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Wound Care & Ostomy Skills Checklist

Fill Out and Submit your Skills Checklist

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

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

WORK SETTINGS

PRESSURE ULCERS

NEUROPATHIC ULCERS

VENOUS STASIS ULCERS

PERIPHERAL ARTERIAL ULCERS

OTHER WOUNDS

WOUND DEBRIDEMENT

DRESSINGS/ TREATMENTS

COLOSTOMY / ILEOSTOMY

CONTINENT ILEOSTOMY

UROSTOMY / CONTINENT

CONTINENCE THERAPEUTIC DEVICES

BURNS

PROFESSIONAL KNOWLEDGE AND SKILLS

OTHER / MISC.

AGE SPECIFIC CARE

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Reach us

contact@selectsourceintl.com
care@selectsourceintl.com
Phone: +1-952-546-3300
Fax: +1-952-546-3500
13911 Ridgedale Drive, Suite 230
Minnetonka, Minnesota 55305, United States

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