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The skills checklist, required by hospital hiring managers, is an important tool we use to help match you to an ideal assignment. This self-assessment form gives us an overview of your nursing experience and proficiencies so our recruiters are better able to find the positions that suit you. Select the appropriate checklist below and submit your completed form to us with one simple click. If your specialty is not listed below, or if you need additional information or assistance, please contact your local O'Grady Peyton International representative.

Return to the full Skills Checklist page
 

Medical/Surgical Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Passport.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
(Country Code - Area Code - Local)
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
Cardiac
1 2 3 4
 
Angina
 
Congestive Heart Failure
 
Dysrhythmia Management/Interpretation
 
Medical Surgical patients with Cardiac History
 
On Unit Cardiac Monitoring - Nurse Responsible
 
Remote Telemetry Monitoring - Cardiac Monitoring Tech
 
PULMONARY
1 2 3 4
 
COPD
 
Pneumonia
 
Pulmonary Embolism
 
Trach Care and Management
 
Tuberculosis
 
Neurological & Psychiatric
1 2 3 4
 
CVA
 
Mood Disorders
 
Seizure Disorders
 
Stroke Scale Assessment
 
Substance Withdrawal
 
Traumatic Brain Injury
 
ORTHOPEDICS
1 2 3 4
 
Ambulation Assistive Devices
 
Cast Care
 
Continuous Passive Motion Devices
 
Pin Care
 
Prosthetics
 
Total Joint Replacement
 
Traction
 
GASTROINTESTINAL
1 2 3 4
 
Bariatrics
 
Bowel Obstruction
 
Feeding Tubes
 
GI Bleeding
 
Liver Disease
 
NG Tube Insertion
 
Pancreatitis
 
RENAL/GENITOURINARY
1 2 3 4
 
3 Way Catheter & Bladder Irrigation
 
Arteriovenous Fistula/Shunt
 
Foley Cath Insertion
 
Gyn Surgery
 
Management Pre/Post Hemodialysis
 
Nephrostomy Tubes
 
Peritoneal Dialysis
 
Renal Failure
 
ENDOCRINE METABOLIC
1 2 3 4
 
Diabetes Hypo/Hyperglycemia
 
Indwelling Insulin Pumps
 
IV insulin Protocols
 
ONCOLOGY
1 2 3 4
 
Bone Marrow Biopsy Assisting
 
Bone Marrow Transplant
 
Chemotherapy Administration
 
Hematology Oncology
 
Medical Surgical Oncology
 
Radiation Implants
 
MEDICATIONS
1 2 3 4
 
Antiarrhythmics
 
Anticoagulants (IV, oral, & injection)
 
Anti-Depressants
 
Anti-Hypertensives
 
Anti-Psychotics
 
Benzodiazepines
 
Epidural Analgesia
 
Narcotics/Opioid Analgesics (IV, oral, & injection)
 
Nitrates (Oral & Topical)
 
Non-Opioid Analgesics (IV, Oral, & Injection)
 
Oral Hypoglycemics
 
Patient Controlled Analgesia
 
Procedural Sedation Administration
 
Steroids (IV, Oral, Inhaled)
 
IV THERAPY
1 2 3 4
 
Accessing and Maintaining PICC Lines
 
Accessing and Maintaining Ports
 
Blood and Blood Product Administration
 
Central Line/Implanted Line Care
 
Dressing Changes for Central Lines
 
Monitoring of Chemotherapy
 
Phlebotomy
 
Starting IVs
 
TPN & Lipids
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Hospice/End of Life Care
 
Isolation Precautions
 
National Patient Safety Goals/Core Measures
 
Pain Assessment & Management
 
Patient/Family Teaching
 
Pressure Ulcer Risk Assessment/Prevention
 
Restraints/Use of Least Restrictive Device
 
Universal Protocol Procedures (Time Out)
 
Wound Care /Wound Vac
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Computerized Physician Order Entry
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS (Current at time of completing this form)
 
CCRN
 
PALS
 
ACLS
 
BLS
 
Telemetry
 
Other: Specify
Medical/Surgical Skills Checklist, version 7

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.
O'Grady Peyton International staffs nursing jobs for individuals wanting to work in the United States. We staff travel nurses domestically and fill long-term nursing and allied health assignments for international providers.
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