Skills Checklist - Rehab RN

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(Required)

Send to(Required)

AGE OF PATIENTS CARED FOR

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 (64 years to 79 years)(Required)

Elderly Adults (79+ years)(Required)

SETTING

Hospital(Required)

Long Term Care(Required)

Long Term Acute Care(Required)

Skilled Nursing Units(Required)

Rehab(Required)

GENERAL SKILLS

Standard Precautions(Required)

Isolation Precautions(Required)

Adult Respiratory/ Cardiac Arrest(Required)

Pediatric Respiratory/ Cardiac Arrest(Required)

Crash Carts(Required)

Defibrillators(Required)

Patient/ Family Education(Required)

Admit and Assess Patients(Required)

Automated med Dispensing Systems(Required)

List Types:

Electronic Documentation(Required)

List Types:

Obtaining Cultures (Blood, Sputum, Swab, Urine)(Required)

Advance Directives(Required)

Collect Appropriate Data(Required)

Discharge Teaching(Required)

Preoperative Teaching(Required)

Patient Prep(Required)

Patient Assessment (Obtain Patient History)(Required)

IV Pumps(Required)

Sterile and Aseptic Technique(Required)

Obtaining Vital Signs(Required)

Transfer of Patient(Required)

Suture/Staple Removal(Required)

Care of Patients in Restraints(Required)

Peripheral IV Insertion, Care, and Maintenance(Required)

Access/Management of Implanted Ports(Required)

Access/Management of Central Lines(Required)

PCA/Epidural Pumps(Required)

Titration of Drips(Required)

Administration of Blood/Blood Products(Required)

PROCEDURES

Blood Cultures(Required)

Dipstick Urine(Required)

Sputum(Required)

Sterile Urine(Required)

Stool(Required)

Throat Swab(Required)

Venipuncture(Required)

IM and SQ Injections(Required)

Bedside Invasive Procedures(Required)

Intubation(Required)

Lumbar Puncture(Required)

CARDIOVASCULAR -GENERAL SKILLS

Abnormal Heart Sounds/Murmurs(Required)

Auscultation (Rate/Rhythm)(Required)

Capillary Refill(Required)

Color(Required)

CARDIOVASCULAR - CARE OF PATIENT WITH

Acute Myocardial infarction(Required)

Angina(Required)

Cardiac Arrest/Cardiopulmonary Resuscitation(Required)

Cardiomyopathy(Required)

Congestive Heart Failure(Required)

Permanent Pacemaker(Required)

Internal Defibrillator(Required)

Cardiac Transplant(Required)

Pre/Post Cardiac Surgery(Required)

Abdominal Aortic Aneurysm/Bypass(Required)

Femoral Popliteal Bypass(Required)

Myocarditis(Required)

Post Angioplasty/Stent(Required)

Thrombophlebitis(Required)

Chest Pain(Required)

CARDIOVASCULAR - MONITORING LABS

EKG Monitoring(Required)

Cardiac Enzymes and Isoenzymes(Required)

Coagulation Studies(Required)

BNP(Required)

Troponin(Required)

PULMONARY - GENERAL SKILLS

Assess Lung Sounds(Required)

Rate and Work of Respirations(Required)

Oxygenation Status(Required)

Oxygen Delivery Devices(Required)

PULMONARY CARE OF PATIENTS WITH

Asthma(Required)

Bronchoscopy(Required)

Chest Trauma(Required)

Chest Tubes(Required)

COPD(Required)

Laryngospasm(Required)

Lobectomy(Required)

Lung Transplant(Required)

Obstructive Sleep Apnea(Required)

Pre/Post Thoracic Surgery(Required)

Pneumonectomy(Required)

Pneumonia(Required)

Pneumothorax(Required)

Pulmonary Edema(Required)

Pulmonary Embolism(Required)

Thoracotomy(Required)

Tracheostomy(Required)

Tuberculosis(Required)

PULMONARY -MONITORING LABS

Pulse Oximetry(Required)

Interpretation of ABGs(Required)

NEUROLOGICAL GENERAL SKILLS

PERRL(Required)

Level of Consciousness(Required)

Neurological Assessment(Required)

Reflex/Motor Deficits(Required)

Visual/Communication Deficits(Required)

Stroke Precautions(Required)

NEUROLOGICAL - CARE OF PATIENTS WITH

Alzheimer’s Disease(Required)

Coma(Required)

CVA(Required)

Halo Traction/Cervical tongs(Required)

Intracranial Hemorrhage(Required)

Laminectomy(Required)

Neuromuscular Disease(Required)

Post Craniotomy(Required)

Seizure Disorder(Required)

Spinal Cord Injury(Required)

Pre/Post Neurosurgery(Required)

Closed Head Injuries(Required)

Delirium Tremens(Required)

Encephalitis(Required)

Meningitis(Required)

Overdose(Required)

Guillain Barre Syndrome(Required)

Externalized AV Shunt(Required)

GASTROINTESTINAL GENERAL SKILLS

Bowel Sounds(Required)

Nutritional Status(Required)

GI Assessment(Required)

GT/PEG Feedings(Required)

GASTROINTESTINAL -CARE OF PATIENTS WITH

Abdominal Wounds and Surgeries(Required)

Bowel Obstruction(Required)

Colostomy(Required)

GI Bleeding(Required)

Hepatitis(Required)

Ileostomy(Required)

Pancreatitis(Required)

Paralytic Ileus(Required)

Post Abdominal Surgery(Required)

Liver Transplant(Required)

Inflammatory Bowel Disease(Required)

Liver Failure(Required)

Abdominal Trauma(Required)

RENAL/GENITOURINARY - GENERAL SKILLS

Fluid Status(Required)

RENAL/GENITOURINARY - CARE OF PATIENTS WITH

Acute Renal Failure(Required)

End Stage Renal Disease(Required)

Hemodialysis(Required)

Peritoneal Dialysis(Required)

Urinary Tract Infection(Required)

Suprapubic Catheter(Required)

Kidney Transplant(Required)

Insertion of Catheter (Straight/Foley)(Required)

Bladder Irrigations(Required)

AV Fistula/Shunt Care(Required)

Nephrostomy Tube(Required)

Nephrectomy(Required)

Pyelonephritis(Required)

TURP(Required)

Ileal Conduit(Required)

Renal Trauma(Required)

Renal Calculi(Required)

RENAL/GENITOURINARY -MONITORING/LABS

Measurement of I & O(Required)

Fluid Balance(Required)

BUN and Creatinine(Required)

Serum Electrolytes(Required)

ENDOCRINE CARE OF PATIENTS WITH

Diabetes Mellitus(Required)

Diabetes Insipidus(Required)

Keto Acidosis(Required)

Diabetic Coma(Required)

Hyperthyroidism(Required)

Hypothyroidism(Required)

Thyroidectomy(Required)

CLINICAL SETTINGS

Sugi-Center(Required)

Out Patient Clinic(Required)

Physician Office(Required)

Ambulatory Surgery clinic(Required)

ENDOCRINE/METABOLIC MONITORING/LAB

Blood Glucose(Required)

ENDOCRINE KNOWLEDGE AND USE OF

Single Type Insulin(Required)

Mixed Insulins(Required)

Insulin Infusion(Required)

ORTHO/MUSCULOSKELETAL

Pulses/Circulation Checks(Required)

Cast Care(Required)

Crutch Walking(Required)

Prosthesis Application(Required)

Assistive Devices(Required)

ORTHO/MUSCULOSKELETAL - CARE OF PATIENTS WITH

Amputation(Required)

External Fixation(Required)

Multiple Trauma(Required)

Paraplegia(Required)

Rheumatoid Arthritis Disease(Required)

Joint Replacement(Required)

Open Reduction Internal Fixation(Required)

Fractures(Required)

Spinal Fusion(Required)

Amputation(Required)

IMMUNOLOGY/HEMATOLOGY/ONCOLOGY

Blood Transfusions(Required)

IMMUNOLOGY/HEMATOLOGY/ONCOLOGY - CARE OF PATIENTS WITH

Cancer(Required)

HIV/AIDS(Required)

Sickle Cell Anemia(Required)

Acute Leukemia(Required)

Treatment Side Effects(Required)

Chemotherapy(Required)

CRE(Required)

MSRA(Required)

C. Difficile(Required)

Influenza(Required)

Radiation(Required)

Sepsis(Required)

IMMUNOLOGY/HEMATOLOGY/ONCOLOGY – LAB

Hematology(Required)

WOUND/INTEGUMENT - GENERAL SKILLS

S/S Infection(Required)

Skin Assessment(Required)

Dressing Changes(Required)

Stump Wrapping(Required)

WOUND/INTEGUMENT - CARE OF PATIENTS WITH

Burns and Stages(Required)

Staged Decubitus Ulcers(Required)

Stasis Ulcers(Required)

Arterial Ulcers(Required)

Suspected Deep Tissue Injuries(Required)

Multiple Abdominal Wounds and Drains(Required)

Gunshot Wound(Required)

Stab Wound(Required)

Lacerations(Required)

Pressure Relief Mattresses(Required)

Traumatic Wounds(Required)

First Degree Burns(Required)

Second Degree Burns(Required)

Third Degree Burns(Required)

WOUND/INTEGUMENT – EQUIPMENT

Hemovacs(Required)

Jackson-Pratt Drains(Required)

Penrose Drains(Required)

Surgical Wound Irrigations and Dressings(Required)

WOUND/INTEGUMENT - MONITORING

Skin Breakdown(Required)

WOUND/INTEGUMENT - MEDICATIONS

Antibiotics(Required)

Antihypertensives(Required)

Anticoagulants(Required)

Anticonvulsants(Required)

Narcotics(Required)

Digoxin(Required)

Diuretics(Required)

Steroids(Required)

Diltiazem(Required)

Antiemetics(Required)

Antispasmodics(Required)

Oral Hypoglycemics(Required)

Inhalers(Required)

IV Conscious Sedation(Required)

Reversal Agents (Narcan, Romazicon)(Required)

OTHER SKILLS

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Alabama (NLC)
Alaska
Arizona (NLC)
Arkansas (NLC)
California
Colorado (NLC)
Connecticut
Delaware (NLC)
Florida (NLC)
Georgia (NLC)
Hawaii
Idaho (NLC)
Illinois
Indiana (NLC)
Iowa (NLC)
Kansas (NLC)
Kentucky (NLC)
Louisiana (NLC)
Maine (NLC)
Maryland (NLC)
Massachusetts
Michigan
Minnesota
Mississippi (NLC)
Missouri (NLC)
Montana (NLC)
Nebraska (NLC)
Nevada
New Hampshire (NLC)
New Jersey
New Mexico (NLC)
New York
North Carolina (NLC)
North Dakota (NLC)
Ohio (NLC)
Oklahoma (NLC)
Oregon
Pennsylvania
Rhode Island
South Carolina (NLC)
South Dakota (NLC)
Tennessee (NLC)
Texas (NLC)
Utah (NLC)
Vermont
Virginia (NLC)
Washington
West Virginia (NLC)
Wisconsin (NLC)
Wyoming (NLC)