Neuro Skill 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.

PROCEDURES / SKILLS


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Charge Duties
Primary Care

Team Nursing

Use of Computers

Pass Meds 1-15 Patients

Pass Meds 10-20 Patients

CPR - Initial Resuscitaiton

Cardiac Arrests - Administration of Meds & Assists Intubation

Antiembolism Stockings:

a. 3-Way Foley

b. Suprapublic

Decubitus Care

Sterile Dressing Changes

Isolation, Regular

Isolation, Reverse

Enteric Isolation

Wound and Skin Isolation

Universal Precautions

Intracranical Pressure Monitoring

Seizure Precautions

Mechanical Ventilation

Neuro Assessment

Neurodrains and Tubes:

a. Ventriculostomies

b. Epidural

c. Subdural

d. Inrathecal

e. Assessment of Drainage

Lumbar Puncture, assting with

Medication, Principles of Safe Administration

Intraveous Therapy, Initiating Line

Infusion Pumps

Administration of IV Drugs:

a. Digoxin

b. Dilantin

c. Decadron

d. Valium

e. Librium

f. Lasix

g. Nipride

h. Dopamine

i. Phenobarbital

Tranfusion of Blood and Blood Products

Heparin Locks

Blood Drawing, arterial

Blood Drawing, Venous

Intralipid Administration

Hyperalimentation Administration

Chest Suction

Gastric Suction

Gastric Lavage

Wound Irrigations

CVP Lines

Tracheostomy Care

Patients with Impending DT's

Nasogastric Tubes

Drains:

a. Jackson-Pratt

b. Penrose

c. Hemovac

Types of Traction:

a. Halo

b. Cervical

c. Pelvic

d.Balanced

Type of Equipment:

a. Roto-Rest Bed

b. Circo-Electric Bed

c. Stryker Frame

d. Hoyer Lift

Computerized Charting:

a. Cerner

b. Eclipsys

c. Epic

d. McKesson

e. Meditech

Do you speak any languages other than
English?

Yes

If yes, which language(s)?

Check the box under EACH age group that you have experience with and are comfortable with for each skill below.

Neonates(0-30 days)

Infants(1 mo-1 yr)

Toddlers(1-3 yrs)

Preschool(4-6 yrs)

School Age(7-12 yrs)

Adolescent(13-18 yrs)

Young Adult(19-39 yrs)

Middle Adults(40-64 yrs)

Older Adults(65+ yrs)

Understands the different communication needs for the age group & changes communication methods and terminology accordingly

Neonates(0-30 days)

Infants(1 mo-1 yr)

Toddlers(1-3 yrs)

Preschool(4-6 yrs)

School Age(7-12 yrs)

Adolescent(13-18 yrs)

Young Adult(19-39 yrs)

Middle Adults(40-64 yrs)

Older Adults(65+ yrs)

Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately

Neonates(0-30 days)

Infants(1 mo-1 yr)

Toddlers(1-3 yrs)

Preschool(4-6 yrs)

School Age(7-12 yrs)

Adolescent(13-18 yrs)

Young Adult(19-39 yrs)

Middle Adults(40-64 yrs)

Older Adults(65+ yrs)

Understands the different safety risks for the age group and alters the environment accordingly

Neonates(0-30 days)

Infants(1 mo-1 yr)

Toddlers(1-3 yrs)

Preschool(4-6 yrs)

School Age(7-12 yrs)

Adolescent(13-18 yrs)

Young Adult(19-39 yrs)

Middle Adults(40-64 yrs)

Older Adults(65+ yrs)

Understands the normal growth and development for the age group and adapts care accordingly

Neonates(0-30 days)

Infants(1 mo-1 yr)

Toddlers(1-3 yrs)

Preschool(4-6 yrs)

School Age(7-12 yrs)

Adolescent(13-18 yrs)

Young Adult(19-39 yrs)

Middle Adults(40-64 yrs)

Older Adults(65+ yrs)

I hereby certify that ALL information I have provided to Clover Health Services, 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.