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

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download