RN Occupational and Employee Health Skills Checklist

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RN Occupational and Employee Health Skills Checklist

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.

TRAUMA

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Care of Patient with:
Minor Trauma
Major Trauma
MAST Suit
BURNS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Care of Patient with:
First Degree
Second Degree
Third Degree
Electrocution
Hazardous Materials Exposure
LACERATIONS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Care of Patient with:
Assessment
Cleansing
Steri-Strips
Dressing
SPRAIN/STRAIN

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment
Carpal Tunnel
Tendonitis
Epicondylitis
PHYSICALS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Safety
Return to Work
Respirator
Vital Signs
Height/Weight
Blood Draw
Medical Referral Form
Medical Certification Form
Medical History Questionnaire
Potassium Iodine Assessment
RESTRICTIONS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Temporary Restrictions
Permanent Restrictions
Pulmonary Function
Audiometry
Vision Testing
X-ray
Urine Testing
Drug Testing
Breathalyzer
IMMUNIZATIONS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Havrix (Hepatitis A)
Influenza Vaccine
Meningitis Vaccine
Tetanus & Diphtheria
Oral Typhoid Vaccine
Polio Vaccine
Hepatitis B Vaccine
Japanese Encephalitis B
Rabies Vaccine
Typhim (Injectable Type)
Yellow Fever Vaccine
Age Specific Criteria

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Newborn/Neonate (birth-30 days)
Infant (30 days – 1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School Age Children (5-12 years)
Adolescents (12-18 years)
Adolescents (12-18 years)
Young Adults (18-39 years)
Middle Adults (39-64 years)
Older Adults (64+)

I hereby certify that ALL information I have provided on this skills checklist, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.