Oncology Skills Checklist

Name*

Telephone*

Who is your recruiter?*

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.

CARE OF PATIENTS WITH


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Atelectasis/Pneumothorax
Bowel Obstruction

Abdominal Aortic Aneurysm

Cardiac Arrhythmias

Diabetes

DIC

Electrolyte Imbalance

Fever

GI Bleed

Hemodialysis

Hemorrhage

Hypercalcemia

Hypokalemia/Hyperkalemia

Lymphedema

Nausea/Vomiting/Diarrhea

Neuropathy

Neutropenia

Oncologic Surgeries

Pancreatitis

Peritoneal Dialysis

Pleural Effusion

Pneumonia

Pulmonary Embolism

Renal Failure

Respiratory Distress

Septic Shock

SIADH

Spinal Cord Compression (SCC)

Stomatitis

Stress Fractures

Superior Vena Cava Syndrome

Thrombocytopenia

Tumor Lysis Syndrome

TURP

MEDICATION ADMINISTRATION


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Bleomycin (Blenoxane)
Carmustine (BiCNU)

Cistplatin

Corticosteroids

Coumadin/Heparin

Cyclophosphamide (Cytoxan)

Decardron

Dilantin

Dopamine

Doxorubicin (Adriamycin)

Epogen/Neupogen

Etoposide (VP-16-213)

Fluorouracil (5-FU)

Fluxuridine (FUDR)

Hydroxyurea (Hydrea)

Melphalan (Alkeran)

Methotrexate (Amethopterin)

Mitomycin (Mutamycin)

Titrate Morphine

Usulfan (Myleran)

Vinblastine (Velban)

Vincristine (Oncovin)

PROCEDURES/SKILLS


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Intravenous Therapy
a. Peripheral line insertions

b. Assessment of IV site

c. Care of IV Extravasation

d. Blood/Blood Products

i. PRBCs

ii. Platelets

iii. FFP

iv. Leukocytes/WBC

e. TPN

f. Antibiotics

g. Antifungals/Antivirals

h. IV Push

Oral Chemotherapy

IM Injections

SQ Injections

Intrathecal

Continuous Narcotic Infusion

Suctioning - Oral

Suctioning - Nasotracheal

Tube Feeding

NG Tube Insertion

GastrostomyJejunostomy Tube Care

Colostomy/Enterostomal Car

Ileostomy Care

Platelet Precautions

PROCEDURES/SKILLS


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Foley Catheter
a. Insertion/Care

b. Irrigations

Suprapubic Catheter Care

Chest tube & drainage system

a. Set up

b. Assist with insertion

c. Care & maintenance

d. troubleshooting

e. Removal

Thoracentesis - assist

Paracentesis - assist

Liver Biopsy - assist

Bone Marrow Biopsy - assist

Central Line Placement - assist

Skin Care

Immunosuppression/Laminar Airflow

Venous Access Devices

a. Hickman/Broviac/Groshong

b. PICC lines

c. Site Care/Dressing Changes

d. Assist with Insertion

e. Declot Occluded Ports/Catheters

f. Temporary Repair of Catheters

g. Flush Lumens

h. Change Caps

i. Obtain Blood Specimens

Vascular Access Ports

a. Port-a-Cath

b. Opti-Port

c. S.E.A. Port

d. Omega Port

e. Chemo Port

f. Access the Catheter Port

g. Flush Catheter

h. Troubleshooting/Maintain Patency

i. Obtain Blood Specimens

j. Patient/Family Teaching

RADIATION THERAPY


	Never Performed	Limited Experience	Comfortable Performing	Proficient
External Radiotherapy
Total Body Irradiation

Intraoperative Radiation Therapy

IORT Implants

Brachytherapy

Radiation Safety Procedures

Patient/Family Teaching

Management of Side Effects

BONE MARROW TRANSPLANT


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Peripheral Blood Stem Cells
Autologous BMT

Allogeneic BMT

Patient/Donor Education

Infection

Graft Rejection

GVHD Graft vs. Host Disease

Venocclusive Disease

Pneumonitis

EQUIPMENT


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Ambulatory Infusion Pumps
a. Cormed

b. Auto Syringe

c. Pharmacia

d. Pancretec

e. Synchromed

f. Patient/Family Teaching of

Automated Med. Dispensing Systems

Automatic BP cuffs

Computer Charting Systems

Implantable Infusion Pumps

a. Infusaid Implantable Pump

b. Medtronic

Glucometer/Accucheck

Isolation

PCA Pumps

Pressure Relief Devices

Pulse Oximetry

Reverse Isolation

PSYCHOSOCIAL CARE/SUPPORT


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Identify/Refer to Resources Available
Participation in Support Groups

Palliative Care

Advanced Directives

Death & Dying Counseling

Hospice Care

Support During Ethical Decision Making

Family Support

PAIN MANAGEMENT


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Pain assessment using pain scales
Epidural analgesia

IV conscious sedation

Patient controlled analgesia (PCA)

Narcotic Agents

Non-narcotic agents

Non-pharmacological measures

ASSESSMENT/OTHER


	Never Performed	Limited Experience	Comfortable Performing	Proficient
Admission of patients to unit
Assess Breath Sounds

Assess Heart Sounds

Care Planning

Charge Nurse responsibilities

Circulation Checks

Computerized Charting

Manage Cytotoxic Spills

Neurological Assessments

Patient Teaching - General re: Oncology

Universal Precautions

Vital Signs

Do you speak any languages other than English?

Yes

No

If yes, which language(s)?

Age Specific Skills

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.