
Eye Irrigations
*
0
1
2
3
4
5
Eye Patch Application
*
0
1
2
3
4
5
Epistaxis/Nasal Packing
*
0
1
2
3
4
5
Visual Acuity
*
0
1
2
3
4
5
Pulmonary-Care of Patient With
Pulmonary Edema
*
0
1
2
3
4
5
Pulmonary Embolism
*
0
1
2
3
4
5
ARDS
*
0
1
2
3
4
5
Trach
*
0
1
2
3
4
5
C.O.P.D
*
0
1
2
3
4
5
Aspiration
*
0
1
2
3
4
5
Tuberculosis
*
0
1
2
3
4
5
Pneumothorax
*
0
1
2
3
4
5
Intubation/Extubation
*
0
1
2
3
4
5
T-Piece
*
0
1
2
3
4
5
Obtaining Arterial Blood Gases
*
0
1
2
3
4
5
Setting Up of Arterial Line
*
0
1
2
3
4
5
Ventilator
*
0
1
2
3
4
5
O2 Mask and Cannula
*
0
1
2
3
4
5
O2 Cylinders
*
0
1
2
3
4
5
Nebulizer Set-Up
*
0
1
2
3
4
5
Oropharyngeal Suction
*
0
1
2
3
4
5
Nasotracheal Suction
*
0
1
2
3
4
5
Endotracheal Suction
*
0
1
2
3
4
5
Assisting with Chest Tube Insertion
*
0
1
2
3
4
5
Use of Pleuravac Drainage System
*
0
1
2
3
4
5
Use of Emerson Drainage System
*
0
1
2
3
4
5
Knowledge and Use Of
Bronchodilators
*
0
1
2
3
4
5
Racemic Epinephrine
*
0
1
2
3
4
5
Steroids (IV/PO/INHALED)
*
0
1
2
3
4
5
Cardiovascular-Care of Patient With
Acute MI, Angina
*
0
1
2
3
4
5
CHF
*
0
1
2
3
4
5
Abdominal Aortic Aneurysm
*
0
1
2
3
4
5
Cardiac Monitoring
*
0
1
2
3
4
5
Recognizing Arrhythmias
*
0
1
2
3
4
5
Obtaining 12 Lead EKG’s
*
0
1
2
3
4
5
Cardioversion
*
0
1
2
3
4
5
Open Chest Heart Massage
*
0
1
2
3
4
5
Assist with Insertion of Pacemakers (Temp/Perm)
*
0
1
2
3
4
5
Set-up & Use of CVP
*
0
1
2
3
4
5
Interpretation of CVP Readings
*
0
1
2
3
4
5
Interpretation of Swan-Ganz Readings
*
0
1
2
3
4
5
Thrombolytic Therapy
*
0
1
2
3
4
5
Anaphylactic Shock
*
0
1
2
3
4
5
Cardiogenic Shock
*
0
1
2
3
4
5
Septic Shock
*
0
1
2
3
4
5
Hypovolemic Shock
*
0
1
2
3
4
5
Administration of Blood and Blood Products
*
0
1
2
3
4
5
Knowledge and Use Of
Heparin
*
0
1
2
3
4
5
Sodium Bicarbonate
*
0
1
2
3
4
5
Lidocaine
*
0
1
2
3
4
5
Bretylium
*
0
1
2
3
4
5
Nipride
*
0
1
2
3
4
5
Dopamine
*
0
1
2
3
4
5
Isuprel
*
0
1
2
3
4
5
Digitalis
*
0
1
2
3
4
5
Sodium Bicarbonate
*
0
1
2
3
4
5
Atropine
*
0
1
2
3
4
5
Epinephrine
*
0
1
2
3
4
5
Dobutrex
*
0
1
2
3
4
5
Tridil/Nitroglycerine
*
0
1
2
3
4
5
Neurological-Care of Patient With
Spinal Precautions
*
0
1
2
3
4
5
Neuro Assessment
*
0
1
2
3
4
5
Use of Glascow Coma Scale
*
0
1
2
3
4
5
Acute Head Injury
*
0
1
2
3
4
5
Acute T.I.A./C.V.A
*
0
1
2
3
4
5
Acute Spinal Cord Injury
*
0
1
2
3
4
5
Seizure Precautions
*
0
1
2
3
4
5
Observing for Increased Intracranial Pressure
*
0
1
2
3
4
5
Assist with Lumbar Puncture
*
0
1
2
3
4
5
Knowledge and Use Of
Narcan
*
0
1
2
3
4
5
Dilantin
*
0
1
2
3
4
5
Phenobarbital
*
0
1
2
3
4
5
Decadron
*
0
1
2
3
4
5
Mannitol
*
0
1
2
3
4
5
Solu-Medrol
*
0
1
2
3
4
5
Gastrointenstinal-Care of Patient With
G.I. Bleed
*
0
1
2
3
4
5
Abdominal Wounds
*
0
1
2
3
4
5
Acute Abdominal Disorders
*
0
1
2
3
4
5
Insertion of Nasogastric Tube
*
0
1
2
3
4
5
Gastric Lavage
*
0
1
2
3
4
5
Renal-Care of Patient With
Renal Failure
*
0
1
2
3
4
5
Peritoneal Dialysis
*
0
1
2
3
4
5
Renal Calculi
*
0
1
2
3
4
5
Pyelonephritis/UTI
*
0
1
2
3
4
5
Obstetrics/Gynecology-Care Patient With
HELLP Syndrome
*
0
1
2
3
4
5
Spontaneous Abortion
*
0
1
2
3
4
5
Hemorrhage
*
0
1
2
3
4
5
Placenta Previa
*
0
1
2
3
4
5
Placental Abruption
*
0
1
2
3
4
5
Pre-Eclampsia/Eclampsia
*
0
1
2
3
4
5
Emergency Delivery
*
0
1
2
3
4
5
Fetal Heart Tones
*
0
1
2
3
4
5
Sexually Transmitted Disease
*
0
1
2
3
4
5
Knowledge and Use Of
Pitocin
*
0
1
2
3
4
5
Magnesium Sulfate
*
0
1
2
3
4
5
Psychiatric-Care of Patient With
Suicidal Patient
*
0
1
2
3
4
5
Overdose
*
0
1
2
3
4
5
Emergency Police Hold
*
0
1
2
3
4
5
ETOH Abuse/DTs
*
0
1
2
3
4
5
Seclusion
*
0
1
2
3
4
5
Sexual Assult/Child Abuse-Care of Patient With
Sexual Assault
*
0
1
2
3
4
5
Signs of Abuse
*
0
1
2
3
4
5
Orthopedic-Care of Patient With
Traction
*
0
1
2
3
4
5
Cast Application
*
0
1
2
3
4
5
Checking C/M/S
*
0
1
2
3
4
5
OCL Splinting
*
0
1
2
3
4
5
Pins/Wires
*
0
1
2
3
4
5
Closed Fracture/Dislocation Reduction
*
0
1
2
3
4
5
Application of Orthopedic Appliances
*
0
1
2
3
4
5
Lacerations-Care of Patient With
Setting up Suture Tray
*
0
1
2
3
4
5
Assist with Sutures/Staples
*
0
1
2
3
4
5
Steri Strips
*
0
1
2
3
4
5
Trauma-Care of Patient With
Air Transport of Trauma Patient
*
0
1
2
3
4
5
Major Trauma
*
0
1
2
3
4
5
Minor Trauma
*
0
1
2
3
4
5
M.A.S.T. Suit
*
0
1
2
3
4
5
Burns-Care of Patient With
First Degree
*
0
1
2
3
4
5
Second Degree
*
0
1
2
3
4
5
Third Degree
*
0
1
2
3
4
5
Electrocution
*
0
1
2
3
4
5
Hazardous Materials Exposure
*
0
1
2
3
4
5
Radiation Exposure
*
0
1
2
3
4
5
Pediatric General Skills
Abuse Reporting
*
0
1
2
3
4
5
Vital Sign Parameters for Pediatric Patients
*
0
1
2
3
4
5
Calculating Pediatric Medication Dosages
*
0
1
2
3
4
5
Knowledge of Normal Serum Lab Values
*
0
1
2
3
4
5
Pediatric-Care of Patient With
Febrile Seizure
*
0
1
2
3
4
5
Epiglottitis
*
0
1
2
3
4
5
Overdose/Poison Ingestion
*
0
1
2
3
4
5
Asthma
*
0
1
2
3
4
5
Near Drowning
*
0
1
2
3
4
5
Environmental-Care of Patient With
Hypothermia
*
0
1
2
3
4
5
Heat Stroke/Exhaustion
*
0
1
2
3
4
5
Snake Bite
*
0
1
2
3
4
5
Administration of Antivenim
*
0
1
2
3
4
5
Animal Bite
*
0
1
2
3
4
5
Poison Index
*
0
1
2
3
4
5
Knowledge and Use Of
Antibiotics
*
0
1
2
3
4
5
Analgesics
*
0
1
2
3
4
5
Antiemetics
*
0
1
2
3
4
5
Sedatives
*
0
1
2
3
4
5
Medication Titration and Calculations
*
0
1
2
3
4
5
Reversal Agents
*
0
1
2
3
4
5
Charcoal
*
0
1
2
3
4
5
Miscellaneous Instruments/Trays
Pelvic Tray
*
0
1
2
3
4
5
Cut Down Tray
*
0
1
2
3
4
5
Procto Tray
*
0
1
2
3
4
5
CVP Tray
*
0
1
2
3
4
5
Trach Tray
*
0
1
2
3
4
5
Culdocentesis Tray
*
0
1
2
3
4
5
Thoracentesis Tray
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*