LPN

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Age Specific Care
Proficiency Rating
Frequency Rating

Newborn/Neonate (birth - 30 days) *
Newborn/Neonate (birth - 30 days) proficiency(Required)
Newborn/Neonate (birth - 30 days) frequency(Required)
Infant (30 days - 1 year) *
Infant (30 days - 1 year) proficiency(Required)
Infant (30 days - 1 year) frequency(Required)
Toddler (1 - 3 years) *
Toddler (1 - 3 years) proficiency(Required)
Toddler (1 - 3 years) frequency(Required)
Preschooler (3 - 5 years) *
Preschooler (3 - 5 years) proficiency(Required)
Preschooler (3 - 5 years) frequency(Required)
School Age Child (5 - 12 years) *
School Age Child (5 - 12 years) proficiency(Required)
School Age Child (5 - 12 years) frequency(Required)
Adolescents (12 - 18 years) *
Adolescents (12 - 18 years) proficiency(Required)
Adolescents (12 - 18 years) frequency(Required)
Young Adults (18 - 39 years) *
Young Adults (18 - 39 years) proficiency(Required)
Young Adults (18 - 39 years) frequency(Required)
Middle Adults (39 - 64 years) *
Middle Adults (39 - 64 years) proficiency(Required)
Middle Adults (39 - 64 years) frequency(Required)
Older Adults (64+ years) *
Older Adults (64+ years) proficiency(Required)
Older Adults (64+ years) frequency(Required)

Clinical Areas
Proficiency Rating
Frequency Rating

Cardiac Care *
Cardiac Care proficiency(Required)
Cardiac Care frequency(Required)
Emergency Department Unit *
Emergency Department proficiency(Required)
Emergency Department frequency(Required)
Intensive Care Unit Unit *
Intensive Care Unit proficiency(Required)
Intensive Care Unit frequency(Required)
Step Down *
Step Down proficiency(Required)
Step Down frequency(Required)
Gynecology *
Gynecology proficiency(Required)
Gynecology frequency(Required)
Labor Delivery *
Labor Delivery proficiency(Required)
Labor Delivery frequency(Required)
Medical *
Medical proficiency(Required)
Medical frequency(Required)
Mother/Baby *
Mother/Baby proficiency(Required)
Mother/Baby frequency(Required)
Neurology *
Neurology proficiency(Required)
Neurology frequency(Required)
Nursery *
Nursery proficiency(Required)
Nursery frequency(Required)
Obstetrics *
Obstetrics proficiency(Required)
Obstetrics frequency(Required)
OR *
OR proficiency(Required)
OR frequency(Required)
Oncology *
Oncology proficiency(Required)
Oncology frequency(Required)
Orthopedics *
Orthopedics proficiency(Required)
Orthopedics frequency(Required)
Pediatrics *
Pediatrics proficiency(Required)
Pediatrics frequency(Required)
Post Partum *
Post Partum proficiency(Required)
Post Partum frequency(Required)
Psychiatry *
Psychiatry proficiency(Required)
Psychiatry frequency(Required)
Rehabilitation *
Rehabilitation proficiency(Required)
Rehabilitation frequency(Required)
Renal/Dialysis *
Renal/Dialysis proficiency(Required)
Renal/Dialysis frequency(Required)
Respiratory *
Respiratory proficiency(Required)
Respiratory frequency(Required)
Surgical *
Surgical proficiency(Required)
Surgical frequency(Required)
Telemetry *
Telemetry proficiency(Required)
Telemetry frequency(Required)
Doctors Office *
Doctors Office proficiency(Required)
Doctors Office frequency(Required)
Health Department *
Health Department proficiency(Required)
Health Department frequency(Required)
Corrections *
Corrections proficiency(Required)
Corrections frequency(Required)
Home Health *
Home Health proficiency(Required)
Home Health frequency(Required)
Long Term Care *
Long Term Care proficiency(Required)
Long Term Care frequency(Required)
Hospice *
Hospice proficiency(Required)
Hospice frequency(Required)
Respite Care *
Respite Care proficiency(Required)
Respite Care frequency(Required)
Outpatient Clinic *
Outpatient Clinic proficiency(Required)
Outpatient Clinic frequency(Required)
Nursing Home *
Nursing Home proficiency(Required)
Nursing Home frequency(Required)

Core Skills
Proficiency Rating
Frequency Rating

Admission of a patient *
Admission of a patient proficiency(Required)
Admission of a patient frequency(Required)
Transfer of a Patient *
Transfer of a Patient proficiency(Required)
Transfer of a Patient frequency(Required)
Discharge of a Patient *
Discharge of a Patient proficiency(Required)
Discharge of a Patient frequency(Required)
Assist with Emergency Situations/Codes *
Assist with Emergency Situations/Codes proficiency(Required)
Assist with Emergency Situations/Codes frequency(Required)
Vital Signs *
Vital Signs proficiency(Required)
Vital Signs frequency(Required)
Post Mortem Care *
Post Mortem Care proficiency(Required)
Post Mortem Care frequency(Required)
Assist with Defibrillation *
Assist with Defibrillation proficiency(Required)
Assist with Defibrillation frequency(Required)
Assist with Cardioversion *
Assist with Cardioversion proficiency(Required)
Assist with Cardioversion frequency(Required)
Documentation *
Documentation proficiency(Required)
Documentation frequency(Required)
Patient and Family Education *
Patient and Family Education proficiency(Required)
Patient and Family Education frequency(Required)
Assessment of Abuse *
Assessment of Abuse proficiency(Required)
Assessment of Abuse frequency(Required)
Restraints *
Restraints proficiency(Required)
Restraints frequency(Required)
Body Mechanics *
Body Mechanics proficiency(Required)
Body Mechanics frequency(Required)
Aseptic Technique *
Aseptic Technique proficiency(Required)
Aseptic Technique frequency(Required)
Isolation Precautions *
Isolation Precautions proficiency(Required)
Isolation Precautions frequency(Required)

Cardiovascular - Care of Patient with...
Proficiency Rating
Frequency Rating

Auscultation (rate, rhythm) *
Auscultation (rate, rhythm) proficiency(Required)
Auscultation (rate, rhythm) frequency(Required)
Blood Pressure/Non-invasive *
Blood Pressure/Non-invasive proficiency(Required)
Blood Pressure/Non-invasive frequency(Required)
Doppler *
Doppler proficiency(Required)
Doppler frequency(Required)
Heart Sounds/Murmurs *
Heart Sounds/Murmurs proficiency(Required)
Heart Sounds/Murmurs frequency(Required)
Abdominal Aortic Aneurysm/Bypass *
Abdominal Aortic Aneurysm/Bypass proficiency(Required)
Abdominal Aortic Aneurysm/Bypass frequency(Required)
Angina *
Angina proficiency(Required)
Angina frequency(Required)
Cardiac Arrest *
Cardiac Arrest proficiency(Required)
Cardiac Arrest frequency(Required)
Cardiomyopathy *
Cardiomyopathy proficiency(Required)
Cardiomyopathy frequency(Required)
Carotid Endarterectomy *
Carotid Endarterectomy proficiency(Required)
Carotid Endarterectomy frequency(Required)
Congestive Heart Failure *
Congestive Heart Failure proficiency(Required)
Congestive Heart Failure frequency(Required)
Femoral-Popliteal Bypass *
Femoral-Popliteal Bypass proficiency(Required)
Femoral-Popliteal Bypass frequency(Required)
Myocarditis *
Myocarditis proficiency(Required)
Myocarditis frequency(Required)
Status Post MI *
Status Post MI proficiency(Required)
Status Post MI frequency(Required)
Post Angioplasty *
Post Angioplasty proficiency(Required)
Post Angioplasty frequency(Required)
Post Cardiac Cath *
Post Cardiac Cath proficiency(Required)
Post Cardiac Cath frequency(Required)
Thrombophlebitis *
Thrombophlebitis proficiency(Required)
Thrombophlebitis frequency(Required)
Temporary Pacemaker *
Temporary Pacemaker proficiency(Required)
Temporary Pacemaker frequency(Required)
Permanent Pacemaker *
Permanent Pacemaker proficiency(Required)
Permanent Pacemaker frequency(Required)
Cardiac Enzymes *
Cardiac Enzymes proficiency(Required)
Cardiac Enzymes frequency(Required)
Blood Chemistries *
Blood Chemistries proficiency(Required)
Blood Chemistries frequency(Required)
Basic Arrhythmia Interpretation *
Basic Arrhythmia Interpretation proficiency(Required)
Basic Arrhythmia Interpretation frequency(Required)
Lead Placement *
Lead Placement proficiency(Required)
Lead Placement frequency(Required)

Pulmonary - Care of patient with...
Proficiency Rating
Frequency Rating

Ventilator/Weaning *
Ventilator/Weaning proficiency(Required)
Ventilator/Weaning frequency(Required)
Breath Sounds *
Breath Sounds proficiency(Required)
Breath Sounds frequency(Required)
Rate and Work of Breathing *
Rate and Work of Breathing proficiency(Required)
Rate and Work of Breathing frequency(Required)
Arterial Blood Gases (ABG) *
Arterial Blood Gases (ABG) proficiency(Required)
Arterial Blood Gases (ABG) frequency(Required)
Asthma *
Asthma proficiency(Required)
Asthma frequency(Required)
COPD *
COPD proficiency(Required)
COPD frequency(Required)
Tracheostomy *
Tracheostomy proficiency(Required)
Tracheostomy frequency(Required)
Lobectomy *
Lobectomy proficiency(Required)
Lobectomy frequency(Required)
Pneumonectomy *
Pneumonectomy proficiency(Required)
Pneumonectomy frequency(Required)
Pneumonia *
Pneumonia proficiency(Required)
Pneumonia frequency(Required)
Pulmonary Embolism *
Pulmonary Embolism proficiency(Required)
Pulmonary Embolism frequency(Required)
Thoracotomy *
Thoracotomy proficiency(Required)
Thoracotomy frequency(Required)
Tuberculosis *
Tuberculosis proficiency(Required)
Tuberculosis frequency(Required)
Pulmonary Edema *
Pulmonary Edema proficiency(Required)
Pulmonary Edema frequency(Required)
Pneumothorax *
Pneumothorax proficiency(Required)
Lead Placement frequency(Required)
Laryngospasm *
Laryngospasm proficiency(Required)
Laryngospasm frequency(Required)
Endotracheal Tube/Suctioning *
Endotracheal Tube/Suctioning proficiency(Required)
Endotracheal Tube/Suctioningfrequency(Required)
Nasal Airway/Suctioning *
Nasal Airway/Suctioning proficiency(Required)
Nasal Airway/Suctioning frequency(Required)
Oropharyngeal/Suctioning *
Oropharyngeal/Suctioning proficiency(Required)
Oropharyngeal/Suctioning frequency(Required)
Sputum Specimen Collection *
Sputum Specimen Collection proficiency(Required)
Sputum Specimen Collection frequency(Required)
Tracheostomy/Suctioning *
Tracheostomy/Suctioning proficiency(Required)
Tracheostomy/Suctioning frequency(Required)
Assist with Intubation *
Assist with Intubation proficiency(Required)
Assist with Intubation frequency(Required)
Assist with Thoracentesis *
Assist with Thoracentesis proficiency(Required)
Assist with Thoracentesis frequency(Required)
Chest Tube Management *
Chest Tube Management proficiency(Required)
Chest Tube Management frequency(Required)
Chest Physiotherapy *
Chest Physiotherapy proficiency(Required)
Chest Physiotherapy frequency(Required)
Incentive Spirometry *
Incentive Spirometry proficiency(Required)
Incentive Spirometry frequency(Required)
Pulse Oximetry *
Pulse Oximetry proficiency(Required)
Pulse Oximetry frequency(Required)
Bag and Mask *
Bag and Mask proficiency(Required)
Bag and Mask frequency(Required)
Face Mask *
Face Mask proficiency(Required)
Face Mask frequency(Required)
Nasal Cannula *
Nasal Cannula proficiency(Required)
Nasal Cannula frequency(Required)
Portable O2 Tank *
Portable O2 Tank proficiency(Required)
Portable O2 Tank frequency(Required)

Neurological - Care of Patient with...
Proficiency Rating
Frequency Rating

Glasgow Coma Scale *
Glasgow Coma Scale proficiency(Required)
Glasgow Coma Scale frequency(Required)
Level of Consciousness *
Level of Consciousness proficiency(Required)
Level of Consciousness frequency(Required)
Assist with Lumbar Puncture *
Assist with Lumbar Puncture proficiency(Required)
Assist with Lumbar Puncture frequency(Required)
Use of Hypo-Hyperthermia Blanket *
Use of Hypo-Hyperthermia Blanket proficiency(Required)
Use of Hypo-Hyperthermia Blanket frequency(Required)
Aneurysm Precautions *
Aneurysm Precautions proficiency(Required)
Aneurysm Precautions frequency(Required)
Basal Skull Fracture *
Basal Skull Fracture proficiency(Required)
Basal Skull Fracture frequency(Required)
Closed Head Injuries *
Closed Head Injuries proficiency(Required)
Closed Head Injuries frequency(Required)
Coma *
Coma proficiency(Required)
Coma frequency(Required)
CVA *
CVA proficiency(Required)
CVA frequency(Required)
TIA *
TIA proficiency(Required)
TIA frequency(Required)
Delirium Tremens *
Delirium Tremens proficiency(Required)
Delirium Tremens frequency(Required)
Encephalitis *
Encephalitis proficiency(Required)
Encephalitis frequency(Required)
Meningitis *
Meningitis proficiency(Required)
Meningitis frequency(Required)
Neuromuscular Disorders *
Neuromuscular Disorders proficiency(Required)
Neuromuscular Disorders frequency(Required)
Psychiatric Disorders *
Psychiatric Disorders proficiency(Required)
Psychiatric Disorders frequency(Required)
Seizures *
Seizures proficiency(Required)
Seizures frequency(Required)
Overdose *
Overdose proficiency(Required)
Overdose frequency(Required)
Guillain - Barre Syndrome *
Guillain - Barre Syndrome proficiency(Required)
Guillain - Barre Syndrome frequency(Required)
Externalized VP Shunts *
Externalized VP Shunts proficiency(Required)
Externalized VP Shunts frequency(Required)
Post Craniotomy *
Post Craniotomy proficiency(Required)
Post Craniotomy frequency(Required)
Spinal Cord Injuries *
Spinal Cord Injuries proficiency(Required)
Spinal Cord Injuries frequency(Required)

Orthopaedics - Care of Patient with...
Proficiency Rating
Frequency Rating

Circulation Checks *
Circulation Checks proficiency(Required)
Circulation Checks frequency(Required)
Gait *
Gait proficiency(Required)
Gait frequency(Required)
Range of Motion *
Range of Motion proficiency(Required)
Range of Motions frequency(Required)
Skin *
Skin proficiency(Required)
Skin frequency(Required)
Wheelchair Use *
Wheelchair Use proficiency(Required)
Wheelchair Use frequency(Required)
Cane/Crutches/Walker Use *
Cane/Crutches/Walker Use proficiency(Required)
Cane/Crutches/Walker Use frequency(Required)
Amputation *
Amputation proficiency(Required)
Amputation frequency(Required)
Arthroscopic Surgery *
Arthroscopic Surgery proficiency(Required)
Arthroscopic Surgery frequency(Required)
Cast *
Cast proficiency(Required)
Cast frequency(Required)
Splint *
Splint proficiency(Required)
Splint frequency(Required)
Knee Immobilizer *
Knee Immobilizer proficiency(Required)
Knee Immobilizer frequency(Required)
Osteoporosis *
Osteoporosis proficiency(Required)
Osteoporosis frequency(Required)
Pinned Fractures *
Pinned Fractures proficiency(Required)
Pinned Fractures frequency(Required)
Total Joint Replacements *
Total Joint Replacements proficiency(Required)
Total Joint Replacements frequency(Required)
Continuous Passive Motion Devices *
Continuous Passive Motion Devices proficiency(Required)
Continuous Passive Motion Devices frequency(Required)
Cervical Collar *
Cervical Collar proficiency(Required)
Cervical Collar frequency(Required)
Prosthetics *
Prosthetics proficiency(Required)
Prosthetics frequency(Required)
Traction - Bucks/Skeletal *
Traction - Bucks/Skeletal proficiency(Required)
Traction - Bucks/Skeletal frequency(Required)
Auto Transfuser *
Auto Transfuser proficiency(Required)
Auto Transfuser frequency(Required)

Gastro-intestinal - Care of Patient with...
Proficiency Rating
Frequency Rating

Abdominal/Bowel Sounds *
Abdominal/Bowel Sounds proficiency(Required)
Abdominal/Bowel Sounds frequency(Required)
Fluid Balance *
Fluid Balance proficiency(Required)
Fluid Balance frequency(Required)
Placement of NG tube *
Placement of NG tube proficiency(Required)
Placement of NG tube frequency(Required)
Placement of Flexible Feeding Tube *
Placement of Flexible Feeding Tube proficiency(Required)
Placement of Flexible Feeding Tube frequency(Required)
Administration of Tube Feeding *
Administration of Tube Feeding proficiency(Required)
Administration of Tube Feeding frequency(Required)
Feeding Pumps *
Feeding Pumps proficiency(Required)
Feeding Pumps frequency(Required)
Gravity Feeding *
Gravity Feeding proficiency(Required)
Gravity Feeding frequency(Required)
Salem Sump to Suction *
Salem Sump to Suction proficiency(Required)
Salem Sump to Suction frequency(Required)
Care of Gastrostomy Tube *
Care of Gastrostomy Tube proficiency(Required)
Care of Gastrostomy Tube frequency(Required)
Colostomy Care *
Colostomy Care proficiency(Required)
Colostomy Care frequency(Required)
Bowel Obstruction *
Bowel Obstruction proficiency(Required)
Bowel Obstruction frequency(Required)
GI Bleeding *
GI Bleeding proficiency(Required)
GI Bleeding frequency(Required)
GI Surgery *
GI Surgery proficiency(Required)
GI Surgery frequency(Required)
Hepatitis *
Hepatitis proficiency(Required)
Hepatitis frequency(Required)
Inflammatory Bowel Disease *
Inflammatory Bowel Disease proficiency(Required)
Inflammatory Bowel Disease frequency(Required)
Liver Failure *
Liver Failure proficiency(Required)
Liver Failure frequency(Required)
Liver Transplant *
Liver Transplant proficiency(Required)
Liver Transplant frequency(Required)
Paralytic Ileus *
Paralytic Ileus proficiency(Required)
Paralytic Ileus frequency(Required)
Colostomy/Ileostomy *
Colostomy/Ileostomy proficiency(Required)
Colostomy/Ileostomy frequency(Required)
Abdominal Trauma *
Abdominal Trauma proficiency(Required)
Abdominal Trauma frequency(Required)

Renal/Genito-Urinary- Care of Patient with...
Proficiency Rating
Frequency Rating

Fluid Balance *
Fluid Balance proficiency(Required)
Fluid Balance frequency(Required)
Urinary Output *
Urinary Output proficiency(Required)
Urinary Output frequency(Required)
BUN & Creatinine *
BUN & Creatinine proficiency(Required)
BUN & Creatinine frequency(Required)
Catheter Care *
Catheter Care proficiency(Required)
Catheter Care frequency(Required)
Specimen Collection - Routine *
Specimen Collection - Routine proficiency(Required)
Specimen Collection - Routine frequency(Required)
Specimen Collection - 24 Hours *
Specimen Collection - 24 Hours proficiency(Required)
Specimen Collection - 24 Hours frequency(Required)
Specimen Collection - Clean Catch *
Specimen Collection - Clean Catch proficiency(Required)
Specimen Collection - Clean Catch frequency(Required)
Insertion & Care of Straight and Foley Catheters - Female *
Insertion & Care of Straight and Foley Catheters - Female proficiency(Required)
Insertion & Care of Straight and Foley Catheters - Female frequency(Required)
Insertion & Care of Straight and Foley Catheters - Male *
Insertion & Care of Straight and Foley Catheters - Maleproficiency(Required)
Insertion & Care of Straight and Foley Catheters - Male frequency(Required)
Hemodialysis *
Hemodialysis proficiency(Required)
Hemodialysis frequency(Required)
Nephrectomy *
Nephrectomy proficiency(Required)
Nephrectomy frequency(Required)
Peritoneal Dialysis *
Peritoneal Dialysis proficiency(Required)
Peritoneal Dialysis frequency(Required)
Renal Failure *
Renal Failure proficiency(Required)
Renal Failure frequency(Required)
Renal Transplant *
Renal Transplant proficiency(Required)
Renal Transplant frequency(Required)
TURP *
TURP proficiency(Required)
TURP frequency(Required)
Ileal Conduit *
Ileal Conduit proficiency(Required)
Ileal Conduit frequency(Required)
Bladder Irrigations *
Bladder Irrigations proficiency(Required)
Bladder Irrigations frequency(Required)
Urinary Tract Infections *
Urinary Tract Infections proficiency(Required)
Urinary Tract Infections frequency(Required)
Gyn Surgery *
Gyn Surgery proficiency(Required)
Gyn Surgery frequency(Required)
Renal Trauma *
Renal Trauma proficiency(Required)
Renal Trauma frequency(Required)

Endocrine/Metabolic - Care of Patient with...
Proficiency Rating
Frequency Rating

S/S Diabetic Coma *
S/S Diabetic Coma proficiency(Required)
S/S Diabetic Coma frequency(Required)
S/S Insulin Coma *
S/S Insulin Coma proficiency(Required)
S/S Insulin Coma frequency(Required)
Blood Glucose Monitoring *
Blood Glucose Monitoring proficiency(Required)
Blood Glucose Monitoring frequency(Required)
Performing Finger/Heel Stick *
Performing Finger/Heel Stick proficiency(Required)
Performing Finger/Heel Stick frequency(Required)
Sliding Scale Insulin Protocols *
Sliding Scale Insulin Protocols proficiency(Required)
Sliding Scale Insulin Protocols frequency(Required)
Adrenal Disorders (Addisonโ€™s) *
Adrenal Disorders (Addisonโ€™s) proficiency(Required)
Adrenal Disorders (Addisonโ€™s) frequency(Required)
Diabetes Mellitus *
Diabetes Mellitus proficiency(Required)
Diabetes Mellitus frequency(Required)
Diabetes Insipidus (Pituitary Disorder) *
Diabetes Insipidus (Pituitary Disorder) proficiency(Required)
Diabetes Insipidus (Pituitary Disorder) frequency(Required)
Diabetic Ketoacidosis *
Diabetic Ketoacidosis proficiency(Required)
Diabetic Ketoacidosis frequency(Required)
Hyperthyroidism *
Hyperthyroidism proficiency(Required)
Hyperthyroidism frequency(Required)
Hypothyroidism *
Hypothyroidism proficiency(Required)
Hypothyroidism frequency(Required)
Thyroidectomy *
Thyroidectomy proficiency(Required)
Thyroidectomy frequency(Required)

Wound Management
Proficiency Rating
Frequency Rating

Assess Skin For Impending Breakdown *
Assess Skin For Impending Breakdown proficiency(Required)
Assess Skin For Impending Breakdown frequency(Required)
Surgical Wound Healing *
Surgical Wound Healing proficiency(Required)
Surgical Wound Healing frequency(Required)
Sterile Dressing Change *
Sterile Dressing Change proficiency(Required)
Sterile Dressing Change frequency(Required)
Wound Vac *
Wound Vac proficiency(Required)
Wound Vac frequency(Required)
Wet to Dry Dressings *
Wet to Dry Dressings proficiency(Required)
Wet to Dry Dressings frequency(Required)
First Degree Burns *
First Degree Burns proficiency(Required)
First Degree Burns frequency(Required)
Second Degree Burns *
Second Degree Burns proficiency(Required)
Second Degree Burns frequency(Required)
Third Degree Burns *
Third Degree Burns proficiency(Required)
Third Degree Burns frequency(Required)
Decubitus Ulcers *
Decubitus Ulcers proficiency(Required)
Decubitus Ulcers frequency(Required)
Surgical Wounds with Drains *
Surgical Wounds with Drains proficiency(Required)
Surgical Wounds with Drains frequency(Required)
Traumatic Wounds *
Traumatic Wounds proficiency(Required)
Traumatic Wounds frequency(Required)
Wound Care Irrigations *
Wound Care Irrigations proficiency(Required)
Wound Care Irrigations frequency(Required)
Multiple Abdominal Wounds & Drains *
Multiple Abdominal Wounds & Drains proficiency(Required)
Multiple Abdominal Wounds & Drains frequency(Required)
Gunshot Wound *
Gunshot Wound proficiency(Required)
Gunshot Wound frequency(Required)
Stab Wound *
Stab Wound proficiency(Required)
Stab Wound frequency(Required)
Lacerations *
Lacerations proficiency(Required)
Lacerations frequency(Required)
Abrasions *
Abrasions proficiency(Required)
Abrasions frequency(Required)

Oncology - Care of Patient with...
Proficiency Rating
Frequency Rating

Bone Marrow Transplant *
Bone Marrow Transplant proficiency(Required)
Bone Marrow Transplant frequency(Required)
Inpatient Chemotherapy *
Inpatient Chemotherapy proficiency(Required)
Inpatient Chemotherapyfrequency(Required)
Leukemia *
Leukemia proficiency(Required)
Leukemia frequency(Required)
Radiation Implant *
Radiation Implant proficiency(Required)
Radiation Implant frequency(Required)
Lymphoma *
Lymphoma proficiency(Required)
Lymphoma frequency(Required)
Depressed Immune System *
Depressed Immune System proficiency(Required)
Depressed Immune System frequency(Required)
Radiation Therapy *
Radiation Therapy proficiency(Required)
Radiation Therapy frequency(Required)
Fresh Oncology Surgery *
Fresh Oncology Surgery proficiency(Required)
Fresh Oncology Surgery frequency(Required)

Infectious Disease - Care of Patient with...
Proficiency Rating
Frequency Rating

HIV *
HIV proficiency(Required)
HIV frequency(Required)
MRSA *
MRSA proficiency(Required)
MRSA frequency(Required)
C. Difficile *
C. Difficile proficiency(Required)
C. Difficile frequency(Required)
VRE *
VRE proficiency(Required)
VRE frequency(Required)
Hepatitis *
Hepatitis proficiency(Required)
Hepatitis frequency(Required)
Influenza *
Influenza proficiency(Required)
Influenza frequency(Required)
Isolation Precautions *
Isolation Precautions proficiency(Required)
Isolation Precautions frequency(Required)

Intravenous Therapy
Proficiency Rating
Frequency Rating

Site Assessment *
Site Assessment proficiency(Required)
Site Assessment frequency(Required)
Administration of Blood & Blood Products *
Administration of Blood & Blood Products proficiency(Required)
Administration of Blood & Blood Products frequency(Required)
Drawing Blood from a Central Line *
Drawing Blood from a Central Line proficiency(Required)
Drawing Blood from a Central Line frequency(Required)
IV Insertion *
IV Insertion proficiency(Required)
IV Insertion frequency(Required)
Heplock Flushes *
Heplock Flushes proficiency(Required)
Heplock Flushes frequency(Required)
Administration of IV Fluid *
Administration of IV Fluid proficiency(Required)
Administration of IV Fluid frequency(Required)
Administration of IV Piggy Back *
Administration of IV Piggy Back proficiency(Required)
Administration of IV Piggy Back frequency(Required)
Administration of IV Push Medications *
Administration of IV Push Medications proficiency(Required)
Administration of IV Push Medications frequency(Required)
Access VAD *
Access VAD proficiency(Required)
Access VAD frequency(Required)
Central Line *
Central Line proficiency(Required)
Central Line frequency(Required)
Peripheral Line *
Peripheral Line proficiency(Required)
Peripheral Line frequency(Required)
Administration TPN/Lipids *
Administration TPN/Lipids proficiency(Required)
Administration TPN/Lipids frequency(Required)

Pain Management
Proficiency Rating
Frequency Rating

Assessment Pain Level/Tolerance *
Assessment Pain Level/Tolerance proficiency(Required)
Assessment Pain Level/Tolerance frequency(Required)
Administration of Narcotic Analgesia *
Administration of Narcotic Analgesia proficiency(Required)
Administration of Narcotic Analgesia frequency(Required)
PCA Pumps *
PCA Pumps proficiency(Required)
PCA Pumps frequency(Required)
IV Conscious Sedations *
IV Conscious Sedation proficiency(Required)
IV Conscious Sedation frequency(Required)
Epidural Anesthesia *
Epidural Anesthesia proficiency(Required)
Epidural Anesthesia frequency(Required)

Miscellaneous
Proficiency Rating
Frequency Rating

Computerized Charting *
Computerized Charting proficiency(Required)
Computerized Charting frequency(Required)
Automated Med. Dispensing Systems *
Automated Med. Dispensing Systems proficiency(Required)
Automated Med. Dispensing Systems frequency(Required)
Safe Needle Devices *
Safe Needle Devices proficiency(Required)
Safe Needle Devices frequency(Required)
PO Medications *
PO Medications proficiency(Required)
PO Medications frequency(Required)
IM Injections *
IM Injections proficiency(Required)
IM Injections frequency(Required)
SQ Injections *
SQ Injections proficiency(Required)
SQ Injections frequency(Required)
Z - Track Injections *
Z - Track Injections proficiency(Required)
Z - Track Injections frequency(Required)
Rectal Suppositories *
Rectal Suppositories proficiency(Required)
Rectal Suppositories frequency(Required)
Nasal Sprays *
Nasal Sprays proficiency(Required)
Nasal Sprays frequency(Required)
Ear Drops *
Ear Drops proficiency(Required)
Ear Drops frequency(Required)
Eye Drops *
Eye Drops proficiency(Required)
Eye Drops frequency(Required)
Inhalers *
Inhalers proficiency(Required)
Inhalers frequency(Required)
Assist with Emergency Drugs/Code Cart *
Assist with Emergency Drugs/Code Cart proficiency(Required)
Assist with Emergency Drugs/Code Cart frequency(Required)
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Please complete all sections of the form.

Completing your skills checklist is the first step of your travel nursing journey.
Your Wayward recruiter will spend time with you to build a full and validated profile to enable both you and us to start the search for your first assignment with confidence.

Your self assessed ratings for your proficiency and experience, based on how often you have performed or participated in in any given competency or skill, can range from 0 (not applicable), to 5 (highly competent with lots of experience).

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