Urgent Care & Clinic Skills Checklist

Fill Out and Submit your Skills Checklist
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.
Proficiency Scale:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
CARDIOVASCULAR
Assessment
Interpretation of Labs/Tests
Equipment & Procedures
Care of the Patient with
Medications
PULMONARY
Assessment
Interpretation of Lab/Tests
Equipment & Procedures
Care of the Patient with
Medications
NEUROLOGICAL
Assessment
Equipment & Procedures
Care of the Patient with
Medications
ORTHOPEDICS
Assessment
Equipment & Procedures
Care of the Patient with
Medications
GASTROINTESTINAL
Assessment
Equipment & Procedures
Care of the Patient with
Medications
RENAL/GENITOURINARY
Assessment
Interpretation of Labs
Equipment & Procedures
Care of the Patient with
Medications
ENDOCRINE/METABOLIC
Assessment
Interpretation of Labs
Equipment & Procedures
Care of the Patient with
Medications
EENT
Assessment
Equipment & Procedures
Medications
INFECTIOUS DISEASE
Assessment
Equipment & Procedures
Care of the Patient with
Medications
WOUND MANAGEMENT
PAIN MANAGEMENT
PSYCHIATRIC
Assessment
Equipment & Procedures
Care of the Patient with
Medications
WOMEN'S HEALTH
Assessment
Equipment & Procedures
Care of the Patient with
PEDIATRICS
Assessment
Equipment & Procedures
Care of the Patient with
Medications (Others in System Specific Areas)
Age Specific Competencies
MISCELLANEOUS
Care of the Patient with
My experience is primarily in the following settings
Adults
Physician's Office
Clinic
Urgent Care
Emergency Dept - Yrs:
Pediatrics
Physician's Office
Clinic
Urgent Care
Emergency Dept - Yrs:
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