NORTHERN AREA ARMED FORCES HOSPITAL
NORTHERN AREA ARMED FORCES HOSPITAL
OUT PATIENT DEPARTMENT
NURSING SKILLS CHECKLIST Page 1 of 2
NOTE: Please complete the skills Checklist to ensure individual experience may be clearly understood. Tick ( ) the appropriate
column and add comments as necessary for clarification of your knowledge/skills. The information will be used to ensure the
best possible placement based on your clinical expertise and our hospital’s needs.
| |CURRENTLY COMPETENT | |
|REQUIRED CLINICAL COMPETENCIES |Indicate year skill last practiced |COMMENTS |
| |or months of experience gained) |(or if not competent) |
|Initiate and maintain Basic Cardiac Life Support measures (BCLS or | | | |
| Equivalent, certified) | | | |
|Triage | | | |
| | | | |
|Physical assessment skills | | | |
| | | | |
|Provide discharge advice/teaching within established perimeters | | | |
|Including diabetic teaching, general health and wellness | | | |
|Working knowledge of nursing process | | | |
| | | | |
|Perform independently | | | |
|Dressing changes | | | |
|Suture removal | | | |
|Assist with various procedures, e. g. | | | |
|Incision and drainage | | | |
|Ear syringing | | | |
|Stabilize and transport patients | | | |
| | | | |
|Knowledge of common communicable diseases | | | |
| | | | |
|Apply isolation precautions /universal precautions | | | |
| | | | |
|Function as Charge Nurse (REQUIRED skill for RN only) | | | |
| | | | |
|Perform all nursing aspect of child care in Well Baby/ Well Child | | | |
|Clinic | | | |
|Administer Immunizations within established protocols | | | |
| | | | |
|Perform all aspect of nursing care in ante natal/post natal clinic | | | |
|Inclusive of teaching, wellness counseling | | | |
|Perform allergy testing within established protocols | | | |
| | | | |
|Teach use of inhalation medications | | | |
| | | | |
|Perform independently | | | |
|Eye irrigation | | | |
|Visual testing | | | |
|Application of soft orthopedic devices i.e. sling, collar and | | | |
|Cuff, cervical collar | | | |
|Fit crutches, teach crutch walking | | | |
|Teach use of cane, walker, etc | | | |
|Capillary glucose testing | | | |
|Monitoring of hypertensive patient | | | |
|Assist with specialized medical / surgical procedures | | | |
|Cardiac rhythm monitoring | | | |
|Stress testing | | | |
|Removal of lesion | | | |
|Biopsy of skin / tissue | | | |
_____________________ _________________ _____________
Name Signature Date
NORTHERN AREA ARMED FORCES HOSPITAL
OUT PATIENT DEPARTMENT
NURSING SKILLS CHECKLIST Page 2 of 2
| |CURRENTLY COMPETENT | |
|REQUIRED CLINICAL COMPETENCIES |Indicate year skill last practiced |COMMENTS |
| |or months of experience gained) |(or if not competent) |
|Application / removal of cast | | | |
|Circumcision | | | |
|Endoscopy (gastroscopy, proctoscopy, sigmoidoscopy, etc) | | | |
|Bronchoscopy | | | |
|Insertion of Intra Uterine Contraceptive Devices | | | |
|Cardio Tocograph | | | |
|Colposcopy | | | |
|Lithotripsy procedure | | | |
|CLINICAL SKILLS REQUIRED | | | |
| | | | |
|Record 12 lead ECG | | | |
| | | | |
|Test for pregnancy using simple laboratory technique | | | |
| | | | |
|Establish IV | | | |
| | | | |
|Perform venipuncture for blood sampling/letting | | | |
| | | | |
|Knowledge of tropical diseases | | | |
| | | | |
|Knowledge of cross cultural nursing and experience working in a | | | |
|Multi national staff group | | | |
Please make any additional comments or explanations below or on reverse
|I acknowledge that I will be tested on the above skills within the first month of my arrival and, if I fail to demonstrate an acceptable |
|standard (in comparison to the information provided on this list) my employment will be terminated and I will be sent home |
Signature:_______________________________ Date:_______________________
Revised September 2003
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