Name*
First
Last
Age Specific Care
Proficiency Rating
Frequency Rating
Newborn/Neonate (birth - 30 days) *
Newborn/Neonate (birth - 30 days) proficiency* Newborn/Neonate (birth - 30 days) frequency* Infant (30 days - 1 year) *
Infant (30 days - 1 year) proficiency* Infant (30 days - 1 year) frequency* Toddler (1 - 3 years) *
Toddler (1 - 3 years) proficiency* Toddler (1 - 3 years) frequency* Preschooler (3 - 5 years) *
Preschooler (3 - 5 years) proficiency* Preschooler (3 - 5 years) frequency* School Age Child (5 - 12 years) *
School Age Child (5 - 12 years) proficiency* School Age Child (5 - 12 years) frequency* Adolescents (12 - 18 years) *
Adolescents (12 - 18 years) proficiency* Adolescents (12 - 18 years) frequency* Young Adults (18 - 39 years) *
Young Adults (18 - 39 years) proficiency* Young Adults (18 - 39 years) frequency* Middle Adults (39 - 64 years) *
Middle Adults (39 - 64 years) proficiency* Middle Adults (39 - 64 years) frequency* Older Adults (64+ years) *
Older Adults (64+ years) proficiency* Older Adults (64+ years) frequency* Elderly Adults (over 79+ years) *
Elderly Adults (over 79+ years) proficiency* Elderly Adults (over 79+ years) frequency*
General Skills
Proficiency Rating
Frequency Rating
Standard Precautions *
Standard Precautions proficiency* Standard Precautions frequency* Isolation Precautions *
Isolation Precautions proficiency* Isolation Precautions frequency* Pediatric Respiratory / Cardiac Arrest *
Pediatric Respiratory / Cardiac Arrest proficiency* Pediatric Respiratory / Cardiac Arrest frequency* Adult Respiratory / Cardiac Arrest *
Adult Respiratory / Cardiac Arrest proficiency* Adult Respiratory / Cardiac Arrest frequency* Crash Carts *
Crash Carts proficiency* Crash Carts frequency* Defibrillators *
Defibrillators proficiency* Defibrillators frequency* Advanced Directives *
Advanced Directives proficiency* Advanced Directives frequency* Patient / Family Education *
Patient / Family Education proficiency* Patient / Family Education frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Automated Med Dispensing Systems *
Automated Med Dispensing Systems proficiency* Automated Med Dispensing Systems frequency*
Pre - Transplant
Proficiency Rating
Frequency Rating
Transplant Center Protocols *
Transplant Center Protocols proficiency* Transplant Center Protocols frequency* Absolute and Relative Contraindications to Transplant *
Absolute and Relative Contraindications to Transplant proficiency* Absolute and Relative Contraindications to Transplant frequency* Wait List Criteria *
Wait List Criteria proficiency* Wait List Criteria frequency* Positive Crossmatch *
Positive Crossmatch proficiency* Positive Crossmatch frequency* Pre - Transplant Evaluation Testing (Organ Specific) *
Pre - Transplant Evaluation Testing (Organ Specific) proficiency* Pre - Transplant Evaluation Testing (Organ Specific) frequency* Evaluation Process *
Evaluation Process proficiency* Evaluation Process frequency* Organ Allocation Process *
Organ Allocation Process proficiency* Organ Allocation Process frequency* Clinical Transplant Team Collaboration *
Clinical Transplant Team Collaboration proficiency* Clinical Transplant Team Collaboration frequency*
Post Transplant
Proficiency Rating
Frequency Rating
Transplant Related Infections *
Transplant Related Infections proficiency* Transplant Related Infections frequency* Organ Rejection *
Organ Rejection proficiency* Organ Rejection frequency* Immunosuppressive Drug Monitoring *
Immunosuppressive Drug Monitoring proficiency* Immunosuppressive Drug Monitoring frequency* Clinical Transplant Team Collaboration *
Clinical Transplant Team Collaboration proficiency* Clinical Transplant Team Collaboration frequency* Immunosuppressive Regimens *
Immunosuppressive Regiments proficiency* Immunosuppressive Regiments frequency* Monitoring Drug Toxicity Levels *
Monitoring Drug Toxicity Levels proficiency* Monitoring Drug Toxicity Levels frequency*
Living Donation
Proficiency Rating
Frequency Rating
Monitoring Organ - Specific Complications *
Monitoring Organ - Specific Complications proficiency* Monitoring Organ - Specific Complications frequency*
Pre - Transplant Candidates
Proficiency Rating
Frequency Rating
Heart *
Heart proficiency* Heart frequency* Lung *
Lung proficiency* Lung frequency* Kidney *
Kidney proficiency* Kidney frequency* Liver *
Liver proficiency* Liver frequency* Pancreas *
Pancreas proficiency* Pancreas frequency* Colon *
Colon proficiency* Colon frequency* Small Bowel *
Small Bowel proficiency* Small Bowel frequency*
Post Transplant Recipients
Proficiency Rating
Frequency Rating
Liver *
Liver proficiency* Liver frequency* Split Liver *
Split Liver proficiency* Split Liver frequency* Reduced Liver *
Reduced Liver proficiency* Reduced Liver frequency* Kidney *
Kidney proficiency* Kidney frequency* Lung *
Lung proficiency* Lung frequency* Heart *
Heart proficiency* Heart frequency* Colon *
Colon proficiency* Colon frequency* Pancreas *
Pancreas proficiency* Pancreas frequency* Small Bowel *
Small Bowel proficiency* Small Bowel frequency*
Cardiovascular
Proficiency Rating
Frequency Rating
GENERAL
Abnormal Heart Sounds / Murmurs *
Abnormal Heart Sounds / Murmurs proficiency* Abnormal Heart Sounds / Murmurs frequency* Auscultation *
Auscultation proficiency* Auscultation frequency* Capillary Refill *
Capillary Refill proficiency* Capillary Refill frequency* PATIENT EXPERIENCE
Acute MI *
Acute MI proficiency* Acute MI frequency* Angina *
Angina proficiency* Angina frequency* Cardiomyopathy *
Cardiomyopathy proficiency* Cardiomyopathy frequency* Cardiopulmonary Arrest *
Cardiopulmonary Arrest proficiency* Cardiopulmonary Arrest frequency* Congestive Heart Failure *
Congestive Heart Failure proficiency* Congestive Heart Failure frequency* Pacemaker *
Pacemaker proficiency* Pacemaker frequency* Pericarditis *
Pericarditis proficiency* Pericarditis frequency* AICD *
AICD proficiency* AICD frequency* MONITORING
EKG Monitoring *
EKG Monitoring proficiency* EKG Monitoring frequency* LABS
Arrythmia Interpretation *
Arrythmia Interpretation proficiency* Arrythmia Interpretation frequency* Coagulation Studies *
Coagulation Studies proficiency* Coagulation Studies frequency* BNP *
BNP proficiency* BNP frequency* Troponin *
Troponin proficiency* Troponin frequency*
Pulmonary
Proficiency Rating
Frequency Rating
GENERAL
Adventitious Breath Sounds *
Adventitious Breath Sounds proficiency* Adventitious Breath Sounds frequency* Rate and Work of Breathing *
Rate and Work of Breathing proficiency* Rate and Work of Breathing frequency* PATIENT EXPERIENCE
Asthma *
Asthma proficiency* Asthma frequency* Chest Tubes *
Chest Tubes proficiency* Chest Tubes frequency* COPD *
COPD proficiency* COPD frequency* Cystic Fibrosis *
Cystic Fibrosis proficiency* Cystic Fibrosis frequency* Pneumonia *
Pneumonia proficiency* Pneumonia frequency* Pulmonary Embolism *
Pulmonary Embolism proficiency* Pulmonary Embolism frequency* MONITORING
Pulse Oximetry *
Pulse Oximetry proficiency* Pulse Oximetry frequency* LABS
Interpretation of ABGs *
Interpretation of ABGs proficiency* Interpretation of ABGs frequency*
Neurology
Proficiency Rating
Frequency Rating
GENERAL
Level of Consciousness *
Level of Consciousness proficiency* Level of Consciousness frequency* Neurological Assessment *
Neurological Assessment proficiency* Neurological Assessment frequency* PATIENT EXPERIENCE
Stroke *
Stroke proficiency* Stroke frequency* Intercranial Hemorrhage *
Intercranial Hemorrhage proficiency* Intercranial Hemorrhage frequency* Seizure Disorder *
Seizure Disorder proficiency* Seizure Disorder frequency*
Gastrointestinal
Proficiency Rating
Frequency Rating
Nutritional Status *
Nutritional Status proficiency* Nutritional Status frequency* GENERAL
GI Assessment *
GI Assessment proficiency* GI Assessment frequency* PATIENT EXPERIENCE
Bowel Obstruction *
Bowel Obstruction proficiency* Bowel Obstruction frequency* Colostomy *
Colostomy proficiency* Colostomy frequency* Cirrhosis *
Cirrhosis proficiency* Cirrhosis frequency* GI Bleeding *
GI Bleeding proficiency* GI Bleeding frequency* Hepatitis *
Hepatitis proficiency* Hepatitis frequency* Liver Failure *
Liver Failure proficiency* Liver Failure frequency* Pancreatitis *
Pancreatitis proficiency* Pancreatitis frequency* Paralytic Ileus *
Paralytic Ileus proficiency* Paralytic Ileus frequency* LABS
Liver Function Tests *
Liver Function Tests proficiency* Liver Function Tests frequency* Serum Ammonia *
Serum Ammonia proficiency* Serum Ammonia frequency* Serum Amylase *
Serum Amylase proficiency* Serum Amylase frequency* Urine Amylase *
Urine Amylase proficiency* Urine Amylase frequency*
Renal / Genitourinary
Proficiency Rating
Frequency Rating
GENERAL
Fluid Status *
Fluid Status proficiency* Fluid Status frequency* PATIENT EXPERIENCE
Acute Renal Failure *
Acute Renal Failure proficiency* Acute Renal Failure frequency* End Stage Renal Disease *
End Stage Renal Disease proficiency* End Stage Renal Disease frequency* Hemodialysis *
Hemodialysis proficiency* Hemodialysis frequency* Nephrostomy *
Nephrostomy proficiency* Nephrostomy frequency* Peritoneal Dialysis *
Peritoneal Dialysis proficiency* Peritoneal Dialysis frequency* MONITORING
Measurement of Intake and Output *
Measurement of Intake and Output proficiency* Measurement of Intake and Output frequency* Fluid Balance *
Fluid Balance proficiency* Fluid Balance frequency* LABS
BUN and Creatinine *
BUN and Creatinine proficiency* BUN and Creatinine frequency* Serum Electrolytes *
Serum Electrolytes proficiency* Serum Electrolytes frequency*
Endocrine / Metabolic
Proficiency Rating
Frequency Rating
GENERAL
Diabetes *
Diabetes proficiency* Diabetes frequency* Diabetic Ketoacidosis *
Diabetic Ketoacidosis proficiency* Diabetic Ketoacidosis frequency* LABS
Blood Glucose *
Blood Glucose proficiency* Blood Glucose frequency*
Immunology / Hematology / Oncology
Proficiency Rating
Frequency Rating
GENERAL
Blood Transfusions *
Blood Transfusions proficiency* Blood Transfusions frequency* PATIENT EXPERIENCE
Cancer *
Cancer proficiency* Cancer frequency* Cytomegalovirus *
Cytomegalovirus proficiency* Cytomegalovirus frequency* HIV / AIDS *
HIV / AIDS proficiency* HIV / AIDS frequency* Acute Leukemia *
Acute Leukemia proficiency* Acute Leukemia frequency* Sepsis *
Sepsis proficiency* Sepsis frequency* LABS
Hematology *
Hematology proficiency* Hematology frequency*
Wounds / Integument
Proficiency Rating
Frequency Rating
GENERAL
Signs / Symptoms of Infection *
Signs / Symptoms of Infection proficiency* Signs / Symptoms of Infection frequency* Skin Assessment *
Skin Assessment proficiency* Skin Assessment frequency* PATIENT EXPERIENCE
Surgical Wounds with Drains *
Surgical Wounds with Drains proficiency* Surgical Wounds with Drains frequency* Stasis Ulcers *
Stasis Ulcers proficiency* Stasis Ulcers frequency* Wounds *
Wounds proficiency* Wounds frequency* MONITORING
Skin Breakdown *
Skin Breakdown proficiency* Skin Breakdown frequency*
Medication Administration
Proficiency Rating
Frequency Rating
Administer IM and SQ *
Administer IM and SQ proficiency* Administer IM and SQ frequency* Administer PO *
Administer PO proficiency* Administer PO frequency* Administer IV *
Administer IV proficiency* Administer IV frequency* Bladder Irrigation and Installation *
Bladder Irrigation and Installation proficiency* Bladder Irrigation and Installation frequency* Immunosuppressive Therapy *
Immunosuppressive Therapy proficiency* Immunosuppressive Therapy frequency*
IV Therapy
Proficiency Rating
Frequency Rating
Adverse Reactions *
Adverse Reactions proficiency* Adverse Reactions frequency* Assess / Maintain IV *
Assess / Maintain IV proficiency* Assess / Maintain IV frequency* PCA Pumps *
PCA Pumps proficiency* PCA Pumps frequency* Syringe Pumps *
Syringe Pumps proficiency* Syringe Pumps frequency* Vascular Access Device Care / Maintenance *
Vascular Access Device Care / Maintenance proficiency* Vascular Access Device Care / Maintenance frequency* Infusion Pumps *
Infusion Pumps proficiency* Infusion Pumps frequency* Insert Peripheral IV *
Insert Peripheral IV proficiency* Insert Peripheral IV frequency*
Blood
Proficiency Rating
Frequency Rating
Administer Blood / Blood Products *
Administer Blood / Blood Products proficiency* Administer Blood / Blood Products frequency* Albumin *
Albumin proficiency* Albumin frequency*
Nutritional Therapy
Proficiency Rating
Frequency Rating
Enteral Administration *
Enteral Administration proficiency* Enteral Administration frequency* TPN and Hyperalimentation *
TPN and Hyperalimentation proficiency* TPN and Hyperalimentation frequency* Tube Feeding Pumps *
Tube Feeding Pumps proficiency* Tube Feeding Pumps frequency* NGT Insertion *
NGT Insertion proficiency* NGT Insertion frequency* Dobhoff Insertion *
Dobhoff Insertion proficiency* Dobhoff Insertion frequency* PEG *
PEG proficiency* PEG frequency*
Oxygen Administration
Proficiency Rating
Frequency Rating
Ambu - bag *
Ambu - bag proficiency* Ambu - bag frequency* Nasal Cannula *
Nasal Cannula proficiency* Nasal Cannula frequency* Non - Rebreather Mask *
Non - Rebreather Mask proficiency* Non - Rebreather Mask frequency* Venti Mask *
Venti Mask proficiency* Venti Mask frequency* Portable Oxygen *
Portable Oxygen proficiency* Portable Oxygen frequency* Tracheostomy *
Tracheostomy proficiency* Tracheostomy frequency*
Pain Management
Proficiency Rating
Frequency Rating
Assess Pain Level / Tolerance *
Assess Pain Level / Tolerance proficiency* Assess Pain Level / Tolerance frequency* Epidural Anesthesia / Analgesia *
Epidural Anesthesia / Analgesia proficiency* Epidural Anesthesia / Analgesia frequency* Patient Controlled Analgesia *
Patient Controlled Analgesia proficiency* Patient Controlled Analgesia frequency* Moderate Sedation *
Moderate Sedation proficiency* Moderate Sedation frequency*
Perform
Proficiency Rating
Frequency Rating
Chest Tube Drainage Systems *
Chest Tube Drainage Systems proficiency* Chest Tube Drainage Systems frequency* Doppler *
Doppler proficiency* Doppler frequency* Dressing Changes *
Dressing Changes proficiency* Dressing Changes frequency* Drains (JP - Hemovac - Penrose) *
Drains (JP - Hemovac - Penrose) proficiency* Drains (JP - Hemovac - Penrose) frequency* Suctioning (Oral - Naso - Pharynx) *
Suctioning (Oral - Naso - Pharynx) proficiency* Suctioning (Oral - Naso - Pharynx) frequency* Indwelling Urinary Catheter *
Indwelling Urinary Catheter proficiency* Indwelling Urinary Catheter frequency* Hyper / Hypothermia Blanket *
Hyper / Hypothermia Blanket proficiency* Hyper / Hypothermia Blanket frequency* Incentive Spirometry *
Incentive Spirometry proficiency* Incentive Spirometry frequency* Isolation *
Isolation proficiency* Isolation frequency* Specialty Beds *
Specialty Beds proficiency* Specialty Beds frequency* Early Mobility *
Early Mobility proficiency* Early Mobility frequency*
Specimen Collections
Proficiency Rating
Frequency Rating
Butterfly Stick *
Butterfly Stick proficiency* Butterfly Stick frequency* Central - Line Blood Draw *
Central - Line Blood Draw proficiency* Central - Line Blood Draw frequency* Clean Catch Urine *
Clean Catch Urine proficiency* Clean Catch Urine frequency* Blood Cultures *
Blood Cultures proficiency* Blood Cultures frequency* Finger Stick *
Finger Stick proficiency* Finger Stick frequency* Urine Dipstick *
Urine Dipstick proficiency* Urine Dipstick frequency* Sputum *
Sputum proficiency* Sputum frequency* Sterile Urine *
Sterile Urine proficiency* Sterile Urine frequency* Stool *
Stool proficiency* Stool frequency* Throat Swab *
Throat Swab proficiency* Throat Swab frequency* Venipuncture *
Venipuncture proficiency* Venipuncture frequency*
Assist
Proficiency Rating
Frequency Rating
Bedside Invasive Procedures *
Bedside Invasive Procedures proficiency* Bedside Invasive Procedures frequency* Bronchoscopy *
Bronchoscopy proficiency* Bronchoscopy frequency* Central Line Insertion *
Central Line Insertion proficiency* Central Line Insertion frequency* Chest Tube Insertion *
Chest Tube Insertion proficiency* Chest Tube Insertion frequency* Pericardiocentesis *
Pericardiocentesis proficiency* Pericardiocentesis frequency* Paracentesis *
Paracentesis proficiency* Paracentesis frequency* Thoracentesis *
Thoracentesis proficiency* Thoracentesis frequency* Lumbar Puncture *
Lumbar Puncture proficiency* Lumbar Puncture frequency*
Settings
Proficiency Rating
Frequency Rating
Hospital *
Hospital proficiency* Hospital frequency* Medical Units *
Medical Units proficiency* Medical Units frequency* Surgical Units *
Surgical Units proficiency* Surgical Units frequency* Oncology *
Oncology proficiency* Oncology frequency* Clinic *
Clinic proficiency* Clinic frequency* Outpatient Clinic *
Outpatient Clinic proficiency* Outpatient Clinic frequency* OTHER SKILLS
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