Oncology RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name:(Required)

Email(Required)

Date:

Send to(Required)

CIRCULATE EXPERIENCE WITH THE FOLLOWING AGES:

Newborn/ Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+ years)(Required)

GENERAL SKILLS

Care of Patient in Restraints(Required)

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

SETTINGS

Inpatient(Required)

Outpatient(Required)

Hospice/palliative care(Required)

Adults(Required)

Pediatrics(Required)

Research/Clinical Trials(Required)

Bone Marrow Unit(Required)

PAIN MANAGEMENT

Pain Assessment(Required)

Continuous Narcotic Infusion(Required)

Continuous Epidural Infusion(Required)

IV Push Narcotics(Required)

Use of Narcotic Pain Patches(Required)

Use of PCA Pump(Required)

Adjuvant Medications(Required)

Alternative Therapies(Required)

Nonpharmacologic Strategies(Required)

PHLEBOTOMY/IV THERAPY

IV Insertion, Maintenance and Discontinuation(Required)

Central Lines(Required)

Hickman(Required)

Groshong(Required)

Multilumen(Required)

Port-A-Cath(Required)

Blood Draw from Central Lines/Ports(Required)

Peripheral Venous Blood Draw(Required)

PICC Line Care and Maintenance(Required)

PICC Line Insertion(Required)

Infuse-a-port/power port(Required)

Administration of blood and blood products(Required)

MEDICATION KNOWLEDGE AND ADMINISTRATION OF

Antiemetics(Required)

Avastin(Required)

Benadryl(Required)

Bleomycin (Blenoxane)(Required)

Biotherapeutic Agents (Rituxan)(Required)

Bulsulfan (Myleran)(Required)

Corticosteroids(Required)

Carboplatin(Required)

Chlorambucil (Leukeran)(Required)

Cyclophosphamide (Cytoxan)(Required)

Cistplatin(Required)

Cytarabine (Ara-C)(Required)

Dactinomycin (Actinomycin)(Required)

Daunorubicin (Daunoxome)(Required)

Doxorubicin (Adriamycin)(Required)

Decadron(Required)

Dilantin(Required)

Etoposide (VP-16-213)(Required)

Epogen/neupogen(Required)

Fluorouracil (5 - FU)(Required)

Herceptin(Required)

Hormonal Antineoplastics(Required)

Hydroxyurea (Hydrea)(Required)

IVIG(Required)

Oxaliplatin(Required)

Leucovorin Rescue Protocol(Required)

Melphalan (Alkeran)(Required)

Mercaptopurine (6-MP)(Required)

Methotrexate (amethopterin)(Required)

Mitomycin (Mutamycin)(Required)

Taxotere(Required)

Taxol(Required)

Usulfan (Myleran)(Required)

Vinblastine (Velban)(Required)

Vincritstine (Oncovin)(Required)

EDUCATION AND CARE OF PATIENT WITH FOLLOWING EFFECTS OF CHEMOTHERAPY

Abnormal Lab Values (Neutropenia, Pancytopenia, etc)(Required)

Fatigue(Required)

Nausea/Vomiting(Required)

Anorexia(Required)

Constipation/Diarrhea(Required)

Mucositis/Stomatitis(Required)

Renal or Hepatic Toxicity(Required)

Cardiac Toxicity(Required)

Alopecia(Required)

Dermatitis(Required)

Cystitis(Required)

Neurotoxicity(Required)

Pneumonitis(Required)

Fever/Infection(Required)

Depression/Anxiety(Required)

Neuropathy(Required)

Altered skin integrity(Required)

Septic Shock(Required)

CARDIOVASCULAR

Cardiac toxicity(Required)

Cardiac tamponade(Required)

Cardiac dysrhythmias(Required)

Phlebitis(Required)

Extravasation(Required)

Lymphedema(Required)

RESPIRATORY

Atelectasis(Required)

Edema(Required)

Pneumonia(Required)

Pneumonitis(Required)

Pulmonary Embolism(Required)

Fibrosis(Required)

GU/GI

Anorexia/dehydration(Required)

Nausea/Vomiting(Required)

Constipation/Diarrhea(Required)

Bowel Obstruction(Required)

Renal or Hepatic Toxicity(Required)

Renal Failure(Required)

GI Bleed(Required)

Cystitis(Required)

Pancreatitis(Required)

HEMATOLOGIC

Anemia(Required)

Disseminated Intravascular Coagulation (DIC)(Required)

Hemorrhage(Required)

Leukopenia(Required)

Thrombocytopenia(Required)

Fluid/electrolyte imbalance(Required)

NEURO

Neurotoxicity(Required)

Ototoxicity(Required)

Peripheral Neuropathy(Required)

PSYCHOSOCIAL CARE

Kubler-Ross stages of grieving(Required)

Identify support groups for patients/family(Required)

Self-care and coping skills(Required)

Goal setting(Required)

Advance directives(Required)

Quality of life issues(Required)

Palliative and Hospice care(Required)

MISCELLANEOUS

Manage Cytotoxic Spills(Required)

Handle body fluids post chemo(Required)

RADIATION THERAPY

Knowledge of Early, Interim and Late Effects of Radiation(Required)

Provide skin care post-radiation(Required)

Brachytherapy - Interstitial/Intracavitary(Required)

Nonsealed radioactive therapy(Required)

Intraoperative radiotherapy (IORT)(Required)

External radiotherapy(Required)

Total body irradiation (TBI)(Required)

Radiation safety precautions(Required)

BONE MARROW TRANSPLANT

Adult BMT experience(Required)

Pediatric BMT experience(Required)

Stem cell transplant(Required)

Graft rejection(Required)

Venoocclusive disease(Required)

Graft-versus-Host disease (GVHD)(Required)

SKIN

Wound debridement(Required)

Wet to dry dressing changes(Required)

Care of drains and tubes(Required)

Stress Fractures(Required)

Dermatitis(Required)

Alopecia(Required)

OTHER SKILLS

List Types: